Are graduate students receiving adequate education and training in fluency disorders?

Santus, Nina; Tellis, Glen M.; Kong, Fanting

doi:10.21849/cacd.2019.00108

Cited by 6 publications

(4 citation statements)

References 19 publications

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“…Challenges to the development of SLTs' adequate knowledge of stuttering may be rooted in inadequacies of their SLT university training. Research has found that a significant amount of SLT graduate students complete their education without having had any clinical experience with individuals who stutter (Yaruss et al, 2017;Santus et al, 2019). Such challenges require immediate attention given the negative impact that this reduced knowledge will likely have on the TA and subsequently the treatment outcomes for AWS.…”

Section: Discussionmentioning

confidence: 99%

Identifying perspectives of adults who stutter on therapeutic alliance in stuttering intervention

Byrne,

Connery

2023

ACS

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BACKGROUND: Despite acknowledgement by various stakeholders that therapeutic alliance (TA) is an essential component of stuttering intervention, a comprehensive understanding of this concept is lacking in the field of speech and language therapy. There continues to be a significant gap in our knowledge regarding what adults who stutter (AWS) perceive to be the qualities and activities required by both themselves and the speech and language therapist (SLT) to facilitate an effective TA. Collection of such knowledge will support the establishment and maintenance of positive TA in clinical contexts and enhance treatment outcomes for those who stutter. OBJECTIVE: To explore the perspectives of AWS on the meaning of TA and the variables that influence its establishment and maintenance. METHODS: Semi-structured interviews were completed with eight AWS. The interview questions centred on three key topics: the conceptualisation of TA through the perspective of AWS; the activities and personal qualities of the SLT that influence TA; and the activities and personal qualities of the AWS that influence TA. RESULTS: Reflexive thematic analysis identified two overarching themes: ‘Recognising stuttering in a biopsychosocial context in order to enhance therapeutic alliance’ and ‘Person-related variables influencing therapeutic alliance’. In addition, five subthemes were identified which further illuminated each overarching theme. CONCLUSIONS: Findings of this study highlight the benefit of collecting patient-based evidence to support our understanding of TA. Results demonstrate the complexity of TA in stuttering intervention, and the impact that person-related variables have on its quality.

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Section: Discussionmentioning

confidence: 99%

Identifying perspectives of adults who stutter on therapeutic alliance in stuttering intervention

Byrne,

Connery

2023

ACS

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“…However, at present, less than adequate opportunities are afforded our future clinicians to hone this important clinical skill. It is necessary for university training programs to develop educational and clinical training for students in order to meet minimum knowledge and skills competencies in the area of stuttering in an effort to increase their knowledge and comfort levels [48]. To be included in this training should be the various aspects of parent/caregiver counseling and information sharing during the preliminary stages of the therapeutic process.…”

Section: Discussionmentioning

confidence: 99%

Addressing core questions from parents of children who stutter

Gregg¹

2020

Clin Arch Commun Disord

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The focus on parent counseling following the initial evaluation of young children who stutter is not a new direction. The purpose of this article is to summarize core components regarding addressing the questions of parents of children who stutter. Methods: This analysis of scientific literature provides a guide to responding to these principal questions about childhood stuttering using research data and counseling methods. Results: Given the breadth and depth of the past literature in this area, it is important to understand that the therapeutic relationship with the family of a preschooler who stutters begins at the initial evaluation. As a result, clinicians should work to achieve a dialogue that strikes a balance of encouraging parents to take proper action, easing irrational fears, and instilling hope of realistic, positive communication results. Conclusions: Achieving an equilibrium of motivation and assuredness during these tough conversations warrants skills in counseling-based approaches.

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“…As a result, accessibility of an SLP does not necessarily translate to comprehensive care. Contributing to this outcome is an overall lack of confidence in the management of stuttering [29][30][31] and limited knowl-edge of the disorder [32,33]. When such circumstances persist, potential consequences for PWS residing in these areas include care that is less frequent, less specialized, or no care at all; the latter of which would result in an untreated communication disorder.…”

Section: Quality Of Carementioning

confidence: 99%

Provision of Maintenance Therapy for People Who Stutter Via Telepractice

Briley,

Brownlow,

Ellis

2023

Clin Arch Commun Disord

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Purpose: People who stutter (PWS) who have completed intensive programs commonly face issues with relapse. A confounding factor to relapse is the availability of speech-language pathologists who specialize in the treatment of stuttering. A possible solution to these issues is a telepractice approach to treatment maintenance following an intensive program. Therefore, the current project examined whether a tele-delivered maintenance program could be utilized to maintain and improve upon speech related outcomes obtained in an intensive treatment program.Methods: Participants included 6 children who stutter and 4 adults who stutter. Each participant completed a university intensive treatment program and also agreed to take part in 12 tele-delivered maintenance sessions following the intensive program. The Overall Assessment of the Speaker’s Experience of Stuttering (OASES) was utilized for outcome measures.Results: Significant improvement was found on the OASES’ overall impact score when comparing pre- and post-telepractice maintenance, (Z=-2.81, p=0.005). Additionally, participants experienced significant improvement in participants’ perceptions of their speaking abilities (Z=-2.45, p=0.014) and in overall quality of life (Z=-2.07, p=0.038).Conclusions: While PWS are faced with challenges when seeking to improve upon communication skills, the current study offers additional evidence that telepractice is a viable delivery option for the maintenance of therapeutic gains.

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Are graduate students receiving adequate education and training in fluency disorders?

Cited by 6 publications

References 19 publications

Identifying perspectives of adults who stutter on therapeutic alliance in stuttering intervention

Identifying perspectives of adults who stutter on therapeutic alliance in stuttering intervention

Addressing core questions from parents of children who stutter

Provision of Maintenance Therapy for People Who Stutter Via Telepractice

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