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            "abstractNote": "We evaluated the efficacy of Frankini, a 12-month early parent-child intervention that combines online parent counseling with hybrid speech restructuring to reduce stuttering severity and promote fluency-supportive interaction. This retrospective, nonrandomized pilot trial included cases enrolled between September 2019 and November 2023. For analysis, only participants who completed Module 1 (indirect parental training) and Module 2 (the first hybrid speech restructuring module) were included. A total of 51 cases met all inclusion criteria, and 30 of these completed all three modules. To simulate a wait-list-controlled design, eligible participants were divided into early and delayed groups using median split. The early group completed Module 2 nine months after baseline, the delayed group twelve months after baseline. Groups were matched on key characteristics and differed only in the timing of the first direct intervention. Blinded raters assessed stuttering severity. Primary outcomes included the Stuttering Severity Index, parental severity rating, and a 10-item parent report. At 9 months, the early group showed reduced stuttering severity, while the delayed group showed no change (mean difference = -8.33 95 %CI [-12.98, -3.68], p < 0.001, with d = -1.14). By 12 months, both groups improved, and group difference were no longer significant (mean difference = -3.37 95 %CI [-8.23, 1.50], p = 0.168 and d = -0.48). Parental ratings mirrored these outcomes showing consistent improvement after each module. Speech restructuring significantly improved speech fluency and parent counseling enhanced parents' confidence, supporting the value of initiating treatment before age 6; however, follow-up is needed to assess long-term effects. Trial Registration: DRKS00034731.",
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            "abstractNote": "PURPOSE: To discuss what assessment is necessary before clinical management of pre-schoolers who stutter, and to inform junior clinicians and students of speech-language pathology about this matter.\nMETHOD: The issue was discussed by two experienced clinicians who provide clinical services and two university researchers. Written conversational turns in an exchange were limited to 100 words each. When that written dialogue was concluded, participants provided a final reflection about the matter.\nRESULT: There are many formal and informal assessments that may be used, and clinicians need to choose judiciously from among them. The key to choosing assessments is whether they will influence treatment. There was some disagreement about whether identification of early stuttering is a clinical challenge.\nCONCLUSION: The participants presented their views of what routine assessments are required before clinical management of pre-schoolers who stutter. In the Appendix A, the participants list their recommendations for parent case history, non-standardised assessments, and standardised testing and screening.",
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            "abstractNote": "PURPOSE: To discuss how clinically important mental health is during management of early stuttering. To inform early-career clinicians and students of speech-language pathology about contemporary views on this issue.\nMETHOD: The issue was discussed by three speech-language pathologists and a clinical psychologist. Written conversational turns in an exchange were limited to 100 words each. When that written dialogue was concluded, the moderator summarised the discussion.\nRESULT: All agreed that it is essential to take account of mental health during management of early stuttering.\nCONCLUSION: The following key points were raised: a) There is a prominent risk that a child with early stuttering will be or will become socially anxious, b) parent anxiety is a clinical consideration, c) support and counselling of children and parents needs to be within the scope of speech-language pathology practice, and d) referral of a child or parent, or both, to a clinical psychologist may be required, facilitated by formal testing if needed.",
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            "creatorSummary": "Vanryckeghem",
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            "itemType": "journalArticle",
            "title": "Stuttering and neurodiversity: A question of ableism or anti-ableism? One central premise: The person who stutters",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "M.",
                    "lastName": "Vanryckeghem"
                }
            ],
            "abstractNote": "Purpose The purpose of this position statement is to lay the foundation for an open-minded discourse by embracing neurodiversity in assessment and treatment of the person who stutters and to bring attention to the central premise: the person who stutters. Method A reflection on recent publications and conference presentations that discuss an unnuanced and narrow-minded ableist versus anti-ableist approach to the assessment and treatment of people who stutter. Many of those are not data-bound and lead to confusion and a perception of professional failure, certainly among junior speech-language pathologists. Conclusions This is an appeal for a discussion of what is being portrayed as opposing approaches to the clinical management of people who stutter. Starting with a solid operational definition, an open-minded discourse needs to take place aiming for a balanced, client-centered approach that respects the aspiration of the individual who stutters and supports their self-defined goals. This is an appeal to reclaim the middle ground where acceptance and change are not mutually exclusive, and therapeutic practice is guided by autonomy, inclusivity, and shared decision-making.Copyright © 2025 Elsevier Inc.",
            "publicationTitle": "Journal of Fluency Disorders",
            "publisher": "",
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            "date": "2026",
            "volume": "87",
            "issue": "",
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            "pages": "106188",
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            "tags": [
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                    "tag": "*disability discrimination"
                },
                {
                    "tag": "*discourse analysis"
                },
                {
                    "tag": "*neurodiversity"
                },
                {
                    "tag": "*stuttering"
                },
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                    "tag": "article"
                },
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                    "tag": "attention"
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                    "tag": "conceptual framework"
                },
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                    "tag": "confusion"
                },
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                    "tag": "evidence based practice"
                },
                {
                    "tag": "fluency disorder"
                },
                {
                    "tag": "human"
                },
                {
                    "tag": "perception"
                },
                {
                    "tag": "personal experience"
                },
                {
                    "tag": "publication"
                },
                {
                    "tag": "shared decision making"
                },
                {
                    "tag": "speech language pathologist"
                },
                {
                    "tag": "thinking"
                }
            ],
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                "ARVB2FTJ"
            ],
            "relations": {},
            "dateAdded": "2026-02-26T16:42:02Z",
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            "creatorSummary": "Wenzel",
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        "data": {
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            "version": 4104,
            "itemType": "journalArticle",
            "title": "Activation of the brain areas with verbal fluency tasks while utilizing Functional Near-Infrared Spectroscopy (fNIRS)",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Benjamin",
                    "lastName": "Wenzel"
                }
            ],
            "abstractNote": "Verbal fluency has been a task in neuropsychological assessments to develop a comprehensive cognitive profile, identify impairments, and assist in differential diagnosis. The verbal fluency tasks are separated into two seemingly similar tasks, but each has been associated with different brain regions. Phonemic fluency, which involves naming as many words that start with a specific letter, is more closely associated with the frontal lobe, and semantic fluency, which involves naming as many things that belong within the same conceptual category, is more closely associated with the temporal lobe. Meanwhile, functional Near-Infrared Spectroscopy (fNIRS) is a relatively newer, less expensive, and more portable method for imaging the brain, offering increased spatial and temporal resolution compared to functional magnetic resonance imaging (fMRI) or electroencephalogram (EEG). The present study aims to investigate the differences in brain activation between phonemic and semantic fluency tasks using fNIRS. Thirteen undergraduate and graduate participants completed three phonemic and three semantic fluency tasks while undergoing fNIRS monitoring of the left temporal and frontal lobes. The results obtained using a General Linear Model revealed significant differences for specific channels in phonemic and semantic tasks when compared to each other and to a baseline. A binary logistic regression approached significance, but after a Bonferroni correction, it resulted in non-significant results. (PsycInfo Database Record (c) 2026 APA, all rights reserved)",
            "publicationTitle": "Dissertation Abstracts International: Section B: The Sciences and Engineering",
            "publisher": "",
            "place": "",
            "date": "2026",
            "volume": "87",
            "issue": "4-B",
            "section": "",
            "partNumber": "",
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            "language": "English",
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            "tags": [
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                    "tag": "*College Students"
                },
                {
                    "tag": "*Functional Magnetic Resonance Imaging"
                },
                {
                    "tag": "*Graduate Students"
                },
                {
                    "tag": "*Spectroscopy"
                },
                {
                    "tag": "*Verbal Fluency"
                },
                {
                    "tag": "Health & Mental Health Treatment & Prevention [3300]"
                },
                {
                    "tag": "Human Adulthood (18 yrs & older)"
                },
                {
                    "tag": "Human Experimental Psychology [2300]"
                },
                {
                    "tag": "Verbal fluency tasks"
                },
                {
                    "tag": "functional magnetic resonance imaging"
                },
                {
                    "tag": "functional near-infrared spectroscopy"
                },
                {
                    "tag": "undergraduate & graduate participants"
                }
            ],
            "collections": [
                "3JBXXMA6"
            ],
            "relations": {},
            "dateAdded": "2026-02-26T16:42:02Z",
            "dateModified": "2026-02-26T16:42:02Z"
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    },
    {
        "key": "FZCMEJPC",
        "version": 4110,
        "library": {
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            "creatorSummary": "Togluk and Aktu",
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            "version": 4110,
            "itemType": "journalArticle",
            "title": "The effect of cognitive behavioral therapy-based practices on social anxiety and stuttering severity in children who stutter",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "S.",
                    "lastName": "Togluk"
                },
                {
                    "creatorType": "author",
                    "firstName": "Y.",
                    "lastName": "Aktu"
                }
            ],
            "abstractNote": "Purpose Children who stutter (CWS) often face communication challenges in social settings, which may lead to increased social anxiety and exacerbate stuttering severity. This pilot study examines the effectiveness of cognitive behavioral therapy (CBT)-based interventions in reducing social anxiety and stuttering severity among CWS. Methods This pilot study employed a one-group pretest-posttest experimental design without a control group. Seventeen children aged 7-12 from a low socioeconomic area in Southeastern Turkiye participated in an eight-week CBT-based program that included cognitive restructuring, exposure tasks, and homework. Data were analyzed using Linear Mixed Effects Models (LMM), with CBT intervention defined as a fixed effect and individual variation as a random effect. Separate LMM analyses were conducted for social anxiety and stuttering severity. Results The LMM results revealed statistically significant reductions in both social anxiety and stuttering severity following the CBT-based intervention. Baseline levels of social anxiety and stuttering severity significantly predicted follow up outcomes, and the intervention led to meaningful decreases across both measures. Conclusion As a pilot study, these results highlight the potential of CBT-based interventions to reduce both social anxiety and stuttering severity in CWS. These results point to the potential utility of individualized early intervention strategies, including psychiatric nursing practices, within clinical and educational contexts to address the multifaceted nature of developmental stuttering.Copyright © 2025 Elsevier Inc.",
            "publicationTitle": "Journal of Fluency Disorders",
            "publisher": "",
            "place": "",
            "date": "2026",
            "volume": "87",
            "issue": "",
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            "partNumber": "",
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            "pages": "106192",
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            "DOI": "10.1016/j.jfludis.2025.106192",
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            "url": "https://www.sciencedirect.com/science/journal/0094730X https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emexb&NEWS=N&AN=2042273455",
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            "tags": [
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                    "tag": "*cognitive behavioral therapy"
                },
                {
                    "tag": "*social anxiety"
                },
                {
                    "tag": "*stuttering/th [Therapy]"
                },
                {
                    "tag": "Turkey (republic)"
                },
                {
                    "tag": "article"
                },
                {
                    "tag": "child"
                },
                {
                    "tag": "clinical article"
                },
                {
                    "tag": "clinical effectiveness"
                },
                {
                    "tag": "cognitive restructuring"
                },
                {
                    "tag": "disease severity"
                },
                {
                    "tag": "early intervention"
                },
                {
                    "tag": "experimental design"
                },
                {
                    "tag": "female"
                },
                {
                    "tag": "follow up"
                },
                {
                    "tag": "human"
                },
                {
                    "tag": "male"
                },
                {
                    "tag": "pediatric patient"
                },
                {
                    "tag": "pilot study"
                },
                {
                    "tag": "rating scale"
                }
            ],
            "collections": [
                "ARVB2FTJ"
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            "relations": {},
            "dateAdded": "2026-02-26T16:42:01Z",
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        }
    },
    {
        "key": "3GX2FYGD",
        "version": 4105,
        "library": {
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            "creatorSummary": "Soares et al.",
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        "data": {
            "key": "3GX2FYGD",
            "version": 4105,
            "itemType": "journalArticle",
            "title": "Quality of life in preschoolers who stutter and do not stutter: An exploratory study",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "E. Q. W.",
                    "lastName": "Soares"
                },
                {
                    "creatorType": "author",
                    "firstName": "D. B. D.",
                    "lastName": "Oliveira e Britto"
                },
                {
                    "creatorType": "author",
                    "firstName": "S. M. A.",
                    "lastName": "Lemos"
                }
            ],
            "abstractNote": "This study aimed to assess the quality of life of children aged 2-who stutter and who do not stutter. We compared the quality-of-life scores between the two groups and analysed the relationship between their scores and sociodemographic data. We conducted a cross-sectional observational analytical study utilising a non-probabilistic convenience sample of 74 children in the specified age range. Data were collected using structured interviews (sample characterisation script), the Brazilian Economic Classification Criteria, and the Pediatric Questionnaire on Quality of Life (Generic Version 4.0). The Stuttering Severity Instrument (SSI-4) was used to classify the severity of stuttering. The collected data underwent descriptive, associative, and multivariate analyses. Association analyses were conducted between the dimensions of quality of life and total quality of life and the variables socioeconomic background, age, gender, family history of recovered and persistent stuttering, maternal education, and child education, as well as between stuttering severity and quality of life scores. No significant association was found between quality of life and stuttering as perceived by parents. Additionally, no association was observed between stuttering severity and quality of life in children with a confirmed diagnosis of stuttering. Therefore, the impact of stuttering on the quality of life appears to be unrelated to the onset of symptoms but, more likely, to negative communicative experiences during its development.Copyright © 2026 Elsevier Inc.",
            "publicationTitle": "Journal of Fluency Disorders",
            "publisher": "",
            "place": "",
            "date": "2026",
            "volume": "87",
            "issue": "",
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            "pages": "106191",
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            "tags": [
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                {
                    "tag": "*stuttering/dm [Disease Management]"
                },
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                    "tag": "Brazil"
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                    "tag": "education"
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                },
                {
                    "tag": "female"
                },
                {
                    "tag": "gender"
                },
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                {
                    "tag": "major clinical study"
                },
                {
                    "tag": "male"
                },
                {
                    "tag": "mother"
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                    "tag": "multivariate analysis"
                },
                {
                    "tag": "observational study"
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                {
                    "tag": "outcome assessment"
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                {
                    "tag": "parent"
                },
                {
                    "tag": "preschool child"
                },
                {
                    "tag": "questionnaire"
                },
                {
                    "tag": "sociodemographics"
                },
                {
                    "tag": "socioeconomic background"
                },
                {
                    "tag": "structured interview"
                },
                {
                    "tag": "tertiary education"
                }
            ],
            "collections": [
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            "dateAdded": "2026-02-26T16:42:01Z",
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            "creatorSummary": "Sen and Kocabiyik",
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            "itemType": "journalArticle",
            "title": "Comparison of Fear of Missing Out (FoMO) in Adults with and without Stuttering: Exploring the Relationship between FoMO and Psychological Resilience",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "V.",
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                {
                    "creatorType": "author",
                    "firstName": "N. A.",
                    "lastName": "Kocabiyik"
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            ],
            "abstractNote": "Fear of Missing Out (FoMO) refers to the anxiety of missing potential experiences or opportunities. This study examined FoMO levels between people who stutter (PWS) and people who do not stutter (PWNS), explored the relationship between FoMO and psychological resilience in PWS and PWNS, and assessed the influence of age and gender on FoMO. The sample of this study consisted of 145 adults, including 65 PWS, 80 PWNS. Data were collected using a Personal Information Form, the Fear of Missing Out Scale for University Students, and the Brief Resilience Scale (BRS). Analyses were conducted using IBM SPSS 26.0 with a multivariate Generalized Linear Model (GLM) and correlation analyses. PWS scored significantly higher in the social dimension of FoMO, suggesting that PWS may experience greater anxiety about missing out in social contexts compared to PWNS. No significant differences were found between PWS and PWNS in terms of their total or private FoMO scores. Age and gender did not significantly affect FoMO scores. In contrast, PWS exhibited significantly lower psychological resilience compared to PWNS. While age had no significant impact on resilience, gender showed a significant effect on resilience in both groups. Men had significantly higher levels of psychological resilience than women. Additionally, a negative correlation was observed between FoMO and psychological resilience in both groups, suggesting that higher FoMO is associated with lower resilience. These results underscore the importance of addressing social challenges faced by PWS and enhancing psychological resilience through targeted psychosocial interventions. Promoting inclusive social participation may help mitigate FoMO-related anxiety and improve overall well-being in PWS.Copyright © 2025 Elsevier Inc.",
            "publicationTitle": "Journal of Fluency Disorders",
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            "tags": [
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                    "tag": "*fear of missing out"
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                    "tag": "*psychological resilience"
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                    "tag": "Brief Resilience Scale"
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                    "tag": "shyness"
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                    "tag": "social inclusion"
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                    "tag": "social interaction"
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        "data": {
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            "itemType": "journalArticle",
            "title": "Brain stimulation in stuttering: Participant experiences with transcranial Direct Current Stimulation (tDCS)",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "F.",
                    "lastName": "Ocak"
                },
                {
                    "creatorType": "author",
                    "firstName": "O.",
                    "lastName": "Oguz"
                }
            ],
            "abstractNote": "There is growing interest in non-invasive brain stimulation techniques such as transcranial direct current stimulation (tDCS) in stuttering therapy. However, limited information is available on how such innovative interventions are perceived by target participants. The aim of this study was to qualitatively examine the acceptability and social validity of tDCS in individuals with developmental stuttering in the context of participants' experiences and perceptions of the intervention process and changes in their social lives. The study was based on semi-structured interviews with 10 adults with developmental stuttering who had previously participated in the active tDCS stimulation group. Data were analyzed using inductive thematic analysis. Five main themes were identified: (1) reasons for participation; (2) perception of the intervention and emotional responses; (3) experiences related to the intervention process; (4) perceived effects of tDCS and (5) recommendations for the future. Participants reported temporary fluency improvements and increased self-confidence, emphasizing that the intervention was generally manageable and acceptable. These subjective evaluations offer insight into how tDCS was experienced without implying clinical efficacy. Results should be interpreted with caution, as interviews were conducted without blinding and responses may have been influenced by social desirability or complicity bias. Importantly, despite prior quantitative measurements from the same intervention showing no significant objective improvements in speech fluency, participants still described positive subjective experiences. This contrast between quantitative outcomes and experiential reports highlights the importance of incorporating individuals' perceptions into evaluations of novel therapeutic approaches. Participants' hopes and suggestions provide valuable guidance for future developments in the field.Copyright © 2025 Elsevier Inc.",
            "publicationTitle": "Journal of Fluency Disorders",
            "publisher": "",
            "place": "",
            "date": "2026",
            "volume": "87",
            "issue": "",
            "section": "",
            "partNumber": "",
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            "pages": "106187",
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            "url": "https://www.sciencedirect.com/science/journal/0094730X https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emexb&NEWS=N&AN=2041720928 http://KN8RY7HD6Q.search.serialssolutions.com/?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:emexb&rft.genre=article&rft_id=info:doi/10.1016%2Fj.jfludis.2025.106187&rft_id=info:pmid/41380503&rft.issn=0094-730X&rft.volume=87&rft.issue=&rft.spage=106187&rft.pages=&rft.date=2026&rft.jtitle=Journal+of+Fluency+Disorders&rft.atitle=Brain+stimulation+in+stuttering%3A+Participant+experiences+with+transcranial+Direct+Current+Stimulation+%28tDCS%29&rft.aulast=Ocak",
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            "tags": [
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                    "tag": "*patient attitude"
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                {
                    "tag": "*patient experience"
                },
                {
                    "tag": "*social environment"
                },
                {
                    "tag": "*stuttering/th [Therapy]"
                },
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                    "tag": "*transcranial direct current stimulation"
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                    "tag": "article"
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                    "tag": "clinical article"
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                    "tag": "emotion"
                },
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                    "tag": "female"
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                {
                    "tag": "human"
                },
                {
                    "tag": "interpersonal communication"
                },
                {
                    "tag": "male"
                },
                {
                    "tag": "motivation"
                },
                {
                    "tag": "neurophysiology"
                },
                {
                    "tag": "patient expectation"
                },
                {
                    "tag": "patient participation"
                },
                {
                    "tag": "phenomenology"
                },
                {
                    "tag": "pilot study"
                },
                {
                    "tag": "psychological aspect"
                },
                {
                    "tag": "randomized controlled trial"
                },
                {
                    "tag": "self concept"
                },
                {
                    "tag": "semi structured interview"
                },
                {
                    "tag": "social desirability"
                },
                {
                    "tag": "speech"
                },
                {
                    "tag": "thematic analysis"
                },
                {
                    "tag": "young adult"
                }
            ],
            "collections": [
                "ARVB2FTJ"
            ],
            "relations": {},
            "dateAdded": "2026-02-26T16:42:01Z",
            "dateModified": "2026-02-26T16:42:01Z"
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    },
    {
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            "creatorSummary": "Moein et al.",
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        "data": {
            "key": "GKQXE652",
            "version": 4111,
            "itemType": "journalArticle",
            "title": "The effect of transcranial direct current stimulation on reading adaptation in adults who stutter",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "N.",
                    "lastName": "Moein"
                },
                {
                    "creatorType": "author",
                    "firstName": "C.",
                    "lastName": "Nguyen"
                },
                {
                    "creatorType": "author",
                    "firstName": "D.",
                    "lastName": "Cheyne"
                },
                {
                    "creatorType": "author",
                    "firstName": "L.",
                    "lastName": "De Nil"
                }
            ],
            "abstractNote": "Background The reading adaptation effect in stuttering refers to decreased stuttering frequency during repeated readings. This study investigated whether anodal transcranial direct current stimulation (tDCS) over the left primary motor cortex (M1) enhances reading adaptation in adults who stutter. Methods Two consecutive studies were conducted. Study 1 was a randomized, double-blind, sham-controlled trial with twenty adults who stutter (14 males, 6 females) assigned to either an anodal tDCS (2 mA, 20 min) or a sham stimulation group. Participants read a passage five times during stimulation. Study 2 was an exploratory secondary single-case analysis of data from six participants (5 males, 1 female) who demonstrated measurable stuttering during reading ('1 % syllables stuttered) in Study 1. Reading adaptation was quantified as percentage reduction in stuttering frequency from first to fifth reading trial. Results Study 1 showed no statistically significant difference in reading adaptation between anodal and sham groups (Mann-Whitney U = 30, p = 0.137), though a moderate effect size (r = 0.34) suggested a potentially meaningful difference. Study 2 revealed variable individual responses, with three participants showing greater reading adaptation under anodal stimulation and three showing greater adaptation under sham stimulation. Conclusions Anodal tDCS over the left M1 did not consistently enhance reading adaptation in adults who stutter, suggesting that the relationship between M1 excitability and reading adaptation is more complex than hypothesized. Future research should investigate alternative neural targets, stimulation parameters, and individual differences in stuttering severity to better understand the effects of neuromodulation on speech motor adaptation in speech disorders.Copyright © 2026. Published by Elsevier Inc.",
            "publicationTitle": "Journal of Fluency Disorders",
            "publisher": "",
            "place": "",
            "date": "2026",
            "volume": "87",
            "issue": "",
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            "pages": "106195",
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                    "tag": "*stuttering/di [Diagnosis]"
                },
                {
                    "tag": "*stuttering/th [Therapy]"
                },
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                    "tag": "*transcranial direct current stimulation"
                },
                {
                    "tag": "adult"
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                    "tag": "burn"
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                    "tag": "clinical article"
                },
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                    "tag": "controlled study"
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                    "tag": "disease severity"
                },
                {
                    "tag": "double blind procedure"
                },
                {
                    "tag": "electric field"
                },
                {
                    "tag": "fatigue"
                },
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                    "tag": "female"
                },
                {
                    "tag": "headache"
                },
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                    "tag": "human"
                },
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                    "tag": "informed consent"
                },
                {
                    "tag": "male"
                },
                {
                    "tag": "motor learning"
                },
                {
                    "tag": "neuromodulation"
                },
                {
                    "tag": "primary motor cortex"
                },
                {
                    "tag": "product vigilance"
                },
                {
                    "tag": "pruritus"
                },
                {
                    "tag": "randomized controlled trial"
                },
                {
                    "tag": "social adaptation"
                },
                {
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                }
            ],
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            ],
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    {
        "key": "V33794N6",
        "version": 4109,
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            "creatorSummary": "Lei",
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        "data": {
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            "title": "Stuttering in daily life: An ecological momentary assessment",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Xiaofan",
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            ],
            "abstractNote": "The stuttering severity of an individual who stutters varies from situations to situations and from day to day. Stuttering variation is a source of frustration for many adults who stutter (AWS). However, very few studies investigated how stuttering severity varies together with emotions, i.e., Positive and Negative Affect (PA/NA), social anxiety, within individual AWS in daily situations outside of a lab. Therefore, the current dissertation consists of a pilot study and a three-part original study. The pilot study tested the ecological momentary assessment (EMA) study design and data analysis methods through investigating: (a) whether AWS' self-reported emotions (NA/PA) during social interactions were associated with self-reported momentary stuttering severity both within- and between-individuals, and (b) whether within- and between-person associations between stuttering severity and emotions (NA/PA) differed in magnitude and/or direction. AWS (n = 9) were compliant during 21 days of measurement, finishing about 66% of all the momentary surveys. The first part of the main EMA study investigated the experience of stuttering in everyday life among AWS, and how is that experience shaped by personal (i.e., trait social anxiety) and situational factors (i.e., social partner reaction, communication channel type, social closeness, stuttering knowledge). Results indicated that having high (vs. low) trait social anxiety was associated with a tendency to experience high NA, low PA, and high self-reported stuttering severity among AWS. A range of situational factors also significantly influenced the within- person variation of NA, PA, and self-reported stuttering severity in everyday life. The second part of the main EMA study investigated the association between social anxiety and stuttering severity among AWS at between- and within-person levels of analysis. At the between-person level, percent syllables stuttered (%SS) and person mean Self-Reported Stuttering Severity (iSRSS) were both significantly correlated with trait social anxiety, but not above and beyond the effects of neuroticism, extraversion, the overall impact of stuttering, and avoidance behaviors. At the within-person level, when AWS self-reported to stutter more than they usually do on average, they also tended to exhibit higher levels of social anxiety than they usually did, regardless of the amount of avoidance behaviors exhibited at those moments. The within-person effect between stuttering severity and social anxiety was also significantly mediated by avoidance behaviors. The third part of the main EMA study examined how AWS' stuttering severity varied from one day to the next and whether the use of speech techniques influenced such day-to-day variation. The study had two main findings. First, the autoregressive effects for both the daily average self-reported stuttering severity (SRSS) and speech techniques were statistically significant, which suggested that the day-to-day variation for the two variables had carryovers from the previous day. Second, the cross-lagged effect was statistically significant for the previous days' use of speech techniques to the next day's daily average SRSS, but not the other way around. In other words, when individuals used more speech management techniques than usual, they tended to exhibit higher, rather than reduced, levels of stuttering than usual on the subsequent day as well. Together, the current dissertation provided data to the momentary and daily variation of stuttering severity and emotions among AWS in daily life. (PsycInfo Database Record (c) 2025 APA, all rights reserved)",
            "publicationTitle": "Dissertation Abstracts International: Section B: The Sciences and Engineering",
            "publisher": "",
            "place": "",
            "date": "2026",
            "volume": "87",
            "issue": "3-B",
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            "tags": [
                {
                    "tag": "*Ecological Momentary Assessment"
                },
                {
                    "tag": "*Social Anxiety"
                },
                {
                    "tag": "*Social Interaction"
                },
                {
                    "tag": "*Stuttering"
                },
                {
                    "tag": "Ecological momentary assessment"
                },
                {
                    "tag": "Health & Mental Health Treatment & Prevention [3300]"
                },
                {
                    "tag": "Human Adulthood (18 yrs & older)"
                },
                {
                    "tag": "Physiological Psychology & Neuroscience [2500]"
                },
                {
                    "tag": "social anxiety"
                },
                {
                    "tag": "social interactions"
                },
                {
                    "tag": "stuttering"
                }
            ],
            "collections": [
                "ARVB2FTJ"
            ],
            "relations": {},
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    },
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            "itemType": "journalArticle",
            "title": "Content validity of AI-generated stuttering assessment and intervention programs based on expert review: A comparative analysis across age groups and language versions",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "A. N.",
                    "lastName": "Kocak"
                },
                {
                    "creatorType": "author",
                    "firstName": "M. B.",
                    "lastName": "Arslan"
                }
            ],
            "abstractNote": "Purpose This study aimed to evaluate the content validity and inter-rater reliability of stuttering assessment and intervention programs generated by artificial intelligence (GPT-4) in both Turkish and English for preschool, school-age, and adult populations. It also examined whether linguistic or cultural differences affected expert evaluations. Methods Twelve AI-generated programs (six in Turkish, six in English) were reviewed by twelve certified speech-language pathologists specializing in fluency disorders. Each item was rated using a 5-point Likert scale. Descriptive statistics, Cronbach's Alpha, and Intraclass Correlation Coefficients (ICC) were calculated to assess consistency and reliability. Results The majority of items were rated as appropriate or highly appropriate (M = 4.6-4.9). The overall reliability among raters was poor (ICC = 0.45), while single-rater reliability was higher (ICC = 0.65). Only a small number of items were flagged for revision, typically involving emotional or contextual components. Experts noted that English versions tended to be more detailed and literature-consistent, whereas certain Turkish terms required clearer cultural adaptation. Conclusion GPT-4 can produce clinically relevant and linguistically accurate stuttering materials when paired with expert review. However, human validation remains essential to refine affective and culture-specific elements. These findings support the integration of AI-assisted tools in multilingual clinical content development.Copyright © 2025 Elsevier Inc.",
            "publicationTitle": "Journal of Fluency Disorders",
            "publisher": "",
            "place": "",
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            "volume": "87",
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                },
                {
                    "tag": "*groups by age"
                },
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                    "tag": "*language"
                },
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                    "tag": "*stuttering/di [Diagnosis]"
                },
                {
                    "tag": "Cronbach alpha coefficient"
                },
                {
                    "tag": "Likert scale"
                },
                {
                    "tag": "Turk (people)"
                },
                {
                    "tag": "adult"
                },
                {
                    "tag": "article"
                },
                {
                    "tag": "child"
                },
                {
                    "tag": "controlled study"
                },
                {
                    "tag": "correlation coefficient"
                },
                {
                    "tag": "cultural factor"
                },
                {
                    "tag": "developmental stage"
                },
                {
                    "tag": "female"
                },
                {
                    "tag": "human"
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                {
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                    "tag": "speech language pathologist"
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                "name": "Philippe Dodin",
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            "creatorSummary": "Gattie",
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        "data": {
            "key": "YW2E85PC",
            "version": 4112,
            "itemType": "journalArticle",
            "title": "The role of misidentification of own voice in persistent developmental stuttering",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Maxwell C.",
                    "lastName": "Gattie"
                }
            ],
            "abstractNote": "Production and perception of speech are inextricably linked, however there has been very little research of how we hear our own voices, or if all of us perceive our own speech in the same way. This thesis proposes that own voice is identified through coincidence detection between auditory and vibratory transmission (H1), and that own voice is identified atypically in people with developmental stuttering (H2). The proposals were investigated through electrophysiological study of the brain's response to auditory-vibratory stimuli. The central finding was that participants who stuttered required vibratory stimuli to be delivered at a level that would correspond to speaking twice as loudly as participants who did not stutter in order to elicit the same level of electrophysiological response, supporting both H1 and H2 through inference to the best explanation.The central finding was supported by review work and further original research. A scoping review of own voice identification summarised 257 studies in research areas including physiology, acoustics, auditory scene analysis, control theory, voice discrimination, language and psychology. Additional electrophysiological work found a sex difference in the timing of the brain's response to vibratory stimuli, and provided pilot data for a study on shielding of electromagnetic transducers. Heterogeneity of stuttering was investigated through a systematic review of epidemiological studies, providing an insight to how stuttering could be subtyped for a more systematic investigation of how own voice is processed.This thesis provides the ground work for a research programme establishing how own voice is identified as an ascending sensory stream, including genetic and developmental aspects thereof. The precise mechanism is proposed to depend upon the biomechanical properties of cilia in the inner ear, and apply to all vertebrates. Follow-up testing is outlined that would use animal models to achieve greater control of inner ear stimulation and more granular detail in the neurophysiological response data. (PsycInfo Database Record (c) 2025 APA, all rights reserved)",
            "publicationTitle": "Dissertation Abstracts International: Section B: The Sciences and Engineering",
            "publisher": "",
            "place": "",
            "date": "2026",
            "volume": "87",
            "issue": "3-B",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "No Pagination Specified",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "",
            "DOI": "",
            "citationKey": "",
            "url": "https://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=psyc26&AN=2026-84409-005",
            "accessDate": "",
            "PMID": "",
            "PMCID": "",
            "ISSN": "0419-4217",
            "archive": "APA PsycInfo",
            "archiveLocation": "2026-84409-005",
            "shortTitle": "",
            "language": "English",
            "libraryCatalog": "Ovid Technologies",
            "callNumber": "",
            "rights": "",
            "extra": "",
            "tags": [
                {
                    "tag": "*Electrophysiology"
                },
                {
                    "tag": "*Speech Perception"
                },
                {
                    "tag": "*Stuttering"
                },
                {
                    "tag": "*Voice"
                },
                {
                    "tag": "Health & Mental Health Treatment & Prevention [3300]"
                },
                {
                    "tag": "Human"
                },
                {
                    "tag": "Misidentification of own voice"
                },
                {
                    "tag": "Physiological Psychology & Neuroscience [2500]"
                },
                {
                    "tag": "auditory & vibratory transmission"
                },
                {
                    "tag": "persistent developmental stuttering"
                },
                {
                    "tag": "sex difference"
                }
            ],
            "collections": [
                "ARVB2FTJ"
            ],
            "relations": {},
            "dateAdded": "2026-02-26T16:41:58Z",
            "dateModified": "2026-02-26T16:41:58Z"
        }
    },
    {
        "key": "SD98U4K6",
        "version": 4101,
        "library": {
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            "id": 219844,
            "name": "Begaiement",
            "links": {
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                    }
                }
            },
            "creatorSummary": "Jacobs et al.",
            "parsedDate": "2026",
            "numChildren": 0
        },
        "data": {
            "key": "SD98U4K6",
            "version": 4101,
            "itemType": "journalArticle",
            "title": "Differential impacts of stuttering and stressful life events on the well-being of children: A comparative analysis",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "M. M.",
                    "lastName": "Jacobs"
                },
                {
                    "creatorType": "author",
                    "firstName": "C.",
                    "lastName": "Ellis"
                },
                {
                    "creatorType": "author",
                    "firstName": "P. M.",
                    "lastName": "Briley"
                }
            ],
            "abstractNote": "Purpose The purpose of this study was to expand upon contributors to negatively impacted well-being among children who stutter (CWS) by examining the outcomes of the Strengths and Difficulties Questionnaire (SDQ) and determining the influence of stuttering and stressful life events in children on negatively impacted well-being. Method Data from 6122 children aged 3-17 years in the 2022 National Health Interview Survey (NHIS) included parent-reported stuttering in the past 12 months, prior experiences of eight stressful life events (SLEs), and a 25-item Strengths and Difficulties Questionnaire (SDQ). Structural equation modeling (SEM) was used to determine if well-being was mediated by SLEs among CWS testing the hypothesis that SLEs exacerbate the negative influence of stuttering on well-being. Results Average SDQ total scores were higher for CWS compared to children who do not stutter (CWNS). CWS also had higher average SDQ subscale scores as well. After controlling for baseline differences, CWS had significantly higher SDQ total and subscale scores. With each additional SLE, the SDQ total and subscale scores increased as well, but interaction terms showed that the impact of SLEs did not differ between CWS and CWNS. Mediation analysis supported these findings indicating that less than 10 % of the direct effect of stuttering on well-being was mediated by SLEs. Conclusions Using the SDQ as a measure of well-being, this study showed that CWS experienced significantly more difficulties relative to CWNS and that these differences were not mediated by SLEs.Copyright © 2026 Elsevier Inc.",
            "publicationTitle": "Journal of Fluency Disorders",
            "publisher": "",
            "place": "",
            "date": "2026",
            "volume": "87",
            "issue": "",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "106196",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "",
            "DOI": "10.1016/j.jfludis.2026.106196",
            "citationKey": "",
            "url": "https://www.sciencedirect.com/science/journal/0094730X https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emexb&NEWS=N&AN=2042552538",
            "accessDate": "",
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            "PMCID": "",
            "ISSN": "0094-730X 1873-801X",
            "archive": "Embase Weekly Updates",
            "archiveLocation": "2042552538",
            "shortTitle": "",
            "language": "English",
            "libraryCatalog": "",
            "callNumber": "",
            "rights": "",
            "extra": "",
            "tags": [
                {
                    "tag": "*life stress"
                },
                {
                    "tag": "*stuttering"
                },
                {
                    "tag": "*wellbeing"
                },
                {
                    "tag": "adolescent"
                },
                {
                    "tag": "anxiety"
                },
                {
                    "tag": "article"
                },
                {
                    "tag": "attention deficit hyperactivity disorder"
                },
                {
                    "tag": "child"
                },
                {
                    "tag": "cohabiting person"
                },
                {
                    "tag": "demographics"
                },
                {
                    "tag": "depression"
                },
                {
                    "tag": "descriptive research"
                },
                {
                    "tag": "disease exacerbation"
                },
                {
                    "tag": "false discovery rate"
                },
                {
                    "tag": "female"
                },
                {
                    "tag": "household"
                },
                {
                    "tag": "human"
                },
                {
                    "tag": "hyperactivity"
                },
                {
                    "tag": "lowest income group"
                },
                {
                    "tag": "major clinical study"
                },
                {
                    "tag": "male"
                },
                {
                    "tag": "married person"
                },
                {
                    "tag": "prosocial behavior"
                },
                {
                    "tag": "prospective study"
                },
                {
                    "tag": "strengths and difficulties questionnaire"
                },
                {
                    "tag": "structural equation modeling"
                }
            ],
            "collections": [
                "ARVB2FTJ"
            ],
            "relations": {},
            "dateAdded": "2026-02-26T16:41:58Z",
            "dateModified": "2026-02-26T16:41:58Z"
        }
    },
    {
        "key": "92DMLB4A",
        "version": 4104,
        "library": {
            "type": "group",
            "id": 219844,
            "name": "Begaiement",
            "links": {
                "alternate": {
                    "href": "https://www.zotero.org/groups/begaiement",
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                "href": "https://api.zotero.org/groups/219844/items/92DMLB4A",
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            "creatorSummary": "Delgado",
            "parsedDate": "2026",
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        },
        "data": {
            "key": "92DMLB4A",
            "version": 4104,
            "itemType": "journalArticle",
            "title": "Evaluating the effects of a treatment package on speech disfluencies in behavior analytic professionals during public speaking",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Melissa",
                    "lastName": "Delgado"
                }
            ],
            "abstractNote": "Fluent public speaking is a socially significant skill that impacts professional credibility, competence, and confidence, yet many individuals exhibit speech disfluencies such as fillers that detract from communication effectiveness. Prior research on habit reversal and awareness training has demonstrated effectiveness in reducing disfluencies. However, gaps remain regarding the efficiency, generality, and social validity of such interventions, particularly with behavior analysts in professional workplace settings. This study addressed these gaps by evaluating whether a treatment package consisting of a modified brief habit reversal (BHR) followed by post-training procedures (including pre-session feedback and differential reinforcement) could effectively reduce speech disfluencies during public speaking. A nonconcurrent multiple baseline design across three participants was used to evaluate the effects of the intervention. Participants were practicing Board Certified Behavior Analysts (BCBAs), fluent in English, and seeking to improve their public speaking skills. Data were collected remotely across baseline, BHR, post-training, and generalization probes. Data analysis included visual analysis and descriptive statistics for primary, secondary, and supplemental dependent variables. Findings demonstrated that speech disfluencies decreased systematically across all participants following the introduction of BHR, with further reductions and stabilization during post-training and generalization probes. Competing responses (CRs) increased during BHR, functioning as a temporary scaffold, and decreased once fluent speech was established for all participants. Supplemental measures indicated broader improvements in communication effectiveness, including greater conciseness, reductions in disfluent sentence starts, disfluency percentages, and repetition count. Social validity data confirmed the intervention was acceptable, effective, and meaningful to participants, with an external rater reporting improved fluency, confidence, and presentation quality. This study extends the existing literature by demonstrating that integrating BHR with antecedent and consequence interventions can produce rapid, durable, and socially valid improvements in speech fluency for professionals. Findings support the application of these interventions to strengthen public speaking competency in professional settings. (PsycInfo Database Record (c) 2025 APA, all rights reserved)",
            "publicationTitle": "Dissertation Abstracts International: Section B: The Sciences and Engineering",
            "publisher": "",
            "place": "",
            "date": "2026",
            "volume": "87",
            "issue": "3-B",
            "section": "",
            "partNumber": "",
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            "series": "",
            "seriesTitle": "",
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            "url": "https://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=psyc26&AN=2026-84407-174",
            "accessDate": "",
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            "ISSN": "0419-4217",
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            "archiveLocation": "2026-84407-174",
            "shortTitle": "",
            "language": "English",
            "libraryCatalog": "Ovid Technologies",
            "callNumber": "",
            "rights": "",
            "extra": "",
            "tags": [
                {
                    "tag": "*Behavior Therapy"
                },
                {
                    "tag": "*Differential Reinforcement"
                },
                {
                    "tag": "*Feedback"
                },
                {
                    "tag": "*Habits"
                },
                {
                    "tag": "*Mental Health Personnel"
                },
                {
                    "tag": "*Public Speaking"
                },
                {
                    "tag": "*Speech Language Pathology"
                },
                {
                    "tag": "*Treatment Effectiveness Evaluation"
                },
                {
                    "tag": "General Psychology [2100]"
                },
                {
                    "tag": "Health & Mental Health Treatment & Prevention [3300]"
                },
                {
                    "tag": "Human Adulthood (18 yrs & older)"
                },
                {
                    "tag": "Treatment package"
                },
                {
                    "tag": "behavior analytic professionals"
                },
                {
                    "tag": "modified brief habit reversal"
                },
                {
                    "tag": "pre-session feedback"
                },
                {
                    "tag": "public speaking"
                },
                {
                    "tag": "speech disfluencies"
                }
            ],
            "collections": [
                "3JBXXMA6"
            ],
            "relations": {},
            "dateAdded": "2026-02-26T16:41:57Z",
            "dateModified": "2026-02-26T16:41:57Z"
        }
    },
    {
        "key": "HGPECYZB",
        "version": 4114,
        "library": {
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            },
            "creatorSummary": "Alharbi et al.",
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        "data": {
            "key": "HGPECYZB",
            "version": 4114,
            "itemType": "journalArticle",
            "title": "Investigating Saudi secondary school teachers' knowledge of stuttering and experiences with adolescents who stutter",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "E.",
                    "lastName": "Alharbi"
                },
                {
                    "creatorType": "author",
                    "firstName": "S.",
                    "lastName": "Hewat"
                },
                {
                    "creatorType": "author",
                    "firstName": "J.",
                    "lastName": "Walters"
                },
                {
                    "creatorType": "author",
                    "firstName": "V.",
                    "lastName": "Tse"
                },
                {
                    "creatorType": "author",
                    "firstName": "R.",
                    "lastName": "Unicomb"
                }
            ],
            "abstractNote": "Purpose While numerous studies have evaluated primary school teachers' understanding of stuttering, the knowledge of secondary school teachers, particularly in Saudi Arabia, remains underexplored. This descriptive cross-sectional survey study aimed to assess the knowledge and experiences of Saudi Arabian secondary school teachers who were currently working with, or had previously worked with, adolescents who stutter. Method(s): A total of 90 Saudi Arabian secondary school teachers participated in an online survey divided into three sections. Section one collected participant demographic information. In the second section, the Arabic version of the Alabama Stuttering Knowledge Test was used to evaluate secondary school teachers' knowledge of stuttering. The third section, developed through a review of relevant literature, explored secondary school teachers' experience working with adolescents who stutter. Results The overall mean knowledge score was 13.73. Most participants expressed high confidence in their abilities to work with and support adolescents who stutter. Most participants did not believe that having adolescents who stutter in their classrooms affected their teaching style or their interactions with them. Participants utilised diverse approaches to promote inclusiveness in the classroom and support adolescents who stutter. Furthermore, most participants frequently rated the effectiveness of various strategies for managing stuttering in the classroom as \"very effective\". Conclusion Saudi Arabian secondary school teachers hold misconceptions about the causes of stuttering and lack collaboration with speech-language pathologists. This indicates a need for targeted training programmes to expand their knowledge and equip them with effective approaches to support adolescents who stutter in educational settings.Copyright © 2026 The Authors.",
            "publicationTitle": "Journal of Fluency Disorders",
            "publisher": "",
            "place": "",
            "date": "2026",
            "volume": "87",
            "issue": "",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "106193",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "",
            "DOI": "10.1016/j.jfludis.2026.106193",
            "citationKey": "",
            "url": "https://www.sciencedirect.com/science/journal/0094730X https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emexb&NEWS=N&AN=2042479642",
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            "shortTitle": "",
            "language": "English",
            "libraryCatalog": "",
            "callNumber": "",
            "rights": "",
            "extra": "",
            "tags": [
                {
                    "tag": "*Saudi"
                },
                {
                    "tag": "*high school"
                },
                {
                    "tag": "*knowledge"
                },
                {
                    "tag": "*school teacher"
                },
                {
                    "tag": "*stuttering"
                },
                {
                    "tag": "adult"
                },
                {
                    "tag": "article"
                },
                {
                    "tag": "cross-sectional study"
                },
                {
                    "tag": "demographics"
                },
                {
                    "tag": "descriptive research"
                },
                {
                    "tag": "female"
                },
                {
                    "tag": "human"
                },
                {
                    "tag": "male"
                }
            ],
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            "dateAdded": "2026-02-26T16:41:56Z",
            "dateModified": "2026-02-26T16:41:56Z"
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    },
    {
        "key": "BZG5436H",
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        "library": {
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            "creatorSummary": "Alateras et al.",
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        "data": {
            "key": "BZG5436H",
            "version": 4104,
            "itemType": "journalArticle",
            "title": "Development of a stand-alone eHealth treatment: iCamperdown",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "C.",
                    "lastName": "Alateras"
                },
                {
                    "creatorType": "author",
                    "firstName": "S.",
                    "lastName": "O'Brian"
                },
                {
                    "creatorType": "author",
                    "firstName": "M.",
                    "lastName": "Onslow"
                },
                {
                    "creatorType": "author",
                    "firstName": "A.",
                    "lastName": "Hearne"
                },
                {
                    "creatorType": "author",
                    "firstName": "B.",
                    "lastName": "Carey"
                },
                {
                    "creatorType": "author",
                    "firstName": "R.",
                    "lastName": "Menzies"
                },
                {
                    "creatorType": "author",
                    "firstName": "A.",
                    "lastName": "Packman"
                },
                {
                    "creatorType": "author",
                    "firstName": "R.",
                    "lastName": "Lowe"
                }
            ],
            "abstractNote": "Purpose eHealth treatments have been developed for a range of conditions. They provide an accessible, cost-effective, and convenient model for clients and families to access treatment. The aim of this paper is to provide details and results of user testing of an eHealth speech treatment for adults who stutter: iCamperdown. Method An iterative user-testing process was conducted using a think-aloud method and structured questionnaires. End users were adults who stutter and speech-language pathologists (SLPs). Results Based on user feedback, the program underwent several modifications. Changes made to the program included functional enhancements. These include automatic activation of audio instructions on each page to improve navigation, aesthetic modifications to improve acceptability such as rearranging of information, changes to instructions provided to users to improve clarity, and enhancing the quality of audio recordings to increase efficiency. Conclusion The iCamperdown program is now ready to be evaluated with a Phase I clinical trial, focussing on evaluating safety, compliance, and preliminary outcomes. Further clinical trialing could investigate baseline predictors and treatment moderators to identify which individuals are most likely to benefit from the program. iCamperdown has advantages and disadvantages, which we explore. We explore the prospect of automating iCamperdown with advanced machine learning techniques. Potentially, the iCamperdown Program for stuttering reduction, with translation into other world languages besides English, could be a transformative change to SLP practices internationally.Copyright © 2025 The Authors.",
            "publicationTitle": "Journal of Fluency Disorders",
            "publisher": "",
            "place": "",
            "date": "2026",
            "volume": "87",
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            "partTitle": "",
            "pages": "106189",
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            "seriesTitle": "",
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            "journalAbbreviation": "",
            "DOI": "10.1016/j.jfludis.2025.106189",
            "citationKey": "",
            "url": "https://www.sciencedirect.com/science/journal/0094730X https://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emexb&NEWS=N&AN=2041882799 http://KN8RY7HD6Q.search.serialssolutions.com/?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rfr_id=info:sid/Ovid:emexb&rft.genre=article&rft_id=info:doi/10.1016%2Fj.jfludis.2025.106189&rft_id=info:pmid/41418562&rft.issn=0094-730X&rft.volume=87&rft.issue=&rft.spage=106189&rft.pages=&rft.date=2026&rft.jtitle=Journal+of+Fluency+Disorders&rft.atitle=Development+of+a+stand-alone+eHealth+treatment%3A+iCamperdown&rft.aulast=Alateras",
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            "abstractNote": "The ability to accurately produce speech can be an indication of central nervous system integrity. Breakdowns in speech production can, therefore, be a first sign of a neurodegenerative condition. The fact that brain imaging demonstrates differences in both stutterers and clutterers supports the concept that fluency disorders may occur in those with neurodegenerative disorders. In addition to these differences in brain structure and/or function, studies suggest that cognitive factors like attention and memory may also play a role in presentation of stuttering in neurodegenerative disorders. All of these factors make knowledge of the characteristics of fluency disorders, the symptoms of neurodegenerative conditions, and the intersection of the two critical for speech-language clinicians to understand. Differential diagnosis between developmental, neurogenic, and psychogenic stuttering and between cluttering and palilalia are essential to make the most effective plan for treatment. Increased education about the additional fluency disorder of atypical dysfluency is necessary to aid in effective diagnosis. As more cases of dysfluency in neurodegenerative diseases are reported, more variability is demonstrated within this group alone. Time has shown that specific characteristics initially thought to distinguish neurogenic from developmental stuttering are not true in all cases. Additionally, what occurs in cases of dysfluency in neurodegenerative disorders may vary widely with the person, particular disease process, and stage of disease. As we examine case studies, we must consider that even in the most detailed reports, missing information might still be a factor in accurate diagnosis. It is possible that a study occurred before definitions of atypical dysfluency and cluttering were solidified. Consequently, what may actually be atypical dysfluency or cluttering may be described as apraxia or dysarthria. It is also unclear whether psychogenic versus neurogenic stuttering was ruled out in all cases, and whether dysfluency in general is under-identified due to the larger presence of other concomitant symptoms such as dysarthria and apraxia of speech. For this reason, case studies should serve as guides rather than as providing absolute diagnostic criteria. Treatment considerations for fluency disorders in neurodegenerative conditions will vary based upon the potential negative impact of the fluency disorder on a patient's communication and quality of life. Although some disorders may lead to loss of the ability to speak, strategies should be implemented as early as possible in the disease process to ensure that barriers to communicating with others are minimized. Additionally, due to findings in certain neurodegenerative diseases such as MS, medications to reduce inflammation may be a first line of treatment. Dealing with the root cause of the fluency disorder will help to either address psychogenic factors, medical factors and/or use of strategies for effective communication. (PsycInfo Database Record (c) 2026 APA, all rights reserved)",
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                    "firstName": "A.",
                    "lastName": "Popovic"
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                    "lastName": "Gillan"
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            "abstractNote": "Background: The etiologies and management of patients with stuttering priapism remain somewhat perplexing, with most cases being idiopathic, however the underlying molecular basis for some causes, such as sickle cell disease, is believed to be due to the depletion of nitric oxide and resulting dysfunction of cyclic guanosine monophosphate (cGMP)-induced vasodilation of corporal smooth muscle. We propose a potential mechanism for stuttering priapism in patients with obstructive sleep apnea (OSA) and report on patients with OSA and success (or lack thereof) in their management at our institution. Cases: A brief query of the institution's electronic medical record was performed from 01 January 2023 to 01 January 2024 through the use of an existing institutional review board approval, and a total of three patients were identified who were treated for stuttering/recurrent priapism with a pre-existing diagnosis of OSA or with high suspicion of OSA. Some of these patients noted a reduction in priapism episodes with improved control of their OSA through means such as continuous positive airway pressure (CPAP) machines. Conclusion(s): Obstructive sleep apnea may be a possible risk factor for stuttering priapism and thus should be considered by the clinician. It shares a similar mechanism to that of sickle cell disease's role in priapism: nitric oxide depletion and PDE5 (phosphodiesterase 5) downregulation resulting in intermittent, unregulated smooth muscle relaxation through non-nitric oxide pathways thus, this should be evaluated by the clinician.Copyright © 2025 The Author(s). Published by MRE Press.",
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            "volume": "21",
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                    "tag": "*obstructive sleep apnea/th [Therapy]"
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                    "tag": "*priapism/dt [Drug Therapy]"
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                },
                {
                    "tag": "preexisting condition"
                },
                {
                    "tag": "retrospective study"
                },
                {
                    "tag": "sildenafil/dt [Drug Therapy]"
                },
                {
                    "tag": "sleep study"
                },
                {
                    "tag": "snoring"
                },
                {
                    "tag": "testosterone/ec [Endogenous Compound]"
                },
                {
                    "tag": "trazodone/ae [Adverse Drug Reaction]"
                },
                {
                    "tag": "unspecified side effect/si [Side Effect]"
                },
                {
                    "tag": "urological surgical equipment"
                }
            ],
            "collections": [
                "3JBXXMA6"
            ],
            "relations": {},
            "dateAdded": "2026-02-26T16:41:53Z",
            "dateModified": "2026-02-26T16:41:53Z"
        }
    }
]