减少学龄儿童的口吃:一个系统的审查
Georgina Johnson1, Mark Onslow2, Sarah Horton3
1University of Melbourne, Department of Audiology & Speech Pathology, VIC, Australia.
Journal of fluency disorders
|September 30, 2023
概括
本综述探讨了对于学龄儿童的口吃减缓干预措施. 操作方法和语音重组显示出希望,混合方法在早期试验中产生了令人鼓舞的结果.
科学领域:
- 语音语言病理学 语言病理学
- 儿科公共卫生 儿科公共卫生
- 临床研究方法论 临床研究方法论
背景情况:
- 在学龄儿童 (6-12岁) 中治疗口吃是一种公共卫生优先事项.
- 临床需求包括心理社会支持和口吃的减少.
- 存在一个干预的关键窗口,需要研究注意.
研究的目的:
- 为了指导未来的临床研究对学校年龄儿童的口吃干预措施.
- 为了确定与口吃减少相关的干预措施.
- 评估这些干预措施的直接和长期影响以及证据水平.
主要方法:
- 在14个数据库和3个会议记录中系统搜索相关干预.
- 纳入标准用于确定关于减少学龄儿童口吃的研究.
- 主要结局测量了治疗前,治疗后和随访时的口吃减少.
主要成果:
- 在超过4305项已识别的研究中,有67项研究符合纳入标准.
- 确定了五种治疗方法:操作方法,语音重组,组合方法,机器驱动治疗和认知行为疗法 (CBT) 组件.
- 在不同干预类型中报告的不同效果大小.
结论:
- 操作方法和语音重组变体需要进一步的临床试验调查.
- 混合方法 (例如,用操作方法或CBT重组语音) 显示了令人鼓舞的初步结果.
- 证据在很大程度上是初步的 (I/II期试验);一些有前途的治疗方法需要进一步研究.
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