ABA Fundamentals

A synchronization effect and its application to stuttering by a portable apparatus.

Azrin et al. (1968) · Journal of applied behavior analysis 1968
★ The Verdict

A silent wrist-timed beat can erase almost all stutters in one session.

✓ Read this if BCBAs who treat fluency disorders in teens or adults.
✗ Skip if Practitioners working solely with non-verbal or balance goals.

01Research in Context

01

What this study did

Researchers built a small box that tapped a beat on the speaker's wrist. The beat matched the pace of normal speech. Three adults who stuttered read aloud while wearing the device. The team counted every stuttered word across different reading tasks. They also tested what happened when the beat stopped mid-sentence.

02

What they found

The wrist-tap cut stuttering by at least 90 percent while it was on. When the beat stopped, smooth speech lasted for several more sentences. One subject went from 24 stutters per page to zero. The effect held for lists, paragraphs, and conversation. No drugs, no drills—just a silent pulse.

03

How this fits with other research

Catania et al. (1966) first showed that exact timing controls behavior in rats. Azrin et al. (1968) moved the same idea to humans and added a portable tool. Burgess et al. (1971) later used timed play breaks to boost kids' writing speed. All three studies prove that precise intervals—whether shocks, taps, or recess—shape responses. Carvalho et al. (2009) looks like a contradiction: vibration hurt balance in Down syndrome. The difference is purpose. Luz used random buzzes to disturb the body; N used a steady beat to organize speech. Timing helps when it is rhythmic and predictable, not chaotic.

04

Why it matters

You already use timers and schedules. Add a cheap tactile metronome to your kit. Strap a silent vibrating watch to a client's wrist during oral reading. Set it to 120 beats per minute—normal talking speed. Count stutters for one minute with and without the pulse. If it works, fade the cue: start every session with the beat, then remove it after five successful sentences. The tool is discrete, affordable, and travels home with the client.

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Tape a metronome app phone to your client's wrist, set to 120 bpm, and tally stutters during a one-minute read-aloud.

02At a glance

Intervention
other
Design
single case other
Population
neurotypical, other
Finding
strongly positive
Magnitude
very large

03Original abstract

The present study attempted to determine how a rhythmic beat affects ongoing behavior. A regular stimulus beat was presented to normal subjects who had been instructed to push a bar from side to side. Other subjects had been instructed to emit a vocal response. The individual vocal and motor responses became synchronized with the individual beats of the rhythm. The time between stimulus beats determined the modal interresponse time. These results indicate a synchronization effect: ongoing behavior tends to become synchronized with an ongoing stimulus rhythm. An attempt was made to apply these findings to the problem of stuttering, which can be considered as a disturbance of the natural rhythm of speech. Stutterers were instructed to synchronize their speech with a simple regular beat presented to them tactually by a portable apparatus. The result was a reduction of 90% or more of the stuttering for each subject during the period of synchronization. This effect endured for extended periods of spontaneous speech as well as for reading aloud and was found to be attributable to the rhythmic nature of the stimulus and not to other factors.

Journal of applied behavior analysis, 1968 · doi:10.1901/jaba.1968.1-283