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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
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
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  Data: Connecting Stuttering Management and Measurement: IV. Predictors of Outcome for a Behavioural Treatment for Stuttering
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  Data: <searchLink fieldCode="SO" term="%22International+Journal+of+Language+and+Communication+Disorders%22"><i>International Journal of Language and Communication Disorders</i></searchLink>. Jul-Aug 2006 41(4):395-406.
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  Data: 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.
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  Data: "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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RecordInfo BibRecord:
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    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 395
    Subjects:
      – SubjectFull: Stuttering
        Type: general
      – SubjectFull: Outcomes of Treatment
        Type: general
      – SubjectFull: Psychotherapy
        Type: general
      – SubjectFull: Predictor Variables
        Type: general
      – SubjectFull: Clinical Diagnosis
        Type: general
      – SubjectFull: Followup Studies
        Type: general
      – SubjectFull: Severity (of Disability)
        Type: general
      – SubjectFull: Locus of Control
        Type: general
      – SubjectFull: Least Squares Statistics
        Type: general
      – SubjectFull: Multiple Regression Analysis
        Type: general
      – SubjectFull: Improvement Programs
        Type: general
      – SubjectFull: Pretests Posttests
        Type: general
    Titles:
      – TitleFull: Connecting Stuttering Management and Measurement: IV. Predictors of Outcome for a Behavioural Treatment for Stuttering
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            NameFull: Block, Susan
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            NameFull: Onslow, Mark
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            NameFull: Packman, Ann
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              Type: published
              Y: 2006
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            – TitleFull: International Journal of Language and Communication Disorders
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