Stuttering intervention in three service delivery models (direct, hybrid, and telepractice): two case studies.
Bottom Line: Both children continued to improve fluency as measured by the weekly fluency samples.SSI-4 severity ratings improved for one child and remained consistent for the other.These outcomes appear to demonstrate that telepractice is viable for improving and maintaining fluency.
Affiliation: UNIVERSITY OF MONTEVALLO, MONTEVALLO, AL, USA.
This study assessed outcomes in stuttering intervention across three service delivery models: direct, hybrid, and telepractice for two 11-year old children who stutter. The goal of the study was to investigate whether short-term goals were maintained through the telepractice sessions. The Stuttering Severity Instrument, Fourth Edition (SSI-4) was administered to each child before and after each intervention period and weekly fluency samples (percentage of stuttered syllables in a monologue) were obtained in each of the 10-week intervention periods. In addition, the Communication Attitudes Test-Revised was used to assess the children's attitudes toward speaking. Following the telepractice period, parents and children completed a questionnaire concerning the therapy experience via telepractice. Both children continued to improve fluency as measured by the weekly fluency samples. SSI-4 severity ratings improved for one child and remained consistent for the other. These outcomes appear to demonstrate that telepractice is viable for improving and maintaining fluency.
No MeSH data available.
Related in: MedlinePlus
Mentions: Figures 3 and 4 chart the percentage of stuttered syllables in a short monologue at the end of the weekly treatment sessions across the three service delivery models for Participant 1 and Participant 2, respectively. Participant 1, whose baseline began at 17% stuttered syllables, steadily decreased the percentage of disfluencies across all service delivery models. The average percentage of disfluencies in a short monologue across ten treatment sessions in the direct service delivery model was 12.9%. At the end of the hybrid model the average percentage was 9.8% (a 24.79% decrease in disfluencies), and at the end of the telepractice sessions the average percentage was 7.37% (a 24.79% decrease in disfluencies). The overall percentage of decrease in disfluencies from the direct model to the telepractice model was a 42.86% in disfluencies. Paired sample t-test data revealed significant progress from the direct to hybrid periods (t(9)=2.72, p=.024), however, progress from the hybrid to telepractice periods was not significant (t(9)=1.66, p=.132).
No MeSH data available.