Self-Esteem, Self-Efficacy, and Social Support as Predictors of Communicative Participation in Adults Who Stutter Purpose This study aimed to identify contributors to communicative participation in adults who stutter. Specifically, it was of interest to determine whether psychosocial variables of self-esteem, self-efficacy, and social support were predictive of communicative participation beyond contributions of demographic and speech-related variables. Method Adults who stutter (N = ... Research Article
Research Article  |   August 08, 2018
Self-Esteem, Self-Efficacy, and Social Support as Predictors of Communicative Participation in Adults Who Stutter
 
Author Affiliations & Notes
  • Michael P. Boyle
    Department of Communication Sciences and Disorders, Montclair State University, NJ
  • Carolina Beita-Ell
    Department of Communication Sciences and Disorders, Montclair State University, NJ
  • Kathryn M. Milewski
    Department of Communication Sciences and Disorders, Montclair State University, NJ
  • Alison N. Fearon
    Department of Communication Sciences and Disorders, Montclair State University, NJ
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Michael P. Boyle: boylemi@montclair.edu
  • Editor-in-Chief: Julie Liss
    Editor-in-Chief: Julie Liss×
  • Editor: Tanya Eadie
    Editor: Tanya Eadie×
Article Information
Speech / Research Articles
Research Article   |   August 08, 2018
Self-Esteem, Self-Efficacy, and Social Support as Predictors of Communicative Participation in Adults Who Stutter
Journal of Speech, Language, and Hearing Research, August 2018, Vol. 61, 1893-1906. doi:10.1044/2018_JSLHR-S-17-0443
History: Received November 30, 2017 , Revised February 8, 2018 , Accepted April 6, 2018
 
Journal of Speech, Language, and Hearing Research, August 2018, Vol. 61, 1893-1906. doi:10.1044/2018_JSLHR-S-17-0443
History: Received November 30, 2017; Revised February 8, 2018; Accepted April 6, 2018

Purpose This study aimed to identify contributors to communicative participation in adults who stutter. Specifically, it was of interest to determine whether psychosocial variables of self-esteem, self-efficacy, and social support were predictive of communicative participation beyond contributions of demographic and speech-related variables.

Method Adults who stutter (N = 339) completed an online survey that included measures of communicative participation, self-esteem, self-efficacy, social support, self-reported speech-related variables (speech usage, number of years stuttering, history of treatment and self-help support group participation for stuttering, and physical speech disruption severity), and demographics (age, sex, living situation, education, and employment status). Hierarchical regression was performed for prediction of communicative participation, in addition to calculating Spearman correlations between social roles variables, communicative participation, and physical speech disruption severity.

Results After controlling for demographic and speech-related variables, self-esteem, self-efficacy, and social support each significantly predicted communicative participation in adults who stutter. Large correlations were observed between communicative participation and measures of social roles, whereas medium correlations were observed between physical speech disruption severity and measures of social roles.

Conclusions Communicative participation in adults who stutter is associated with a variety of demographic, speech-related, and psychosocial variables. Speech-language pathologists should be aware of predictors of communicative participation such as self-esteem, self-efficacy, and social support, in addition to severity of physical speech disruptions. They should consider and evaluate these factors in clients who stutter and target them in treatment if necessary.

Acknowledgments
We would like to thank all of the participants in this study. We are also very grateful for the efforts of the board-certified specialists in fluency disorders, speech-language pathologists, and self-help/support group leaders of the National Stuttering Association who shared the survey used in this study.
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