Godsey Allison, Ratner Nan Bernstein
Department of Hearing and Speech Sciences, University of Maryland, College Park.
Am J Speech Lang Pathol. 2025 Jan 7;34(1):333-346. doi: 10.1044/2024_AJSLP-24-00155. Epub 2024 Dec 17.
Most common treatments for stuttering offer advice that parents modify temporal features of conversational interaction to assist children who stutter (CWS). Advice includes but is not limited to slowing of adult speech, increasing turn-taking/response-time latencies (RTLs), and reducing interruptions. We looked specifically at RTL and parental speech rate in a longitudinal data set that included baseline behaviors.
We used data from baseline recordings ( = 13 CWS-persistent, 28 CWS-recovered, 21 children who did not stutter) of the Illinois International Stuttering Research Project at FluencyBank, using CLAN software with audio linkage to Praat.
Group differences in speech rate and RTL at baseline were nonsignificant; parents of CWS-persistent spoke most slowly pre-advisement. No relationships between speech rate or RTL and child fluency were detected.
This is a retrospective, observational study, and caution must be used in interpreting our findings. However, current results do not add evidentiary support for common advice to adjust temporal parameters of their interactions made to parents of CWS, in terms of therapeutic outcome or concurrent fluency. We are analyzing subsequent samples, after advisement, to determine potential benefits of such guidance not evident in this analysis. Suggestions for future research and implications for clinical focus and practice are offered.
大多数针对口吃的常见治疗方法建议家长改变对话互动的时间特征,以帮助口吃儿童(CWS)。建议包括但不限于放慢成人语速、增加轮流发言/反应时间延迟(RTL)以及减少打断。我们特别研究了一个包含基线行为的纵向数据集中的RTL和家长语速。
我们使用了伊利诺伊国际口吃研究项目在FluencyBank的基线记录数据(13名持续性口吃儿童、28名恢复性口吃儿童、21名非口吃儿童),使用CLAN软件并通过音频链接到Praat。
基线时语速和RTL的组间差异不显著;在给出建议前,持续性口吃儿童的家长说话最慢。未发现语速或RTL与儿童流畅性之间存在关联。
这是一项回顾性观察研究,在解释我们的发现时必须谨慎。然而,就治疗效果或同时期的流畅性而言,目前的结果并未为向口吃儿童家长提出的调整互动时间参数的常见建议增加证据支持。我们正在分析给出建议后的后续样本,以确定这种指导在本次分析中不明显的潜在益处。提供了未来研究的建议以及对临床重点和实践的启示。