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Parent-child interaction therapy and dysfluency: a single-case study

S Matthews1, R Williams, T Pring

  • 1Michael Palin Centre for Stammering Children, London, UK.

European Journal of Disorders of Communication : the Journal of the College of Speech and Language Therapists, London
|January 1, 1997
PubMed
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Modifying parent-child interactions significantly reduced stuttering in a preschool boy. This approach improved fluency during therapy and maintained results afterward, offering a new treatment avenue.

Area of Science:

  • Speech-Language Pathology
  • Child Psychology
  • Behavioral Therapy

Background:

  • Stuttering (dysfluency) in preschool children can be persistent.
  • Parental interaction styles are hypothesized to influence speech fluency.
  • A single-case study design allows for intensive investigation of behavioral interventions.

Observation:

  • A 4-year-old boy with moderate to severe stuttering participated in a 17-week study.
  • Baseline fluency measures were established over 6 weeks without intervention.
  • Therapy involved modifying parent-child interaction styles over 6 weeks, followed by 5 weeks of consolidation.

Findings:

  • No significant change in dysfluency was observed during the baseline period.
  • A significant reduction in stuttering occurred during the therapy phase.

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  • The improved fluency was maintained during the consolidation period.

    • Implications:

    • Parent-child interaction modification is a viable therapeutic strategy for childhood stuttering.
    • Early intervention focusing on environmental factors can yield positive speech outcomes.
    • This study supports the efficacy of behavioral approaches in pediatric speech disorders.