Randomized Controlled Trial of Video Self-Modeling Following Speech Restructuring Treatment for Stuttering PurposeIn this study, the authors investigated the efficacy of video self-modeling (VSM) following speech restructuring treatment to improve the maintenance of treatment effects.MethodThe design was an open-plan, parallel-group, randomized controlled trial. Participants were 89 adults and adolescents who undertook intensive speech restructuring treatment. Post treatment, participants were randomly assigned to ... Article
Article  |   August 01, 2010
Randomized Controlled Trial of Video Self-Modeling Following Speech Restructuring Treatment for Stuttering
 
Author Affiliations & Notes
  • Angela Cream
    Australian Stuttering Research Centre, The University of Sydney, New South Wales, Australia
  • Sue O’Brian
    Australian Stuttering Research Centre, The University of Sydney, New South Wales, Australia
  • Mark Jones
    The University of Queensland, Brisbane, Australia
  • Susan Block
    La Trobe University, Melbourne, Australia
  • Elisabeth Harrison
    Macquarie University, Sydney, Australia
  • Michelle Lincoln
    Australian Stuttering Research Centre
  • Sally Hewat
    The University of Newcastle, Australia
  • Ann Packman
    Australian Stuttering Research Centre
  • Ross Menzies
    Australian Stuttering Research Centre
  • Mark Onslow
    Australian Stuttering Research Centre
  • Contact author: Mark Onslow, Australian Stuttering Research Centre, The University of Sydney, P.O. Box 170, Lidcombe, New South Wales 1825, Australia. E-mail: mark.onslow@sydney.edu.au.
Article Information
Speech, Voice & Prosodic Disorders / Fluency Disorders / Speech, Voice & Prosody / Speech
Article   |   August 01, 2010
Randomized Controlled Trial of Video Self-Modeling Following Speech Restructuring Treatment for Stuttering
Journal of Speech, Language, and Hearing Research, August 2010, Vol. 53, 887-897. doi:10.1044/1092-4388(2009/09-0080)
History: Received April 28, 2009 , Accepted December 6, 2009
 
Journal of Speech, Language, and Hearing Research, August 2010, Vol. 53, 887-897. doi:10.1044/1092-4388(2009/09-0080)
History: Received April 28, 2009; Accepted December 6, 2009
Web of Science® Times Cited: 25

PurposeIn this study, the authors investigated the efficacy of video self-modeling (VSM) following speech restructuring treatment to improve the maintenance of treatment effects.

MethodThe design was an open-plan, parallel-group, randomized controlled trial. Participants were 89 adults and adolescents who undertook intensive speech restructuring treatment. Post treatment, participants were randomly assigned to 2 trial arms: standard maintenance and standard maintenance plus VSM. Participants in the latter arm viewed stutter-free videos of themselves each day for 1 month.

ResultsThe addition of VSM did not improve speech outcomes, as measured by percent syllables stuttered, at either 1 or 6 months postrandomization. However, at the latter assessment, self-rating of worst stuttering severity by the VSM group was 10% better than that of the control group, and satisfaction with speech fluency was 20% better. Quality of life was also better for the VSM group, which was mildly to moderately impaired compared with moderate impairment in the control group.

ConclusionsVSM intervention after treatment was associated with improvements in self-reported outcomes. The clinical implications of this finding are discussed.

Acknowledgments
This study was supported by National Health and Medical Research Council of Australia Program Grant 402763. We thank those who kindly volunteered to participate in the study. We thank Anna Hearne, who collected some data for the study, and Julie Mcfarlane, who provided interrater reliability measures.
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