title: Randomized controlled trial of video self-modeling following speech restructuring treatment for stuttering.
abstract: 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.
authors.affiliation: Australian Stuttering Research Centre, The University of Sydney, P.O. Box 170, Lidcombe, New South Wales 1825, Australia.
authors.forename: Angela
authors.initials: A
authors.lastname: Cream
authors.forename: Sue
authors.initials: S
authors.lastname: O'Brian
authors.forename: Mark
authors.initials: M
authors.lastname: Jones
authors.forename: Susan
authors.initials: S
authors.lastname: Block
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Harrison
authors.forename: Michelle
authors.initials: M
authors.lastname: Lincoln
authors.forename: Sally
authors.initials: S
authors.lastname: Hewat
authors.forename: Ann
authors.initials: A
authors.lastname: Packman
authors.forename: Ross
authors.initials: R
authors.lastname: Menzies
authors.forename: Mark
authors.initials: M
authors.lastname: Onslow
mesh_terms: 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