Letter to the Editor |
University of Northern Colorado, Greeley
University of Colorado at Boulder
Contact author: Ryan Pollard, University of Colorado at Boulder, Speech, Language & Hearing Sciences, 409 UCB, Boulder, CO 80309. E-mail: ryan.pollard{at}colorado.edu.
Purpose: To reply to the criticisms of Saltuklaroglu, Kalinowski, and Stuart (2010) by addressing their concerns regarding our study's methodology, statistical analyses, and findings. Also, to challenge what we view as omissions, misinterpretations, and inaccuracies on their part.
Results: Our operational definition of stuttering was sound. Participant adherence to the treatment protocol was telling and appropriately enforced. The question-asking task was proper given participant characteristics. Statistical analyses of treatment effects were correctly interpreted. Our general conclusions regarding the clinical merit of the SpeechEasy were misinterpreted by Saltuklaroglu and colleagues; our findings were in fact far less nullifying and more balanced than what they claim.
Conclusions: While robust immediate effects of altered auditory feedback (AAF) in the laboratory are well documented, recent longitudinal experiments conducted in naturalistic settings have found less consistent and pronounced effects with the SpeechEasy. These reports also indicate that initial reductions in stuttering are often not maintained over time. Future efforts to determine why this is so would be worthwhile.
KEY WORDS: stuttering, treatment, altered auditory feedback, clinical trials, prosthetic devices
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