Janet Beilby - Academia.edu (original) (raw)

Papers by Janet Beilby

Research paper thumbnail of Additional file 2: of Student self-reported communication skills, knowledge and confidence across standardised patient, virtual and traditional clinical learning environments

Quantitative data. Includes all data used for statistical analysis. Demographic and prior experie... more Quantitative data. Includes all data used for statistical analysis. Demographic and prior experience variables have been removed from the data file to ensure the confidentiality of participants and clinical educators. (XLS 79Â kb)

Research paper thumbnail of Additional file 3: of Student self-reported communication skills, knowledge and confidence across standardised patient, virtual and traditional clinical learning environments

Qualitative data. Responses to open ended post-placement questionnaire items used in qualitative ... more Qualitative data. Responses to open ended post-placement questionnaire items used in qualitative analyses. Minor redactions and edits have been made to ensure the confidentiality of participants and clinical educators. (PDF 126Â kb)

Research paper thumbnail of Additional file 1: of Student self-reported communication skills, knowledge and confidence across standardised patient, virtual and traditional clinical learning environments

Questionnaire items. Questions provided to students pre (self-report items only) and post placeme... more Questionnaire items. Questions provided to students pre (self-report items only) and post placement (all items). (DOCX 15 kb)

Research paper thumbnail of Fear of Negative Evaluation, Trait Anxiety, and Judgment Bias in Adults who Stutter

American Journal of Speech-Language Pathology, 2017

Purpose Persons who stutter (PWS) and those with social anxiety disorder may exhibit fear of nega... more Purpose Persons who stutter (PWS) and those with social anxiety disorder may exhibit fear of negative evaluation (FNE) and anxiety in social situations. However, the information processing biases that perpetuate these characteristics have had limited investigation. This study investigated judgment bias in social situations. Method Participants included 50 adults who stutter and 45 age- and gender-matched fluent persons who do not stutter (PWNS), who made up the control group. Participants completed the Interpretation and Judgmental Questionnaire (Voncken, Bögels, & deVries, 2003), and threat scores were calculated. Results There were no significant differences between PWS and PWNS in social threat or nonsocial threat scores. When the PWS group was divided on the basis of FNE and compared with PWNS participants without heightened anxiety ( n = 35), the PWS with high FNE had significantly higher total social threat scores than the PWS with low FNE. The three groups did not differ in t...

Research paper thumbnail of A clinical educator’s experience using a virtual patient to teach communication and interpersonal skills

Australasian Journal of Educational Technology, 2017

The purpose of this study was to explore one novice clinical educator’s experiences with training... more The purpose of this study was to explore one novice clinical educator’s experiences with training essential communication and interpersonal skills using a virtual patient. Over 3 weeks, the clinical educator (CE) delivered a series of half-day clinical placements to students using an educator-controlled virtual patient, depicting an older adult male with mild dementia. Students completed one 15-minute session interacting with the virtual patient in the virtual learning environment (VLE), followed by a group debrief/discussion session. Prior to, during and after delivering the clinical placements, the CE engaged in semi-structured interviews, where she was prompted to reflect on her pedagogic approach and practice. Thematic analysis revealed six themes underpinning the CE’s unique narrative: pedagogical control, validation of pedagogical practice, safety in the virtual learning environment, learning pedagogical practices, self-reflection, and adult education. The CE described how bei...

Research paper thumbnail of The health professionals' perspectives of support needs of adult head and neck cancer survivors and their families: a Delphi study

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, Aug 3, 2017

The aim was to identify the views of Australian and New Zealand health professionals regarding th... more The aim was to identify the views of Australian and New Zealand health professionals regarding the support needs of people with head and neck cancer (HNC) and their families and current gaps in service delivery. A modified Delphi process assessed support needs of people with HNC following acute medical management. A systematic review of the literature was used to develop items relevant to seven key concepts underpinning the psychological experience of living with HNC. A panel of 105 health professionals was invited to participate in two questionnaire rounds. Of the potential panellists, 50 (48%) completed round 1, and of these, 39 (78%) completed round 2. Following two rounds, there was consensus agreement on the concepts uncertainty and waiting, disruption to daily life and fear of recurrence. The concepts the diminished self, making sense of and managing the experience, sharing the burden and finding a path did not achieve consensus. There were no differences in responses accordin...

Research paper thumbnail of SIG 4 Perspectives Vol. 22, No. 2, November 2012

Perspectives on Fluency and Fluency Disorders, 2012

Sorry, this activity is no longer available for CEUs. Visit the SIG 4 page on the ASHA Store to s... more Sorry, this activity is no longer available for CEUs. Visit the SIG 4 page on the ASHA Store to see available CE activities. Use the CE questions PDF here as study questions to guide your Perspectives reading.

Research paper thumbnail of The Impact of a Stuttering Disorder on Western Australian Children and Adolescents

Perspectives on Fluency and Fluency Disorders, 2012

In this study, we examined the impact of a stuttering disorder on children (n=50) and adolescents... more In this study, we examined the impact of a stuttering disorder on children (n=50) and adolescents (n=45) living in Western Australia. We compared the reactions and experiences of children and adolescents who stutter to children and adolescents who do not stutter. We compared the participants who stuttered and the fluent participants using adapted versions of the Overall Assessment of the Speaker’s Experience of Stuttering (OASES). We also examined the relationship between biopsychosocial impact and stuttered speech frequency. We saw higher levels of adverse impact in young people who stuttered compared to their fluent peers. In addition, we found moderate correlations between OASES scores and stuttered speech frequency in children. These findings provided a baseline for establishing the degree of negative impact that a stuttering disorder may bring about in children and adolescents. The experiences of young people who stuttered were significantly different from the experiences of yo...

Research paper thumbnail of The impact of stuttering on adults who stutter and their partners

Journal of Fluency Disorders, 2013

This study explored the impact of the stuttering disorder on perceived quality of life, with emph... more This study explored the impact of the stuttering disorder on perceived quality of life, with emphasis on the individual's relationship with their partner or spouse. Specifically, the purposes were: (a) to investigate what personal experiences and themes exist for both members of a couple dyad when one member of the couple stutters and (b) to examine whether the partners have different experiences with respect to the impact of stuttering on their lives. A mixed method research design was used. Participant dyads (adults who stutter and their fluent life partner) each completed one semi-structured qualitative interview and two questionnaires: the Overall Assessment of Speakers' Experience of Stuttering (OASES), and the Medical Short Form 36 (SF-36). Interviews were analysed qualitatively and significant themes evaluated. Quantitative results of the OASES and SF-36 were analysed, and scores correlated to determine the strength of any clinically significant relationships. Results indicated that people who stutter and their fluent partners reported similar experiences in reactions to stuttering and perceived difficulties in communication. However, no relationship was seen between the two groups in perceived impact on quality of life. Qualitative results indicated that the participants shared life experiences including reactions to stuttering, treatment undertaken and support. Such findings lend support to a broad-based clinical program for adults who stutter that includes the fluent partner as an agent of change in their treatment. Findings also support the utilisation of qualitative and quantitative research techniques to elucidate relevant psychosocial life themes and experiences for those who live with a stutter.

Research paper thumbnail of Acceptance and Commitment Therapy for adults who stutter: Psychosocial adjustment and speech fluency

Journal of Fluency Disorders, 2012

Research paper thumbnail of Investigating factors related to the effects of time‐out on stuttering in adults

International Journal of Language & Communication Disorders, 2008

Response-contingent time-out has been shown to be an effective technique for enhancing fluency in... more Response-contingent time-out has been shown to be an effective technique for enhancing fluency in people who stutter. However, the factors that determine individual responsiveness to time-out are not well understood. The study investigated the effectiveness of using response-contingent time-out to reduce stuttering frequency in adults who stutter. In addition, it investigated the predictive value of participants' stutter severity, age, previous treatment history, and type of stutter on the responsiveness to time-out conditioning. Sixty people who stutter participated in the study. Half were exposed to time-out following each moment of stuttering over a 40-min period, the remaining participants acted as controls. Results showed that individuals who stutter are highly responsive to time-out, and that the participants with a more severe stutter responded better than those with a mild stutter. To a lesser degree, previous treatment and speech rate also influenced treatment success. Age and type of stutter did not, although the proportion of repetition types of stutters increased over the experiment conditions, with prolongations and blocks decreasing, for the treatment group. This simple operant conditioning treatment method is effective in reducing stuttering. Individuals respond to time-out regardless of their age, type of stutter, stuttering severity or treatment history, thus it is a treatment methodology potentially suitable for all clients. This study investigated initial responsiveness to time-out; therefore, further research is necessary to determine the durability of fluency over time.

Research paper thumbnail of Self-efficacy and quality of life in adults who stutter

Journal of Fluency Disorders, 2017

Purpose: Self-efficacy has emerged as a potential predictor of quality of life for adults who stu... more Purpose: Self-efficacy has emerged as a potential predictor of quality of life for adults who stutter. Research has focused primarily on the positive relationship self-efficacy has to treatment outcomes, but little is known about the relationship between self-efficacy and quality of life for adults who stutter. The purpose of this mixed-methods study is to determine the strength and direction of the relationship between self-efficacy, quality of life, and stuttered speech frequency for adults who stutter. Method: The Self-Efficacy Scale for Adult Stutterers and the Overall Assessment of the Speaker's Experience with Stuttering were administered to 39 adults who stutter, aged 18 to 77. Percentage of syllables stuttered was calculated from a conversational speech sample as a measure of stuttered speech frequency. Qualitative interviews with semi-structured probes were conducted with 10 adults and analyzed using thematic analysis to explore the lived experience of adults who stutter. Results: A strong, positive correlation was revealed between self-efficacy and quality of life for adults who stutter. A moderate, negative correlation was also revealed between self-efficacy and stuttered speech frequency. Major qualitative themes identified from the interviews with the participants were: encumbrance, self-concept, confidence, acceptance, lifelong journey, treatment, and support. Conclusion: Results highlight the relationship between self-efficacy, quality of life, and stuttered speech frequency in adults who stutter. Overall, these findings highlight that the unique life experiences of adults who stutter require a multidimensional approach to the assessment and treatment of childhood-onset stuttering.

Research paper thumbnail of Beilby, J. M., & Yaruss, S. (2018) Acceptance and Commitment Therapy for Stuttering Disorders. Chapter 7, More than Fluency. Plural Publishing, Inc. California

Research paper thumbnail of An Exploration of Accounting Students’ Interpersonal Communication Skills Development Using a Computer-Simulated Client

Research paper thumbnail of Comparing evaluations of social situations for adults who do and do not stutter

Journal of Communication Disorders

Research paper thumbnail of Evaluation of an integrated fluency and Acceptance and Commitment Therapy intervention for adolescents and adults who stutter: Participant perspectives

Journal of Fluency Disorders

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

Journal of Speech, Language, and Hearing Research

Purpose This study reports findings from a clinical trial that implemented an early stuttering tr... more 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 standard ) or stuttering treatment integrated with EBPS (eADHD integrated ). The remaining children did not meet criteria for eADHD symptoms and received stuttering treatment only (No-eADHD 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 Significa...

Research paper thumbnail of Parent perceptions of an integrated stuttering treatment and behavioral self-regulation program for early developmental stuttering

Journal of Fluency Disorders

Research paper thumbnail of Self-efficacy beliefs: Experiences of adults who stutter

Journal of Fluency Disorders

Research paper thumbnail of An Evaluation of an Integrated Fluency and Resilience Program for Early Developmental Stuttering Disorders

Journal of Communication Disorders

Research paper thumbnail of Additional file 2: of Student self-reported communication skills, knowledge and confidence across standardised patient, virtual and traditional clinical learning environments

Quantitative data. Includes all data used for statistical analysis. Demographic and prior experie... more Quantitative data. Includes all data used for statistical analysis. Demographic and prior experience variables have been removed from the data file to ensure the confidentiality of participants and clinical educators. (XLS 79Â kb)

Research paper thumbnail of Additional file 3: of Student self-reported communication skills, knowledge and confidence across standardised patient, virtual and traditional clinical learning environments

Qualitative data. Responses to open ended post-placement questionnaire items used in qualitative ... more Qualitative data. Responses to open ended post-placement questionnaire items used in qualitative analyses. Minor redactions and edits have been made to ensure the confidentiality of participants and clinical educators. (PDF 126Â kb)

Research paper thumbnail of Additional file 1: of Student self-reported communication skills, knowledge and confidence across standardised patient, virtual and traditional clinical learning environments

Questionnaire items. Questions provided to students pre (self-report items only) and post placeme... more Questionnaire items. Questions provided to students pre (self-report items only) and post placement (all items). (DOCX 15 kb)

Research paper thumbnail of Fear of Negative Evaluation, Trait Anxiety, and Judgment Bias in Adults who Stutter

American Journal of Speech-Language Pathology, 2017

Purpose Persons who stutter (PWS) and those with social anxiety disorder may exhibit fear of nega... more Purpose Persons who stutter (PWS) and those with social anxiety disorder may exhibit fear of negative evaluation (FNE) and anxiety in social situations. However, the information processing biases that perpetuate these characteristics have had limited investigation. This study investigated judgment bias in social situations. Method Participants included 50 adults who stutter and 45 age- and gender-matched fluent persons who do not stutter (PWNS), who made up the control group. Participants completed the Interpretation and Judgmental Questionnaire (Voncken, Bögels, & deVries, 2003), and threat scores were calculated. Results There were no significant differences between PWS and PWNS in social threat or nonsocial threat scores. When the PWS group was divided on the basis of FNE and compared with PWNS participants without heightened anxiety ( n = 35), the PWS with high FNE had significantly higher total social threat scores than the PWS with low FNE. The three groups did not differ in t...

Research paper thumbnail of A clinical educator’s experience using a virtual patient to teach communication and interpersonal skills

Australasian Journal of Educational Technology, 2017

The purpose of this study was to explore one novice clinical educator’s experiences with training... more The purpose of this study was to explore one novice clinical educator’s experiences with training essential communication and interpersonal skills using a virtual patient. Over 3 weeks, the clinical educator (CE) delivered a series of half-day clinical placements to students using an educator-controlled virtual patient, depicting an older adult male with mild dementia. Students completed one 15-minute session interacting with the virtual patient in the virtual learning environment (VLE), followed by a group debrief/discussion session. Prior to, during and after delivering the clinical placements, the CE engaged in semi-structured interviews, where she was prompted to reflect on her pedagogic approach and practice. Thematic analysis revealed six themes underpinning the CE’s unique narrative: pedagogical control, validation of pedagogical practice, safety in the virtual learning environment, learning pedagogical practices, self-reflection, and adult education. The CE described how bei...

Research paper thumbnail of The health professionals' perspectives of support needs of adult head and neck cancer survivors and their families: a Delphi study

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, Aug 3, 2017

The aim was to identify the views of Australian and New Zealand health professionals regarding th... more The aim was to identify the views of Australian and New Zealand health professionals regarding the support needs of people with head and neck cancer (HNC) and their families and current gaps in service delivery. A modified Delphi process assessed support needs of people with HNC following acute medical management. A systematic review of the literature was used to develop items relevant to seven key concepts underpinning the psychological experience of living with HNC. A panel of 105 health professionals was invited to participate in two questionnaire rounds. Of the potential panellists, 50 (48%) completed round 1, and of these, 39 (78%) completed round 2. Following two rounds, there was consensus agreement on the concepts uncertainty and waiting, disruption to daily life and fear of recurrence. The concepts the diminished self, making sense of and managing the experience, sharing the burden and finding a path did not achieve consensus. There were no differences in responses accordin...

Research paper thumbnail of SIG 4 Perspectives Vol. 22, No. 2, November 2012

Perspectives on Fluency and Fluency Disorders, 2012

Sorry, this activity is no longer available for CEUs. Visit the SIG 4 page on the ASHA Store to s... more Sorry, this activity is no longer available for CEUs. Visit the SIG 4 page on the ASHA Store to see available CE activities. Use the CE questions PDF here as study questions to guide your Perspectives reading.

Research paper thumbnail of The Impact of a Stuttering Disorder on Western Australian Children and Adolescents

Perspectives on Fluency and Fluency Disorders, 2012

In this study, we examined the impact of a stuttering disorder on children (n=50) and adolescents... more In this study, we examined the impact of a stuttering disorder on children (n=50) and adolescents (n=45) living in Western Australia. We compared the reactions and experiences of children and adolescents who stutter to children and adolescents who do not stutter. We compared the participants who stuttered and the fluent participants using adapted versions of the Overall Assessment of the Speaker’s Experience of Stuttering (OASES). We also examined the relationship between biopsychosocial impact and stuttered speech frequency. We saw higher levels of adverse impact in young people who stuttered compared to their fluent peers. In addition, we found moderate correlations between OASES scores and stuttered speech frequency in children. These findings provided a baseline for establishing the degree of negative impact that a stuttering disorder may bring about in children and adolescents. The experiences of young people who stuttered were significantly different from the experiences of yo...

Research paper thumbnail of The impact of stuttering on adults who stutter and their partners

Journal of Fluency Disorders, 2013

This study explored the impact of the stuttering disorder on perceived quality of life, with emph... more This study explored the impact of the stuttering disorder on perceived quality of life, with emphasis on the individual's relationship with their partner or spouse. Specifically, the purposes were: (a) to investigate what personal experiences and themes exist for both members of a couple dyad when one member of the couple stutters and (b) to examine whether the partners have different experiences with respect to the impact of stuttering on their lives. A mixed method research design was used. Participant dyads (adults who stutter and their fluent life partner) each completed one semi-structured qualitative interview and two questionnaires: the Overall Assessment of Speakers' Experience of Stuttering (OASES), and the Medical Short Form 36 (SF-36). Interviews were analysed qualitatively and significant themes evaluated. Quantitative results of the OASES and SF-36 were analysed, and scores correlated to determine the strength of any clinically significant relationships. Results indicated that people who stutter and their fluent partners reported similar experiences in reactions to stuttering and perceived difficulties in communication. However, no relationship was seen between the two groups in perceived impact on quality of life. Qualitative results indicated that the participants shared life experiences including reactions to stuttering, treatment undertaken and support. Such findings lend support to a broad-based clinical program for adults who stutter that includes the fluent partner as an agent of change in their treatment. Findings also support the utilisation of qualitative and quantitative research techniques to elucidate relevant psychosocial life themes and experiences for those who live with a stutter.

Research paper thumbnail of Acceptance and Commitment Therapy for adults who stutter: Psychosocial adjustment and speech fluency

Journal of Fluency Disorders, 2012

Research paper thumbnail of Investigating factors related to the effects of time‐out on stuttering in adults

International Journal of Language & Communication Disorders, 2008

Response-contingent time-out has been shown to be an effective technique for enhancing fluency in... more Response-contingent time-out has been shown to be an effective technique for enhancing fluency in people who stutter. However, the factors that determine individual responsiveness to time-out are not well understood. The study investigated the effectiveness of using response-contingent time-out to reduce stuttering frequency in adults who stutter. In addition, it investigated the predictive value of participants' stutter severity, age, previous treatment history, and type of stutter on the responsiveness to time-out conditioning. Sixty people who stutter participated in the study. Half were exposed to time-out following each moment of stuttering over a 40-min period, the remaining participants acted as controls. Results showed that individuals who stutter are highly responsive to time-out, and that the participants with a more severe stutter responded better than those with a mild stutter. To a lesser degree, previous treatment and speech rate also influenced treatment success. Age and type of stutter did not, although the proportion of repetition types of stutters increased over the experiment conditions, with prolongations and blocks decreasing, for the treatment group. This simple operant conditioning treatment method is effective in reducing stuttering. Individuals respond to time-out regardless of their age, type of stutter, stuttering severity or treatment history, thus it is a treatment methodology potentially suitable for all clients. This study investigated initial responsiveness to time-out; therefore, further research is necessary to determine the durability of fluency over time.

Research paper thumbnail of Self-efficacy and quality of life in adults who stutter

Journal of Fluency Disorders, 2017

Purpose: Self-efficacy has emerged as a potential predictor of quality of life for adults who stu... more Purpose: Self-efficacy has emerged as a potential predictor of quality of life for adults who stutter. Research has focused primarily on the positive relationship self-efficacy has to treatment outcomes, but little is known about the relationship between self-efficacy and quality of life for adults who stutter. The purpose of this mixed-methods study is to determine the strength and direction of the relationship between self-efficacy, quality of life, and stuttered speech frequency for adults who stutter. Method: The Self-Efficacy Scale for Adult Stutterers and the Overall Assessment of the Speaker's Experience with Stuttering were administered to 39 adults who stutter, aged 18 to 77. Percentage of syllables stuttered was calculated from a conversational speech sample as a measure of stuttered speech frequency. Qualitative interviews with semi-structured probes were conducted with 10 adults and analyzed using thematic analysis to explore the lived experience of adults who stutter. Results: A strong, positive correlation was revealed between self-efficacy and quality of life for adults who stutter. A moderate, negative correlation was also revealed between self-efficacy and stuttered speech frequency. Major qualitative themes identified from the interviews with the participants were: encumbrance, self-concept, confidence, acceptance, lifelong journey, treatment, and support. Conclusion: Results highlight the relationship between self-efficacy, quality of life, and stuttered speech frequency in adults who stutter. Overall, these findings highlight that the unique life experiences of adults who stutter require a multidimensional approach to the assessment and treatment of childhood-onset stuttering.

Research paper thumbnail of Beilby, J. M., & Yaruss, S. (2018) Acceptance and Commitment Therapy for Stuttering Disorders. Chapter 7, More than Fluency. Plural Publishing, Inc. California

Research paper thumbnail of An Exploration of Accounting Students’ Interpersonal Communication Skills Development Using a Computer-Simulated Client

Research paper thumbnail of Comparing evaluations of social situations for adults who do and do not stutter

Journal of Communication Disorders

Research paper thumbnail of Evaluation of an integrated fluency and Acceptance and Commitment Therapy intervention for adolescents and adults who stutter: Participant perspectives

Journal of Fluency Disorders

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

Journal of Speech, Language, and Hearing Research

Purpose This study reports findings from a clinical trial that implemented an early stuttering tr... more 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 standard ) or stuttering treatment integrated with EBPS (eADHD integrated ). The remaining children did not meet criteria for eADHD symptoms and received stuttering treatment only (No-eADHD 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 Significa...

Research paper thumbnail of Parent perceptions of an integrated stuttering treatment and behavioral self-regulation program for early developmental stuttering

Journal of Fluency Disorders

Research paper thumbnail of Self-efficacy beliefs: Experiences of adults who stutter

Journal of Fluency Disorders

Research paper thumbnail of An Evaluation of an Integrated Fluency and Resilience Program for Early Developmental Stuttering Disorders

Journal of Communication Disorders