Randomized controlled trial of video self-modeling following speech restructuring treatment for stuttering.
OBJECTIVE
In this study, the authors investigated the efficacy of video self-modeling (VSM) following speech restructuring treatment to improve the maintenance of treatment effects.


METHODS
The design was an open-plan, parallel-group, randomized controlled trial. Participants were 89 adults and adolescents who undertook intensive speech restructuring treatment. Post treatment, participants were randomly assigned to 2 trial arms: standard maintenance and standard maintenance plus VSM. Participants in the latter arm viewed stutter-free videos of themselves each day for 1 month.


RESULTS
The addition of VSM did not improve speech outcomes, as measured by percent syllables stuttered, at either 1 or 6 months postrandomization. However, at the latter assessment, self-rating of worst stuttering severity by the VSM group was 10% better than that of the control group, and satisfaction with speech fluency was 20% better. Quality of life was also better for the VSM group, which was mildly to moderately impaired compared with moderate impairment in the control group.


CONCLUSIONS
VSM intervention after treatment was associated with improvements in self-reported outcomes. The clinical implications of this finding are discussed.
Cream
Angela
A
Australian Stuttering Research Centre, The University of Sydney, P.O. Box 170, Lidcombe, New South Wales 1825, Australia.
O'Brian
Sue
S
Jones
Mark
M
Block
Susan
S
Harrison
Elisabeth
E
Lincoln
Michelle
M
Hewat
Sally
S
Packman
Ann
A
Menzies
Ross
R
Onslow
Mark
M
D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D010349:Patient Compliance; D017060:Patient Satisfaction; D011788:Quality of Life; D012648:Self Care; D012647:Self-Assessment; D012720:Severity of Illness Index; D013342:Stuttering / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D014743:Videotape Recording