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Adapting Early Childhood Stuttering Therapy (Yaruss and Reardon-Reeves, 2017)


Authors: Mocsári Kristína;  Marková Jana
Authors‘ workplace: Ústav psychologických a logopedických štúdií, Pedagogická fakulta UK, Račianska 59, 813 34 Bratislava 1;  Ústav psychologických a logopedických štúdií, Pedagogická fakulta UK, Račianska 59, 813 34 Bratislava 2
Published in: Listy klinické logopedie 2023; 7(2): 38-46
Category: Miscellaneous
doi: https://doi.org/10.36833/lkl.2023.016

Overview

Introduction: Stuttering is a complex speech disorder, appearing already at preschool age. Despite the fact that spontaneous correction may occur, we consider it important to devote therapy to this disorder already at this age.
Objective: We decided to measure and compare stuttering symptoms before and after therapy, thus to determine whether the less-direct stuttering therapy according to Yaruss and Reardon-Reeves (2017) was effective and had a positive effect on stuttering symptoms in two children aged 3 and 4.8 years. We also wanted to determine whether the parents’ concerns decreased after therapy.
Methods: Firstly, an examination was conducted to rule out a developmental language disorder or a speech and sound disorder. Dysfluencies were evaluated in speech samples gathered by different speech tasks: non-word and sentence re­petition, sentence completion, automatic speech tasks and spontaneous speech recordings (home and MAIN). We also assessed the level of the parents’ concerns on a 5-point scale. Further, on a 5-point scale, parents evaluated their child’s fluency for each day in the home environment. 
Less-direct therapy (Yaruss and Reardon-Reeves, 2017) is based on a multidisciplinary model of stuttering and consists of two approaches to the therapy of stuttering in children – less direct and more direct. In our research, we used less-direct therapy in two children aged 3 and 4.8 years at the time the therapy started. The aim of less-direct therapy is to create an environment for the child that supports his/her fluency. Parents learn 5 communication strategies.
Results: In both children, there was a reduction of dysfluencies in all examined areas. In the case of the first child, dysfluencies decreased by 34.11% and, in the case of the second child, by 9.13%. In both children, the parents’ concerns and the assessment of dysfluencies in the home environment decreased.
Conclusion: We adapted the methodology of Yaruss and Reardon-Reeves (2017) to Slovak conditions and verified the effectiveness of less-direct therapy on two children. Based on our results, we can state that the therapy was effective for these two children. However, further research, more thorough analyses of the data and monitoring of the long-term effect of the therapy are needed.
 

Keywords:

Stuttering, stuttering therapy, preschool age, indirect therapy, effectiveness of therapy


Sources
  1. BLOODSTEIN, O., BERNSTEIN RATNER, N., BRUNDAGE, S. B., 2021. A handbook on stuttering. 7. vyd. San Diego, USA: Plural Publishing, Inc. ISBN 978-1-63550-317-3.
  2. BUNTOVÁ, D., 2013. Hodnotenie zrozumiteľnosti reči u detí. In: Logopaedica XVI, s. 49-54.
  3. DE SONNEVILLE-KOEDOOT, C., STOLK, E., RIETVELD, T., FRANKEN, M. C., 2015. Direct versus Indirect Treatment for Preschool Children who Stutter: The RESTART Randomized Trial. PLoS ONE. [online]. 10(7), s. 1-17.  DOI: 10.1371/journal.pone.0133758.
  4. GARDNER, H., FROUD, K., McCLELLAND, A., VAN DER LELY, H. K. J., 2006. Development of the Grammar and Phonology Screening (GAPS) test to assess key markers of specific language and literacy difficulties in young children. International Journal of Language & Communication Disorders. [online]. 41(5), s. 513-540. DOI: 10.1080/13682820500442644.
  5. GUITAR, B., 2019. Stuttering: An Integrated Approach to Its Nature and Treatment. 5. vyd. Philadelphia, USA: Wolters Kluwer. ISBN 978-1496346124.
  6. HERDER, C., HOWARD, C., NYE, C., VANRYCKEGHEM, M., 2006. Effectiveness of Behavioral Stuttering Treatment: A Systematic Review and Meta-Analysis. Contemporary Issues in Communication Science and Disorders. [online]. 33(1), s. 61-73. DOI: 10.1044/cicsd_33_S_61.
  7. HOWELL, P., 2007. Signs of developmental stuttering up to age eight and at 12 plus. Clinical Psychology Review. [online]. 27(3), s. 287-306. DOI: 10.1016/j.cpr.2006.08.005. 
  8. JONES, M., ONSLOW, M., PACKMAN, A., WILLIAMS, S., ORMOND, T., SCHWARZ, I., GEBSKI, V., 2005. Randomised controlled trial of the Lidcombe programme of early stuttering intervention. British Medical Journal. [online]. 331(7518), s. 659-661. DOI: 10.1136/bmj.38520.451840.E0.
  9. KAPALKOVÁ, S., NEMCOVÁ, M., 2020. MAIN: Slovak version and pilot data. In: ZAS Papers in Linguistics. Bd. 64. [online]. s. 199-205. DOI: 10.21248/zaspil.64.2020.574.
  10. LECHTA, V. et al., 2005. Zajakavosť – integratívny prístup. Diagnostika. Bratislava: LIEČREH GÚTH. ISBN 80-88932-17-3.
  11. LECHTA, V., 2010. Koktavost: Integrativní přístup. Praha: Portál. ISBN 978-80-7367-643-8.
  12. LECHTA, V., 2016. Zajakavosť. In KEREKRÉTIOVÁ, A. et al. Logopédia. Bratislava: Univerzita Komenského, s. 121-142. ISBN 978-80-223-4165-3.
  13. McLEOD, S., HARRISON, L. J., McCORMACK, J., 2012. The Intelligibility in Context Scale: Validity and Reliability of a Subjective Rating Measure. Journal of Speech, Language, and Hearing Research. [online]. 55(2), s. 648-656. DOI: 10.1044/1092-4388(2011/10-0130).
  14. ONSLOW, M., O’BRIAN, S., 2013. Management of childhood stuttering. Journal of Paediatrics and Child Health. [online]. 49(2), s. E112-E115. DOI: 10.1111/jpc.12034.
  15. POLIŠENSKÁ, K., KAPALKOVÁ, S., 2014. Improving Child Compliance on a Computer-Administered Nonword Repetition Task. Journal of Speech, Language, and Hearing Research. [online]. 57(3), s. 1060-1068. DOI: 10.1044/1092-4388(2013/13-0014).
  16. REILLY, S. et al., 2013. Natural History of Stuttering to 4 Years of Age: A Prospective Community-Based Study. Pediatrics. [online]. 132(3), s. 460-467. DOI: 10.1542/peds.2012-3067.
  17. STARKWEATHER, C. W., GOTTWALD, S. R., HALFOND, M. M., 1990. Stuttering prevention a clinical method. New Jersey, USA: Prentice – Hall. ISBN 978-0138589943.
  18. VICENOVÁ, Z., 2011. Možnosti aplikácie skríningového nástroja GAPS u slovenských detí. Diplomová práca. Bratislava: Univerzita Komenského v Bratislave, Pedagogická fakulta, Katedra logopédie. Vedúci práce Mgr. Svetlana Kapalková, PhD.
  19. WARD, D., 2018. Stuttering and Cluttering: Frameworks for Understanding and Treatment. 2. vyd. Milton: Routledge. ISBN 9780203892800.
  20. YAIRI, E., AMBROSE, N. G., 1999. Early Childhood Stuttering I: Persistency and Recovery Rates. Journal of Speech, Language, and Hearing Research. [online]. 42(5), s. 1097-1112. DOI: 10.1044/jslhr.4205.1097.
  21. YAIRI, E., SEERY, C. H., 2021. Stuttering: Foundations and Clinical Applications. 3. vyd. San Diego, USA: Plural Publishing. ISBN 9781635503562.
  22. YARUSS, J. S., COLEMAN, C., HAMMER, D., 2006. Treating preschool children who stutter: description and preliminary evaluation of a family-focused treatment approach. Language, Speech and Hearing Services in Schools. [online]. 37(2), s. 118-136. DOI: 10.1044/0161-1461(2006/014).
  23. YARUSS, J. S., REARDON-REEVES, N., 2017. Early Childhood Stuttering Therapy: A Practical Guide. McKinney, USA: Stuttering Therapy Resources. ISBN 978-0983753872.
  24. YARUSS, J. S., REARDON-REEVES, N., 2019. Rozhovor. In KUMMER, A. 20Q: Early Childhood Stuttering: Less-Direct and More-Direct Treatment. Dostupné z: https://www.speechpathology.com/articles/20q-early-childhood-stuttering-less-20233.
Labels
Clinical speech therapy General practitioner for children and adolescents

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Clinical speech therapy (Listy klinické logopedie)

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