Clinical Question: Would an adolescent who stutters (P) exhibit long-term improvement in stuttering management from fluency shaping approaches (I) or speech modification techniques (C), as shown by increases in controlled and spontaneous fluency, reduced severity of moments of stuttering, and decreased negative impact of stuttering (O)? Method:…

Purpose: Previous research has demonstrated the fluency-improving effect of reducing the occurrence of short-duration, phonated intervals (PIs; approximately 30-150 ms) in individuals who stutter, prompting the hypothesis that PIs in these individuals' speech are not distributed normally, particularly in the short PI ranges. It has also been…

Structure and consistency are important in treating adolescents who stutter. The speech-language pathologist's positive expectations have a powerful influence on clients' attitudes and belief in the possibility of progress. A program of both cognitive and self-instruction procedures and behavioral speech treatment strategies is recommended to…

This article describes a cognitive-behavioral treatment package for relapse management in adolescents who stutter. The package includes game-based training techniques in problem solving, communication skills, and assertiveness; coping responses for stuttering episodes; and realistic expectations for fluency and relapse. Follow-up results with…