Phase II trial of a syllable-timed speech treatment for school-age children who stutter

• STS in conjunction with parent verbal contingencies reduces stuttering in children.
• Stuttering reduction was associated with improvements in satisfaction with fluency, avoidance and quality of life.
• Following STS treatment, children did not sound rhyhmic.

PurposeA recent clinical trial (Andrews et al., 2012) showed Syllable Timed Speech (STS) to be a potentially useful treatment agent for the reduction of stuttering for school-age children. The present trial investigated a modified version of this program that incorporated parent verbal contingencies.MethodsParticipants were 22 stuttering children aged 6–11 years. Treatment involved training the children and their parents to use STS in conversation. Parents were also taught to use verbal contingencies in response to their child’s stuttered and stutter-free speech and to praise their child’s use of STS. Outcome assessments were conducted pre-treatment, at the completion of Stage 1 of the program and 6 months and 12 months after Stage 1 completion.ResultsOutcomes are reported for the 19 children who completed Stage 1 of the program. The group mean percent stuttering reduction was 77% from pre-treatment to 12 months post-treatment, and 82% with the two least responsive participants removed. There was considerable variation in response to the treatment. Eleven of the children showed reduced avoidance of speaking situations and 18 were more satisfied with their fluency post-treatment. However, there was some suggestion that stuttering control was not sufficient to fully eliminate situation avoidance for the children.ConclusionsThe results of this trial are sufficiently encouraging to warrant further clinical trials of the method.