csds 115 exam 4 Unit 5 componets of fluency assessment and guidelines in measuring disfluencies.

Describe each component of the fluency assessment

Background Information and Presenting Complaint; Case History, Parent-Child Interaction, Interview, Observation and Test Results, Summary and Prognosis, Recommendations

Case History

Demographic information, Parent/caregiver/client concerns/perceptions of the problem, problem Onset/development problem/Client's medical, family, school history/ Details about stuttering behaviors

Parent-Child Interaction

Provides more natural sample/Opportunity to see child's stuttering firsthand/Observe how parent+child interact/May be able to obtain larger, more representative sample

Interview

Opening phase, Content phase, Closing phase

Opening phase

approximately 2-4 minutes/Introduce yourself, explain purpose of visit + time frame, what's next

Content phase

"Body" or "Meat" of interview; Gather info, review case history, ask specific questions regarding dysfluencies kinds client is demonstrating, escape/avoidance behaviors, emotions towards stuttering

Closing phase

Summarize 3-5 major points (accept interruptions)/Tell them what's next/Ask if they have any questions/Thank you

Observation and Test Results

Hearing Screening/Orofacial Examination/Inclusive assessment practices - ABC's of stuttering/Stimulability

Summary and Prognosis

Differential Diagnosis

Recommendations

Post-assessment Counseling,Assessment

Affective

feelings like shame, fear

Behavioral

The specific speech behaviors exhibited prior to, during, and after a moment of stuttering

Cognitive Aspects: (thoughts, beliefs, and anticipations about stuttering, like avoiding situations or negative self-talk)

Obtaining Speech sample

size/number of samples depend on assessment purpose. first assessment, best have two samples: one clinic one client's typical environment. (preschool;homevideo),(school-age;school/home),(adult:therapy room/home/work)

Obtaining Reading sample

ensure the passage is at or below client's reading level. client's stuttering is likely to worsen when reading difficult passage; false impression of typical stuttering during reading

Assess the patterns of disfluencies

Frequency of disfluencies, Types of disfluencies

Understand the guidelines in measuring dysfluencies

multiple repetitions, single syllable word repetitions, multiple units of a phrase interjection, disfluencies separately when compounds, pauses, articulatory posture, duration, interjection, words preceding and following revisions

Record multiple repetitions of any kind as 1

"t-t-t-t-time" contains 4 repetitions of /t/, but counted as 1 part word repetition or "I was-I was going to say" contains 2 units of phrase repetition, but counted as 1 phrase repetition

Record single syllable word repetitions as 1

"we-we-we are going" contains 3 units of a single syllable word repetition, but counted as 1 word repetition

Record multiple units of a phrase interjection as 1

I had a you know-you know-you know- problem this morning contains 3 units of phrase interjection, but counted as 1 phrase interjection

Measure dysfluencies separately when they are compounded or chained

I want to -um want to-want to-to say" is a mixture of dysfluencies (2-unit phrase repetitions, an interjection, + a 2-unit word repetition), counts as 1 phrase repetition, 1 interjection, + one word repetition

Count all pauses that strike you as an undesirable duration of silence during speech is

a guideline in measuring disfluencies

If two audible disfluencies are separated by a pause, count all of them

"um (pause) um" contains two interjections + 1 pause

If there is no audible disfluency but there is a visible articulatory posture

usually involving some struggled or tensed oral movement, then count it as a silent prolongation

Record all sound prolongations as long as they are noticeable to you

a guideline in measuring disfluencies

Any pause or prolongation that is greater than 1 second is considered

abnormal

Measure the duration of 15 longest and 15 shortest disfluencies to

give a range of durations

Total number of words in sample must

also be calculated

Word count is based on

number of words or syllables that would have been spoken if person had been fluent

Interjection are counted as a disfluency, but

NOT added to the total word count, "The ba-ba-ba-baby is uh crying" contains 4 total words and 2 disfluencies

Words preceding and following revisions are counted

"The infant - the baby - is - has been crying" contains 8 total words and 2 revisions