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耳内装置中听觉反馈改变对口吃者言语影响的研究:一年随访

Investigations of the impact of altered auditory feedback in-the-ear devices on the speech of people who stutter: one-year follow-up.

作者信息

Stuart Andrew, Kalinowski Joseph, Saltuklaroglu Tim, Guntupalli Vijay K

机构信息

Stuttering Research Laboratory, Department of Communication Sciences and Disorders, East Carolina University, Greenville, North Carolina, USA.

出版信息

Disabil Rehabil. 2006 Jun 30;28(12):757-65. doi: 10.1080/09638280500386635.

Abstract

PURPOSE

This study examined objective and subjective measures of the effect of a self-contained ear-level device delivering altered auditory feedback (AAF) for those who stutter 12 months following initial fitting with and without the device.

METHOD

Nine individuals with developmental stuttering participated. In Experiment 1, the proportion of stuttering was examined during reading and monologue. A self-report inventory inquiring about behaviour related to struggle, avoidance and expectancy associated with stuttering was examined in Experiment 2. In Experiment 3, naïve listeners rated the speech naturalness of speech produced by the participants during reading and monologue.

RESULTS

The proportions of stuttering events were significantly ( p < 0.05) reduced at initial fitting and remained so 12 months post follow-up. After using the device for 12 months, self-reported perception of struggle, avoidance and expectancy were significantly (p < 0.05) reduced relative to pre-fitting. Naïve listeners rated the speech samples produced by those who stutter while wearing the device significantly more natural sounding than those produced without the device for both reading and monologue (p < 0.0001).

CONCLUSIONS

These findings support the notion that a device delivering AAF is a viable therapeutic alternative in the treatment of stuttering.

摘要

目的

本研究考察了一种独立的耳级设备提供改变听觉反馈(AAF)对口吃者的影响,在初次佩戴该设备12个月后,分别测量了佩戴和不佩戴该设备时的客观和主观指标。

方法

9名发育性口吃个体参与研究。实验1中,考察了阅读和独白过程中的口吃比例。实验2中,对一份询问与口吃相关的挣扎、回避和预期行为的自我报告问卷进行了考察。实验3中,让不知情的听众对口吃者在阅读和独白过程中所产生言语的自然度进行评分。

结果

初次佩戴时口吃事件的比例显著降低(p < 0.05),随访12个月后仍保持这一水平。使用该设备12个月后,自我报告的挣扎、回避和预期感知相对于佩戴前显著降低(p < 0.05)。不知情的听众对口吃者佩戴该设备时所产生的言语样本的自然度评分,在阅读和独白两种情况下均显著高于不佩戴该设备时所产生的言语样本(p < 0.0001)。

结论

这些研究结果支持了这样一种观点,即提供AAF的设备是治疗口吃的一种可行的治疗选择。

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