McGroarty Allan, McCartan Rebecca
School of Psychological Sciences and Health, University of Strathclyde, 40 George Street, Glasgow, G1 1QE, United Kingdom.
School of Psychological Sciences and Health, University of Strathclyde, 40 George Street, Glasgow, G1 1QE, United Kingdom.
J Commun Disord. 2018 May-Jun;73:15-24. doi: 10.1016/j.jcomdis.2018.03.002. Epub 2018 Mar 13.
Although considerable efforts have been made to investigate the effectiveness of pharmacological treatments for stuttering, little is known about how the stuttering community perceives these treatments. This study aimed to assess and quantify beliefs regarding pharmacotherapy for adults who stutter and to establish whether behavioural intentions to undertake treatment were related to these beliefs.
An adapted version of the Beliefs about Medicine Questionnaire was completed by adults who stutter. Participants also reported perceptions of their stuttering including its overall impact, ratings of previous speech therapy, and behavioural intentions to initiate pharmacotherapy and speech therapy in future.
Necessity and concern beliefs were distributed widely across the sample and in a pattern indicating a relatively balanced perception of the benefits and costs of medication prescribed specifically for stuttering. Of the study's measures, the necessity-concerns differential most strongly predicted the behavioural intention to initiate pharmacotherapy. The overall impact of stuttering predicted intentions to seek both pharmacotherapy and speech therapy. Participants reported the likelihood of pursuing pharmacotherapy and speech therapy in equal measure.
The theoretical model of medication representations appears to be a useful framework for understanding the beliefs of adults who stutter towards the medical treatment of their disorder. The findings of this study may be of interest to clinicians and researchers working in the field of stuttering treatment and to people who stutter considering pharmacotherapy.
尽管已付出巨大努力来研究药物治疗口吃的有效性,但对口吃群体如何看待这些治疗方法却知之甚少。本研究旨在评估和量化口吃成年人对药物治疗的信念,并确定接受治疗的行为意图是否与这些信念相关。
口吃成年人完成了一份改编版的《药物信念问卷》。参与者还报告了对口吃的看法,包括口吃的总体影响、对先前言语治疗的评分,以及未来开始药物治疗和言语治疗的行为意图。
必要性信念和担忧信念在样本中分布广泛,呈现出一种模式,表明对口吃专用药物的益处和成本的看法相对平衡。在该研究的各项测量指标中,必要性-担忧差异最能有力地预测开始药物治疗的行为意图。口吃的总体影响预测了寻求药物治疗和言语治疗的意图。参与者报告寻求药物治疗和言语治疗的可能性相当。
药物表征的理论模型似乎是理解口吃成年人对其疾病药物治疗信念的有用框架。本研究结果可能对口吃治疗领域的临床医生和研究人员以及考虑药物治疗的口吃者有参考价值。