Connecting Stuttering Management and Measurement: IV. Predictors of Outcome for a Behavioural Treatment for Stuttering
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| Title: | Connecting Stuttering Management and Measurement: IV. Predictors of Outcome for a Behavioural Treatment for Stuttering |
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| Language: | English |
| Authors: | Block, Susan, Onslow, Mark, Packman, Ann |
| Source: | International Journal of Language and Communication Disorders. Jul-Aug 2006 41(4):395-406. |
| Availability: | Taylor & Francis, Ltd. 325 Chestnut Street, Suite 800, Philadelphia, PA 19106. Tel: 800-354-1420; Fax: 215-625-2940. Web site: http://www.tandf.co.uk/journals/default.html. |
| Peer Reviewed: | Y |
| Page Count: | 12 |
| Publication Date: | 2006 |
| Document Type: | Journal Articles Reports - Research |
| Descriptors: | Stuttering, Outcomes of Treatment, Psychotherapy, Predictor Variables, Clinical Diagnosis, Followup Studies, Severity (of Disability), Locus of Control, Least Squares Statistics, Multiple Regression Analysis, Improvement Programs, Pretests Posttests |
| ISSN: | 1368-2822 |
| Abstract: | "Background": Clinical trials have shown that behavioural treatments based on variants of prolonged-speech (PS) are best practice for reducing the stuttering rate in adults. However, while stuttering is significantly reduced or eliminated for most adults in the short-term with such treatment, relapse in the longer-term is common. Consequently, there has been interest in attempting to establish variables that predict responsiveness to PS-based treatments. Identifying such variables would enable risk prediction and also contribute to the tailoring of treatments to suit individuals who are less likely to benefit in the long-term from the conventional PS-based treatments. Variables that have been investigated to date are the stuttering severity, the attitude to communication and the locus of control. "Aims": The present study revisited this issue with methodological improvements. "Methods & Procedures": Prospective, continuous measures of outcome several years after treatment, and well-powered, least-squares multivariate regression, with backwards elimination, were used to determine the best model to predict short-and long-term outcomes of a PS-based treatment. Other predictor variables were also included. The stuttering rates of 78 participants were measured immediately after the intensive stage of treatment, and during a surprise telephone call 3.5-5 years after treatment. "Outcomes & Results": Attitude to communication and locus of control were separate constructs to stuttering rate. While the stuttering rate predicted outcome, neither of the two non-behavioural variables predicted outcome in either the short-or the long-term. "Conclusions": The most significant finding is that the non-behavioural variables of attitude to communication and locus of control did not predict treatment outcomes. This is contrary to the findings of most previous studies. (Contains 5 tables.) |
| Abstractor: | Author |
| Number of References: | 40 |
| Entry Date: | 2006 |
| Access URL: | https://taylorandfrancis.metapress.com/link.asp?target=contribution&id=V27GU410T638L86R |
| Accession Number: | EJ739460 |
| Database: | ERIC |
| Abstract: | "Background": Clinical trials have shown that behavioural treatments based on variants of prolonged-speech (PS) are best practice for reducing the stuttering rate in adults. However, while stuttering is significantly reduced or eliminated for most adults in the short-term with such treatment, relapse in the longer-term is common. Consequently, there has been interest in attempting to establish variables that predict responsiveness to PS-based treatments. Identifying such variables would enable risk prediction and also contribute to the tailoring of treatments to suit individuals who are less likely to benefit in the long-term from the conventional PS-based treatments. Variables that have been investigated to date are the stuttering severity, the attitude to communication and the locus of control. "Aims": The present study revisited this issue with methodological improvements. "Methods & Procedures": Prospective, continuous measures of outcome several years after treatment, and well-powered, least-squares multivariate regression, with backwards elimination, were used to determine the best model to predict short-and long-term outcomes of a PS-based treatment. Other predictor variables were also included. The stuttering rates of 78 participants were measured immediately after the intensive stage of treatment, and during a surprise telephone call 3.5-5 years after treatment. "Outcomes & Results": Attitude to communication and locus of control were separate constructs to stuttering rate. While the stuttering rate predicted outcome, neither of the two non-behavioural variables predicted outcome in either the short-or the long-term. "Conclusions": The most significant finding is that the non-behavioural variables of attitude to communication and locus of control did not predict treatment outcomes. This is contrary to the findings of most previous studies. (Contains 5 tables.) |
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| ISSN: | 1368-2822 |
