Research Paper: Using Syllabic Speech Technique to Decline Stuttering Severity in Persian-speaking School-age Children With Stuttering (original) (raw)
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Negah Institute for Social Research & Scientific Communication , 2021
Studies have shown that Syllable Speech Technique (SST) can be a useful and practical way to achieve stutter-free speech for Children With Stuttering (CWS). In this preliminary study, the use of SST in Persian-speaking school-age CWS was investigated. Materials and Methods: Ten 8-to 11-year-old students with stuttering were entered in the single-group pretest-posttest study as participants. Their speech fluency has been enhanced using SST accompanied by verbal encouragement for stutter-free speech. The percentage of stuttered syllables, stuttering severity, and communication attitude as outcome measures were evaluated in three time points: before the intervention (T0), after the intervention (T1), and one month after the intervention (T2). Results: The children showed significantly better scores on all outcome measures at T1 (P≤0.004) and T2 (P≤0.005) compared with T0. There was no significant difference between T1 and T2 (P≥0.026). Conclusion: The reported benefits of SST in stuttering reduction and speech-related anxietyrelieving of Persian-speaking school-age CWS confirms the feasibility and usefulness of this technique.
2020
Introduction: Previous studies have shown that syllable speech technique (SST) has the potential to be a useful and practical way to achieve stutter-free speech for children with stuttering (CWS). In this preliminary study, the use of SST in Persian-speaking school-age CWS was investigated. Materials and methods: Ten 8-to-11-year-old students with stuttering were entered the study as participants. We tried to enhance their speech fluency using SST accompanied by verbal encouragement for stutter-free speech. The outcome measures (primary and secondary measures) were evaluated in three-time sections, including before (T0), after (T1), and one month after intervention (T2). Participants’ scores and the mean ± SD of outcomes are presented in tables. Results: The children showed significantly better scores on all primary and secondary measures at T1 (p ≤ 0.004) and T2 (p ≤ 0.005) compared with T0. There was no significant difference between T1 and T2 (p ≥ 0.026). Conclusion: The reported...
Objectives: This paper describes the validation process of the final form of the Persian version of the Overall Assessment of the Speaker's Experience of Stuttering for Adults (OASES-A-P). The impact of stuttering on the Persian-speaking people who stutter was compared to other languages. Methods: This study with a cross-sectional design involved 92 Persian-speaking adults who stutter (24 females and 68 males; mean age=20.05±4.85 years). Face and content validity, internal consistency, test-retest reliability, and item analysis for discriminant validity were examined. The impact scores and impact ratings were calculated in total and for the sections separately.
Iranian Rehabilitation Journal, 2018
This paper describes the validation process of the final form of the Persian version of the Overall Assessment of the Speaker's Experience of Stuttering for Adults (OASES-A-P). The impact of stuttering on the Persian-speaking people who stutter was compared to other languages. Methods: This study with a cross-sectional design involved 92 Persian-speaking adults who stutter (24 females and 68 males; mean age=20.05±4.85 years). Face and content validity, internal consistency, test-retest reliability, and item analysis for discriminant validity were examined. The impact scores and impact ratings were calculated in total and for the sections separately. Results: Cronbach's alpha and ICC proved to be high (0.98; 0.95, P<0.001 respectively). Corrected item-total correlation revealed no negative score. Mean of total impact score was 2.56(±0.67). Impact ratings for the total impact scores were as follows: mild=8.7%, mildto-moderate=29.3%, moderate=43.5%, moderate-to-severe=15.2%, and severe=3.3%. The impact of separate sections in a high to low order were reactions to stuttering, quality of life, general information, and communication in daily situations. Discussion: The results of the current study offer a reliable and valid form of the OASES, which is applicable for Persian-speaking Iranian adults who stutter. The predominant impact rating of stuttering was shown to be mild-to-moderate and moderate.
2019
Objectives Correct phonological encoding is crucial to fluent speech production. Phonological working memory and phonological awareness are important phonological processes that affect phonological encoding. The purpose of this study was to investigate the effect of phonological processing on stuttering severity of Persian pre-school children. Materials & Methods Six children were targeted in this study in Ahvaz City, southern Iran in 2018, with Quasi-experimental design (Before and after clinical trial). These children participated in a treatment protocol, scheduled in 13-sessions. The treatment protocol of the phonological processing included nonword repetition in the phonological working memory and phonological awareness therapy. Overall, 30 nonwords were taken to examine the phonological working memory. The Persian test of language development was taken to examine phonological awareness. Stuttering severity measurements were performed with pre- and post-treatment. The severity r...
Effect of stuttering on speech & language development and quality of voice: A pilot study
International Journal of Speech and Audiology, 2022
To examine the impact of stuttering on the development of speech and language and voice quality in stuttering children. Methods: Two male children between the ages of 7 and 10 were chosen as the study's subjects. The SSI-4 was used to assess the extent of stuttering, and the LPT was used t o determine the child's language proficiency (semantic and syntax). Dr. Speech software was used to evaluate the voice's quality. The study was conducted at the speech and hearing unit, CRC, Lucknow, India. Results: Subject with moderate stuttering had delayed language (semantics and syntax) levels, a minor hoarse voice, and severe breathiness. Only the syntactical skills of the subjects with the most severe stuttering were delayed, and their voice quality was within acceptable ranges. Conclusion: The children who stutter may experience delayed language development in higher language skills as well as a significant impact on voice quality.
Phonological Abilities in Persian Speaking Preschool Children with Stuttering and Fluent Peers
Iranian Journal of Child Neurology, 2019
Objectives Speech sound production is poorer in stutterers than normally fluent peers. This study was performed to compare speech sound production abilities in Persian speaking children with developmental stuttering. Materials & Methods Overall, 34 children with stuttering and 60 children without stuttering aged from 3 to 6 yr old were enrolled from Ahvaz City, Khuzestan Province, southern Iran in 2016. The phonetic information test was used to assess speech sound production in this study and 30-minute mother-child conversations were utilized for calculation of Percentage Consonant Correct. Phonological abilities of these two groups were compared against each other and a correlation between stuttering severity and speech sound articulation was calculated. Results There was significant difference between children with stuttering and normal peers for articulation error total percentage but not significant difference was found for percentage consonant correct (P=0.16). Moreover, no sig...
Stuttering related and psychosocial predictors of impact of stuttering
Journal of the Pakistan Medical Association
Objective: To investigate the psychosocial factors having an impact on persons with a stuttering problem. Methods: The correlation study was conducted from October 2016 to February 2018 at hospitals, speech clinics and educational institutes of Lahore. The sample was comprised of young adults aged 16-30 years of either gender with development stuttering problem. Data was collected using Stuttering Severity Instrument-4, Social Interaction Anxiety Scale-Urdu, Big Five Measure-20, Overall Assessment of the Speaker’s Experience of Stuttering and the Urdu version of the shortened form of the Coping Orientation to Problems Experienced inventory. Data was analysed using SPSS 23. Results: Of the 78 subjects, 66(84.6 %) were males and 12 (15.4 %) were females. There were 21(27%) subjects aged 16-19 years and 57(73%) with age range of 20 - 30 years. The overall mean age was 21.96 ± 3.89 years. Mean age of onset was 4.59 ± 1.29 years, while gradual onset and progressive stuttering was report...
Phase II trial of a syllable-timed speech treatment for school-age children who stutter
Journal of Fluency Disorders, 2016
A recent clinical trial (Andrews et al., 2012) showed Syllable Timed Speech (STS) to be a potentially useful treatment agent for the reduction of stuttering for school-age children. The present trial investigated a modified version of this program that incorporated parent verbal contingencies. Methods: Participants were 22 stuttering children aged 6-11 years. Treatment involved training the children and their parents to use STS in conversation. Parents were also taught to use verbal contingencies in response to their child's stuttered and stutter-free speech and to praise their child's use of STS. Outcome assessments were conducted pre-treatment, at the completion of Stage 1 of the program and 6 months and 12 months after Stage 1 completion. Results: Outcomes are reported for the 19 children who completed Stage 1 of the program. The group mean percent stuttering reduction was 77% from pre-treatment to 12 months post-treatment, and 82% with the two least responsive participants removed. There was considerable variation in response to the treatment. Eleven of the children showed reduced avoidance of speaking situations and 18 were more satisfied with their fluency post-treatment. However, there was some suggestion that stuttering control was not sufficient to fully eliminate situation avoidance for the children. Conclusions: The results of this trial are sufficiently encouraging to warrant further clinical trials of the method.
Journal of Speech Pathology & Therapy, 2018
Previous literature has reported that stuttering is linked with lowered life quality across a wide range of domains such as vitality, social presentation, significant risks of social anxiety disorder and emotional functioning. The aim of the present study was to assess the status of the psychological variables mainly depression, anxiety and stress in two clients diagnosed with stuttering, who had attended regular intensive therapeutic sessions. Both of them exhibited negative emotional states regarding their problem and were feeling highly stressed due to stuttering. The severity of stuttering was assessed using Stuttering Severity Scale (SSI-4) and negative emotional states of depression, anxiety and stress were measured by DASS (Depression Anxiety Stress Scale) in two stages i.e. preand post-stuttering intervention. The outcome of the present study revealed reduction in depression, anxiety and stress after stuttering therapy. The finding of the present study highlighted on the fact that evidence based stuttering therapy techniques must be followed and implemented during the therapeutic sessions based on the client's severity of stuttering. This study also proves very strong correlation between speech behavior and emotional aspects among stutterers. The findings also showed that intensive stuttering modification therapy techniques can be effective in reducing severity of stuttering as well as reducing the psychological issues such as depression, stress, anxiety and attitude due to stuttering; thus improving quality of life in persons with stuttering.