Department of Communication Sciences & Disorders, East Carolina University, Greenville, NC, USA.
Department of Communication Sciences & Disorders, East Carolina University, Greenville, NC, USA.
J Fluency Disord. 2020 Sep;65:105775. doi: 10.1016/j.jfludis.2020.105775. Epub 2020 Jun 13.
Comprehensive assessment of stuttering requires consideration of a wide range of behaviors that impact outcomes, and the Overall Assessment of the Speaker's Experience of Stuttering (OASES) is an assessment tool that accomplishes such. The purpose of this study was to determine how the individual components of the test contribute to the OASES' impact score.
Data collected at a university speech-language and hearing clinic from 29 adults were used for a relative weight analysis (RWA). RWA was utilized to determine the relative contributions of the OASES' subtests to the OASES' impact score. Confidence intervals for the individual relative weights were calculated for each OASES subtest and significance tests based on bootstrapping with 10,000 replications.
Differences were present in contributions of the OASES' subtests to the OASES' overall impact score, where the following explained a significant amount of variance in the OASES' impact score: Speaker's Reactions; Daily Communication; and Quality of Life. However, contribution of the subtest, "General Information", was not significant.
Through examination of relative contributions to the impact of stuttering using the OASES, this project has identified differences in contributors to the overall impact of the disorder of stuttering. This information is beneficial to researchers and clinicians alike in that it gives specific guidance into what determines increased impact in adults who stutter (AWS). Future works should pursue clarification of these differences with an end goal of identifying and overcoming barriers to positive outcomes while also identifying and nurturing facilitators to optimal management.
全面评估口吃需要考虑到影响结果的广泛行为,而口吃者整体评估量表(OASES)就是一种可以实现这一目标的评估工具。本研究的目的是确定测试的各个组成部分如何为 OASES 的影响评分做出贡献。
本研究使用了一所大学言语-语言和听力诊所收集的 29 名成年人的数据进行相对权重分析(RWA)。RWA 用于确定 OASES 子测试对 OASES 影响评分的相对贡献。为每个 OASES 子测试计算了个体相对权重的置信区间,并基于 10,000 次重复的引导进行了基于 bootstrap 的显著性检验。
OASES 子测试对口吃者整体影响评分的贡献存在差异,其中以下几个方面对口吃者的影响评分有显著贡献:说话者的反应;日常交流;以及生活质量。然而,子测试“一般信息”的贡献不显著。
通过使用 OASES 对口吃影响的相对贡献进行检查,本项目确定了口吃障碍整体影响的贡献因素存在差异。这些信息对于研究人员和临床医生都非常有益,因为它为口吃者的影响增加的原因提供了具体的指导。未来的研究应该进一步澄清这些差异,最终目的是确定并克服积极结果的障碍,同时识别并培养最佳管理的促进因素。