Department of Speech Pathology and Audiology, Faculty of Humanities, University of the Witwatersrand, Johannesburg.
S Afr J Commun Disord. 2020 Apr 29;67(1):e1-e9. doi: 10.4102/sajcd.v67i1.648.
For effective client outcomes, stuttering assessment and intervention approaches need to be aligned. This encompasses using assessment and intervention approaches that address the three multidimensional constructs of stuttering, namely core behaviours, secondary behaviours and negative feelings and attitudes.
The study aimed to explore whether multiple assessment measures could be used to describe the effectiveness of a comprehensive stuttering intervention approach, undergirded by the International Classification of Functioning, Disability and Health (ICF) framework.
A single-subject case design was employed with one male adult who stutters. Data was collected by administering the Stuttering Severity Instrument-Fourth Edition (SSI-4) and Overall Assessment of the Speaker's Experience of Stuttering-Adults (OASES-A) at three testing periods (pre-intervention, immediately post-intervention and 7 months post-intervention), and a semi-structured interview schedule immediately post-intervention. Descriptive statistics was used to analyse the SSI-4 and OASES-A, and thematic analysis was conducted to evaluate the participant's interview schedule responses.
The participant's total scores, impact scores and severity ratings of both the SSI-4 and OASES decreased across the three testing periods. The main theme of effectiveness of the comprehensive stuttering intervention to reduce aspects of disability emerged from the participant's responses.
Evaluation of the results from the assessment measures revealed that the comprehensive stuttering intervention approach was effective in reducing the participant's core behaviours, secondary behaviours and negative feelings and attitudes. Assessment and management of fluency disorders should promote a client-specific multidimensional approach that extends beyond the core behaviours and secondary behaviours, by addressing the underlying social and emotional facets of fluency disorders.
为了获得有效的客户结果，口吃评估和干预方法需要保持一致。这包括使用评估和干预方法来解决口吃的三个多维结构，即核心行为、次要行为和负面感受和态度。
本研究旨在探讨是否可以使用多种评估措施来描述基于《国际功能、残疾和健康分类》（ICF）框架的全面口吃干预方法的有效性。
采用单一被试案例设计，对一名成年男性口吃者进行研究。通过在三个测试期（干预前、干预后立即和干预后 7 个月）和干预后立即进行口吃严重程度第四版量表（SSI-4）和口吃者口语体验总体评估（OASES-A），以及半结构化访谈时间表收集数据。采用描述性统计方法分析 SSI-4 和 OASES-A，对参与者访谈时间表的回复进行主题分析。
参与者的 SSI-4 和 OASES-A 总分、影响评分和严重程度评分在三个测试期均有所下降。参与者的主要主题是全面口吃干预的有效性，以减少残疾方面。
评估措施的结果表明，全面的口吃干预方法有效减少了参与者的核心行为、次要行为和负面感受和态度。流畅性障碍的评估和管理应促进针对特定客户的多维方法，不仅要解决核心行为和次要行为，还要解决流畅性障碍的潜在社会和情感方面。
