Brignell, Amanda, Krahe, Michelle, Downes, Martin, Kefalianos, Elaina, Reilly, Sheena, and Morgan, Angela (2021) Interventions for children and adolescents who stutter: A systematic review, meta-analysis, and evidence map. Journal of Fluency Disorders, 70. 105843.

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Abstract

Purpose: This systematic review critically appraises and maps the evidence for stuttering interventions in childhood and adolescence. We examine the effectiveness of speech-focused treatments, the efficacy of alternative treatment delivery methods and identify gaps in the research evidence.

Methods: Nine electronic databases and three clinical trial registries were searched for systematic reviews, randomised controlled trials (RCTs) and studies that applied an intervention with children (2-18 years) who stutter. Pharmacological interventions were excluded. Primary outcomes were a measure of stuttering severity and quality assessments were conducted on all included studies.

Results: Eight RCTs met inclusion criteria and were analysed. Intervention approaches included direct (i.e. Lidcombe Program; LP) and indirect treatments (e.g. Demands and Capacities Model; DCM). All studies had moderate risk of bias. Treatment delivery methods included individual face-to-face, telehealth and group-based therapy. Both LP and DCM approaches were effective in reducing stuttering in preschool aged children. LP had the highest level of evidence (pooled effect size=-3.8, CI -7.3 to -0.3 for LP). There was no high-level evidence for interventions with school-aged children or adolescents. Alternative methods of delivery were as effective as individual face-to-face intervention.

Conclusion: The findings of this systematic review and evidence mapping are useful for clinicians, researchers and service providers seeking to understand the existing research to support the advancement of interventions for children and adolescence who stutter. Findings could be used to inform further research and support clinical decision-making.

Item ID:	81161
Item Type:	Article (Research - C1)
ISSN:	1873-801X
Copyright Information:	© 2021 Elsevier Inc. All rights reserved.
Funders:	National Health and Medical Research Council (NHMRC) Centre Of Research Excellence (CRE)
Projects and Grants:	NHMRC CRE grant in Speech and Language Neurobiology, NHMRC Project grant 1127144, NHMRC Practitioner Fellowship 1105008
Date Deposited:	05 Dec 2023 22:07
FoR Codes:	42 HEALTH SCIENCES > 4201 Allied health and rehabilitation science > 420110 Speech pathology @ 50% 42 HEALTH SCIENCES > 4206 Public health > 420601 Community child health @ 25% 42 HEALTH SCIENCES > 4203 Health services and systems > 420319 Primary health care @ 25%
SEO Codes:	20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 50% 20 HEALTH > 2005 Specific population health (excl. Indigenous health) > 200506 Neonatal and child health @ 50%
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