Clinicians' management of young children with co-occurring stuttering and speech sound disorder

Rachael Unicomb, Sally Hewat, Elizabeth Spencer, Elisabeth Harrison

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Speech sound disorders reportedly co-occur in young children who stutter at a substantial rate. Despite this, there is a paucity of scientific research available to support a treatment approach when these disorders co-exist. Similarly, little is known about how clinicians are currently working with this caseload given that best practice for the treatment of both disorders in isolation has evolved in recent years. This study used a qualitative approach to explore current clinical management and rationales when working with children who have co-occurring stuttering and speech sound disorder. Thirteen participant SLPs engaged in semi-structured telephone interviews. Interview data were analysed based on principles derived from grounded theory. Several themes were identified including multi-faceted assessment, workplace challenges, weighing-up the evidence, and direct intervention. The core theme, clinical reasoning, highlighted the participants' main concern, that not enough is known about this caseload on which to base decisions about intervention. There was consensus that little is available in the research literature to guide decisions relating to service delivery. These findings highlight the need for further research to provide evidence-based guidelines for clinical practice with this caseload.

LanguageEnglish
Pages441-452
Number of pages12
JournalInternational Journal of Speech-Language Pathology
Volume15
Issue number4
DOIs
Publication statusPublished - Aug 2013

Fingerprint

Stuttering
Practice Guidelines
Research
Interviews
Workplace
Consensus
Therapeutics
Speech Sound Disorder
Clinicians
Speech Sound Disorders
Caseload
Young children

Cite this

@article{470491b2272e4473ba66c99741b8555b,
title = "Clinicians' management of young children with co-occurring stuttering and speech sound disorder",
abstract = "Speech sound disorders reportedly co-occur in young children who stutter at a substantial rate. Despite this, there is a paucity of scientific research available to support a treatment approach when these disorders co-exist. Similarly, little is known about how clinicians are currently working with this caseload given that best practice for the treatment of both disorders in isolation has evolved in recent years. This study used a qualitative approach to explore current clinical management and rationales when working with children who have co-occurring stuttering and speech sound disorder. Thirteen participant SLPs engaged in semi-structured telephone interviews. Interview data were analysed based on principles derived from grounded theory. Several themes were identified including multi-faceted assessment, workplace challenges, weighing-up the evidence, and direct intervention. The core theme, clinical reasoning, highlighted the participants' main concern, that not enough is known about this caseload on which to base decisions about intervention. There was consensus that little is available in the research literature to guide decisions relating to service delivery. These findings highlight the need for further research to provide evidence-based guidelines for clinical practice with this caseload.",
author = "Rachael Unicomb and Sally Hewat and Elizabeth Spencer and Elisabeth Harrison",
year = "2013",
month = "8",
doi = "10.3109/17549507.2013.783111",
language = "English",
volume = "15",
pages = "441--452",
journal = "International Journal of Speech-Language Pathology",
issn = "1754-9515",
publisher = "Informa Healthcare",
number = "4",

}

Clinicians' management of young children with co-occurring stuttering and speech sound disorder. / Unicomb, Rachael; Hewat, Sally; Spencer, Elizabeth; Harrison, Elisabeth.

In: International Journal of Speech-Language Pathology, Vol. 15, No. 4, 08.2013, p. 441-452.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Clinicians' management of young children with co-occurring stuttering and speech sound disorder

AU - Unicomb, Rachael

AU - Hewat, Sally

AU - Spencer, Elizabeth

AU - Harrison, Elisabeth

PY - 2013/8

Y1 - 2013/8

N2 - Speech sound disorders reportedly co-occur in young children who stutter at a substantial rate. Despite this, there is a paucity of scientific research available to support a treatment approach when these disorders co-exist. Similarly, little is known about how clinicians are currently working with this caseload given that best practice for the treatment of both disorders in isolation has evolved in recent years. This study used a qualitative approach to explore current clinical management and rationales when working with children who have co-occurring stuttering and speech sound disorder. Thirteen participant SLPs engaged in semi-structured telephone interviews. Interview data were analysed based on principles derived from grounded theory. Several themes were identified including multi-faceted assessment, workplace challenges, weighing-up the evidence, and direct intervention. The core theme, clinical reasoning, highlighted the participants' main concern, that not enough is known about this caseload on which to base decisions about intervention. There was consensus that little is available in the research literature to guide decisions relating to service delivery. These findings highlight the need for further research to provide evidence-based guidelines for clinical practice with this caseload.

AB - Speech sound disorders reportedly co-occur in young children who stutter at a substantial rate. Despite this, there is a paucity of scientific research available to support a treatment approach when these disorders co-exist. Similarly, little is known about how clinicians are currently working with this caseload given that best practice for the treatment of both disorders in isolation has evolved in recent years. This study used a qualitative approach to explore current clinical management and rationales when working with children who have co-occurring stuttering and speech sound disorder. Thirteen participant SLPs engaged in semi-structured telephone interviews. Interview data were analysed based on principles derived from grounded theory. Several themes were identified including multi-faceted assessment, workplace challenges, weighing-up the evidence, and direct intervention. The core theme, clinical reasoning, highlighted the participants' main concern, that not enough is known about this caseload on which to base decisions about intervention. There was consensus that little is available in the research literature to guide decisions relating to service delivery. These findings highlight the need for further research to provide evidence-based guidelines for clinical practice with this caseload.

UR - http://www.scopus.com/inward/record.url?scp=84880104759&partnerID=8YFLogxK

U2 - 10.3109/17549507.2013.783111

DO - 10.3109/17549507.2013.783111

M3 - Article

VL - 15

SP - 441

EP - 452

JO - International Journal of Speech-Language Pathology

T2 - International Journal of Speech-Language Pathology

JF - International Journal of Speech-Language Pathology

SN - 1754-9515

IS - 4

ER -