Journal article
Applying the Transtheoretical Model to Stuttering Management Among Adolescents: Part I. Scale Development
American journal of speech-language pathology, Vol.30(6), pp.2492-2509
11/01/2021
DOI: 10.1044/2021_AJSLP-20-00186
PMID: 34525312
Abstract
Purpose This article is the first in a two-part series on the application of the Transtheoretical Model to stuttering management among adolescents. In this article, we describe the process of developing measures to assess stage of change (SOC) by defining behaviors of stuttering management, as well as the two primary cognitive constructs that underlie one's readiness to make behavioral change: decisional balance (DB) and situational self-efficacy (SSE). This work hinges on the ability to develop an operational definition of what it means to successfully manage or do something positive about one's stuttering. Method We used an iterative process to develop the three scales. Through qualitative analysis of key informant interview and focus group transcripts with 24 adolescents who stutter and 26 clinicians specializing in stuttering, we developed stuttering-specific SOC, DB, and SSE scales. The drafted scales were cognitively tested with nine adolescents who stutter. Results Thematic analysis yielded a three-part definition of successful stuttering management that formed the basis for the SOC scale: (a) learning and using strategies to modify speech or stuttering, (b) changing negative thoughts and attitudes regarding stuttering, and (c) talking without avoiding sounds, words, or situations. Results from this analysis support a broader view of successful stuttering management; that is, it is likely that doing so requires more than just behavior change, which has long been considered the main objective of stuttering treatment. Additional analyses yielded pros and cons of managing stuttering (62 items for the DB scale) and situations in which it is difficult to manage stuttering (39 items for the SSE scale). Conclusions Qualitative analyses provided a three-part definition of "stuttering management" and a comprehensive pool of items that would allow measurement of DB and SSE that underlie readiness to manage stuttering among adolescents. In the companion article in this two-part series, we describe the next step in scale development: exploratory scale validation of the drafted SOC, DB, and SSE scales.
Details
- Title: Subtitle
- Applying the Transtheoretical Model to Stuttering Management Among Adolescents: Part I. Scale Development
- Creators
- Patricia M. Zebrowski - University of Iowa, Communication Sciences and DisordersNaomi H. Rodgers - University of Iowa, Communication Sciences and DisordersHope Gerlach - Western Michigan UniversityAndrea L. Paiva - University of Rhode IslandMark L. Robbins - University of Rhode Island
- Resource Type
- Journal article
- Publication Details
- American journal of speech-language pathology, Vol.30(6), pp.2492-2509
- DOI
- 10.1044/2021_AJSLP-20-00186
- PMID
- 34525312
- NLM abbreviation
- Am J Speech Lang Pathol
- ISSN
- 1058-0360
- eISSN
- 1558-9110
- Number of pages
- 18
- Comment
- Test development: Situational Self-Efficacy Scale Test development: Stages of Change Scale Test development: Decisional Balance Scale
- Language
- English
- Date published
- 11/01/2021
- Academic Unit
- Communication Sciences and Disorders; Center for Social Science Innovation
- Record Identifier
- 9984801291802771
Metrics
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