The long term effectiveness of intensive stuttering therapy: A mixed methods study

Irani, Farzan; Gabel, Rodney; Daniels, Derek E.; Hughes, Stephanie

doi:10.1016/j.jfludis.2012.04.002

Cited by 41 publications

(56 citation statements)

References 35 publications

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“…, Irani et al . , Stewart and Richardson ). This might include practice in a shopping centre as part of a residential course (Irani et al .…”

Section: Resultsmentioning

confidence: 94%

“…Adolescence is a time when independence is developing, and it may be difficult to open up emotionally to a therapist (Irani et al . ). An important factor reported by adolescents was to make the decision oneself to seek intervention and to arrange appointments (Hearne et al .…”

Section: Resultsmentioning

confidence: 97%

“…, ), an evaluation of a 15‐day residential programme (Irani et al . ), and one study that explored the experiences of group therapy (Stewart and Richardson ).…”

Section: Resultsmentioning

confidence: 99%

“…These strategies included desensitization, or repeated exposure to the feared situation (Irani et al . ), and disclosing stuttering to the listener at the beginning of a conversation (Klompas and Ross ) to eliminate the element of surprise (Plexico et al . ) and potential discrediting by the audience (Butler , Cream et al .…”

Section: Resultsmentioning

confidence: 99%

“…This might include practice in a shopping centre as part of a residential course (Irani et al . ), or ensuring that strategies do not affect speech to the extent that PWS feel even more ‘different’ when they are engaging in day‐to‐day situations (Cream et al . ).…”

Section: Resultsmentioning

confidence: 99%

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The state of the art in non-pharmacological interventions for developmental stuttering. Part 2: qualitative evidence synthesis of views and experiences

Johnson

Baxter

Blank

et al. 2015

International Journal of Language & Communication Disorders

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Background: A range of interventions have been developed to treat stuttering in recent years. The effectiveness of these interventions has largely been assessed in studies focusing on the impact of specific types of therapy on patient outcomes. Relatively little is known about the factors that influence how the delivery and impact of different types of intervention may be experienced from the perspective of both people who deliver as well as those who receive interventions. Aims: To synthesize the available evidence in relation to factors that might enhance or mitigate against successful outcomes following interventions for stuttering by identifying and synthesizing relevant qualitative research that explored the experiences of people delivering and receiving interventions that aim to improve fluency. Methods & Procedures:We carried out a systematic review including research that had used in-depth interviews and focus groups and conducted a substantive qualitative analysis of the data collected. Included study populations were either adults or children affected by a diagnosed stutter and/or providers of therapy for stuttering. An iterative approach was used to search for published qualitative evidence in relevant databases from 1990 to 2014. Retrieved citations were sifted for relevance and the data from articles that met the inclusion criteria were extracted. Each included paper was assessed for quality and a thematic analysis and synthesis of findings was carried out. Main Contribution: Synthesized qualitative evidence highlights the changing experiences for people who stutter both historically and, for individuals, over the life course. Barriers and facilitators to the implementation of interventions for stuttering are encountered at the individual, intervention, interpersonal and social levels. Interventions may be particularly pertinent at certain transition points in the life course. Attention to emotional as well as practical aspects of stuttering is valued by people receiving therapy. The client-therapist relationship and support from others are also key factors in achieving successful outcomes. Conclusions & Implications: A synthesis of qualitative findings from published papers has added to the effectiveness data reported in an accompanying paper in understanding how stuttering impacts on people across the life course. Evidence suggests that a client-centred and individually tailored approach enhances the likelihood of successful intervention outcomes through attention to emotional, situational and practical needs.

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“…, Irani et al . , Stewart and Richardson ). This might include practice in a shopping centre as part of a residential course (Irani et al .…”

Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 97%

“…, ), an evaluation of a 15‐day residential programme (Irani et al . ), and one study that explored the experiences of group therapy (Stewart and Richardson ).…”

Section: Resultsmentioning

confidence: 99%