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SpeechEasy 语音增强器的长期疗效。

Long-term effectiveness of the SpeechEasy fluency-enhancement device.

机构信息

Loyola University Maryland, 4501 N. Charles Street, Baltimore, MD 21210, United States.

出版信息

J Fluency Disord. 2012 Dec;37(4):334-43. doi: 10.1016/j.jfludis.2012.07.001. Epub 2012 Jul 20.

Abstract

UNLABELLED

The SpeechEasy has been found to be an effective device for reduction of stuttering frequency for many people who stutter (PWS); published studies typically have compared stuttering reduction at initial fitting of the device to results achieved up to one year later. This study examines long-term effectiveness by examining whether effects of the SpeechEasy were maintained for longer periods, from 13 to 59 months. Results indicated no significant change for seven device users from post-fitting to the time of the study (t=-.074, p=.943); however, findings varied greatly on a case-by-case basis. Most notably, when stuttering frequency for eleven users and former users, prior to device fitting, was compared to current stuttering frequency while not wearing the device, the change over time was found to be statistically significant (t=2.851, p=.017), suggesting a carry-over effect of the device. There was no significant difference in stuttering frequency when users were wearing versus not wearing the device currently (t=1.949, p=0.92). Examinations of these results, as well as direction for future research, are described herein.

EDUCATIONAL OBJECTIVES

The reader will be able to: (a) identify and briefly describe two types of altered auditory feedback which the SpeechEasy incorporates in order to help reduce stuttering; (b) describe the carry-over effect found in this study, suggest effectiveness associated with the device over a longer period of time than previously reported, as well as its implications, and (c) list factors that might be assessed in future research involving this device in order to more narrowly determine which prospective users are most likely to benefit from employing the SpeechEasy.

摘要

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SpeechEasy 已被发现对许多口吃者(PWS)有效,可以减少口吃频率;已发表的研究通常将设备初始适配时的口吃减少与一年后达到的结果进行比较。本研究通过检查 SpeechEasy 的效果是否能维持更长时间(从 13 到 59 个月)来检查长期效果。研究结果表明,对于七名设备使用者,从适配后到研究时,没有显著变化(t=-.074,p=.943);然而,在个案基础上,结果差异很大。最值得注意的是,当比较十一名使用者和前使用者在设备适配前的口吃频率与当前不戴设备时的口吃频率时,发现随着时间的推移,变化具有统计学意义(t=2.851,p=.017),这表明设备具有延续效应。当使用者当前佩戴或不佩戴设备时,口吃频率没有显著差异(t=1.949,p=0.92)。本文描述了对这些结果的检查以及未来研究的方向。

教育目标

读者将能够:(a)识别并简要描述 SpeechEasy 采用的两种改变听觉反馈的类型,以帮助减少口吃;(b)描述本研究中发现的延续效应,建议设备在比以前报告的更长时间内的有效性,以及其意义,以及(c)列出在未来涉及该设备的研究中可能评估的因素,以便更准确地确定哪些潜在使用者最有可能从使用 SpeechEasy 中受益。

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