Programmed Stuttering Treatment for Children: Comparison of Two Establishment Programs Through Transfer, Maintenance, and Follow-Up

1995 ◽  
Vol 38 (1) ◽  
pp. 61-75 ◽  
Author(s):  
Bruce P. Ryan ◽  
Barbara Van Kirk Ryan

Two different Establishment programs, Delayed Auditory Feedback (DAF) and Gradual Increase in Length and Complexity of Utterance (GILCU), for improving the fluency of school-age children who stutter, were compared. The programs were carried out by 12 clinicians under supervision with 24 clients (12 elementary and 12 junior/senior high school) in the schools. Both programs produced important improvement in fluency in 23/24 (96%) of the children in a reasonable time period (7.9 hours). Generally, the two programs were similar in performance. The only difference (between GILCU and DAF) was that the GILCU program provided initially for better generalization of fluency. Transfer and Maintenance programs (10.4 hours) demonstrated that the children from the two Establishment programs performed in a similar manner and that the Transfer and Maintenance Programs were helpful. In a total of 18.3 hours of establishment, transfer, and maintenance treatment, 11 subjects, who completed the programs, reduced their stuttering from 7.9 SW/M to .8 SW/M at a 14-month follow-up showing that the children had maintained their fluency. Clinicians’ performances contributed to the effectiveness and efficiency of the programs.

1971 ◽  
Vol 36 (2) ◽  
pp. 264-280 ◽  
Author(s):  
Bruce P. Ryan

This report concerns operant stuttering therapy programs for five children ranging in age from six to nine years. The programs included programmed desensitization, delayed auditory feedback, and gradual increase in the length and complexity of the speech utterance. Reinforcing events ranged from social reward to points which could be exchanged for toys. The programs varied in length from 15 to 73.3 hours. They were all successful in helping the children to establish fluent speech. Special transfer and maintenance programs were necessary for some of the children. Follow-up measures indicated that the children had maintained their fluency. The value of viewing stuttering as operant behavior was demonstrated.


1997 ◽  
Vol 130 (3) ◽  
pp. 400-408 ◽  
Author(s):  
George P. Giacoia ◽  
Pankaja S. Venkataraman ◽  
Kerstin I. West-Wilson ◽  
Mary J. Faulkner

2018 ◽  
Vol 39 (05) ◽  
pp. 458-468 ◽  
Author(s):  
Zoi Gkalitsiou ◽  
Danielle Werle ◽  
Geoffrey Coalson ◽  
Courtney Byrd

AbstractThe purpose of this follow-up study was to explore the effectiveness of an intensive treatment program—Camp Dream. Speak. Live.—within older, school-age children who stutter. Twenty-three school-age children who stutter (age range: 7–14 years) attended this week-long intensive therapy program for the first time. Outcome measures included Overall Assessment of the Speaker's Experience of Stuttering and the Patient Reported Outcomes Measurement Information System Pediatric Peer Relationships Form. Findings demonstrate significant improvements in quality of life and communication attitudes can be achieved in a short period of time when increasing fluency is not a target.


2009 ◽  
Vol 3 (1) ◽  
pp. 2-9 ◽  
Author(s):  
Thomas Hensel

This study used a naturalistic design to investigate the effectiveness of eye movement desensitization and reprocessing (EMDR) with children and adolescents who were exposed to single-incident trauma. Participants were 36 children and adolescents ranging in age from 1 year 9 months to 18 years 1 month who were referred consecutively to the author’s private practice. Assessments were conducted at intake, post-waitlist/pretreatment, and at follow up. EMDR treatment resulted in significant improvement (Cohen’s d = 1.87). Follow-ups after 6 months revealed stable, further slight improvement. It was shown that children younger than 4 years of age can be treated using EMDR and that the group of preschool children had the same benefit from the treatment as the school-age children.


2013 ◽  
Vol 17 (7) ◽  
pp. 1507-1513 ◽  
Author(s):  
Monal R Shroff ◽  
Wei Perng ◽  
Ana Baylin ◽  
Mercedes Mora-Plazas ◽  
Constanza Marin ◽  
...  

AbstractObjectiveSnacking has been related to increased prevalence of overweight among school-age children in cross-sectional studies. It is uncertain, however, whether snacking influences the development of adiposity over time.DesignWe examined whether adherence to a snacking dietary pattern was associated with greater increases in children's BMI, subscapular:triceps skinfold thickness ratio and waist circumference over a median 2·5-year follow-up. Dietary patterns were identified through principal component analysis of an FFQ administered at recruitment in 2006. Anthropometric follow-up was conducted annually. Linear mixed-effects models were used to estimate rates of change in each indicator according to quartiles of adherence to the snacking pattern. We also examined change in BMI, subscapular:triceps skinfold thickness ratio and waist circumference in relation to intake of the food items in the snacking pattern.SubjectsChildren (n 961) 5–12 years of age.SettingPublic schools in Bogotá, Colombia.ResultsAfter adjustment for age, sex, total energy intake and socio-economic status, children in the highest quartile of adherence to the snacking pattern had a 0·09 kg/m2 per year higher BMI gain than children in the lowest quartile (P trend = 0·05). A similar association was observed for mean change in subscapular:triceps skinfold thickness ratio (highest v. lowest quartile difference = 0·012/year; P = 0·03). Of the food items in the snacking pattern, soda intake was positively and significantly associated with change in BMI (P trend = 0·01) and waist circumference (P trend = 0·04) in multivariable analysis.ConclusionsOur results indicate that snacking and soda intake are associated with development of adiposity in school-age children.


Author(s):  
Selin Ay Akdağ ◽  
Melike Mercan Başpınar ◽  
Okcan Basat

Objective: This study aimed to evaluate the frequency of obesity, hypertension and anemia in the periodic follow-up of school-age children and adolescents aged between 6-19 years. Methods: In this retrospective cross-sectional study, weight, height, body mass index (BMI), systolic/diastolic blood pressure measurements and complete blood count results were compiled between January 2018 and August 2019 at a family health center. School-age children and adolescents examined for periodic screening purposes and whose completed measurement records were included while incompleted records were excluded from the study. IBM SPSS 22.0 program was used to analyze the data, and statistical significance was accepted as p<0.05. Results: The follow-up results include the data of 1049 children, (536 boys; 513 girls), with an average age of 11.4±3.2 years. The frequency of obesity, hypertension, anemia, short height, and underweight was 7.3%, 24.5%, 76.6%, 1.9%, and 21.3% respectively. The frequency of anemia was observed higher in girls (85.2%) than in boys (68.6%) (p<0.001). While there is no significant difference between age groups and genders in terms of the presence of hypertension (p=0.299 and p=0.270), a higher hypertension diagnosis rate was observed in primary school children (26.1%) than children with hypertension diagnosis in secondary school (24.3%) and high school (19.9%), significantly (p<0.001 and p<0.001). Although the frequency of hypertension (31%) and anemia (85%) was higher in obese groups compared to other groups, it was not found statistically significant (p=0.151 and p=0.196). Conclusion: This study was performed in a primary health care institution; despite the prevalence of obesity at a similar rate to previous studies, it has demonstrated that one out of every four children was hypertensive or underweight, and almost all of the girls were anemic, resulting in cautionary results in terms of preventing growth and development problems, adult cardiovascular and maternal-fetal mortality risks.


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