Education, Ease, and Empowerment: Part 2 - The 3Es model in empowering and giving voice to state school students who stutter.

Tracks
5
Adolescent
Education
Fluency
Mentoring
Practice (clinical) education
Quality improvement
School age
Stuttering/fluency
Wellbeing
Saturday, June 14, 2025
12:10 PM - 12:20 PM

Overview

Susan Pryde-Walsh, Carolynn Fisher and Jodie Quayle


Details

⏫ In-practice
⏲️ 12.10pm - 12.30pm
⌛ 20-minutes
📚 Assumed knowledge of attendees: Intermediate (Some previous learning/working knowledge of topic e.g. treated a few cases)


Presenter

Agenda Item Image
Mrs Susan Pryde-Walsh
Queensland Department Of Education - North Coast Region

Education, Ease, and Empowerment: Part 2 - The 3Es model in empowering and giving voice to state school students who stutter.

12:10 PM - 12:30 PM

Presentation summary

There are few evidence-based interventions for school-aged students who stutter, which target students’ psychosocial outcomes (Johnson, et al., 2023). Based on the 3Es model of stuttering intervention, this paper follows on from Part 1 (which focuses on Education and Ease), in order to highlight the positive outcomes for students, when empowerment is observed as an equally important therapy target and underlying principle of intervention.

Based on the current literature (Lamoureux et al., 2024) which emphasises the importance of psychosocial outcomes for students who stutter, this presentation outlines the key strategies used in the Empowerment aspect of group interventions (including 4-day intensive therapy and 2-day follow-up formats) for students who stutter.

Data collected from group participants (n=20) regarding their negative thoughts and beliefs about stuttering and the perceived impact of stuttering on their daily lives will be reviewed. Real world examples and case studies will be presented to illuminate the challenges and complexities associated with intervention for students who stutter, whose well-being may be profoundly affected by their communication difficulties. Pre- and post-intervention self-report measures demonstrate both the need for approaches that target the psychosocial features and the benefits for students that can be achieved.

Practical strategies for managing the psychosocial features of stuttering in the school-aged population and building students’ self-efficacy, through effective service delivery, will be provided. Case examples will be drawn from both the group intensive programs (held during end-of-term holidays) and 2-day group follow-ups, which focus on reviewing and practicing individualised strategies supporting students’ sense of Empowerment. Results from self-report measures and standardised assessment tools (Unhelpful Thoughts and Beliefs About Stuttering UTBAS-6; Overall Assessment of Speakers Experiences of Stuttering) will demonstrate student outcomes.

Challenges in program implementation and future directions will be discussed within a framework of continuous improvement.

Refrences

Hart, A., Breen, L., Hennessey, N. & Beilby, J. (2024). Evaluation of an Integrated Fluency and Acceptance and Commitment Therapy Intervention for Adolescents and Adults Who Stutter. Journal of Speech, Language, and Hearing Research, Vol. 67, 1003–1019.

Gore, K., & Luckman Margulis, C. (2022). 3Es: An all-inclusive stuttering therapy tool. Perspectives of the ASHA Special Interest Groups, 7(3), 716-727.

Gunn, A., Menzies, R. G., O’Brian, S., Onslow, M., Packman, A. Lowe, R., Iverach, L., Heard, R., Block, S. (2014). Axis I anxiety and mental health disorders among stuttering adolescents. Journal of Fluency Disorders, Vol. 40, 58-68.

Iverach, L., Heard, R., Menzies, R., Lowe, R., O’Brian, Sue., Packman, A., & Onslow, M. (2016). A Brief Version of the Unhelpful Thoughts and Beliefs About Stuttering Scales: The UTBAS-6. Journal of Speech, Language, and Hearing Research, 58, 964-972.

Blomgren, M (2013). Behavioural treatments for children and adults who stutter: a review. Psychology Research and Behaviour Management, 69-19.

Johnson, G., Onslow, M., Horton, S., Kefalianos, E. (2022). Psychosocial features of stuttering for school‐age children: A systematic review. International Journal of Language & Communication Disorders, 58 (5), 1829–1845.

Jones, M. L., Menzies, R. G., Onslow, M., Lowe, R., O’Brian, S. & Packman, A. (2021). Measures of Psychological Impacts of Stuttering in Young School-Age Children: A Systematic Review. Journal of Speech, Language, and Hearing Research, 64.

Lamoureux, G., Finlay, S., Moïse-Richard, A., Ménard, L., & Verduyckt, I. (2024). Mitigating stuttering self-stigma: How do we start and where do we go? Using a Participative Concept Mapping Approach to develop a local framework of principles. Journal of Fluency Disorders, 81, 106075.

Menzies, RG., Onslow, M., Packman, A., O'Brian, S., (2009). Cognitive behavior therapy for adults who stutter: a tutorial for speech-language pathologists. Journal of Fluency Disorders. 34(3), 187-200.

Mongia, M., Gupta, A., Vijay, A. & Sadhu, R (2019) Management of stuttering using cognitive behaviour therapy and mindfulness meditation. Industrial Psychiatry Journal, 28 (1), 4-12.

Nicolas., Alison. (2015). Solution Focussed Brief Therapy with Children Who Stutter. Procedia – Social and Behavioural Sciences -10th Oxford Dysfluency Conference,
193, 209-216.

Ramos-Heinrichs, L. (2023). Solution-Focused Brief Therapy for Stuttering in the Public Schools: Children Solve Their Own Stuttering Problems in This Case Study. Language, Speech, and Hearing Services in Schools: Clinical Focus.

Tichenor, S.E., Gerwin, K. E., & Walsh, B. (2023). Repetitive Negative Thinking in Adolescents Who Stutter. Journal of Speech, Language, and Hearing, 66, 3290–3306.

Tichenor, S.E., Herring, C. & Yaruss, J. S. (2022). Understanding the Speaker’s Experience of Stuttering Can Improve Stuttering Therapy. Topics in Language Disorders, 42(1), 57–75.

Tamsen, S., Menzies, R., Onslow, M., Packman., Thompson, R. & Block, S. (2009). Unhelpful Thoughts and Beliefs Linked to Social Anxiety in Stuttering: Development of a Measure. International Journal of Language & Communication Disorders, 44;3 338-351.

Yaruss, J.S., Quesal, R.W. and Coleman, C.E. (2016). OASES: Overall assessment of the speaker's experience of stuttering. Stuttering Therapy Resources.

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Sue Walsh is a senior clinical speech pathologist who has worked in Queensland schools for more than 30 years. While she worked in other speech pathology roles in Queensland and Canada, as well as various positions with Speech Pathology Australia, the education setting is where her clinical interests are most dedicated. Her expertise is in childhood language and literacy disorders and she has been involved in school based group stuttering programs since the 1990's. School aged students and adolescents provide an endless source of interest and challenge for her.
Mrs Carolynn Fisher
Department Of Education Queensland

Education, Ease, and Empowerment: Part 2 - The 3Es model in empowering and giving voice to state school students who stutter.

12:10 PM - 12:30 PM

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Carrie Fisher is an clinician and clinical educator. Carrie works for the Department of Education Queensland in the North Coast Region Team.
Ms Jodie Quayle
Department Of Education

Education, Ease, and Empowerment: Part 2 - The 3Es model in empowering and giving voice to state school students who stutter.

12:10 PM - 12:30 PM

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The information contained in this program is current at of the time of publishing but is subject to changes made without notice.

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