Stuttering Treatment Research 1970–2005: I. Systematic Review Incorporating Trial Quality Assessment of Behavioral, Cognitive, and Related Approaches
Publication: American Journal of Speech-Language Pathology
Volume 15, Number 4
Pages 321-341
Abstract
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, school-age children, adolescents, and adults.
Method
Multiple readers reviewed 162 articles published between 1970 and 2005, using a written data extraction instrument developed as a synthesis of existing standards and recommendations. Articles were then assessed using 5 methodological criteria and 4 outcomes criteria, also developed from previously published recommendations.
Results
Analyses found 39 articles that met at least 4 of the 5 methodological criteria and were considered to have met a trial quality inclusion criterion for the purposes of this review. Analysis of those articles identified a range of stuttering treatments that met speech-related and/or social, emotional, or cognitive outcomes criteria.
Conclusions
Review of studies that met the trial quality inclusion criterion established for this review suggested that response-contingent principles are the predominant feature of the most powerful treatment procedures for young children who stutter. The most powerful treatments for adults, with respect to both speech outcomes and social, emotional, or cognitive outcomes, appear to combine variants of prolonged speech, self-management, response contingencies, and other infrastructural variables. Other specific clinical recommendations for each age group are provided, as are suggestions for future research.
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- Received: Oct 19, 2005
- Revised: Mar 28, 2006
- Accepted: May 25, 2006
- Published in issue: Nov 1, 2006
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- Luisella Cocco, Monica Anisio, Claudia Maulini, Anna Maria Padovan, Sonia Angilletta, Goran Kuvačić, Andrea De Giorgio, Building a Bridge Among Unspoken Words: The Use of Drawing According to the IARA Model to Trigger Communication in Children and Adolescents Who Stutter, Revista de Investigación en Logopedia, 10.5209/rlog.91026, 14, 1, (e91026), (2024).
- Amie E. Grills, Melissa K. Holt, Stefan G Hofmann, Childhood and Adolescent Disorders, Clinical Psychology, 10.1002/9781394259229.ch9, (135-152), (2023).
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