School of Occupational Therapy, Social Work, and Speech Pathology, Curtin University, Western Australia, Australia.
School of Psychology, Curtin University, Western Australia, Australia.
J Fluency Disord. 2021 Sep;69:105852. doi: 10.1016/j.jfludis.2021.105852. Epub 2021 May 12.
Childhood-onset stuttering is a neurodevelopmental disorder that may cause pervasive negative consequences for adults who stutter. In addition to significant challenges in personal, social, and emotional domains, stuttering has been shown to impose an economic burden on adults who stutter. Intervention for adults who stutter has historically addressed speech fluency more so than the covert psychosocial aspects of the disorder. There is an identified clinical need for holistic, efficacious, and cost-effective stuttering interventions that meet consumer needs. The purpose of the present study is to evaluate a novel, integrated intervention that combined traditional fluency techniques with Acceptance and Commitment Therapy, from the perspective of the adults who stutter who participated in the intervention.
Twenty-eight adults who stutter completed the intervention program. Participants were invited to complete an online post-program written survey (including qualitative comments) and a semi-structured interview to explore their evaluations of the program with respect to its authenticity, acceptability, and social validity.
Participants perceived positive psychosocial changes as a result of the program, and were satisfied with the program overall. Qualitative thematic analyses of the written survey comments and the semi-structured interviews identified two major themes: factors specific to the intervention and factors specific to the therapeutic process. Several important sub-themes were also identified.
Findings support the authenticity, acceptability, and social validity of an integrated fluency and psychosocial intervention for stuttering. Findings also highlight the need for consideration of the consumer voice in the management of stuttering disorders, in keeping with person-centred care.
儿童期口吃是一种神经发育障碍，可能会对口吃成年人造成普遍的负面影响。除了在个人、社会和情感领域面临重大挑战外，口吃还会给口吃成年人带来经济负担。口吃成年人的干预措施历来更多地关注言语流畅性，而不是该障碍的潜在心理社会方面。从参与干预的口吃成年人的角度来看，需要一种整体的、有效的、具有成本效益的口吃干预措施来满足消费者的需求。本研究的目的是评估一种新的综合干预措施，该措施将传统的流畅性技术与接受和承诺疗法相结合。
28 名口吃成年人完成了干预计划。参与者被邀请完成在线方案后书面调查（包括定性意见）和半结构化访谈，以探讨他们对该方案的评估，包括其真实性、可接受性和社会有效性。
参与者认为该方案带来了积极的心理社会变化，并对该方案总体感到满意。对书面调查评论和半结构化访谈的定性主题分析确定了两个主要主题：特定于干预的因素和特定于治疗过程的因素。还确定了几个重要的子主题。
研究结果支持口吃综合流畅性和心理社会干预措施的真实性、可接受性和社会有效性。研究结果还强调了在管理口吃障碍时需要考虑消费者的意见，以符合以人为本的护理。
