Comparison of stuttering severity and anxiety during standard and challenge phone calls

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

Comparison of stuttering severity and anxiety during standard and challenge phone calls

O'Brian, S

Onslow, M

Jones, M Lowe, R

Packman, A

Menzies, R

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Publisher:: American Speech Language Hearing Association
Publication Type:: Journal Article
Citation:: Journal of Speech, Language, and Hearing Research, 2022, 65, (3), pp. 982-990
Issue Date:: 2022-03-08

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Field	Value	Language
dc.contributor.author	O'Brian, S https://orcid.org/0000-0002-0882-1909
dc.contributor.author	Onslow, M https://orcid.org/0000-0003-2629-2390
dc.contributor.author	Jones, M
dc.contributor.author	Lowe, R https://orcid.org/0000-0003-3826-5306
dc.contributor.author	Packman, A https://orcid.org/0000-0001-7378-326X
dc.contributor.author	Menzies, R https://orcid.org/0000-0002-7589-960X
dc.date.accessioned	2022-04-20T02:17:39Z
dc.date.available	2022-04-20T02:17:39Z
dc.date.issued	2022-03-08
dc.identifier.citation	Journal of Speech, Language, and Hearing Research, 2022, 65, (3), pp. 982-990
dc.identifier.issn	1092-4388
dc.identifier.issn	1558-9102
dc.identifier.uri	http://hdl.handle.net/10453/156510
dc.description.abstract	<jats:sec> <jats:title>Purpose:</jats:title> <jats:p>This study was designed to answer three questions. (a) Does percentage of syllables stuttered (%SS) differ between standard and challenge phone calls. (b) Does anxiety differ between standard and challenge phone calls. (c) Is there a relationship between %SS and anxiety during standard and challenge phone calls?</jats:p> </jats:sec> <jats:sec> <jats:title>Method:</jats:title> <jats:p>Participants were 230 adults diagnosed with stuttering, who were participants from five clinical trials. Each participant received two 10-min phone calls at pretreatment and a further two phone calls 6 months or 20 weeks postrandomization. One phone call was standard, and the other presented challenge: occasionally disagreeing with, interrupting, and talking over participants, or asking for clarification of their views.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>Statistically significant, but clinically minor, increases of %SS and anxiety occurred during the challenge phone calls. There was a statistically significant association between %SS and anxiety.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>Variable phone call procedures to assess stuttering severity in clinical trials are not likely to spuriously inflate or deflate treatment outcomes to a clinically important extent. Regardless, the present results suggest that there is statistical merit in controlling the nature of phone calls during clinical trials with the simple and replicable method developed in this report. Additionally, there is procedural merit in the challenge phone call procedure; it is a more valid representation of the challenges of everyday speech than the standard procedure. However, a disadvantage of the challenge phone call procedure is the practical issues associated with its use. The clinical and theoretical applications of the results are discussed.</jats:p> </jats:sec>
dc.format	Print-Electronic
dc.language	en
dc.publisher	American Speech Language Hearing Association
dc.relation.ispartof	Journal of Speech, Language, and Hearing Research
dc.relation.isbasedon	10.1044/2021_jslhr-21-00365
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1702 Cognitive Sciences, 2004 Linguistics
dc.subject.classification	Speech-Language Pathology & Audiology
dc.subject.mesh	Adult
dc.subject.mesh	Anxiety
dc.subject.mesh	Anxiety Disorders
dc.subject.mesh	Humans
dc.subject.mesh	Speech Production Measurement
dc.subject.mesh	Stuttering
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Humans
dc.subject.mesh	Stuttering
dc.subject.mesh	Speech Production Measurement
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Anxiety
dc.subject.mesh	Anxiety Disorders
dc.subject.mesh	Adult
dc.title	Comparison of stuttering severity and anxiety during standard and challenge phone calls
dc.type	Journal Article
utslib.citation.volume	65
utslib.location.activity	United States
utslib.for	1103 Clinical Sciences
utslib.for	1702 Cognitive Sciences
utslib.for	2004 Linguistics
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - ASRC Australian Stuttering Research Centre
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Australian Stuttering Research Centre
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-04-20T02:17:38Z
pubs.issue	3
pubs.publication-status	Published
pubs.volume	65
utslib.citation.issue	3

Abstract:

Purpose: This study was designed to answer three questions. (a) Does percentage of syllables stuttered (%SS) differ between standard and challenge phone calls. (b) Does anxiety differ between standard and challenge phone calls. (c) Is there a relationship between %SS and anxiety during standard and challenge phone calls? Method: Participants were 230 adults diagnosed with stuttering, who were participants from five clinical trials. Each participant received two 10-min phone calls at pretreatment and a further two phone calls 6 months or 20 weeks postrandomization. One phone call was standard, and the other presented challenge: occasionally disagreeing with, interrupting, and talking over participants, or asking for clarification of their views. Results: Statistically significant, but clinically minor, increases of %SS and anxiety occurred during the challenge phone calls. There was a statistically significant association between %SS and anxiety. Conclusions: Variable phone call procedures to assess stuttering severity in clinical trials are not likely to spuriously inflate or deflate treatment outcomes to a clinically important extent. Regardless, the present results suggest that there is statistical merit in controlling the nature of phone calls during clinical trials with the simple and replicable method developed in this report. Additionally, there is procedural merit in the challenge phone call procedure; it is a more valid representation of the challenges of everyday speech than the standard procedure. However, a disadvantage of the challenge phone call procedure is the practical issues associated with its use. The clinical and theoretical applications of the results are discussed.

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http://hdl.handle.net/10453/156510