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ORIGINAL RESEARCH

Investigation of the Effect of Speech Restructuring Treatment on 'Camperdown Therapy Intervention Program' for Adolescent and Young Adult Who Stutter
Adölesan ve Genç Yetişkin Kekeme Bireylerde Akıcılık Yapılandırma Terapisi (Speech Restructuring) Yaklaşımının “Camperdown Kekemelik Müdahale Programı” ile Uygulanması
Received Date : 11 Aug 2020
Accepted Date : 22 Sep 2020
Available Online : 23 Dec 2020
Doi: 10.24179/kbbbbc.2020-78459 - Makale Dili: TR
KBB ve BBC Dergisi. 2020;28(3):191-202
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: There are limited number of studies about adolescents and young adult who stutter were applied phases of “Camperdown Therapy Intervention Program (CTIP)”. It is aimed to demonstrate the effect of CTIP -one of the speech restructuring treatment (SRT) in adolescent and young adult who stutter- in comparison to others (fluency shaping+stuttering modification integrated therapy approaches). Material and Methods: Stuttering frequency, %SS, SPM, speech rate and speech naturalness were dependent variables of this study. CTIP, consisting of 9 phases and 4 stages with 96 clinician hours was applied to a total of 16 male stutterer with moderate to severe stuttering. 8 of 16 were adolescents who were randomized controlled trial assigned between 12-21 years of age and 8 young adults were between the ages of 22-45. Stuttering Severity Instrument (SSI- 4-TR), Fluency Severity Rating Scale, Fluency Technique Scale, Camperdown Program Status Measurement Chart, Camperdown Program Daily Measurement Chart, Speech Naturalness Scale (SNS) were used just before the therapy, during the follow-up stages (1st, 3rd, 6th month) and 12th month. Results: A significant difference was found between the pre-therapy onset time and the last stage posttherapy in the adolescent and young adult who stutter were applied Camperdown Program in terms of all variables. According to the results of the evaluation in the 6th and 12th months, 14 of 16 individuals’ fluency in spontaneous speech succes rates were 85.7% and 88.2% respectively. There was no significant difference in the speech naturalness variable comparing with therapeutic superiority between two groups. Conclusion: The Camperdown Program is an effective intervention program on stuttering.
ÖZET
Amaç: Adölesan ve genç yetişkin kekeme bireylerde, “Camperdown Terapi Müdahale Programı (CTMP)” faz aşamalarının uygulandığı çalışma sınırlı sayıdadır. Adölesan ve genç yetişkin kekeme bireylerin, akıcılık yapılandırma terapisi [speech restructuring treatment (SRT)] olan, CTMP kullanılarak akıcısızlıklar üzerinde etkisi diğer kekemelik yaklaşımlarıyla karşılaştırma yapılarak ortaya konulması hedeflenmiştir. Gereç ve Yöntemler: Kekemelik sıklığı, kekemelik şiddeti, akıcılık bozukluğu şiddet derecesi ve konuşma doğallığı araştırmanın bağımlı değişkenleridir. SRT uygulanan Çalışma Grubu 1’i, diğer kekemelik terapi teknikleri olan akıcılık biçimlendirme+ kekemelik değiştirme birlikte terapi yaklaşımları Çalışma Grubu 2’yi oluşturmaktadır. Orta-ileri derecede kekemeliği olan 12-21 yaşları arasında toplam 8 adölesan ve 22-45 yaşları arası 8 genç yetişkin birey olmak üzere randomize atanan toplam 16 erkek kekeme bireye, 9 faz 4 aşamadan oluşan CTMP terapinin hemen öncesinde izleme aşamalarında (1,3 ve 6. ay) ve 12. ayda uygulanmıştır. Kekemelik şiddetini değerlendirme aracı (SSI-4-TR), akıcılık şiddeti değerlendirme skalası, akıcılık tekniği kullanım ölçeği, Camperdown Programı durum ölçüm şeması, Camperdown Programı günlük ölçüm grafiği, konuşma doğallığı skalası kullanılmıştır. Bulgular: Camperdown Programı’nın, adölesan ve genç yetişkin kekeme bireylerde terapi öncesi başlangıç zamanı ile terapi sonrası son evredeki kekemelik sıklığı, kekemelik şiddeti, dk’da kelime sayısı, akıcılık şiddeti ve konuşma doğallığı parametreleri karşılaştırıldığında olumlu yönde anlamlı farklılık bulunmuştur. 16 bireyin 14’ünde 6. aydaki değerlendirme sonuçlarına göre %85,7, 12. ayda %88,2 oranında spontan konuşmada akıcılık sağlanmıştır. Genç yetişkinlerin kekemelik şiddeti ve akıcılık şiddeti 6. ayda; adölesan bireylerde konuşma doğallığı 3. ayda anlamlı farklılık göstermiştir (p=0,015). İki grup arasında terapi üstünlüğü açısından konuşma doğallığında anlamlı farklılık bulunmamıştır. Sonuç: Camperdown Programı, kekemelik üzerinde etkili bir müdahale programıdır.
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