Purpose: The purpose of this study was to test whether adults who stutter (AWS) display a different range of sensitivity to delayed auditory feedback (DAF). Two experiments were conducted to assess the fluency of AWS under long-latency DAF and to test the effect of short-latency DAF on speech kinematic variability in AWS. Method: In Experiment 1,…

Purpose: The purposes of this study were to examine the self-efficacy of school-based speech-language pathologists (SLPs) in conducting multidimensional treatment with children who stutter (CWS) and to identify correlates of self-efficacy in treating speech-related, social, emotional, and cognitive domains of stuttering. Method: Three hundred…

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:…

Background: Little is known about optimal treatment approaches and stuttering treatment outcomes for children with Down syndrome. Aims and method: The purpose of this study was to investigate outcomes for a child with Down syndrome who received a combination of fluency shaping therapy and parent delivered contingencies for normally fluent speech,…

The aim of the present study was to assess the effectiveness of an Acceptance and Commitment Therapy group intervention program for adults who stutter (N = 20). The program consisted of 2-h therapeutic sessions conducted weekly for eight consecutive weeks. It was an integrated program designed to improve: (a) psychosocial functioning, (b)…

Voicing onset changes between control conditions and three fluency-evoking conditions (choral reading, delayed auditory feedback, and noise) were studied in 10 individuals who stutter and in 12 controls. Results indicate that although fluency-evoking conditions modified some voicing-onset behaviors, these modifications did not relate to…

Researchers studied the effects of self-modeling as an intervention for stuttering in school-aged students. Students viewed videotapes of themselves speaking fluently over a six-week period. All students evidenced a decrease in stuttering after viewing tapes. The increased fluency generalized to social settings. Results replicate those of an…

A recent forum in "JFD" (28/3, 2003) evaluated the status of evidence-based practice in fluency disorders, and offered recommendations for improvement. This article re-evaluates the level of support available for some popular approaches to stuttering therapy and questions the relative value placed on some types of programs endorsed by the forum.…

This article explores the connections between conversation demands and the ability of children who stutter to maintain fluency. A model of conversation management useful both in assessment and intervention is introduced. The three-component model considers competencies at the utterance level, suprasegmental level, and discourse level. (Author/JDD)

The importance of including parents and teachers in the process of therapy for children who stutter is addressed, and viewing intervention along a therapy continuum incorporating both fluency-shaping and stuttering modification philosophies is recommended. Other topics presented include student attitudes and feelings, grouping and scheduling,…

A model of service delivery for elementary students who stutter is described, emphasizing the integration of fluency-shaping and stuttering modification techniques. The treatment program includes procedures for helping children to understand and identify fluency problems, techniques for teaching and integrating fluency-shaping and stuttering…

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…

A national survey of school-based speech-language pathologists (N=278) showed some improvement over previous surveys in clinicians' training, confidence, and attitudes about providing assessment and intervention services to school-age children who stutter. Other findings indicated a lower success rate with adolescents and a lack of training in…

With the increasing number of Spanish-English bilingual children in the U.S., both SLPs and researchers must understand speech and language developments in these children--and SLPs also need reliable assessment and intervention approaches for serving bilingual children with language disorders. This comprehensive text is one of the few to offer…