Supplementing stuttering treatment with online cognitive behavior therapy: An experimental trial

Menzies, R; O'Brian, S; Packman, A; Jones, M; Helgadóttir, FD; Onslow, M

Supplementing stuttering treatment with online cognitive behavior therapy: An experimental trial

Menzies, R

O'Brian, S

Packman, A

Jones, M Helgadóttir, FD Onslow, M

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Publication Type:: Journal Article
Citation:: Journal of Communication Disorders, 2019, 80 pp. 81 - 91
Issue Date:: 2019-07-01

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Field	Value	Language
dc.contributor.author	Menzies, R https://orcid.org/0000-0002-7589-960X	en_US
dc.contributor.author	O'Brian, S https://orcid.org/0000-0002-0882-1909	en_US
dc.contributor.author	Packman, A https://orcid.org/0000-0001-7378-326X	en_US
dc.contributor.author	Jones, M	en_US
dc.contributor.author	Helgadóttir, FD	en_US
dc.contributor.author	Onslow, M https://orcid.org/0000-0003-2629-2390	en_US
dc.date.available	2019-04-28	en_US
dc.date.issued	2019-07-01	en_US
dc.identifier.citation	Journal of Communication Disorders, 2019, 80 pp. 81 - 91	en_US
dc.identifier.issn	0021-9924	en_US
dc.identifier.uri	http://hdl.handle.net/10453/136337
dc.description.abstract	© 2019 Elsevier Inc. Purpose: It is now well established that adults who present to speech clinics for help with stuttering will have an increased risk of having an anxiety disorder, particularly social anxiety disorder. Concomitant psychological problems are known to interfere with the maintenance of the benefits of behavioral speech treatments for stuttering. The current team has developed and trialed a cognitive behavior therapy (CBT) program designed specifically to reduce anxiety in adults who stutter, and trials have shown promise for both an in-clinic version and a standalone internet-based version. The aim of the present study is to determine whether iGlebe, the internet-based version of the team's internet CBT treatment (previously known as CBTPsych), enhances the benefits of behavioral stuttering treatment. Method: Participants were 32 adults seeking treatment for stuttering. The design was a two-arm randomized experimental trial with blinded outcome assessments at 6 and 12 months post-randomization. Both arms received basic speech-restructuring training to reduce stuttering, without any anxiolytic (anxiety reducing) components. The experimental arm also received 5 months access to iGlebe. Results: There was evidence that, at 12 months post-randomization, iGlebe added clinically significant improvements to self-reported stuttering severity and quality of life. The present experimental trial provides the first evidence that the addition of CBT to speech restructuring improves speech outcomes. Conclusions: The present results will be the basis for the development of a comprehensive, internet-based treatment program for anxiety associated with stuttering. Ultimately, it may be possible for such an economical, scalable, and translatable comprehensive treatment model to supplement standard speech-language pathology treatment practices for those who stutter.	en_US
dc.relation.ispartof	Journal of Communication Disorders	en_US
dc.relation.isbasedon	10.1016/j.jcomdis.2019.04.003	en_US
dc.title	Supplementing stuttering treatment with online cognitive behavior therapy: An experimental trial	en_US
dc.type	Journal Article
utslib.citation.volume	80	en_US
utslib.for	1701 Psychology	en_US
utslib.for	1702 Cognitive Sciences	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Strength - ASRC Australian Stuttering Research Centre
utslib.copyright.status	closed_access
pubs.publication-status	Published	en_US
pubs.volume	80	en_US

Abstract:

© 2019 Elsevier Inc. Purpose: It is now well established that adults who present to speech clinics for help with stuttering will have an increased risk of having an anxiety disorder, particularly social anxiety disorder. Concomitant psychological problems are known to interfere with the maintenance of the benefits of behavioral speech treatments for stuttering. The current team has developed and trialed a cognitive behavior therapy (CBT) program designed specifically to reduce anxiety in adults who stutter, and trials have shown promise for both an in-clinic version and a standalone internet-based version. The aim of the present study is to determine whether iGlebe, the internet-based version of the team's internet CBT treatment (previously known as CBTPsych), enhances the benefits of behavioral stuttering treatment. Method: Participants were 32 adults seeking treatment for stuttering. The design was a two-arm randomized experimental trial with blinded outcome assessments at 6 and 12 months post-randomization. Both arms received basic speech-restructuring training to reduce stuttering, without any anxiolytic (anxiety reducing) components. The experimental arm also received 5 months access to iGlebe. Results: There was evidence that, at 12 months post-randomization, iGlebe added clinically significant improvements to self-reported stuttering severity and quality of life. The present experimental trial provides the first evidence that the addition of CBT to speech restructuring improves speech outcomes. Conclusions: The present results will be the basis for the development of a comprehensive, internet-based treatment program for anxiety associated with stuttering. Ultimately, it may be possible for such an economical, scalable, and translatable comprehensive treatment model to supplement standard speech-language pathology treatment practices for those who stutter.

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http://hdl.handle.net/10453/136337