Targeting Communication Effectiveness in Adults Who Stutter

Byrd, Courtney T.; Coalson, Geoffrey A.; Young, Megan

doi:10.1097/tld.0000000000000270

Cited by 16 publications

(29 citation statements)

References 65 publications

(105 reference statements)

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“…Coalson et al [11] examined self-reported clinical outcomes from 33 adults who stutter after an 11-week communication-centered treatment (for greater detail see Byrd et al [10]) program similar to the one-week treatment program for children described in Byrd et al [9,[26][27]).…”

Section: Preliminary Findings With Adults Who Stuttermentioning

confidence: 99%

“…These data challenge the assumption that fluency must be targeted to facilitate positive perspectives of self and/or communication in persons who stutter. In fact, Byrd and colleagues [9][10][11][26][27] provide evidence that significant positive changes in communication attitudes, and communication competence, can be reliably attained through participation in a treatment that focuses on improving overall communication and explicitly excludes clinical goals that attempt to hide, eliminate, or modify stuttered speech in children and adults following CCT. Byrd et al [26, n = 23, ages 7-to 14-years old] examined changes in cognitive and affective wellbeing before and after treatment reported by 23 children and adolescents who stutter and their parents.…”

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confidence: 99%

“…Byrd et al [9] extended analyses of their communication centered, whole person approach, by examining communication competencies in 37 children and adolescents who stutter (ages 4-to 17-years old) pre-versus post-treatment. An unfamiliar clinician rated pre-and posttreatment presentations (3 to 4 minutes in length), recorded in front of a large group of peers, based on nine difference communication skills: (1) language use, (2) language organization, (3) speech rate, (4) intonation, (5) volume, (6) gestures, (7) body position, (8) eye contact, and (9) facial affect (for detailed description, see Byrd et al [9][10]). Findings provided preliminary evidence that, in addition to replicating the positive post-treatment changes in cognitive and affective aspects of stuttering reported in prior studies ), clinicians rated communication competency of children and adolescents who stutter during presentations as significantly stronger in samples recorded after treatment.…”

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confidence: 99%

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Observer-rated outcomes of Communication-Centered Treatment (CCT) for adults who stutter: A preliminary study

Byrd

Coalson

Werle

2023

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Previous studies have reported that adults who stutter demonstrate significant gains in communication competence, per self-ratings and clinician-ratings, upon completion of a communication-centered treatment, or CCT. The purpose of the present study was to determine whether gains in communication competence would also be reported by untrained observers. Eighty-one untrained observers completed an online survey that required each to view one of two videos depicting an adult who stutters during a mock interview recorded prior to CCT or after CCT. Participants were then asked to rate the communication competence of the interviewee on a 100-point visual analog scale and provide additional demographic information. Communication competence of the adult who stutters was rated significantly higher in their post-treatment video. Two observer-based factors were significantly associated with ratings of communication competence: years of education and years the respondent had known an adult who stutters. Upon controlling for these demographic factors, significantly higher ratings of communication competence for the post-treatment video were maintained. Although preliminary, findings suggest gains in communication competence demonstrated in previous studies through clinician and client observations are not limited to the sterile clinical environment, and further emphasizes the ecological validity of CCT. [ClinicalTrials.govNCT05908123; https://clinicaltrials.gov/show/NCT05908123]

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Section: Preliminary Findings With Adults Who Stuttermentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Observer-rated outcomes of Communication-Centered Treatment (CCT) for adults who stutter: A preliminary study

Byrd

Coalson

Werle

2023

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“…Then, Tichenor et al (2022) highlight the importance of understanding the experience of people who stutter. Finally, Byrd et al (2022) share preliminary results from their communication effectiveness intervention for adults who stutter. In summary, Hampton Wray (2022) and the authors of this issue provide an excellent overview of critical aspects of stuttering, calling for clinicians and researchers to focus their attention beyond disfluencies.…”

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Stuttering: Beyond Disfluencies

2022

Topics in Language Disorders

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Rather than focusing on research topics that are in vogue at a particular points in time (e.g., kinematics in the 1980's), we need to accept a variety of perspectives . . . . Knowledge about all aspects of stuttering should be our goal, and our focus should be based on our clients' needs . . . .- Quesal (1989, p. 163) In this issue of Topics in Language Disorders, Guest Issue Editor, Dr. Amanda Hampton Wray, invited authors to highlight important current topics related to stuttering, with a particular emphasis on highlighting issues beyond dysfluencies. As guest editor, she carefully crafted this issue to cover multiple aspects of stuttering from research and theoretical updates, to considerations for therapeutic approaches, and finally to an intervention study with preliminary results.First, Brundage and Bernstein Ratner (2022) share a research update on the important interaction between language and stuttering, emphasizing that stuttering should be considered beyond only speech production. Next, Usler (2022) discusses the role of cognition in some aspects of stuttering, with particular emphasis on the experience of stuttering. Lescht et al. (2022) further explore aspects of linguistics and stuttering within their article about novel word learning. Then, Tichenor et al. (2022) highlight the importance of understanding the experience of people who stutter. Finally, Byrd et al. (2022) share preliminary results from their communication effectiveness intervention for adults who stutter. In summary, Hampton Wray (2022) and the authors of this issue provide anThe authors have indicated that they have no financial and no nonfinancial relationships to disclose.

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“…In the final article in this issue, Byrd et al (2022) evaluated a treatment approach for adults who stutter that focuses on communication competencies without any goals or evaluation of speech fluency or stuttered events. The treatment program focuses on both affective and cognitive aspects of stuttering (outlined in Tichenor et al, 2022) by targeting speaking confidently, communicating effectively, and advocating meaningfully with the aim of improving quality of life.…”

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Introduction to the Issue “Stuttering: Beyond Disfluencies”

2022

Topics in Language Disorders

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I am honored to bring together this issue of Topics in Language Disorders focusing on developmental stuttering without specific focus on disfluent speech productions. For decades, much of the research in this field has centered on counting and characterizing observable disfluencies in the speech of people who stutter. We now have a more comprehensive understanding of the nature of stuttering that extends beyond speech productions alone (e.g., Bloodstein et al., 2021). Developmental stuttering arises from complex interactions between a vulnerable speech motor system, where the neural networks that regulate speech motor control produce unstable speech signals, and a set of child factors, including cognitive, language, emotional, and environmental characteristics (Smith & Weber, 2017). Understanding these complex factors, and the interactions between them, is critical for understanding the nature of stuttering. Several of the articles in this issue focus on factors beyond speech production that contribute to stuttering.Along similar lines, for decades, clinicians and researchers have acknowledged that it is critical for stuttering treatment to extend beyond a focus on stuttered events. Despite this knowledge, much of stuttering treatment in practice continues to focus on "reducing the number of disfluencies." Several articles in this issue address why it is critical to focus on other factors in stuttering treatment and provide examples of how to target other communication goals. Together, this set of articles highlights important factors underlying stuttering and positive treatment outcomes for people who stutter, without focusing on speech disfluencies.The author has indicated that she has no financial and no nonfinancial relationships to disclose.

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Targeting Communication Effectiveness in Adults Who Stutter

Cited by 16 publications

References 65 publications

Observer-rated outcomes of Communication-Centered Treatment (CCT) for adults who stutter: A preliminary study

Observer-rated outcomes of Communication-Centered Treatment (CCT) for adults who stutter: A preliminary study

Stuttering: Beyond Disfluencies

Introduction to the Issue “Stuttering: Beyond Disfluencies”

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