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Addressing Stuttering Variability in Assessment and Treatment: Perspectives of Speech-Language Pathologists.

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Speech-language pathologists (SLPs) consistently observe and address stuttering variability across behaviors, emotions, and participation. Tailored, holistic strategies are crucial for effective stuttering assessment and treatment.

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Area of Science:

  • Speech-language pathology
  • Communication sciences and disorders
  • Clinical linguistics

Background:

  • Stuttering is characterized by significant variability in overt behaviors, emotional responses, and daily life participation.
  • Understanding and addressing this variability is essential for effective clinical practice in stuttering assessment and treatment.

Purpose of the Study:

  • To investigate how speech-language pathologists (SLPs) observe and address variability in stuttering.
  • To identify strategies for incorporating stuttering variability into clinical assessment and treatment.

Main Methods:

  • A mixed-methods approach combining quantitative and qualitative data from an online survey.
  • 143 U.S.-based SLPs (116 generalists, 27 experts) participated.
  • Quantitative data analyzed with descriptive/inferential statistics; qualitative data analyzed thematically.

Main Results:

  • All SLPs observed variability across overt stuttering behaviors, reactions, and daily participation.
  • Stuttering variability is highly individualized, impacting overt behaviors, emotions, and participation.
  • SLPs emphasize comprehensive assessments, tailored treatments, and education to manage stuttering variability.

Conclusions:

  • Effective stuttering management requires comprehensive, context-sensitive strategies addressing the broad experience of stuttering.
  • Tailoring interventions to individual needs and fostering resilience improves outcomes for people who stutter.