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Effectiveness of stuttering treatment in children (Kohmäscher et al., 2023)

online resource
posted on 2023-10-06, 20:27 authored by Anke Kohmäscher, Annika Primaßin, Sabrina Heiler, Patricia Da Costa Avelar, Marie-Christine J. P. Franken, Stefan Heim

Purpose: This study investigated the effectiveness of the stuttering modification intervention Kinder Dürfen Stottern (KIDS) in school-age children who stutter.

Method: Seventy-three children who stutter were included in this multicenter, two-group parallel, randomized, wait-list controlled trial with a follow-up of 12 months. Children aged 7–11 years were recruited from 34 centers for speech therapy and randomized to either the immediate-treatment group or the 3 months delayed-treatment group. KIDS was provided by 26 clinicians who followed a treatment manual. Although the primary outcome measure was the impact of stuttering (Overall Assessment of the Speaker’s Experience of Stuttering–School-Age [OASES-S]), the secondary outcomes included objective and subjective data on stuttering severity.

Results: At 3 months postrandomization, the mean score changes of the OASES-S differed significantly between the experimental (n = 33) and control group (n = 29; p = .026). Furthermore, treatment outcomes up to 12 months were analyzed (n = 59), indicating large effects of time on the OASES-S score (p < .001, partial η2 = .324). This was paralleled by significant improvements in parental ratings and objective ratings (stuttering severity, frequency, and physical concomitants).

Conclusions: The significant short-term treatment effects in the OASES-S are in line with the (initial) focus of KIDS on cognitive and affective aspects of stuttering. Over 12 months, these changes were maintained and accompanied by behavioral improvements. The results suggest that individual treatment with KIDS is an adequate treatment option for this age group.

Supplemental Material S1. Descriptive data on primary and secondary outcomes for all participants.

Supplemental Material S2. Stepwise changes in all outcome measures from 3 to 6 months and 6 to 12 months.

Supplemental Material S3. Checklist of items for reporting pragmatic trials.

Supplemental Material S4. Research protocol.

Supplemental Material S5. Description of the therapy program KIDS.

Kohmäscher, A., Primaßin, A., Heiler, S., Da Costa Avelar, P., Franken, M.-C., & Heim, S. (2023). Effectiveness of stuttering modification treatment in school-age children who stutter: A randomized clinical trial. Journal of Speech, Language, and Hearing Research. Advance online publication.