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Updated: Jun 17, 2026

Modeling Verbal Behavior Deficits with the Stimulus Control Ratio Equation, SCoRE
Published on: May 14, 2019
Randomized controlled trial of video self-modeling following speech restructuring treatment for stuttering
Angela Cream1, Sue O'Brian, Mark Jones
1Australian Stuttering Research Centre, The University of Sydney, P.O. Box 170, Lidcombe, New South Wales 1825, Australia.
Purpose:
In this study, the authors investigated the efficacy of video self-modeling (VSM) following speech restructuring treatment to improve the maintenance of treatment effects.
Method:
The design was an open-plan, parallel-group, randomized controlled trial. Participants were 89 adults and adolescents who undertook intensive speech restructuring treatment. Post treatment, participants were randomly assigned to 2 trial arms: standard maintenance and standard maintenance plus VSM. Participants in the latter arm viewed stutter-free videos of themselves each day for 1 month.
Results:
The addition of VSM did not improve speech outcomes, as measured by percent syllables stuttered, at either 1 or 6 months postrandomization. However, at the latter assessment, self-rating of worst stuttering severity by the VSM group was 10% better than that of the control group, and satisfaction with speech fluency was 20% better. Quality of life was also better for the VSM group, which was mildly to moderately impaired compared with moderate impairment in the control group.
Conclusions:
VSM intervention after treatment was associated with improvements in self-reported outcomes. The clinical implications of this finding are discussed.