干旱区生态环境知识资源中心(Arid): What do people search for in stuttering therapy: Personal goal-setting as a gold standard?

Arid

DOI	10.1016/j.jcomdis.2019.105944
	What do people search for in stuttering therapy: Personal goal-setting as a gold standard?
	Sonsterud, Hilda 1,2; Feragen, Kristin Billaud 3; Kirmess, Melanie 4,5; Halvorsen, Margrethe Seeger 1; Ward, David 6
通讯作者	Sonsterud, Hilda
来源期刊	JOURNAL OF COMMUNICATION DISORDERS
ISSN	0021-9924
EISSN	1873-7994
出版年	2020
卷号	85
英文摘要	Purpose: Stuttering affects people in individual ways, and there are multiple factors which may influence a person's goals when seeking therapy. Even though there is a common consensus that speech-language pathologists should discuss the individual's goals and expectations for stuttering therapy and outcomes, few studies have systematically investigated this issue. The aims of the present study were to investigate individual motivations and goal-setting related factors in stuttering therapy. The associations between self-reported impact of stuttering and the participants' perceptions of stuttering interference in communication, speaking abilities, and relationships with other people were also investigated. Method: This study is part of a wider-ranging treatment study of individualized stuttering management tailored to the participants' personal goals and preferences. A mixed method, multiple single-case design was used to address the research questions. Twenty-one adults, age 21-61 years, took part in a pretherapy interview, which also included two quantitative measures: the Client Preferences for Stuttering Therapy-Extended version (CPST-E) and the Overall Assessment of Speakers' Experience of Stuttering-Adult version (OASES-A). Findings from the study sample was compared with a Norwegian reference group, in order to check for the representativeness of the study sample. Results: Quantitative data showed that most participants wanted to focus on both physical and psychological aspects of therapy, and that 95% considered 'to gain a sense of control over the stuttering' as important. Participants' perspectives on their speaking ability and stuttering interference in communication were identified as central factors, particularly in social and professional settings. These outcomes aligned well with the finding of avoidance behaviors, such as avoiding words and speaking situations. Qualitative data identified four main areas that the participants wanted to improve: speech fluency, emotional functioning, activity and participation, and understanding of their stuttering. Conclusion: The study confirms that multiple and individual factors may influence the person's goals for therapy. Goals were mainly anchored in participants' wish of better coping in real world settings. A high degree of avoidance behavior was reported, suggesting that anxiety, and in particular linguistic-related anxiety needs to be taken into account when addressing social anxiety in fluency disorders.
英文关键词	Stuttering Individualized treatment, Personal goals Agreed therapy outcomes Mixed- method research
类型	Article
语种	英语
国家	Norway ; England
开放获取类型	hybrid, Green Accepted, Green Published
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000539157500003
WOS关键词	SOCIAL ANXIETY ; MIXED METHODS ; ADULTS ; IMPACT ; ADOLESCENTS ; EXPERIENCE ; ALLIANCE ; OUTCOMES ; APHASIA ; HEALTH
WOS类目	Audiology & Speech-Language Pathology ; Linguistics ; Rehabilitation
WOS研究方向	Audiology & Speech-Language Pathology ; Linguistics ; Rehabilitation
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/318614
作者单位	1.Univ Oslo, Dept Psychol, Postboks 1094 Blindern, N-0317 Oslo, Norway; 2.Statped, Dept Speech & Language Disorders, Holmestrand, Norway; 3.Oslo Univ Hosp, Ctr Rare Disorders, Oslo, Norway; 4.Univ Oslo, Dept Special Needs Educ, Oslo, Norway; 5.Sunnaas Rehabil Hosp, Bjornemyr, Norway; 6.Univ Reading, Speech Res Lab, Reading, Berks, England
推荐引用方式 GB/T 7714	Sonsterud, Hilda,Feragen, Kristin Billaud,Kirmess, Melanie,et al. What do people search for in stuttering therapy: Personal goal-setting as a gold standard?[J],2020,85.
APA	Sonsterud, Hilda,Feragen, Kristin Billaud,Kirmess, Melanie,Halvorsen, Margrethe Seeger,&Ward, David.(2020).What do people search for in stuttering therapy: Personal goal-setting as a gold standard?.JOURNAL OF COMMUNICATION DISORDERS,85.
MLA	Sonsterud, Hilda,et al."What do people search for in stuttering therapy: Personal goal-setting as a gold standard?".JOURNAL OF COMMUNICATION DISORDERS 85(2020).