Consensus Guidelines for the Assessments of Individuals Who Stutter Across the Lifespan.

Consensus Guidelines for the Assessments of Individuals Who Stutter Across the Lifespan.
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终生口吃个人评估共识指南。

DOI:
10.1044/2021_ajslp-21-00107
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发表时间:
2021
影响因子:
2.6
通讯作者:
Yaruss,JScott
Yaruss,JScott
中科院分区:
医学2区
文献类型:
--
作者:
Brundage,ShelleyB;Ratner,NanBernstein;Boyle,MichaelP;Eggers,Kurt;Everard,Rachel;Franken,Marie-Christine;Kefalianos,Elaina;Marcotte,AnneK;Millard,Sharon;Packman,Ann;Vanryckeghem,Martine;Yaruss,JScott

文献摘要

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目的该项目旨在为口吃患者的整个生命周期制定具有临床意义的综合评估程序的共识指南。方法十二位撰写了大量关于口吃问题的专家临床医生和研究人员详细描述了他们在对学龄前儿童、学龄儿童、青少年和成人口吃进行诊断评估时常规收集的数据类型。迭代内容分析结合受访者的重复输入,用于确定反映共同领域的核心领域,这些专家认为这些领域对于评估不同年龄组的口吃非常重要。结果确定了六个核心领域作为口吃和口吃人群综合评估的共同组成部分。应根据客户或家庭的年龄和需求不同程度地包括这些区域。核心领域包括以下内容: (a) 与口吃相关的背景信息; (b) 言语、语言和气质发展(尤其是年轻客户); (c) 言语流畅度和口吃行为; (d) 说话者对口吃的反应; (e) 说话者周围环境中的人对口吃的反应;讨论这些共识建议可以帮助那些对适当的口吃评估程序不确定的语言病理学家设计和进行更彻底的评估,以便他们更好地为口吃患者提供个性化和综合的治疗。
PurposeThis project sought to develop consensus guidelines for clinically meaningful, comprehensive assessment procedures for people who stutter across the lifespan.MethodTwelve expert clinicians and researchers who have written extensively about stuttering provided detailed descriptions of the type of data that they routinely collect during diagnostic evaluations of preschool children, school-age children, adolescents, and adults who stutter. Iterative content analysis, with repeated input from the respondents, was used to identify core areas that reflect common domains that these experts judge to be important for evaluating stuttering for varying age groups.ResultsSix core areas were identified as common components of a comprehensive evaluation of stuttering and people who stutter. These areas should be included to varying degrees depending upon the age and needs of the client or family. The core areas include the following: (a) stuttering-related background information; (b) speech, language, and temperament development (especially for younger clients); (c) speech fluency and stuttering behaviors; (d) reactions to stuttering by the speaker; (e) reactions to stuttering by people in the speaker's environment; and (f) adverse impact caused by stuttering.DiscussionThese consensus recommendations can help speech-language pathologists who are uncertain about appropriate stuttering assessment procedures to design and conduct more thorough evaluations, so that they will be better prepared to provide individualized and comprehensive treatment for people who stutter across the lifespan.