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Telepractice resilience training for children who stutter: A single-arm pre-post feasibility study.

Gregory J Snyder¹, Emily Williams Thornton¹

¹Department of Communication Sciences and Disorders, University of Mississippi, Oxford, MS, USA.

Journal of Fluency Disorders

|April 7, 2026

Summary

This study found that a 12-session telepractice resilience program for children who stutter (CWS) was feasible and acceptable. Preliminary results suggest increased resilience and potential improvements in communication, supporting further research.

Keywords:

Children who stutter Quality of Life Resilience Stuttering Telepractice

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Area of Science:

Speech-language pathology
Child psychology
Telehealth

Background:

Children who stutter (CWS) often face challenges impacting their resilience and daily communication.
Existing interventions may not fully address the psychosocial aspects of stuttering.
Telepractice offers a potential solution for delivering speech and resilience services remotely.

Purpose of the Study:

To assess the feasibility and preliminary clinical outcomes of a 12-session resilience program for CWS delivered via telepractice.
To evaluate the program's impact on resilience and stuttering-related quality of life.
To determine the acceptability of telepractice delivery for CWS and their caregivers.

Main Methods:

A single-arm, pre-post pilot study involving six children who stutter (CWS) and their caregivers.
Feasibility assessed through recruitment, retention (83%), procedural viability, and caregiver acceptability.
Primary outcomes measured by the Child and Youth Resilience Measure-Revised (CYRM-R) and the Overall Assessment of the Speaker's Experience of Stuttering-School-Age (OASES-S).

Main Results:

The resilience program delivered via telepractice met feasibility benchmarks.
Child and Youth Resilience Measure-Revised (CYRM-R) scores showed a positive trend (median increase of +8.5, p=0.156), with 4/6 participants showing meaningful improvement.
The Overall Assessment of the Speaker's Experience of Stuttering-School-Age (OASES-S) showed no group change, but exploratory analysis indicated improvement in communication in daily situations (r≈-0.77, p=0.083).

Conclusions:

Telepractice-based resilience training is a feasible and acceptable intervention for children who stutter (CWS).
Preliminary findings indicate a positive direction towards enhanced resilience and improved communication in daily situations.
These results warrant a larger, controlled trial to further validate the intervention's efficacy.