Practice Based Evidence: An Integrated Therapy Approach for Children who Stutter

Millard, Sharon; Brown, Barbara; Hertsberg, Naomi; Hollister, Julia; Zebrowski, Patricia M.

doi:10.1016/j.sbspro.2015.03.294

Cited by 2 publications

(5 citation statements)

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“…The approach assumes that the child is only able to make changes in these areas with the support and input of at least one parent/carer and so they are involved in the therapy throughout. Palin STSC(8-14) comprises 10 sessions, as this 'dosage' level was shown to be efficacious in our preliminary study [23].…”

Section: Palin Stammering Therapy For School Children (8-14)mentioning

confidence: 82%

“…This feasibility study will explore potential challenges and aims to establish the viability of a large scale randomised controlled trial to explore the effectiveness and cost-effectiveness of Palin STSC (8)(9)(10)(11)(12)(13)(14) as a therapy to meet the needs of children, parents and SLTs. Three preliminary studies have been conducted to establish initial efficacy of Palin STSC (8)(9)(10)(11)(12)(13)(14) [21][22][23] at the Michael Palin Centre. Two describe the outcomes of the therapy delivered during a 2-week intensive group therapy course, with 1-year follow-up data compared to a pre-therapy baseline phase [21,22].…”

Section: Introductionmentioning

confidence: 99%

“…Three preliminary studies have been conducted to establish initial efficacy of Palin STSC (8)(9)(10)(11)(12)(13)(14) [21][22][23] at the Michael Palin Centre. Two describe the outcomes of the therapy delivered during a 2-week intensive group therapy course, with 1-year follow-up data compared to a pre-therapy baseline phase [21,22]. A third explored the efficacy of Palin STSC (8)(9)(10)(11)(12)(13)(14) when delivered through weekly, individual family sessions [23].…”

Section: Introductionmentioning

confidence: 99%

“…Two describe the outcomes of the therapy delivered during a 2-week intensive group therapy course, with 1-year follow-up data compared to a pre-therapy baseline phase [21,22]. A third explored the efficacy of Palin STSC (8)(9)(10)(11)(12)(13)(14) when delivered through weekly, individual family sessions [23]. All studies reported a reduction in stammering frequency, a reduction in the impact of stammering on the children and reduced parental worry which was maintained for one year post therapy.…”

Section: Introductionmentioning

confidence: 99%

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Evaluating Palin Stammering Therapy for School Children (Palin STSC 8–14): protocol for a feasibility randomised controlled trial comparing Palin STSC(8–14) with usual treatment

Millard

Murphy

Barton

et al. 2022

Pilot Feasibility Stud

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Background Having a stammer can have a significant effect on a child’s social, emotional and educational development. With approximately 66,000 children in the UK having a stammer, there is a need to establish an adequate evidence base to inform clinical practice. We describe a feasibility trial to explore the effectiveness of a new therapy programme for children aged 8–14: Palin Stammering Therapy for School Children (Palin STSC(8–14)). Preliminary data from the Michael Palin Centre, where the programme was developed, indicate that Palin STSC(8–14) is effective in reducing stammering frequency and impact for children, with beneficial effects for parents too. We will investigate the feasibility of the methods required for a definitive randomised controlled trial to investigate the application of this therapy by NHS speech and language therapists (SLTs), compared with ‘treatment as usual’ (TAU), beyond the specialist context in which it was developed. Methods This is a two-arm feasibility cluster-randomised controlled trial of Palin STSC(8–14) with TAU control arm, and randomisation at the level of the SLT. Quantitative and qualitative data will be collected to examine the following: the recruitment and retention of therapists and families, the acceptability of the research processes and the therapeutic intervention and the appropriateness of the therapy outcome measures. Assessments will be completed by children and parents at baseline and 6 months later, including measures of stammering severity; the impact of child’s stammering on both children and parents; child temperament, behaviour and peer relations, anxiety; quality of life; and economic outcomes. There will also be a qualitative process evaluation, including interviews with parents, children, SLTs and SLT managers to explore the acceptability of both the research and therapy methods. Treatment fidelity will be examined through analysis of therapy session records and recordings. Discussion The findings of this feasibility trial will inform the decision as to whether to progress to a full-scale randomised controlled trial to explore the effectiveness of Palin STSC(8–14) when compared to Treatment as Usual in NHS SLT services. There is a strong need for an evidence-based intervention for school age children who stammer. Trial registration ISRCTN. ISRCTN17058884. Registered on 18 December 2019.

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Section: Palin Stammering Therapy For School Children (8-14)mentioning

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluating Palin Stammering Therapy for School Children (Palin STSC 8–14): protocol for a feasibility randomised controlled trial comparing Palin STSC(8–14) with usual treatment

Millard

Murphy

Barton

et al. 2022

Pilot Feasibility Stud

View full text Add to dashboard Cite

show abstract

“…I believe that the current evidence base offers multiple options for direct treatment of preschoolers who stutter that have reasonable levels of support, as well as two very robustly documented treatment programs. Among the promising approaches are Palin Parent-Child Interaction Therapy (Millard, Brown, Hertsberg, Hollister, & Zebrowski, 2015;Millard, Edwards, & Cook, 2009); family-focused therapy (Yaruss, Coleman, & Hammer, 2006); and Westmead, a syllable-timed speech-shaping therapy (Trajkovski et al, 2011). However, because they have much larger bodies of outcome data, the two options that I would recommend that the parents consider as first-line approaches are the following:…”

Section: Direct Treatment Options For David and His Familymentioning

confidence: 99%

Selecting Treatments and Monitoring Outcomes: The Circle of Evidence-Based Practice and Client-Centered Care in Treating a Preschool Child Who Stutters

Ratner

2018

LSHSS

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There are numerous well-supported intervention options for treating preschool children who stutter. No single therapy can possibly work for all clients. I discuss available options that I feel have sufficient evidence-based support for use with young children who stutter. I emphasize the need to consider more, not fewer, acceptable therapy options for children who do not respond positively to a selected treatment approach within a reasonable time frame.

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Practice Based Evidence: An Integrated Therapy Approach for Children who Stutter

Cited by 2 publications

References 0 publications

Evaluating Palin Stammering Therapy for School Children (Palin STSC 8–14): protocol for a feasibility randomised controlled trial comparing Palin STSC(8–14) with usual treatment

Evaluating Palin Stammering Therapy for School Children (Palin STSC 8–14): protocol for a feasibility randomised controlled trial comparing Palin STSC(8–14) with usual treatment

Selecting Treatments and Monitoring Outcomes: The Circle of Evidence-Based Practice and Client-Centered Care in Treating a Preschool Child Who Stutters

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