A scoping review of the school-aged stuttering intervention literature

Mallick, Rizwana; Kathard, Harsha; Thabane, Lehana; Pillay, Mershen

doi:10.1080/17489539.2021.1976964

Cited by 5 publications

(1 citation statement)

References 40 publications

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“…This study assessed avoidance behaviours, but no post-treatment data were recorded. More recently, Mallick et al (2021) conducted a scoping review of the intervention literature for schoolage children for the period 1982-2016, which included 10 studies. They reported psychosocial outcome data for one treatment study (Andrews et al, 2016) for which there was no discussion of post-treatment changes.…”

Section: Existing Reviews Of the Psychosocial Impact Of Stuttering Du...mentioning

confidence: 99%

Psychosocial features of stuttering for school‐age children: A systematic review

Johnson

Onslow

Horton

et al. 2023

Intl J Lang & Comm Disor

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BackgroundContemporary clinical and empirical perspectives indicate that management of the psychosocial features of stuttering is fundamental for effective treatment. Interventions that improve psychosocial outcomes for school‐age children who stutter are, therefore, needed.AimsThis systematic review identifies what psychosocial outcomes have been explored in existing school‐age clinical research, the measures used and the potential treatment effects. This will provide guidance for developing interventions that reflect contemporary perspectives of stuttering management.Methods & ProceduresA total of 14 databases and three conference proceedings were searched for clinical reports of psychosocial outcomes of children aged 6–12 years. The review did not include pharmacological interventions. Psychosocial measures and outcomes were analysed in each study based on data recorded pre‐treatment, immediately post‐treatment and for any follow‐up assessments.Main ContributionsOf the 4051 studies identified from the databases, a total of 22 studies met criteria for inclusion in the review. From these 22 studies, the review identified four prominent psychosocial domains that have been explored in school‐age clinical research to date: Impact of stuttering, communication attitude, anxiety and speech satisfaction. These domains vary in measurement and effect sizes. Two behavioural treatments were associated with anxiety reduction, even though they did not contain anxiolytic procedures. No evidence of potential treatment effects emerged for communication attitudes. Quality of life—an important psychosocial domain pertinent to health economics—did not feature in school‐age clinical reports.Conclusions & ImplicationsThe psychosocial features of stuttering need to be managed during the school years. Three psychosocial domains—impact of stuttering, anxiety and speech satisfaction—show evidence of potential treatment effects. This review provides direction for future clinical research so that speech–language pathologists can effectively and holistically manage school‐age children who stutter.What this paper addsWhat is already known on the subject Elevated levels of anxiety are apparent for children and adolescents who stutter. Therefore, the need to assess and manage psychosocial features of stuttering are expertly regarded as clinical priorities. Clinical trials of such psychosocial features of stuttering for children aged 6−12 years are not well advanced and, therefore, do not reflect current best practice management of this disorder.What this study adds to existing knowledge This systematic review identifies four different psychosocial domains measured and reported in the literature for school‐age stuttering management. For three psychosocial domains, some evidence of potential treatment effects emerged with participant numbers greater than 10: Impact of stuttering, anxiety and speech satisfaction. Though treatment effect sizes varied, there is a suggestion that cognitive behaviour therapy can improve anxiety of school‐age children who stutter. There is also suggestion that two other behavioural treatments can improve anxiety of school‐age children who stutter.What are the potential or actual clinical implications of this work? Given the essential need for school‐age children who stutter to receive management of any speech‐related anxiety they may experience, it would be productive to discover in future clinical research what interventions could contribute to that goal—behavioural or psychosocial, or both. This review reveals that cognitive behaviour therapy, and other behavioural treatments, are associated with anxiety reductions. Such approaches should be considered for future clinical trial research to help advance the evidence base for managing school‐age stuttering.

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Section: Existing Reviews Of the Psychosocial Impact Of Stuttering Du...mentioning

confidence: 99%

Psychosocial features of stuttering for school‐age children: A systematic review

Johnson

Onslow

Horton

et al. 2023

Intl J Lang & Comm Disor

View full text Add to dashboard Cite

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Lived experiences of children who stutter in their own voices

Kerrigan,

Brundage

2024

Journal of Communication Disorders

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Treatment for School-Age Children Who Stutter: A Systematic Review of Japanese Literature

Iimura

Kakuta

et al. 2022

LSHSS

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Purpose: This systematic review identified and synthesized published research articles, written in Japanese, on the clinical effectiveness of a broad range of nonpharmacological interventions for school-age children who stutter. Method: A systematic review of Japanese literature published between January 1, 1980, and July 7, 2020, reporting interventions for school-age children who stutter, was carried out through a search of two databases (CiNii Article database and Japan Medical Abstract Society database) using the key words “stuttering” and “school-age” or “child” or “primary school students” or “children” or “school child” in Japanese. To be included in the review, the articles must report studies where data were subjectively reported by clinicians, where school-age participants were treated for developmental stuttering, where participants received interventions conducted by clinicians, and where quantitative outcomes (pre- and/or posttreatment) were measured; and they must be published in Japanese. Results: Forty articles met all the inclusion criteria. Most articles adopted a case series or single-case study design. A total of 179 intervention programs were identified from all the articles and broadly classified into speech therapy, psychological therapy, interventions for modifying the child's environment, and others. Conclusions: Our systematic review provided a broad overview of the treatments used for school-age children who stutter in Japan. Future research should focus on gathering more reliable, systematic, and rigorous evidence to establish the effectiveness of stuttering treatments for school-age children and thereby develop evidence-based practices.

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A scoping review of the school-aged stuttering intervention literature

Cited by 5 publications

References 40 publications

Psychosocial features of stuttering for school‐age children: A systematic review

Psychosocial features of stuttering for school‐age children: A systematic review

Lived experiences of children who stutter in their own voices

Treatment for School-Age Children Who Stutter: A Systematic Review of Japanese Literature

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