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An Evaluation of an Integrated Stuttering and Parent-Administered Self-Regulation Program for Early Developmental Stuttering Disorders

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Title: An Evaluation of an Integrated Stuttering and Parent-Administered Self-Regulation Program for Early Developmental Stuttering Disorders
Language: English
Authors: Druker, Kerianne, Mazzucchelli, Trevor (ORCID 0000-0002-8306-3917), Hennessey, Neville (ORCID 0000-0003-1538-7140), Beilby, Janet (ORCID 0000-0002-7439-5514)
Source: Journal of Speech, Language, and Hearing Research. Sep 2020 63(9):2894-2912.
Availability: American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Peer Reviewed: Y
Page Count: 19
Publication Date: 2020
Document Type: Journal Articles
Reports - Research
Descriptors: Stuttering, Program Implementation, Evidence Based Practice, Self Management, Symptoms (Individual Disorders), Comparative Analysis, Outcomes of Treatment, Attention Deficit Hyperactivity Disorder, Child Behavior, Parent Child Relationship, Parenting Styles, Behavior Problems, Preschool Children, Program Evaluation, Metacognition, Foreign Countries, Screening Tests, Questionnaires, Language Tests, Measures (Individuals)
Geographic Terms: Australia
Assessment and Survey Identifiers: Strengths and Difficulties Questionnaire, Clinical Evaluation of Language Fundamentals
DOI: 10.1044/2020_JSLHR-19-00310
ISSN: 1092-4388
Abstract: Purpose: This study reports findings from a clinical trial that implemented an early stuttering treatment program integrated with evidence-based parenting support (EBPS) to children who stutter (CWS) with concomitant self-regulation challenges manifested in elevated attention-deficit/hyperactivity disorder (eADHD) symptoms and compared those outcomes to CWS receiving stuttering treatment without EBPS. Method: Participants were 76 preschool CWS and their parent(s). Thirty-six of these children presented with eADHD and were quasirandomized into two groups: stuttering treatment only (eADHD[subscript standard]) or stuttering treatment integrated with EBPS (eADHD[subscript integrated]). The remaining children did not meet criteria for eADHD symptoms and received stuttering treatment only (No-eADHD[subscript standard]). Pre, post, and 3-month follow-up measures of stuttering treatment outcomes as well as treatment effects on measures of child behavior difficulties and parenting practices were examined. Results: Significant reduction in stuttering was found for all groups. However, the eADHD[subscript integrated] group showed a greater reduction in stuttering frequency than the eADHD[subscript standard] group, and at follow-up, stuttering frequencies in the eADHD[subscript integrated] group matched those of children in the No-eADHD[subscript standard] group, while stuttering in the eADHD[subscript standard] group remained significantly higher. Children with eADHD symptoms who received the integrated program also required significantly less stuttering intervention time than those children with eADHD symptoms who received stuttering treatment only. Families in the eADHD[subscript integrated] group reported large and significant improvements in child behavior and parenting practices. Conclusion: This study provides support for an early treatment program for CWS. The integrated stuttering and self-regulation management program for CWS with eADHD symptoms proved successful for fluency and behavioral improvements, which were sustained at follow-up.
Abstractor: As Provided
Entry Date: 2021
Accession Number: EJ1280531
Database: ERIC
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  Data: An Evaluation of an Integrated Stuttering and Parent-Administered Self-Regulation Program for Early Developmental Stuttering Disorders
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  Data: English
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  Data: <searchLink fieldCode="AR" term="%22Druker%2C+Kerianne%22">Druker, Kerianne</searchLink><br /><searchLink fieldCode="AR" term="%22Mazzucchelli%2C+Trevor%22">Mazzucchelli, Trevor</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-8306-3917">0000-0002-8306-3917</externalLink>)<br /><searchLink fieldCode="AR" term="%22Hennessey%2C+Neville%22">Hennessey, Neville</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-1538-7140">0000-0003-1538-7140</externalLink>)<br /><searchLink fieldCode="AR" term="%22Beilby%2C+Janet%22">Beilby, Janet</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-7439-5514">0000-0002-7439-5514</externalLink>)
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Speech%2C+Language%2C+and+Hearing+Research%22"><i>Journal of Speech, Language, and Hearing Research</i></searchLink>. Sep 2020 63(9):2894-2912.
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  Data: American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
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  Data: Y
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  Data: 19
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  Data: 2020
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Stuttering%22">Stuttering</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Implementation%22">Program Implementation</searchLink><br /><searchLink fieldCode="DE" term="%22Evidence+Based+Practice%22">Evidence Based Practice</searchLink><br /><searchLink fieldCode="DE" term="%22Self+Management%22">Self Management</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms+%28Individual+Disorders%29%22">Symptoms (Individual Disorders)</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+Analysis%22">Comparative Analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Outcomes+of+Treatment%22">Outcomes of Treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Attention+Deficit+Hyperactivity+Disorder%22">Attention Deficit Hyperactivity Disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Child+Behavior%22">Child Behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Parent+Child+Relationship%22">Parent Child Relationship</searchLink><br /><searchLink fieldCode="DE" term="%22Parenting+Styles%22">Parenting Styles</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+Problems%22">Behavior Problems</searchLink><br /><searchLink fieldCode="DE" term="%22Preschool+Children%22">Preschool Children</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Evaluation%22">Program Evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Metacognition%22">Metacognition</searchLink><br /><searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink><br /><searchLink fieldCode="DE" term="%22Screening+Tests%22">Screening Tests</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Language+Tests%22">Language Tests</searchLink><br /><searchLink fieldCode="DE" term="%22Measures+%28Individuals%29%22">Measures (Individuals)</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Australia%22">Australia</searchLink>
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  Label: Assessment and Survey Identifiers
  Group: Su
  Data: <searchLink fieldCode="SU" term="%22Strengths+and+Difficulties+Questionnaire%22">Strengths and Difficulties Questionnaire</searchLink><br /><searchLink fieldCode="SU" term="%22Clinical+Evaluation+of+Language+Fundamentals%22">Clinical Evaluation of Language Fundamentals</searchLink>
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  Data: 10.1044/2020_JSLHR-19-00310
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 1092-4388
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: This study reports findings from a clinical trial that implemented an early stuttering treatment program integrated with evidence-based parenting support (EBPS) to children who stutter (CWS) with concomitant self-regulation challenges manifested in elevated attention-deficit/hyperactivity disorder (eADHD) symptoms and compared those outcomes to CWS receiving stuttering treatment without EBPS. Method: Participants were 76 preschool CWS and their parent(s). Thirty-six of these children presented with eADHD and were quasirandomized into two groups: stuttering treatment only (eADHD[subscript standard]) or stuttering treatment integrated with EBPS (eADHD[subscript integrated]). The remaining children did not meet criteria for eADHD symptoms and received stuttering treatment only (No-eADHD[subscript standard]). Pre, post, and 3-month follow-up measures of stuttering treatment outcomes as well as treatment effects on measures of child behavior difficulties and parenting practices were examined. Results: Significant reduction in stuttering was found for all groups. However, the eADHD[subscript integrated] group showed a greater reduction in stuttering frequency than the eADHD[subscript standard] group, and at follow-up, stuttering frequencies in the eADHD[subscript integrated] group matched those of children in the No-eADHD[subscript standard] group, while stuttering in the eADHD[subscript standard] group remained significantly higher. Children with eADHD symptoms who received the integrated program also required significantly less stuttering intervention time than those children with eADHD symptoms who received stuttering treatment only. Families in the eADHD[subscript integrated] group reported large and significant improvements in child behavior and parenting practices. Conclusion: This study provides support for an early treatment program for CWS. The integrated stuttering and self-regulation management program for CWS with eADHD symptoms proved successful for fluency and behavioral improvements, which were sustained at follow-up.
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        Value: 10.1044/2020_JSLHR-19-00310
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      – Text: English
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      – SubjectFull: Stuttering
        Type: general
      – SubjectFull: Program Implementation
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      – SubjectFull: Evidence Based Practice
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      – SubjectFull: Self Management
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      – TitleFull: An Evaluation of an Integrated Stuttering and Parent-Administered Self-Regulation Program for Early Developmental Stuttering Disorders
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