The perceptions of speech-language pathologists on managing stuttering across the lifespan: outcomes of a mixed-methods national workforce survey.

Purpose
This study explored the self-perceived competence of speech-language pathologists working in Australia to manage stuttering across the lifespan, factors influencing provision of evidence-based practice, and support needs to develop confidence in this area.

Method
A national online survey was completed by 147 practising speech-language pathologists. Quantitative data were analysed using descriptive statistics and qualitative data were analysed using content analysis.

Result
Perceived competence was highest and above the competence threshold for assessment of stuttering across the lifespan and for working with pre-school children. Participants rated themselves below the competence threshold in one-third of measured areas, including troubleshooting therapy and discharging clients for school-age, adolescents, and adults who stutter. Adolescent stuttering received the most ratings below the competence threshold, specifically in selecting appropriate therapy, collaborating with teachers, and evaluating outcomes. Barriers to evidence-based practice included affordability, long waitlists, and session frequency. Factors affecting treatment success included systemic constraints, limited experience, and challenges applying research to diverse presentations. Speech-language pathologists emphasised the need for practical learning, observation, supervision, and accessible professional development.

Conclusion
Findings highlight self-reported gaps in competence and systemic barriers to managing stuttering. Support needs identified by speech-language pathologists provide evidence to inform future professional development and advocacy to improve services.