title: A case study of mediated learning, delayed auditory feedback, and motor repatterning to reduce stuttering.
abstract: A case study of DW, an 11-yr. old monolingual, English-speaking boy who exhibits stuttering, language delay, and ADHD is presented. DW experienced only limited improvement during stuttering therapy received in public schools, according to parents and the public school clinician. The purpose of this case study was to assess whether fluency treatment which incorporated Mediated Learning, Delayed Auditory Feedback, and Speech Motor Repatterning would enhance progress. Therapy was delivered in two treatments, with each treatment being 5 wk. of intense therapy, separated by one year. Treatment 1 of combined Mediated Learning and Delayed Auditory Feedback yielded improvement in fluency, judged by parents and the teacher to be clinically significant. The improved fluency was maintained for one year when DW was pretested for participation in Treatment 2, which combined Mediated Learning, Delayed Auditory Feedback, and Speech Motor Repatterning Exercises. As no conclusions are possible, further study is needed.
authors.affiliation: Department of Communication Sciences and Disorders, University of Texas Pan American, 1201 West University Drive, Edinburg, TX 78541, USA. ntradford@sbcglobal.net
authors.forename: Nola T
authors.initials: NT
authors.lastname: Radford
authors.forename: Jesus
authors.initials: J
authors.lastname: Tanguma
authors.forename: Marcia
authors.initials: M
authors.lastname: Gonzalez
authors.forename: Mary Anne
authors.initials: MA
authors.lastname: Nericcio
authors.forename: Denis G
authors.initials: DG
authors.lastname: Newman
mesh_terms: D001289:Attention Deficit Disorder with Hyperactivity / Q000523:psychology / Q000628:therapy; D002648:Child; D003131:Combined Modality Therapy; D003376:Counseling; D005246:Feedback; D006801:Humans; D007805:Language Development Disorders / Q000523:psychology / Q000628:therapy; D008297:Male; D017063:Outcome Assessment, Health Care; D013067:Speech Perception; D013070:Speech Therapy / Q000379:methods*; D013342:Stuttering / Q000523:psychology / Q000628:therapy*