MULTIDIMETIONAL OUTCOME AND LONG-TERM EVALUATION OF NON-AVOIDANCE STUTTERUNG THERAPY

Dobrinka GEORGIEVA

Abstract


International Classification of Functioning, Disability, and Health (ICF, WHO, 2001) is a constructive framework for quality assessment and treatment in Logopedics (Speech Language Therapy). The current research study makes an attempt to introduce this standard into logopedical practice and applied research to measure the quality of life of persons with fluency disorders, such as stuttering. The quality of life is a modern multidimensional construct that covers health-medical, psy­cho­logical, social and economic factors. Good level of communication and stabilized fluency is of key importance to improve the quality of life of persons who stutter.

The purpose of the study was to show a model of assessment, treatment and evaluation of the efficacy of the non-avoidance approach in adult stuttering therapy.

Methods: CharlesVan Riper’s non-avoidance approach for an intensive therapy. Participants were 15 adults who stutter with an average age 25.2 years.

Results: Specific significant decreasing of the two main parameters: index of dysfluencies immediately after the intensive therapy as well as duration of disfluences in seconds. The changes in speech fluency before and after the intensive therapy as well as 3 years after this therapy were obtained regarding the duration of disfluencies and index of dysfluency.

Conclusion: The present model of an intensive non-avoidance therapy format for adults with stuttering disorders was successfully applied for the Bulgarian conditions. Improved fluency is an important factor for quality of life improvement of persons with stuttering disorder.


Keywords


International Classification of Functioning, Disability, and Health (ICF); fluency disorders; stuttering; stuttering therapy; evidence-based practice; quality of life; outcomes measures.

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References


International Classification of Functioning, Disability, & Health. Geneva: World Health Organization. 2001.

Yaruss JS, Quesal RW. Overall Assessment of the Speaker’s Experience of Stuttering (OASES): documenting multiple outcomes in stuttering treatment. J Fluency Disord 2006; 31: 90-115.

Georgieva D, Fibiger S. Intensive Non-avoidance Group Therapy with Adults Stuterers: Experience from Bulgaria. Dansk Audiologopaedi (Denmark). 2010 Sept; 3: 24–30.

Georgieva D. Intensive Non-Avoidance Group Therapy with Adults Stutterers: Preliminary Results. Proceeding of the International Conference of Stuttering (Editor Giacomo Soncini), Prima edizione, 7-9 June, Roma: Omega Edizioni; 2012; 163–171.

Georgieva D. Intensive Non-Avoidance Group Therapy with Adults Stutterers: Follow up Data. Proceedings from the 10th Oxford Dysfluency Conference, St. Catherine college, Oxford, UK; 2015, July (in press).

Golper LA, Frattali CM. Outcomes in Speech Language Pathology. Second edition. NY: Thieme, 2013.

Ivanov V. Logopedics. Sofia: Nauka i izkustvo, 1973 (in Bulgarian).

Georgieva D, Goranova E. The treatment of fluency disorders: experience in Bulgaria. Presentation at the 7th Oxford Dysfluency Conference; 2005.

Georgieva D. Speech situations, increasing the degree of stuttering in persons aged 13–16 – PhD thesis, Sofia University, Bulgaria; 1996.

Fibiger S, Peters H, Euler H, Neumann K. Health and human services for persons who stutter and education of logopedists in East-European countries. J Fluency Disord 2008; 33: 66–71.

Fibiger S, Peters H, Touzet, BB, Neumann K. Therapy for persons who stutter: Eastern Europe and Latin America. In: 5th World Congress on Fluency Disorders, 25-28th July; 2006, Dublin, Ireland.

NetQues Project. Network for Tuning Standards & Quality of Educational Program for Speech Language Therapists in Europe funded by ERASMUSENWA Life Long Learning Programme [online] 2010-2013 [cited 2014]. Available from: http://www.Netques.eu/?page _id=44

Georgieva D. Non-avoidance Group Therapy with Adults Stutterers: Preliminary Results. CoDAS, J of Sociedade Brasiliera de Fonoaudiologia; 2014; 26 (2): 112–120.

Andrews G, Guitar B, & Howie P. Meta-analysis of stuttering treatment. J Speech Hear Disord 1980;45: 287–307.

Cordes AK, Ingham RJ. editors. Treatment efficacy for stuttering: a search for empirical bases. San Diego: Singular Publ. Group; 1998, 213–242.

Prins D, & Ingham R. Evidence-based treatment and stuttering – historical perspective. J Speech Lang & Hear Res 2009; 52: 254–263.

Thomas C, & Howell P. Assessing efficacy of stuttering treatment. J Fluency Disord 2001; 26: 311–333.

Conture EG. Stuttering: Its nature, diagnosis, and treatment. Needham Heights, MA: Allyn and Bacon. 2001.

Johnson W. Stuttering and what you can do about it. Danville, IL: Interstate; 1961.

Riley GD. Stuttering severity instrument (4th edition). Austin, Texas: PRO-ED; 2009.

Yairi E & Ambrose N. A longitudinal study of stuttering in children: A preliminary report. J Speech Hear Res 1992; 35: 755–760.

Chang SE, Erickson KI, Ambrose NG, Hasegawa-Johnson MA & Ludlow CI. Brain anatomy differences in childhood stuttering. NeuroImage 2008; 39: 1333–1344.

Foundas AL, Bollich AM, Corey DM, Hurley, M, & Heilman, KM. Anomalous anatomy of speech-language areas in adults with persistent developmental stuttering. Neurology 2001; 57: 207–215.

Cooper EB. Chronic perseverative stuttering syndrome: A harmful or helpful construct? Am J Speech Lang Path 1993; 2(3):11–15.

Manning WH. Clinical decision making in fluency disorders (3rd ed). Clifton Park, New York: Delmar/Cengage Learning. 2010.

Shapiro DA. Stuttering Intervention. A Collaborative Journey to Fluency Freedom (2nd ed). Austin, Texas: Pro-ed; 2011.

Sheehan JG. Stuttering: Research and therapy. New York: Harper and Row; 1970.

Van Riper C. The nature of stuttering (2nd ed). Englewood Cliffs, New Jersey: Prentice Hall; 1982.

Watson JB. Exploring the attitudes of adults who stutter, J Com Disord 1995; 28: 143–164.

Craig A, Hancock K, Tran Y, & Craig M. Anxiety levels in people who stutter: A randomized population study. J Speech Lang Hear Res 2003; 46: 1197–1206.

Klein JF & Hood SB. The impact of stuttering on employment opportunities and job performance. J Fluency Disord 2004; 29(4): 255–273.

Brutten GJ & Shoemaker DJ. A two-factor learning theory of stuttering. In Travis LE (Ed), Handbook of speech pathology and audiology. Englewood Cliffs, NJ: Prentice Hall; 1971: 1035–1072.

Ornstein A & Manning W. Self-efficacy scaling by adult stutterers. J Com Disor 1985; 18: 313–320.

Woolf G. The assessment of stuttering as struggle, avoidance and expectancy. British J Disord Com 1967; 2: 158–171.

Wright L, Ayre A. WASSP: Wright and Ayre Stuttering Self-rating Profile. Bicester: Speechmark; 2000.

Ayre A, Wright L. WASSP: an international review of its clinical application. Intern J Speech Lang Path 2009;11(1): 83–90.

St Louis KO, Filatova Y, Coskun M, Topbas S, Ozdemir S, Georgieva D, McCaffrey E, George R. Public Attitudes Toward Cluttering and Stuttering in Four Countries. Chapter in book “Psychology of Stereotypes”, Nova Science Publishers, Inc, New York, 2011; 81-115.

Yaruss JS. Assessing quality of life in stuttering treatment outcomes research. J Fluency Disord 2010; 35: 190–202.

Craig A, Blumgart E, & Tran Y. The impact of stuttering on the quality of life in adults who stutter. J Fluency Disord 2009; 34 (2): 61–71.

Klompas M & Ross E. Life experience of people who stutter, and the perceived impact of stuttering on quality of life: Personal accounts of South African individuals. J Fluency Disord 2004; 29(4): 275–305.

St. Louis KO, Filatova Y, Coskun M, Topbas S, Ozdemir S, Georgieva D, McCaffrey E, George R. Identification of cluttering and stuttering by the public in four countries. Intern J Speech-Language Pathology; 2010;12 (6): 508–519.

IALP International Association of Logopedics and Phoniatrics. Guidelines for initial education in logopedics (speech/language pathology/ therapy, orthophony, etc.): Folia Phoniat Logop 1995; 47: 296–301.

IALP (2010) Education Guidelines (September 1, 2009): Revised Guidelines for Initial Education in Speech-Language Pathology. Folia Phoniat Logop; 2010;62:210–216.

Standing Liaison Committee of Speech and Language Therapists or Logopedists of the European Union: CPLOL, Paris, [online] 1998; [cited 2014] Available from: http://www.cplol.eu/images/Documents/educa-tion/Revised_Min_Standards _2007_la.pdf

Van Riper C. The treatment of stuttering. New Jersey: Prentice-Hall; 1973.

Riley G. Stuttering severity instrument for children and adults. 3rd edition. Austin: Pro-Ed; 1994.

Georgieva D. Acoustic and Electroglottographic Voice Characteristics in Stuttering: Data From Two Cases. Proceedings of the 10th International Conference on Advances in Quantitative Laryngology, Voice and Speech Research, June 3-4, Cincinnati, Ohio, USA. 2013a; 83–84.

Georgieva D. Acoustic and Electroglottographic Voice Characteristics in Stuttering: Group Study. Proceedings of the 10th International Conference on Advances in Quantitative Laryngology, Voice and Speech Research, June 3-4, Cincinnati, Ohio, USA; 2013b; 85–86.

Yaruss JS. Measuring multiple outcomes in stuttering treatment. In: 7th Oxford Dysfluency Conference, Oxford, 2005; 5–11.

Yaruss JS. Describing the consequences of disorders: Stuttering and the International Classification of Impairment, Disability, and Handicaps. J Speech Lang Hear Res 1998; 49, 249–257.

Andrews G, Cutler J. Stuttering therapy: The relation between changes in symptom level and attitudes. J Speech Hearing Disord; 1974, 34: 312–319.

Ornstein A, Manning, W. Self-efficacy scaling by adult stutterers. J Com Disord 1985;18, 313–320.

Crowe TA, Cooper EB. Clinician attitudes toward and knowledge of stuttering. J Com Disord 1977;10: 343–357.

Yaruss JS, Quesal RW. Stuttering and the International Classification of Impairment, Disability, and Health (ICF): An update. J Com Disord 2004; 37: 35–52.




DOI: http://dx.doi.org/10.1515/JSER-2015-0003

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