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Stamningsbehandling enligt Lidcombeprogrammet: En långtidsuppföljning av svensktalande förskolebarn
Linköping University, Department of Clinical and Experimental Medicine, Speech and Language Pathology. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Speech and Language Pathology. Linköping University, Faculty of Health Sciences.
2012 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesisAlternative title
Long-term follow-up of Swedish-speaking children treated with the Lidcombe Program (English)
Abstract [en]

The aim of this paper is to study the long-term effects of stuttering treatment according to the Lidcombe Program in Sweden and to answer questions whether underlying factors may have affected the treatment results. Participants were seven children, one girl and six boys aged 7:10-14:2, who all completed Stage 1 of the program approximately 2-7 years ago.The children were video recorded during a conversation with one of the authors and while reading aloud. Before the recording, their parents estimated the level of stuttering according to a Severity Range (SR) Scale. The evaluations were used as reference for determining whether the recordings were representative for the children´s current speech fluency. Proportions of stuttered syllables (%SS) were calculated from the video recorded material and compared with the proportions of stuttered syllables (%SS) at the time when the first stage of the program was initiated.The results showed that the Lidcombe Program had a significant (z=-2.37, p=0.02) long term effect on stuttering treatment for the participants in this study. The effect size was calculated to 1.05, which indicates a large effect. No correlation between underlying factors and treatment results could be established at group level. However, the results showed differences among the participants and underlying factors as age at stuttering onset and age when treatment was introduced may have affected the treatment results.This is one of the very first long term follow-ups on Swedish preschool children that have been treated according to the Lidcombe Program and the authors hope to see further research.

Abstract [sv]

Studien syftade till att undersöka långtidseffekten av Lidcombeprogrammet för svenska förskolebarn som stammar samt fastställa om bakgrundsfaktorer påverkar behandlingseffekt. I studien deltog sju svensktalande barn, en flicka och sex pojkar, i åldrarna 7:10–14:2, som alla avslutade det första steget i behandlingen för cirka 2-7 år sedan.Långtidsuppföljningen genomfördes i form av videoinspelningar av barnens tal under samtal med en av författarna samt under en högläsningssituation. Föräldrarna till varje barn fick inför inspelningarna skatta sitt barns stamning på en Severity Rating (SR) Scale. Utvärderingarna användes för att få information om huruvida inspelningarna var representativa för barnens tal idag. Utifrån samtliga inspelningar beräknades sedan den procentuella andelen stammade stavelser (%SS) och denna mätning jämfördes sedan med den procentuella andelen stammade stavelser (%SS) för tidpunkten när behandlingen enligt Lidcombeprogrammet introducerades.Resultatet i föreliggande studie visade att Lidcombeprogrammet har haft effekt på lång sikt för deltagarna i föreliggande studie och resultatet var statistiskt signifikant (z=-2.37, p=0.02). Effektstorleken för dessa beräkningar var 1.05, vilket motsvarar en stor effekt. Inget samband kunde påvisas mellan bakgrundsfaktorer och behandlingseffekt på gruppnivå men resultatet på individnivå påvisar skillnader mellan deltagarna avseende ålder vid stamningsdebut och ålder vid behandlingsstart, eventuellt kan detta ha påverkat behandlingsresultatet för enskilda deltagare.Det här är en av de första långtidsuppföljningarna av svenska förskolebarn som behandlats enligt Lidcombeprogrammet och författarna efterfrågar fler studier.

Place, publisher, year, edition, pages
2012. , 40 p.
Keyword [en]
Stuttering, Lidcombe Program, Swedish preschool children, evaluation.
Keyword [sv]
Stamning, Lidcombeprogrammet, svenska förskolebarn, utvärdering.
National Category
Otorhinolaryngology
Identifiers
URN: urn:nbn:se:liu:diva-79249ISRN: LIU-IKE/SLP-A--12/007—SEOAI: oai:DiVA.org:liu-79249DiVA: diva2:539576
Subject / course
Master (one year thesis)/Speech and Language Pathology
Presentation
2012-05-31, Almen, Hälsouniversitetet, Linköping, 14:00 (Swedish)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2012-07-10 Created: 2012-07-04 Last updated: 2012-07-10Bibliographically approved

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