Standalone Internet speech restructuring treatment for adults who stutter: A phase I study

被引:16
作者
Erickson, Shane [1 ]
Block, Susan [1 ]
Menzies, Ross [2 ]
O'Brian, Sue [2 ]
Packman, Ann [2 ]
Onslow, Mark [2 ]
机构
[1] La Trobe Univ, Sch Human Commun Sci, Melbourne, Vic, Australia
[2] Univ Sydney, Australian Stuttering Res Ctr, POB 170, Lidcombe, NSW 1825, Australia
基金
英国医学研究理事会;
关键词
Stuttering; adult; treatment; internet; CAMPERDOWN PROGRAM; SELF-HELP; TRIAL; INTERVENTION; DEPRESSION; DELIVERY; OUTCOMES;
D O I
10.3109/17549507.2015.1101156
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
Purpose: This Phase I trial reports the results of a clinician-free Internet speech restructuring treatment for adults who stutter. The program consists of nine phases with concepts loosely based on the Camperdown Program. Method: Twenty adults who stutter were recruited. They were given unlimited access to the program for 6 months. Primary outcome measures were the percentage of syllables stuttered and self-reported severity ratings. Result: Five participants accessed all phases of the program, while another five accessed more than half the phases. The remaining 10 accessed between one and four phases. Four of five participants who accessed all phases reduced their stuttering frequency by more than 50% and an additional two participants who accessed more than half the phases also achieved similar reductions. These results were confirmed by self-reports of stuttering severity. Stuttering reductions were largely commensurate with the amount of the program accessed. Conclusion: As with other clinician-free programs in related health areas, maintaining adherence to the program's procedures was a significant issue. Nonetheless, this novel approach to treating stuttering has the potential to be a viable alternative for some clients and may help to address the significant access and relapse issues that affect treatment provision for adults who stutter.
引用
收藏
页码:329 / 340
页数:12
相关论文
共 32 条
[1]   Internet-based self-help for depression:: randomised controlled trial [J].
Andersson, G ;
Bergström, J ;
Holländare, F ;
Carlbring, P ;
Kaldo, V ;
Ekselius, L .
BRITISH JOURNAL OF PSYCHIATRY, 2005, 187 :456-461
[2]  
Beck J. S., 2011, Cognitive behavior therapy: Basics and beyond, V2nd ed
[3]   Connecting stuttering management and measurement: IV. Predictors of outcome for a behavioural treatment for stuttering [J].
Block, Susan ;
Onslow, Mark ;
Packman, Ann ;
Dacakis, Georgia .
INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS, 2006, 41 (04) :395-406
[4]   An investigation into the personal financial costs associated with stuttering [J].
Blumgart, Elaine ;
Tran, Yvonne ;
Craig, Ashley .
JOURNAL OF FLUENCY DISORDERS, 2010, 35 (03) :203-215
[5]   Stuttering treatment research 1970-2005: I. Systematic review incorporating trial quality assessment of behavioral, cognitive, and related approaches [J].
Bothe, Anne K. ;
Davidow, Jason H. ;
Bramlett, Robin E. ;
Ingham, Roger J. .
AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY, 2006, 15 (04) :321-341
[6]  
Brennan D, 2010, INT J TELEREHABILITA, V2, P31, DOI [10.5195/ijt.2010.6063, 10.5195/IJT.2010.6063]
[7]   Webcam Delivery of the Camperdown Program for Adolescents Who Stutter: A Phase I Trial [J].
Carey, Brenda ;
O'Brian, Sue ;
Onslow, Mark ;
Packman, Ann ;
Menzies, Ross .
LANGUAGE SPEECH AND HEARING SERVICES IN SCHOOLS, 2012, 43 (03) :370-380
[8]   Randomized controlled non-inferiority trial of a telehealth treatment for chronic stuttering: the Camperdown Program [J].
Carey, Brenda ;
O'Brian, Sue ;
Onslow, Mark ;
Block, Susan ;
Jones, Mark ;
Packman, Ann .
INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS, 2010, 45 (01) :108-120
[9]   Long-term outcome of Internet-delivered cognitive-behavioural therapy for social phobia: A 30-month follow-up [J].
Carlbring, Per ;
Nordgren, Lise Bergman ;
Furmark, Tomas ;
Andersson, Gerhard .
BEHAVIOUR RESEARCH AND THERAPY, 2009, 47 (10) :848-850
[10]   Overcoming depression on the Internet (ODIN) (2): A randomized trial of a self-help depression skills program with reminders [J].
Clarke, G ;
Eubanks, D ;
Reid, E ;
Kelleher, C ;
O'Connor, E ;
DeBar, LL ;
Lynch, F ;
Nunley, S ;
Gullion, C .
JOURNAL OF MEDICAL INTERNET RESEARCH, 2005, 7 (02)