Equitable access to stuttering treatments: Developing distance and self managed treatment models

公平获得口吃治疗：发展远程和自我管理治疗模式

• 批准号: nhmrc : 402763
• 负责人: A/Pr Ann Packman
• 金额: $ 288.13万
• 依托单位: The University of Sydney
• 依托单位国家: 澳大利亚
• 项目类别: Programs
• 财政年份: 2006
• 资助国家: 澳大利亚
• 起止时间: 2006-01-01 至 2010-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/equitable-access-stuttering-treatment-models/95354
• 关键词: Equitable; access; stuttering; treatments; Developing

The development of normal verbal communication is of the utmost importance to human health. Stuttering is a prevalent disorder that severely interferes with communication. It can be disfiguring and typically causes speech related social anxiety. Social phobia is present in around half of adults affected. It prevents attainment of occupational potential and children who stutter are typically teased and bullied at school. For the past decade NHMRC Project funding has enabled the present team to conduct world class basic research and clinical trials in stuttering. Significant gains have resulted from that research, in particular the development of treatments across the age groups that have a significant evidence base. However, it is becoming increasingly clear that there are serious barriers to the implementation of these evidence based treatments, and innovative treatment developments are needed to address this. In particular, speech pathology services for rural and remotely located patients and their families are incompletely funded, and even in urban settings workplace restrictions have resulted in speech pathologists delivering incomplete and piecemeal treatments. The program of research will develop the following innovative treatment models to solve this problem: �Distance intervention models for the delivery of speech pathology services to rural patients and their families and others who are isolated from treatment services. �Self-managed treatment models for children and adults who stutter, including procedures to minimise the ubiquitous problem of relapse in adults. It is widely understood that social anxiety is a significant problem for many stutterers and research is urgently needed to establish the extent of social anxiety in stutterers across the age groups and its negative effects on treatment effectiveness. Thus, a further aim of this program of research is to: �Identify those patients for whom social anxiety is likely to constitute a barrier to successful treatment. �Develop supplementary interventions to meet the needs of those socially anxious patients. The cause of stuttering is unknown. Understanding the mechanisms underpinning effective behavioural treatments would contribute to understanding causal factors in stuttering. Thus, this program of research also aims to: �Establish why behavioural treatments work, thereby generating new knowledge about causal factors.

正常语言交际的发展对人类健康至关重要。口吃是一种严重妨碍交流的普遍疾病。它会毁容，通常会导致与语言相关的社交焦虑。大约一半的成年人患有社交恐惧症。它阻碍了职业潜力的实现，口吃的孩子通常在学校被嘲笑和欺负。在过去的十年中，NHMRC项目资助使现在的团队能够在口吃方面进行世界级的基础研究和临床试验。这项研究取得了重大成果，特别是开发了跨年龄组的治疗方法，这有重要的证据基础。然而，越来越清楚的是，实施这些基于证据的治疗存在严重障碍，需要创新的治疗发展来解决这一问题。特别是，为农村和偏远地区的患者及其家属提供的语言病理学服务资金不足，即使在城市环境中，工作场所的限制也导致语言病理学家提供不完整和零碎的治疗。该研究项目将开发以下创新治疗模式来解决这一问题：-远程干预模式，为农村患者及其家人和其他无法获得治疗服务的人提供语言病理学服务。·针对口吃儿童和成人的自我管理治疗模式，包括尽量减少成人普遍存在的复发问题的程序。众所周知，社交焦虑是许多口吃者的一个重要问题，迫切需要研究确定各年龄组口吃者的社交焦虑程度及其对治疗效果的负面影响。因此，这一研究项目的进一步目标是：识别那些社交焦虑可能构成成功治疗障碍的患者。制定辅助干预措施，以满足社交焦虑患者的需求。口吃的原因尚不清楚。理解有效行为治疗的机制将有助于理解口吃的病因。因此，该研究项目还旨在：“确定行为治疗为何有效，从而产生有关因果因素的新知识。”