Huinck Wendy, Rietveld Toni
Department of Otorhinolaryngology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Folia Phoniatr Logop. 2007;59(2):91-9. doi: 10.1159/000098342.
The validity of a simple and not time-consuming self-assessment (SA) Scale was tested to establish progress after or during stuttering therapy.
The scores on the SA scale were related to (1) objective measures (percentage of stuttered syllables, and syllables per minute) and (2) (self-)evaluation tests (self-evaluation questionnaires and perceptual evaluations or judgments of disfluency, naturalness and comfort by naïve listeners). Data were collected from two groups of stutterers at four measurement times: pretherapy, posttherapy, 12 months after therapy and 24 months after therapy. The first group attended the Comprehensive Stuttering Program: an integrated program based on fluency shaping techniques, and the second group participated in a Dutch group therapy: the Doetinchem Method that focuses on emotions and cognitions related to stuttering.
Results showed similar score patterns on the SA scale, the self-evaluation questionnaires, the objective measures over time, and significant correlations between the SA scale and syllables per minute, percentage of stuttered syllables, Struggle subscale of the Perceptions of Stuttering Inventory and judged fluency on the T1-T2 difference scores.
We concluded that the validity of the SA measure was proved and therefore encourage the use of such an instrument when (stuttering) treatment efficacy is studied.
测试一种简单且不耗时的自我评估(SA)量表的有效性,以确定口吃治疗后或治疗期间的进展情况。
SA量表的得分与以下两项相关:(1)客观测量指标(口吃音节百分比和每分钟音节数),以及(2)(自我)评估测试(自我评估问卷以及由外行听众对口吃、自然度和舒适度进行的感知评估或判断)。在四个测量时间点从两组口吃者处收集数据:治疗前、治疗后、治疗后12个月和治疗后24个月。第一组参加了综合口吃治疗项目:一个基于流畅性塑造技术的综合项目,第二组参与了荷兰小组治疗:多廷赫姆方法,该方法侧重于与口吃相关的情绪和认知。
结果显示,SA量表、自我评估问卷、随时间变化的客观测量指标上的得分模式相似,并且SA量表与每分钟音节数、口吃音节百分比、口吃感知量表的挣扎子量表以及T1 - T2差异得分上的判断流畅性之间存在显著相关性。
我们得出结论,SA测量方法的有效性得到了证明,因此鼓励在研究(口吃)治疗效果时使用这样一种工具。