view in publisher's site

A systematic review of interventions for adults who stutter

Highlights•Speech restructuring to reduce stuttering was supported by the most number of RCTs•Interventions via telehealth are non-inferior to face-to-face but more RCTs needed•Evidence that CBT combined with speech restructuring improves outcomes is limited•Emerging interventions include transcranial direct current stimulation (tDCS)•The quality of the evidence for included studies were rated low risk of biasAbstractPurposeTo examine the effectiveness of (i) face to face interventions (ii) models of service delivery and (iii) psychological treatments combined with speech-focused interventions for adults who stutter.MethodsFive electronic databases and three clinical trial registries were searched. Systematic reviews, randomised controlled trials (RCTs) and studies that applied an intervention with adults who stutter were included. Pharmaceutical interventions were excluded. Primary outcomes included a measure of stuttering severity. Risk of bias assessment was conducted on included studies and overall quality of the evidence was graded.ResultsFive RCTS, four registered trials and three systematic reviews met inclusion criteria. Intervention approaches included speech restructuring programs (e.g. Camperdown Program) and transcranial direct current stimulation (tDCS). One study investigated cognitive behaviour therapy (CBT) alongside speech restructuring. Overall, studies were classified low risk of bias and good quality. Speech restructuring was included in all but one study (tDCS study) and had the most evidence i.e. supported by the greatest number of RCTs. On average, stuttering frequency was reduced by 50–57 % using speech restructuring approaches. No study reduced stuttering to the same level as community controls who don’t stutter. The study on tDCS reduced stuttering frequency by 22–27 %. Speech restructuring delivered via telehealth was non-inferior to face-to-face intervention. One study reported CBT was an effective adjunct to speech restructuring interventions.ConclusionSpeech restructuring interventions were found to reduce stuttering in adults, however degree and maintenance of fluency varied. The body of evidence surrounding tDCS and psychological interventions is limited. Replication studies should be considered.

مرور سیستماتیک مداخلات برای بزرگسالان مبتلا به لکنت

ترجمه شده با


پر ارجاع‌ترین مقالات مرتبط:

  • مقاله Cognitive Neuroscience
  • ترجمه مقاله Cognitive Neuroscience
  • مقاله علوم عصبی شناختی
  • ترجمه مقاله علوم عصبی شناختی
  • مقاله Linguistics and Language
  • ترجمه مقاله Linguistics and Language
  • مقاله زبان‌شناسی و زبان
  • ترجمه مقاله زبان‌شناسی و زبان
  • مقاله Language and Linguistics
  • ترجمه مقاله Language and Linguistics
  • مقاله زبان و زبان‌شناسی
  • ترجمه مقاله زبان و زبان‌شناسی
  • مقاله Experimental and Cognitive Psychology
  • ترجمه مقاله Experimental and Cognitive Psychology
  • مقاله روان‌شناسی تجربی و شناختی
  • ترجمه مقاله روان‌شناسی تجربی و شناختی
  • مقاله LPN and LVN
  • ترجمه مقاله LPN and LVN
  • مقاله LPN و LVN
  • ترجمه مقاله LPN و LVN
  • مقاله Speech and Hearing
  • ترجمه مقاله Speech and Hearing
  • مقاله گفتار و شنوایی
  • ترجمه مقاله گفتار و شنوایی
سفارش ترجمه مقاله و کتاب - شروع کنید

با استفاده از افزونه دانلود فایرفاکس چکیده مقالات به صورت خودکار تشخیص داده شده و دکمه دانلود فری‌پیپر در صفحه چکیده نمایش داده می شود.