Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Comprehensive and Intensive Group Therapy for School-Aged Children Who Stutter: A Preliminary Study
Okul Çağı Kekemeliği Olan Çocuklar İçin Kapsamlı ve Yoğunlaştırılmış Grup Terapisi: Ön Çalışma
İlkem KARAa, Meltem Çiğdem KİRAZLIa, Maviş Emel KULAK KAYIKCIa
aDepartment of Speech and Language Therapy, Hacettepe University Faculty of Health Sciences, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(4):1008-19
doi: 10.5336/healthsci.2022-90566
Article Language: EN
Full Text
ABSTRACT
 Objective: This was a preliminary study to investigate a comprehensive and intensive group therapy (CIGT) for school-aged children who stutter and examine the differences in cognitive, affective, linguistic, and social components of stuttering as well as speech behavior in Türkiye. Material and Methods: Participants were 6 children, 2 girls and 4 boys (age range 8-12 years), who attended ten days of CIGT. Primary outcome measures were the Turkish version of the Cognitive, Affective, Linguistic, Motor, and Social Rating Scale for School Children who Stutter, the percentage of syllables stuttered, and the Turkish version of the 4th edition of the Stuttering Severity Instrument. Secondary outcome measures were parents' ratings of stuttering severity and speech naturalness. Data were gathered 1 month prior to therapy, on the first and last day of the therapy, 1 month following the therapy, and 3 months after the therapy. This study was conducted at the Speech & Language Therapy Department of Hacettepe University in Ankara, Türkiye. Results: Group mean reduction of stuttering frequency from the first day to the last day of the therapy was 67%, and from the first day of the therapy to the third month after the therapy was 82%. Parents' ratings of stuttering severity confirmed these results. Participants' cognitive, affective and social scores were reduced to 1. Conclusion: Results support that the CIGT can result in an increase in children's common knowledge, understanding, and awareness of stuttering and positive changes in fluent speech production in school-aged children who stutter in Türkiye.

Keywords: School-aged children; comprehensive; intensive; group therapy; stuttering
ÖZET
 Amaç: Bu araştırma, Türkiye'deki okul çağı kekemeliği olan çocuklar için kapsamlı ve yoğunlaştırılmış grup terapisini (KYGT) araştırmak ve kekemeliğin bilişsel, afektif, dilsel ve sosyal bileşenlerinin yanı sıra konuşma davranışındaki farklılıkları incelemek için yapılmış bir ön çalışmadır. Gereç ve Yöntemler: Katılımcılar, 10 günlük KYGT'ye katılan, 2 kız ve 4 erkek (8-12 yaş arası) olmak üzere 6 çocuktur. Birincil sonuç ölçütleri, Kekemeliği Olan Okul Çağı Çocukları için Bilişsel, Affektif, Dilsel, Motor ve Sosyal Değerlendirme Aracının Türkçe versiyonu, kekelenen hece sıklığı ve Kekemelik Şiddet Ölçeği'nin 4. baskısının Türkçe versiyonudur. İkincil sonuç ölçütleri, ebeveynlerin kekemelik şiddeti derecelendirmeleri ve konuşma doğallığı puanlarıdır. Veriler, terapiden 1 ay önce, terapinin ilk ve son gününde, terapiden 1 ay sonra ve terapiden 3 ay sonra toplanmıştır. Bu çalışma, Ankara, Türkiye'de Hacettepe Üniversitesi Dil ve Konuşma Terapisi Bölümünde yürütülmüştür. Bulgular: Terapinin ilk gününden son gününe kadar ortalama kekemelik sıklığındaki azalma oranı %67, terapinin ilk gününden terapi sonrası 3. aya kadar %82'dir. Ebeveynlerin kekemelik şiddeti derecelendirmeleri de bu bulguları desteklemektedir. Katılımcıların bilişsel, duyuşsal ve sosyal puanları 1'e düşmüştür. Sonuç: Sonuçlar KYGT'nin Türkiye'de okul çağı kekemeliği olan çocukların kekemelik konusundaki ortak bilgi, anlayış ve farkındalıklarında artış ve akıcı konuşma üretiminde olumlu değişikliklerle sonuçlanabileceğini desteklemektedir.

Anahtar Kelimeler: Okul çağı çocuklar; kapsamlı; yoğunlaştırılmış; grup terapisi; kekemelik
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