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- Title
Applying the Transtheoretical Model to Stuttering Management Among Adolescents: Part II. Exploratory Scale Validation.
- Authors
Rodgers, Naomi H.; Gerlach, Hope; Paiva, Andrea L.; Robbins, Mark L.; Zebrowski, Patricia M.
- Abstract
Purpose: This article is the second in a two-part series on the application of the Transtheoretical Model to stuttering management among adolescents. The purpose of this article was to apply and explore the validity of newly developed Transtheoretical measures for adolescents who stutter. Method: The online survey was completed by a national sample of 173 adolescents who stutter between the ages of 13 and 21 years. The multipart survey included a Stage of Change scale, Decisional Balance scale, and Situational Self-Efficacy scale. Participants also completed the Overall Assessment of the Speaker’s Experience of Stuttering (OASES), either the teenage or adult version depending on the participant’s age, so preliminary construct validity of the new scales could be examined. Exploratory factor analyses were conducted to determine model fit and reduce the scales to the most meaningful items. External validity of the threepart survey was examined by comparing OASES scores across stage of change as well as evaluating the functional relations between the three scales. Results: Adolescents’ readiness to manage stuttering could be clearly described with five discrete stages, although most of the respondents reported being in the Maintenance stage. The pros of managing stuttering reliably predicted stage placement. Internal consistency of the scales ranged from good to excellent. OASES scores differed across stages of readiness in complex but predictable ways. Conclusions: These findings suggest that the Transtheoretical Model fits the target behaviors involved stuttering management among adolescents. Further examination of the application of the model to validate a stage-based framework for change among individuals who stutter is warranted.
- Subjects
STUTTERING; RESEARCH; RESEARCH evaluation; ANALYSIS of variance; RESEARCH methodology evaluation; MATHEMATICAL models; MULTIVARIATE analysis; SURVEYS; MULTITRAIT multimethod techniques; FUNCTIONAL assessment; TRANSTHEORETICAL model of change; RESEARCH funding; FACTOR analysis; THEORY; DESCRIPTIVE statistics; SCALE analysis (Psychology); STATISTICAL correlation; ADOLESCENCE
- Publication
American Journal of Speech-Language Pathology, 2021, Vol 30, p2510
- ISSN
1058-0360
- Publication type
Article
- DOI
10.1044/2021_AJSLP-21-00108