Using Single Subject Methodology To Improve Decision-Making in Stuttering Treatment With the proliferation of evidence-based practice and the need to quantify therapy effects, it is imperative for speech-language pathologists to adapt a systematic approach when planning therapy. In this tutorial, we describe a 5-step decision making sequence that permitted us to systematically assess our clinical assumptions about the most effective ... Article
Article  |   May 01, 2012
Using Single Subject Methodology To Improve Decision-Making in Stuttering Treatment
Author Affiliations & Notes
  • Sheryl R. Gottwald
    Department of Communication Sciences and Disorders, University of New Hampshire, Durham, NH
  • Bryan Ness
    Department of Communication Sciences and Disorders, University of New Hampshire, Durham, NH
Article Information
Speech, Voice & Prosodic Disorders / Fluency Disorders / Attention, Memory & Executive Functions / Speech, Voice & Prosody / Articles
Article   |   May 01, 2012
Using Single Subject Methodology To Improve Decision-Making in Stuttering Treatment
SIG 4 Perspectives on Fluency and Fluency Disorders, May 2012, Vol. 22, 16-21. doi:10.1044/ffd22.1.16
SIG 4 Perspectives on Fluency and Fluency Disorders, May 2012, Vol. 22, 16-21. doi:10.1044/ffd22.1.16

With the proliferation of evidence-based practice and the need to quantify therapy effects, it is imperative for speech-language pathologists to adapt a systematic approach when planning therapy. In this tutorial, we describe a 5-step decision making sequence that permitted us to systematically assess our clinical assumptions about the most effective treatments for eliciting perceptually fluent speech for a client with Down syndrome. We used single subject methodology to compare the effects of 3 intervention protocols—scripting, pacing board, and intonation training—on the fluency of an adult client with Down syndrome. This case study demonstrated that scripting allowed the subject to produce the largest number of normally fluent sentences with the least amount of clinician prompting.

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