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Evidence-based treatment and stuttering--historical perspective
1University of Washington, USA.
Journal of Speech, Language, and Hearing Research : JSLHR
|August 13, 2008
Summary
Both fluency shaping (FS) and stuttering management (SM) are evidence-based treatments for developmental stuttering in adults. While FS focuses on outcome and SM on the stutter event, common strategies show positive effects.
Area of Science:
- Speech-Language Pathology
- Behavioral Psychology
Background:
- Developmental stuttering affects adults, necessitating evidence-based treatment approaches.
- Fluency Shaping (FS) and Stuttering Management (SM) are two primary treatment modalities.
Observation:
- FS and SM treatments for developmental stuttering are evidence-based.
- FS primarily seeks evidence related to treatment outcomes.
- SM focuses on evidence concerning the nature of the stuttering event itself.
Findings:
- While neither FS nor SM achieves uniform success, both are justifiable as evidence-based.
- Support for FS stems mainly from outcome data.
- Support for SM is primarily derived from a cognitive learning model applied to stuttering behavior.
Implications:
- Self-management and modeling are effective strategies common to both FS and SM.
- These common strategies demonstrate consistently positive outcomes for adults who stutter.
- Further treatment efficacy studies, potentially framed by cognitive behavior theory, are warranted for these shared strategies.
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