Best Practice for Developmental Stuttering: Balancing Evidence and Expertise

Byrd, Courtney T.; Donaher, Joseph

doi:10.1044/2017_lshss-17-0089

Cited by 13 publications

(5 citation statements)

References 24 publications

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“…As crianças com gagueira persistente, não identificadas precocemente, estabilizam uma configuração atípica das redes motoras neurais da fala. As crianças e suas famílias, não atendidas com rapidez e competência, tendem a atrasar as ações positivas para a redução das atitudes negativas de comunicação e do sofrimento psíquico, social e acadêmico que possam afetar negativamente suas vidas (10)(11)(12)(13)(14)(15)(16)(17)(18)(19) .…”

Section: Introductionunclassified

Análise de preditores de risco cumulativo para a gagueira persistente: percepção familiar e quantidade de rupturas da fala

Costa,

Juste,

Ritto

et al. 2023

CoDAS

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RESUMO Objetivo Pesquisar duas variáveis independentes consideradas como possíveis preditores de risco cumulativo para a gagueira persistente (GP): percepção familiar da gagueira e quantidade de rupturas da fala. Método Participaram 452 crianças, com idade entre 3 a 11:11 anos, de ambos os gêneros, divididos em 4 grupos: grupo 1 (GGQ), 158 crianças com percentual de rupturas gagas ≥3% e queixa familiar de gagueira; grupo 2 (GGS), 42 crianças com percentual de rupturas gagas ≥3% e sem queixa familiar de gagueira; grupo 3 (FQ), 94 crianças com percentual de rupturas gagas ≤2.9% com queixa familiar de gagueira e grupo 4 (FS), 158 crianças com percentual de rupturas gagas ≤2.9 sem queixa familiar de gagueira. Resultados Para o grupo GGQ há relação significante entre a queixa familiar de gagueira e quantidade de rupturas de fala típicas da gagueira e houve predominância de crianças do sexo masculino. Para o grupo GGS não houve relação significante entre a queixa familiar de gagueira e quantidade de rupturas de fala. Para o grupo FQ não houve relação significante entre a queixa familiar de gagueira e quantidade de rupturas de fala. Para o grupo FS houve relação significante entre a ausência de queixa familiar de gagueira e a reduzida quantidade de rupturas de fala. Conclusão O percentual de rupturas ≥3% é um indicador de risco para a GP. A queixa familiar de rupturas do tipo repetições pode ser um indicador de risco para a GP. A queixa familiar de gagueira, isoladamente, não deve ser considerada como indicador de GP.

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Section: Introductionunclassified

Análise de preditores de risco cumulativo para a gagueira persistente: percepção familiar e quantidade de rupturas da fala

Costa,

Juste,

Ritto

et al. 2023

CoDAS

View full text Add to dashboard Cite

show abstract

“…Children with persistent stuttering, not identified early on, establish an atypical configuration of neural speech-motor networks. Children and their families, not attended to in a timely and competent fashion, tend to delay positive steps for the reduction of negative communicative attitudes and psychical, social, and academic harm, which can negatively affect life outcomes (10)(11)(12)(13)(14)(15)(16)(17)(18)(19) .…”

Section: Introductionmentioning

confidence: 99%

Analysis of cumulative risk predictors for persistent stuttering: family perception and amount of speech disruptions

Costa,

Juste,

Ritto

et al. 2023

CoDAS

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Purpose To investigate two independent variables considered as two possible predictors of cumulative risk for persistent stuttering: family perception of stuttering and amount of speech disruptions. Methods Participants were 452 children, aged 3 to 11:11 years, male and female, divided into 4 groups: group 1 (SCG), composed of 158 children who presented a percentage of stuttered speech disruptions ≥ 3% and family complaint of stuttering; group 2 (SWCG), 42 children who presented percentage of stuttered speech disruptions ≥ 3% and without family complaint of stuttering; group 3 (FCG), 94 children who presented percentage of stuttered speech disruptions ≤ 2. 9% with family complaints of stuttering and group 4 (FWCG), 158 children who presented a percentage of stuttered speech disruptions ≤ 2.9 without family complaints of stuttering. Results For the SCG group, there was a significant relationship between family complaints of stuttering and the number of speech disruptions typical of stuttering. In this group, there was a predominance of male children. For the SWCG group, there was no significant relationship between family complaints of stuttering and the number of speech disruptions. For the FCG group, there was no significant relationship between family complaints of stuttering and the number of speech disruptions. For the FWCG group, there was a significant relation between the absence of a family complaint of stuttering and the reduced number of speech disruptions. Conclusion The percentage of speech disruptions ≥ 3% is a risk indicator for persistent stuttering. The percentage of speech disruptions ≤ 2.9% associated with syllable and sound repetitions can be a risk indicator for persistent stuttering. Family complaints of syllable and sound repetitions may be a risk indicator for persistent stuttering. Family complaints of stuttering alone should not be considered an indicator of persistent stuttering.

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“…Early intervention increases a child's chance of recovering from stuttering (Onslow et al,2012). For those children who do not recover, early intervention can foster the development of positive communication attitudes and build resilience in CWS against potential negative reactions they may experience from listeners (Byrd & Donaher, 2018;de Sonneville-Koedoot et al, 2015). The promising effectiveness of early intervention coupled with the knowledge that children as young as 3 years of age can be socially and emotionally affected by stuttering (McAllister, 2016) therefore reinforces the critical need for all children to receive effective care as close as possible to stuttering onset (Onslow & Lowe, 2019).…”

Section: Introductionmentioning

confidence: 99%

Early Childhood Professionals' Management of Young Children Who Stutter: A Cross-Sectional Study

Kefalianos

Guttormsen

Hansen

et al. 2022

Am J Speech Lang Pathol

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Purpose: Early childhood professionals must accurately identify, refer, and treat children who stutter (CWS) within the scope of their respective roles to ensure each child receives the best possible care. This study aimed to investigate similarities and differences between the practices of speech-language pathologists (SLPs), preschool teachers, and public health nurses when they initially meet a young child reported as stuttering. Method: This cross-sectional study was conducted in Norway. A sample of 342 early childhood professionals (126 preschool teachers, 95 public health nurses, and 121 SLPs) completed an online survey about their management practices with young children reported as stuttering. Descriptive statistics, ordinal regression, and chi-square analyses were used to analyze data. Results: Initial management practices reflected the different roles and competencies of each profession. Less than 15% of SLPs reported they have access to guidelines for working with CWS. This figure was even lower for public health nurses (6.5%) and preschool teachers (12%). The most common recommendations provided to parents by all professions was giving the child time to talk and maintaining eye contact. Each profession's referral for further speech-language pathology management was most commonly influenced by stuttering severity. All professions reported collaborating about management of CWS; the most common reported collaboration was with preschool teachers. Conclusions: Initial management practices varied between professions; however, differences largely reflected the roles and competencies of each profession. The development of guidelines and interdisciplinary seminars is recommended to develop a more complementary approach across professions to improve management practices and ensure young CWS receive the best possible care.

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Best Practice for Developmental Stuttering: Balancing Evidence and Expertise

Abstract: Best practice for developmental stuttering remains a topic of debate. In the clinical forum following this introduction, four fluency experts balance the evidence and expertise to describe their approach to assessment and treatment.

Cited by 13 publications

References 24 publications

Análise de preditores de risco cumulativo para a gagueira persistente: percepção familiar e quantidade de rupturas da fala

Análise de preditores de risco cumulativo para a gagueira persistente: percepção familiar e quantidade de rupturas da fala

Analysis of cumulative risk predictors for persistent stuttering: family perception and amount of speech disruptions

Early Childhood Professionals' Management of Young Children Who Stutter: A Cross-Sectional Study

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