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口吃治疗的观点:儿童、青少年和家长。

Perspectives of stuttering treatment: Children, adolescents, and parents.

机构信息

Department of Communication Sciences and Disorders, University of Wisconsin-Milwaukee, United States(1).

Department of Communication Sciences and Disorders, University of Wisconsin-Milwaukee, P.O. Box 413, Enderis 853, Milwaukee, WI, 53201-0413, United States.

出版信息

J Fluency Disord. 2021 Sep;69:105863. doi: 10.1016/j.jfludis.2021.105863. Epub 2021 Jun 25.

Abstract

PURPOSE

Researchers investigated whether children who stutter (CWS), adolescents who stutter (ADWS), and their parents preferred treatment focused on changing speech or communicating regardless of stuttering.

METHODS

Twenty-four parents and their CWS (n = 11, ages 8;0-12;11) or ADWS (n = 13, ages 13;0-17;11) answered questions about their preferences for stuttering treatment via an internet-based survey; an additional 11 surveys were filled in only by parents without responses by their child/adolescent. The researchers compared responses of the parents and their children, as well as between the two age groups and years in treatment (less than five years versus five or more years).

RESULTS

Views tended to be mixed without any clear trends based on age. Just over half of the CWS, ADWS, and parents of CWS indicated a general tendency for therapy satisfaction; however, less years of treatment were associated with more satisfaction. When presented with a specific scenario, a higher proportion of parents expressed focus on their child saying what they want to say, regardless of stuttering. Otherwise, preferences were mixed on therapy goals of speaking freely vs. speaking more fluently.

CONCLUSIONS

Preferences for treatment goals do not predictably vary based on age or years in treatment; given the small sample size, these findings should be considered with caution. Given the variability in responses, it is evident that stuttering treatment for school-age children and adolescents should be individualized. These results also emphasize the importance of communication, education, and applying a person-centered approach when providing stuttering intervention to children, adolescents, and their parents.

摘要

目的

研究人员调查了口吃儿童(CWS)、口吃青少年(ADWS)及其父母是否更倾向于关注改变言语或交流而非口吃本身的治疗。

方法

24 位父母及其 CWS(n=11,年龄 8 岁 0-12 岁;11)或 ADWS(n=13,年龄 13 岁 0-17 岁;11)通过基于互联网的调查回答了他们对口吃治疗的偏好问题;另外 11 份调查仅由父母填写,而没有其子女/青少年的回复。研究人员比较了父母和他们的孩子的反应,以及两个年龄组和治疗年限(不到 5 年与 5 年或以上)之间的反应。

结果

观点倾向于混合,没有明显的年龄趋势。超过一半的 CWS、ADWS 和 CWS 的父母表示对治疗满意度有一般倾向;然而,治疗年限较短与满意度较高相关。当呈现具体场景时,更多的父母表示关注孩子说出他们想说的话,而不管是否口吃。否则,在自由说话和更流畅说话的治疗目标上,偏好是混合的。

结论

治疗目标的偏好不会根据年龄或治疗年限可预测地变化;鉴于样本量较小,这些发现应谨慎考虑。鉴于反应的可变性,显然,对于学龄儿童和青少年的口吃治疗应该是个体化的。这些结果还强调了在向儿童、青少年及其父母提供口吃干预时,沟通、教育和应用以人为本方法的重要性。

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