The qualitative research reviewed in this paper has added to our understanding of the experiences, thinking and views of people who stutter. The reports on people's experiences of therapy show that we still have much to learn and that we need to listen to our clients and involve them in therapy and in outcome planning.
SThere are a growing number of reports of late onset of stammering from clinicians but a lack of data concerning the nature, aetiology and outcomes of therapy. This research attempts to replicate in Great Britain a survey of clinicians carried out in America. Clinicians completed a questionnaire on their clients with acquired stammering. Details on possible cause, speech and language characteristics, and therapeutic outcomes were compared with the American study. Results were similar in terms of aetiology and outcome measures despite reported differences in characteristics and treatment regimes offered.Il existe un nombre croissant de compte‐rendus médicaux sur les cas de débuts tardifs de bégaiement, mais les données font défaut quant à la nature, l'étiologie et les résultats de la thérapie. Cette étude a pour but de reproduire en Grande‐Bretagne une enquète sur les médecins déjà menée en Amérique. Les médecins ont rempli un questionnaire sur ceux de leurs clients qui s'étaient mis à souffrir de bégaiement. La comparison avec l'étude américaine a porté sur les causes possibles, les caractéristiques de langue et de discours, et les résultats de la thérapie. Les résultats sont semblables en ce qui concerne l'étiologie et les mesures finales, en dépit de différences relevées pour les caractéristiques et les régimes de traitments offerts.Es gibt eine wachsende Anzahl von kilinischen Berichten über spat einsetzendes Stammeln, aber es fehlen Daten über die Form, die Ätiologie und über die Folgen der Therapie. Diese Studie versucht, eine in den USA durchgeführte Umfrage bei klinischer Therapeuten in Großbritannien zu replizieren. Die Therapeuter beantworteten einen Fragebogen über ihre Patienten mit erworbenen Stammeln. Einzelheiten zur möglichen Ursache, Sprach‐ und Sprechcharakteristika sowie zum Erfolg der Therapie wurden mit der amerikanischen Studie verglichen. Die Ergebnisse waren trotz berichteter Unterschiede in der Form des Stammeins und in der angebotenen Behandlung hinsichtlich der errechneten Werte für die Ätiologie und für den Erfolg der Therapie ähnlich.
Background: The coronavirus disease 2019 (COVID-19) pandemic has affected people of all ages, races, and socioeconomic groups, and placed extraordinary stress on health care workers (HCWs). We measured the prevalence of burnout and assessed wellbeing and quality of life (QoL) in HCWs at a single UK neuroscience center after the first pandemic surge.Methods: A 38-item electronic questionnaire was disseminated through local team email lists between May 22 and June 7, 2020, to HCWs in a university neurosciences center. Burnout was measured using the single-item Emotional Exhaustion and Depersonalization scales, and wellbeing and QoL assessed using the Linear Analogue Self-Assessment Scale and the EuroQol-5 Dimension instrument. Results:The response rate was 57.4% (n = 234); 58.2% of respondents were nurses, 69.4% were women and 40.1% were aged 25 to 34 years. Overall, 21.4% of respondents reported burnout assessed by the Emotional Exhaustion scale; burnout was higher for nurses (23.5%) and allied health care professionals (22.5%) compared with doctors (16.4%). HCWs from ethnic minority groups reported a higher rate of burnout (24.5%) compared with white HCWs (15.0%). There were no differences in reported wellbeing or QoL between professional groups, or HCW age, sex, or race. Nurses (36.8%) and staff from ethnic minority groups (34.6%) were more fearful for their health than others.Conclusions: Our findings highlight the prevalence of HCW burnout after the first surge of the pandemic, with an increased risk of burnout among nurses and staff from ethnic minority groups. Both nursing and staff from ethnic minority groups were also more fearful for their health. With ongoing pandemic surges, the impact on HCW wellbeing should be continuously assessed to ensure that local strategies to support staff wellbeing are diverse and inclusive.
This study applied the Fishbein and Ajzen model of attitude, intention and behaviour to stammerers' evaluations and use of their disfluent speech and a fluency controlling speech pattern. Subjects were eight adult stammerers who participated in an eight week group therapy programme. The model advocated a positive relationship between subjects' attitudes and intention to use their own disfluent speech and a fluency controlling technique. A positive relationship was also hypothesized between their intentions to use disfluent speech and their intentions to use the fluency controlling technique, and their fluency gains measured after the completion of the therapy programme. The results supported the relationships proposed by the model and confirmed its value in predicting fluency gains on the basis of pre therapy attitude and intention scores.
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