TECHNOLOGICAL REHABILITATION OF ADULT STUTTERERS: AWARENESS AND NEED ANALYSIS.

Main Article Content

Hafsa Noreen
Nazia Mumtaz
Ghulam Saqulain

Keywords

Assessment approaches, Combined approach, Digital applications, Developing countries, quality of life, Self-help therapy, speech langauge pathologists, Stuttering

Abstract

Background: There is a high prevalence of stuttering and a dire need of evidence based assessment and management strategies with diverse range of interventions for stuttering with therapeutic intentions in vague.


Aim: To explore awareness of novel technological rehabilitation and current trends in practices of Speech Language Pathologists (SLP) and Psychologists for management of adult stuttering.


Material & Methods: This exploratory qualitative research design with purposive sampling was conducted at Riphah International University from March to August 2021. Study recruited N=12 practicing SLP’s and Psychologists, well versed in English, with MS and/or PhD & minimum of 5 years’ experience. An interview guide was prepared and piloted and final interview guide used for in depth interviews to collect data and thematic analysis was conducted and themes drawn manually.


Results: Study revealed 13 themes including Adult Stutterers Emotional state, Factors effecting stutterers’ speech, causes of stuttering, Secondary symptoms of stuttering, Assessment approach, Therapeutic approach, Contemporary trends of assessment, Contemporary trends of management and Factors effecting prognosis/Outcomes of therapy, Awareness of self-help therapy, Knowledge of digital applications and Need/ suggestions for application development & Content of the applications. Participants were not aware of digital applications and technological rehabilitation, however need of such optimal digital applications was noted and participants suggested that application should be in Urdu Language, with informal assessment and record keeping.

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References

1. Bayerl SP, Hönig F, Reister J, Riedhammer K, editors. Towards automated assessment of stuttering and stuttering therapy. International Conference on Text, Speech, and Dialogue. arXiv, Cornell University 2020. Available from: arXiv:2006.09222v1 [q-bio.QM]
2. Arenas RM, Walker EA, Oleson JJ. Developmental Stuttering in Children Who Are Hard of Hearing. Lang Speech Hear Serv Sch. 2017;48(4):234-248. doi: 10.1044/2017_LSHSS-17-0028.
3. Tichenor SE, Yaruss JS. Stuttering as Defined by Adults Who Stutter. J Speech Lang Hear Res. 2019;62(12):4356-4369. doi: 10.1044/2019_JSLHR-19-00137.
4. Byrd CT, Bedore LM, Ramos D. The disfluent speech of bilingual spanish-english children: considerations for differential diagnosis of stuttering. Lang Speech Hear Serv Sch. 2015;46(1):30-43. doi: 10.1044/2014_LSHSS-14-0010.
5. Howell P, Davis S, Williams R. Late childhood stuttering. J Speech Lang Hear Res. 2008;51(3):669-87. doi: 10.1044/1092-4388(2008/048).
6. Samson I, Lindström E, Sand A, Herlitz A, Schalling E. Larger reported impact of stuttering in teenage females, compared to males–A comparison of teenagers’ result on Overall Assessment of the Speaker’s Experience of Stuttering (OASES). J Fluency Disord. 2021;67:105822.
7. Connery A, Galvin R, McCurtin A. Effectiveness of nonpharmacological stuttering interventions on communication and psychosocial functioning in adults: A systematic review and meta-analysis of randomized controlled trials. J Evid Based Med. 2021;14(1):17-26. doi: 10.1111/jebm.12408.
8. Medina AM, Mead JS. An exploration of mindfulness in speech-language pathology. Commun. Disord. Q. 2020:42(4):2577-25. doi.10.1177/1525740120942141
9. Boey R, Lefevere SJIJoT. An Evaluation of Telepractice During the COVID-19 Pandemic for the Treatment of Speech and Language Disorders in Belgium. 2022;14(1).
10. Chaudhary C, John S, Kumaran S, Guddattu V, Krishnan GJT, Disability. Technological interventions in stuttering: A systematic review. 2022(Preprint):1-22.
11. Van Eerdenbrugh S, Schraeyen K, Leysen H, Mostaert C, D'haenens W, Vandenborre DJPotASIG. Delivery of Speech-Language Therapy and Audiology Services Across the World at the Start of the COVID-19 Pandemic: A Survey. 2022;7(2):635-46.
12. Noreen H, Iftikhar N, Malik SN. Awareness about stuttering and self-therapy of stutter in the adult stutters. Biomed. Res 2017; Special Issue: 30-35
13. Lowe R, Menzies R, Onslow M, Packman A, O'Brian S. Speech and Anxiety Management With Persistent Stuttering: Current Status and Essential Research. J Speech Lang Hear Res. 2021;64(1):59-74. doi.10.1044/2020_JSLHR-20-00144
14. Kousournas G, Muneer A, Ralph D, Zacharakis E. Contemporary best practice in the evaluation and management of stuttering priapism. Ther Adv Urol. 2017;9(9-10):227-238. doi: 10.1177/1756287217717913.
15. Grimm E, Vuckovic N. A Customizable Speech Practice Application for People Who Stutter. 2021.
16. Tärning BJJoITER. Review of Feedback in Digital Applications–Does the Feedback They Provide Support Learning? 2018;17:247.
17. Al-Nafjan A, Alghamdi N, Almudhi AJEIJoET. Virtual Reality Technology and Speech Analysis for People Who Stutter. 2021;9(2):326-38.
18. Nicolai S, Geffner R, Stolberg R, Yaruss JS. Retrospective Experiences of Cyberbullying and Emotional Outcomes on Young Adults Who Stutter. J Child Adolesc Trauma. 2018;11(1):27-37. doi: 10.1007/s40653-018-0208-x.
19. Boyle MP. Personal Perceptions and Perceived Public Opinion About Stuttering in the United States: Implications for Anti-Stigma Campaigns. Am J Speech Lang Pathol. 2017;26(3):921-938. doi: 10.1044/2017_AJSLP-16-0191.
20. Büchel C, Sommer M. What causes stuttering? PLoS Biol. 2004;2(2):46. doi: 10.1371/journal.pbio.0020046.
21. Perez HR, Stoeckle JH. Stuttering: Clinical and research update. Can Fam Physician. 2016;62(6):479-84.
22. Ashurst JV, Wasson MN. "Developmental and Persistent Developmental Stuttering: An Overview for Primary Care Physicians" J. Osteopath. Med.. 2011;111(10):576-580. doi.10.7556/jaoa.2011.111.10.576
23. Iverach L, Jones M, Lowe R, O'Brian S, Menzies RG, Packman A, Onslow M. Comparison of adults who stutter with and without social anxiety disorder. J Fluency Disord. 2018;56:55-68. doi: 10.1016/j.jfludis.2018.03.001.
24. Beita-Ell C, Boyle MP. School-based speech-language pathologists' perceived self-efficacy in conducting multidimensional treatment with children who stutter. Lang Speech Hear Serv Sch. 2020;51(4):1172-86.
25. Everard RA, Howell P. We have a voice: Exploring participants' experiences of stuttering modification therapy. Am J Speech Lang Pathol. 2018;27(3S):1273-86.
26. Twohig MP, Levin ME. Acceptance and Commitment Therapy as a Treatment for Anxiety and Depression: A Review. Psychiatr Clin North Am. 2017;40(4):751-770. doi: 10.1016/j.psc.2017.08.009.
27. Tahmasebi N, Shafie B, Karimi H, Mazaheri M. A Persian-version of the stuttering severity instrument-version four (SSI-4): How the new additions to SSI-4 complement its stuttering severity score? J Commun Disord. 2018;74:1-9. doi: 10.1016/j.jcomdis.2018.04.005.
28. Sønsterud H, Halvorsen MS, Feragen KB, Kirmess M, Ward D. What works for whom? Multidimensional individualized stuttering therapy (MIST). J Commun Disord. 2020;88:106052. doi: 10.1016/j.jcomdis.2020.106052.
29. Tichenor SE, Yaruss JS. Variability of stuttering: Behavior and impact. Am J Speech Lang Pathol. 2021;30(1):75-88.
30. Boyle MP, Fearon AN. Self-stigma and its associations with stress, physical health, and health care satisfaction in adults who stutter. J Fluency Disord. 2018;56:112-21.

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