Purpose: The purpose of this review article is to provide an overview of the current evidence base for the behavioral management of stuttering and associated social anxiety. Method: We overview recent research about stuttering and social anxiety in the context of contemporary cognitive models of social anxiety disorder. That emerging evidence for…

Clinical Question: For individuals who stutter (P), which behavioral treatment approaches (I, C) are most effective in promoting fluent speech (O)? Method: Systematic Review and Meta-Analysis. Study Sources: CINAHL, CINAHL Plus (with Full Text), ERIC, MEDLINE, PsycINFO, and ProQuest Dissertations & Theses Full Text. The authors also conducted…

Clinical Question: What treatment approaches are available to reduce the frequency of phonological processes and disfluencies (moments of stuttering or stuttered words or syllables) in a school-aged child with a phonological disorder (PD) and an additional stuttering disorder (SD)? Additionally, what is the treatment efficacy of available…

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: To complete a systematic review, incorporating trial quality assessment, of published research about pharmacological treatments for stuttering. Goals included the identification of treatment recommendations and research needs based on the available high-quality evidence. Method: Multiple readers reviewed 31 articles published between 1970…

Reports a long-term follow-up of the effects of self-modeling on the reduction of stuttering in two groups of students who initially evidenced different mean percentages of stuttered words. Results reveal that students involved in the initial study who initially exhibited substantially higher mean percentages of stuttered words, maintained their…

Reviews the history of the terms "impairment,""disability," and "handicap" in the stuttering literature and proposes alternate definitions that are more consistent with the use of the International Classification of Impairments, Disabilities, and Handicaps. A model is proposed for discussing the outcomes of various…

The difficulties of generalization and maintenance in stuttering treatment is discussed. Three strategies for promoting generalization and maintenance in school settings are suggested based on current research evidence: probing and training for generalization; incorporating real-life elements into therapy; and training clients to self-regulate…

Purpose: To complete a systematic review, with trial quality assessment, of published research about behavioral, cognitive, and related treatments for developmental stuttering. Goals included the identification of treatment recommendations and research needs based on the available high-quality evidence about stuttering treatment for preschoolers,…

Nineteen adults who stutter participated in a 3-week intensive stuttering modification treatment program (the Successful Stuttering Management Program [SSMP]). A series of 14 fluency and affective-based measures were assessed before treatment, immediately after treatment, and 6 months after treatment. Measures included stuttering frequency; the…

This is a review of the contingency management literature and current related treatment programs for stuttering in childhood: the Lidcombe Program, Gradual Increase in Length and Complexity of Utterance (GILCU), and Prolongation (PS). Treatment efficacy research has shown these treatments to be effective and efficient for children, but there…

This article provides information on stuttering, including the incidence of the disability; the definition of stuttering; the effects of stuttering on daily life activities; the role of the speech-language pathologist in treating stuttering; and the evidence of the benefits of treatment in children and adults. A case study is presented. (CR)