Keilmann Annerose, Neumann Kirsten, Zöller Daniela, Freude Christina
a Division of Communication Disorders , The University Medical Center Mainz , Mainz , Germany.
b Voice Care Center Bad Rappenau , Bad Rappenau , Germany.
Logoped Phoniatr Vocol. 2018 Dec;43(4):155-168. doi: 10.1080/14015439.2018.1498917. Epub 2018 Sep 11.
The present trial investigated the D.E.L.P.H.I.N. (Deblockierungsimpuls, Entspannung, Logopädie, Phonetik, Hör-Wahrnehmungstraining, Intensität, nasaler Schwingungsakzent) speech treatment for children and adolescents who stutter, an approach using fluency shaping with an intensive time schedule and group sessions. Participants were 42 male and 14 female persons who stuttered with a median age of 13.0 years. Participants and their parents completed the strength and difficulties questionnaire at the beginning of the therapy and 1 year later. Participants completed the Speech Questionnaire, an instrument to measure the impact of stuttering, twice before and twice after completing the therapy. The stuttering rate and mean length of the three longest stuttering events were studied four times in videos of interviews, reading texts and three telephone calls. Outcomes are reported for the 56 children and young adults who stuttered and who completed D.E.L.P.H.I.N. The main analysis was performed using linear mixed models. Quality of life as measured in the Strength and Difficulties Questionnaire (SDQ) - filled in by the participants/their parents - increased significantly from before the start of the therapy to 1 year after completion of the therapy. The subjective rating of the impact of stuttering also improved significantly. The stuttering rate and mean length of the longest stuttering event decreased significantly for all three modes from pre-treatment to 12 months post-treatment. After D.E.L.P.H.I.N., a significant improvement of the relevant endpoints quality of life, impact of stuttering, and severity of stuttering is observed.
本试验对海豚式（解除阻塞冲动、放松、言语治疗、语音学、听力感知训练、强度、鼻音振动重音）言语治疗方法进行了研究，该方法针对口吃的儿童和青少年，采用强化时间安排和小组治疗的流畅性塑造方法。参与者为42名男性和14名女性口吃者，中位年龄为13.0岁。参与者及其父母在治疗开始时和1年后完成了优势与困难问卷。参与者在完成治疗前和治疗后分别两次完成言语问卷，这是一种衡量口吃影响的工具。在访谈视频、阅读文本和三次电话通话的视频中，对口吃率和三个最长口吃事件的平均时长进行了四次研究。报告了56名口吃且完成海豚式治疗的儿童和年轻人的结果。主要分析采用线性混合模型。参与者/其父母填写的优势与困难问卷（SDQ）所衡量的生活质量从治疗开始前到治疗完成后1年有显著提高。口吃影响的主观评分也有显著改善。从治疗前到治疗后12个月，所有三种模式下的口吃率和最长口吃事件的平均时长均显著下降。在接受海豚式治疗后，观察到相关终点生活质量、口吃影响和口吃严重程度有显著改善。
