Expectations from speech therapy in adults who stutter with and without prior therapy experience

The present study aimed to compare the expectations of adults who stutter (AWS) who have undergone speech therapy for stuttering with those who are about to begin the therapeutic process. It also investigated individual preferences for conversations, expectations regarding therapy goals, and motivation to improve their speech.

Forty-six AWS were divided into two groups: one with experience in stuttering therapy and the other without. A mixed methods design was employed, gathering quantitative data using the Kannada version of the Client Preferences for Stuttering Therapy - Extended Version (CPST-E) and qualitative data using semi-structured interviews.

Findings from CPST-E revealed that both groups preferred speech therapy to address both physical and psychological aspects of stuttering. For AWS without therapy experience, ease of participation was considered a very important goal, while AWS with therapy experience emphasized the significance of having more positive feelings toward stuttering. Qualitative content analysis of the responses from therapy-experienced AWS identified five categories.

This study highlights the importance of a strong therapeutic alliance in stuttering therapy. Individualized approaches must be integrated to address client-centered goals. The findings emphasize the need to enhance communication and participation by setting realistic goals, which can facilitate personal growth and improve overall quality of life.