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Applying the Transtheoretical Model to Stuttering Management Among Adolescents: Part II. Exploratory Scale

Naomi H Rodgers¹, Hope Gerlach², Andrea L Paiva³

¹Department of Special Education and Communication Disorders, University of Nebraska-Lincoln.

American Journal of Speech-Language Pathology

|October 12, 2021

Summary

This summary is machine-generated.

The Transtheoretical Model effectively describes adolescent readiness for stuttering management, with most participants in the Maintenance stage. This model offers a valid framework for understanding change in adolescents who stutter.

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Area of Science:

Speech-Language Pathology
Psychology
Behavioral Science

Background:

The Transtheoretical Model (TTM) is a widely used framework for understanding behavior change.
Previous research has explored TTM's application in various health behaviors, but its specific utility in stuttering management among adolescents requires further investigation.

Purpose of the Study:

To apply and validate newly developed Transtheoretical measures for adolescents who stutter.
To explore the construct and external validity of these measures in a national sample.

Main Methods:

An online survey was administered to 173 adolescents (ages 13-21) who stutter.
The survey included scales for Stage of Change, Decisional Balance, Situational Self-Efficacy, and the Overall Assessment of the Speaker's Experience of Stuttering (OASES).
Exploratory factor analyses and comparisons of OASES scores across stages were conducted.

Main Results:

Adolescent readiness for stuttering management was described by five distinct stages, with most participants in the Maintenance stage.
The pros of managing stuttering reliably predicted stage placement.
The scales demonstrated good to excellent internal consistency, and OASES scores showed complex but predictable differences across stages.

Conclusions:

The Transtheoretical Model appears to be a suitable framework for understanding stuttering management behaviors in adolescents.
Further research is warranted to validate a stage-based framework for individuals who stutter using this model.