Skip to main page content

• HOME
• Current
• Archive
• Contact us
• Help
• Custom Print FAQ

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Custom Print Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal My Folders Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Bothe, A. K. Articles by Ingham, R. J. Search for Related Content PubMed PubMed Citation Articles by Bothe, A. K. Articles by Ingham, R. J. Social Bookmarking                         What's this?

Stuttering Treatment Research 1970–2005: I. Systematic Review Incorporating Trial Quality Assessment of Behavioral, Cognitive, and Related Approaches

Roger J. Ingham
University of California, Santa Barbara

Contact author: Anne K. Bothe, Department of Communication Sciences and Special Education, 556 Aderhold Hall, The University of Georgia, Athens, GA 30602. E-mail: abothe{at}uga.edu.

PURPOSE: To complete a systematic review, with trial quality assessment, of published research about behavioral, cognitive, and related treatments for developmental stuttering. Goals included the identification of treatment recommendations and research needs based on the available high-quality evidence about stuttering treatment for preschoolers, school-age children, adolescents, and adults.

METHOD: Multiple readers reviewed 162 articles published between 1970 and 2005, using a written data extraction instrument developed as a synthesis of existing standards and recommendations. Articles were then assessed using 5 methodological criteria and 4 outcomes criteria, also developed from previously published recommendations.

RESULTS: Analyses found 39 articles that met at least 4 of the 5 methodological criteria and were considered to have met a trial quality inclusion criterion for the purposes of this review. Analysis of those articles identified a range of stuttering treatments that met speech-related and/or social, emotional, or cognitive outcomes criteria.

CONCLUSIONS: Review of studies that met the trial quality inclusion criterion established for this review suggested that response-contingent principles are the predominant feature of the most powerful treatment procedures for young children who stutter. The most powerful treatments for adults, with respect to both speech outcomes and social, emotional, or cognitive outcomes, appear to combine variants of prolonged speech, self-management, response contingencies, and other infrastructural variables. Other specific clinical recommendations for each age group are provided, as are suggestions for future research.

Key Words: stuttering, evidence-based practice, systematic review, treatment outcomes

CiteULike    Connotea    Delicious    Digg    Facebook    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				J. H. Davidow and L. Melnitsky Acceptance: A Clinical Discussion Fluency and Fluency Disorders, November 1, 2012; 22(2): 63 - 66. [Full Text] [PDF]

				B. L. McMicken and M. T. Vento-Wilson Speech Remediation of Long-Term Stuttering: A Case History SAGE Open, September 18, 2012; 2(3): 2158244012459334 - 2158244012459334. [Abstract] [Full Text] [PDF]

				R. J. Ingham, J. C. Ingham, and A. K. Bothe Integrating Functional Measures With Treatment: A Tactic for Enhancing Personally Significant Change in the Treatment of Adults and Adolescents Who Stutter Am J Speech Lang Pathol, August 1, 2012; 21(3): 264 - 277. [Abstract] [Full Text] [PDF]

				R. J. Ingham, A. K. Bothe, E. Jang, L. Yates, J. Cotton, and I. Seybold Measurement of Speech Effort During Fluency-Inducing Conditions in Adults Who Do and Do Not Stutter J Speech Lang Hear Res, October 1, 2009; 52(5): 1286 - 1301. [Abstract] [Full Text] [PDF]

				H. S. Venkatagiri What Do People Who Stutter Want--Fluency or Freedom? J Speech Lang Hear Res, April 1, 2009; 52(2): 500 - 515. [Abstract] [Full Text] [PDF]

				D. Prins and R. J. Ingham Evidence-Based Treatment and Stuttering--Historical Perspective J Speech Lang Hear Res, February 1, 2009; 52(1): 254 - 263. [Abstract] [Full Text] [PDF]

				M. Onslow, M. Jones, S. O'Brian, R. Menzies, and A. Packman Defining, Identifying, and Evaluating Clinical Trials of Stuttering Treatments: A Tutorial for Clinicians Am J Speech Lang Pathol, November 1, 2008; 17(4): 401 - 415. [Abstract] [Full Text] [PDF]

				S. K. Millard, A. Nicholas, and F. M. Cook Is Parent-Child Interaction Therapy Effective in Reducing Stuttering? J Speech Lang Hear Res, June 1, 2008; 51(3): 636 - 650. [Abstract] [Full Text] [PDF]

				T. Meline and W. E. Harn Comments on Bothe, Davidow, Bramlett, Franic, and Ingham (2006) Am J Speech Lang Pathol, February 1, 2008; 17(1): 93 - 97. [Abstract] [Full Text] [PDF]

				A. K. Bothe, D. M. Franic, R. J. Ingham, and J. H. Davidow Pharmacological Approaches to Stuttering Treatment: Reply to Meline and Harn (2008) Am J Speech Lang Pathol, February 1, 2008; 17(1): 98 - 101. [Abstract] [Full Text] [PDF]

				A. K. Bothe, J. H. Davidow, R. E. Bramlett, D. M. Franic, and R. J. Ingham Stuttering Treatment Research 1970-2005: II. Systematic Review Incorporating Trial Quality Assessment of Pharmacological Approaches Am J Speech Lang Pathol, November 1, 2006; 15(4): 342 - 352. [Abstract] [Full Text] [PDF]