Integrating Functional Measures With Treatment: A Tactic for Enhancing Personally Significant Change in the Treatment of Adults and Adolescents Who Stutter Purpose It is proposed that stuttering treatment, particularly for adults and adolescents who stutter, may benefit from more inventive and extensive use of functional measurement—measures that are also treatment agents. Such measures can be tailored to produce more personally significant and evidence-based treatment benefits. They may be especially useful when ... Review Article
Review Article  |   August 01, 2012
Integrating Functional Measures With Treatment: A Tactic for Enhancing Personally Significant Change in the Treatment of Adults and Adolescents Who Stutter
 
Author Affiliations & Notes
  • Roger J. Ingham
    University of California, Santa Barbara
  • Janis C. Ingham
    University of California, Santa Barbara
  • Anne K. Bothe
    University of Georgia, Athens
  • Correspondence to Roger J. Ingham: rjingham@speech.ucsb.edu
  • Editor: Carol Scheffner Hammer
    Editor: Carol Scheffner Hammer×
  • Associate Editor: Marilyn Nippold
    Associate Editor: Marilyn Nippold×
Article Information
Speech, Voice & Prosodic Disorders / Fluency Disorders / Review Article
Review Article   |   August 01, 2012
Integrating Functional Measures With Treatment: A Tactic for Enhancing Personally Significant Change in the Treatment of Adults and Adolescents Who Stutter
American Journal of Speech-Language Pathology, August 2012, Vol. 21, 264-277. doi:10.1044/1058-0360(2012/11-0068)
History: Received July 7, 2011 , Revised November 29, 2011 , Accepted March 29, 2012
 
American Journal of Speech-Language Pathology, August 2012, Vol. 21, 264-277. doi:10.1044/1058-0360(2012/11-0068)
History: Received July 7, 2011; Revised November 29, 2011; Accepted March 29, 2012
Web of Science® Times Cited: 3

Purpose It is proposed that stuttering treatment, particularly for adults and adolescents who stutter, may benefit from more inventive and extensive use of functional measurement—measures that are also treatment agents. Such measures can be tailored to produce more personally significant and evidence-based treatment benefits. They may be especially useful when employed in conjunction with partial self-management and performance-contingent procedures.

Method Previous approaches to the definition of stuttering treatment goals and the measurement of stuttering treatment outcomes are critically reviewed. Suggestions for improvements are presented within the framework of an evidence-based and relatively standardized stuttering treatment.

Results and Conclusion Results from a review of existing literature and from 2 case studies show that 2 specific personally significant problems, saying one’s name and addressing large audiences, were improved by implementing these strategies in treatment. Functional measures directly connected to treatment, and partially self-managed performance-contingent schedules, merit further research as methodologies that are suitable for conducting personally significant and evidence-based treatments with adults and adolescents who stutter.

Acknowledgments
This paper is based on a presentation given at the 2010 Annual Conference of the Special Interest Division for Fluency and Fluency Disorders in Tampa, FL. It was completed with the support of RO1 Grant DC007893 from the National Institute on Deafness and Other Communication Disorders awarded to the first author. Thanks are also due to Krystal Purkheiser, Annie New, Kate Paolini, and Gina Pecile for their assistance in gathering data and background material.
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