Kelly P, Perry I J
HSE North-West, Carrick-on-Shannon, Leitrim.
Ir Med J. 2011 May;104(5):138-9.
We have carried out an audit of outcomes from a pre-school stammering intervention offered to all 64 children, aged under 5 years referred from a defined catchment population to a single speech and language therapist over an 11 year period (1993 -2003 inclusive). Therapy was based on a client centred eclectic approach which combines elements of direct therapy focused on the child's speech and a number of indirect approaches to treatment which focus on changing the child's environment. Follow-up was conducted by means of a short questionnaire to the parents. Non responders were assessed informally by a school nurse with responsibility for the clinic catchment area. Questionnaires were returned for 46 of the 64 children in the audit, of whom 43 were reported as not stammering, 2 with persistent stammer and there was one child with missing data on fluency status. No stammering was detected by the school nurse in the 18 non-respondents. Thus 61 of the 63 children (97%; 95% C.I. 88.9% to 99.6%) with documented fluency status were reported as free of stammer at follow-up. These outcomes exceed natural recovery rates and highlight the importance of early referral of children with pre-school stammering to a specialist speech and language clinic
我们对一项针对学龄前口吃干预的结果进行了审计，该干预提供给了所有64名5岁以下的儿童，这些儿童在11年期间（1993年至2003年，含这两年）从特定的集水区人口转介至一名言语和语言治疗师处。治疗基于以客户为中心的折衷方法，该方法结合了专注于儿童言语的直接治疗要素以及一些专注于改变儿童环境的间接治疗方法。通过向家长发放简短问卷进行随访。未回复问卷的儿童由负责诊所集水区的学校护士进行非正式评估。在审计的64名儿童中，有46名儿童的问卷被收回，其中43名儿童报告不再口吃，2名儿童仍有持续性口吃，还有1名儿童在流利度状态方面数据缺失。学校护士在18名未回复问卷的儿童中未检测到口吃。因此，在有记录的流利度状态的63名儿童中，有61名（97%；95%置信区间为88.9%至99.6%）在随访时报告不再口吃。这些结果超过了自然恢复率，并突出了将学龄前口吃儿童尽早转介至专业言语和语言诊所的重要性。
