2061 - Preliminary Study of Treatment Effectiveness...

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Preliminary Study of Treatment Effectiveness Purpose: To assess the effectiveness of Northwestern University’s Adult Stuttering Treatment Group ( ASG ) A “whole-disorder” treatment program in use since 1970, and trained internationally One of the frequently “recommended,” but seldom researched treatment approaches Subject Pool: All clients enrolled in the ASG since 1975
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Treatment Effectiveness Efficacy: The extent to which treatment can be shown to be beneficial under optimal (or ideal) conditions Effectiveness: The extent to which treatment is shown to be beneficial under typical (or real- world) conditions Sources: Agency for Health Care Policy and Research (AHCPR, 1994); Congressional Office of Technology Assessment (1978)
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Goals of Treatment Clients can achieve fluency when they want to (using modification techniques) Clients will experience increased level of unmodified fluency (as modifications become more automatic) Clients accept remaining stuttering (without anxiety, fear, struggle, avoidance, etc.) As with other disorders that Patrick reviewed, “recovery” allows some residual stuttering
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Schedule of Treatment Group and individual sessions with structured generalization tasks Extensive treatment model 2 to 3 times per week for 2 academic quarters (18 weeks total) On-going monthly maintenance and problem-solving in the “Continuation Group” following dismissal from ASG
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Principles of Treatment Combines elements of both “speak more fluently” and “stutter more fluently” approaches to treatment with extensive counseling Gives client a “toolbox” of several modification techniques they can call upon to increase fluency and decrease sensitivity as necessary
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Modification Techniques “Speak more fluently” methods ERA-SM (Easy Relaxed Approach—Smooth Movement) Delayed response (pausing before utterances) Phrasing (pausing within utterances) “Stutter more fluently” methods
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2061 - Preliminary Study of Treatment Effectiveness...

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