Connecting Stuttering Management and Measurement: IV. Predictors of Outcome for a Behavioural Treatment for Stuttering

Autor/inn/en	Block, Susan; Onslow, Mark; Packman, Ann; Dacakis, Georgia
Titel	Connecting Stuttering Management and Measurement: IV. Predictors of Outcome for a Behavioural Treatment for Stuttering
Quelle	In: International Journal of Language and Communication Disorders, 41 (2006) 4, S.395-406 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1368-2822
Schlagwörter	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 + Suchen Sie Ihr Suchwort? Stammer; Stottern; Psychotherapie; Prädiktor; Follow-up studies; Kontaktstudium; Schweregrad; Effizienzsteigerung
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.) (Author).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10