The University of Sydney, Faculty of Health Science, Australian Stuttering Research Centre, Lidcombe, Sydney, NSW, Australia.
School of Public Health, University of Queensland, Herston, QLD, Australia.
Int J Lang Commun Disord. 2019 Nov;54(6):927-939. doi: 10.1111/1460-6984.12496. Epub 2019 Jul 30.
iGlebe is a fully automated internet treatment program for adults who stutter that has been shown, in some cases, to reduce anxiety and effectively manage social anxiety disorder for many participants. No such automated internet treatment program exists for adolescents who stutter.
The present paper reports a Phase I trial of an adolescent version of the adult program: iBroadway.
METHODS & PROCEDURES: Participants were 29 adolescents in the age range 12-17 years who were seeking cognitive-behaviour therapy (CBT) for anxiety associated with stuttering. The design was a non-randomized Phase I trial with outcome assessments at pre-treatment and immediately post-treatment after 5 months of access to the program. No contact by a clinical psychologist occurred during participant use of the program. Outcomes were a range of psychological, quality-of-life and stuttering severity measures.
OUTCOMES & RESULTS: The compliance rate for the seven iBroadway modules over 5 months was extremely favourable for internet CBT, at 52.4%. There was evidence of treatment effects for (1) the number of DSM-IV mental health diagnoses with the Diagnostic Interview Schedule for Children; (2) the Unhelpful Thoughts and Beliefs About Stuttering scale; (3) the Subjective Units of Distress Scale; and (4) parent-reported speech satisfaction.
CONCLUSIONS & IMPLICATIONS: Further development of iBroadway, the adolescent version of iGlebe, with Phase II trialling is warranted.
iGlebe 是一款针对成年人口吃的全自动化互联网治疗程序，在某些情况下，它已经被证明可以减轻焦虑并有效地管理许多参与者的社交焦虑症。但是，目前还没有针对青少年口吃的此类自动化互联网治疗程序。
本论文报告了成人版 iGlebe 的青少年版（iBroadway）的 I 期试验结果。
参与者为 29 名年龄在 12-17 岁之间的青少年，他们正在寻求与口吃相关的焦虑的认知行为疗法（CBT）。该设计为非随机 I 期试验，在接受该程序治疗 5 个月后的治疗前和治疗后立即进行评估。在参与者使用该程序期间，临床心理学家没有任何联系。评估结果包括一系列心理、生活质量和口吃严重程度的指标。
在 5 个月内完成 iBroadway 的七个模块的依从率非常高，非常适合互联网 CBT，达到了 52.4%。有证据表明治疗效果明显，表现在：（1）使用儿童诊断访谈表（Diagnostic Interview Schedule for Children）的 DSM-IV 心理健康诊断数量；（2）无益的口吃想法和信念量表（Unhelpful Thoughts and Beliefs About Stuttering scale）；（3）主观痛苦量表（Subjective Units of Distress Scale）；以及（4）父母报告的言语满意度。
进一步开发 iBroadway，即 iGlebe 的青少年版，并进行 II 期试验是必要的。
