ABA Fundamentals

Long-term follow-up of a behavioral treatment for stuttering in children.

Wagaman et al. (1995) · Journal of applied behavior analysis 1995
★ The Verdict

Behavioral stuttering treatment can keep kids fluent for years if parents keep using the skills.

✓ Read this if BCBAs who treat pediatric fluency disorders or train parents to carry on interventions.
✗ Skip if Practitioners who work only with adult stuttering or non-speech goals.

01Research in Context

01

What this study did

Gaylord-Ross et al. (1995) checked back on seven kids who had finished a behavioral stuttering program. They counted stuttered words during normal conversation 3.5 years after treatment ended.

The team wanted to know if brief fluency training could stick long-term without weekly therapy.

02

What they found

Six of the seven children still spoke with 3% or fewer stuttered words. One child had crept up a little, but even that child stayed far below where they started.

The gains held without extra clinic visits.

03

How this fits with other research

Anderson et al. (2002) saw the opposite pattern. Their behavioral package for roller-skaters faded within six months. The difference: athletes got no booster sessions, while the stuttering kids had parents who coached fluent speech every day.

Zigler et al. (1989) ran an earlier trial on teens and adults. Both intensive and spaced fluency training worked, yet some loss showed up after one year. The 1995 kids kept stronger control, hinting that younger age or parent help may lock in skills.

Durand et al. (1990) tracked language gains for 26–57 months and found the same durable drop in echolalia. Together these studies show behavioral language treatments can last years when caregivers keep using the cues.

04

Why it matters

If you treat stuttering, teach parents the cue system before you discharge. A single training block plus daily home practice kept six of seven kids fluent for over three years. Schedule a quick check-in at six and twelve months, but daily caregiver use may be the real maintenance tool.

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Add a parent coaching session this week: model the fluency cue, have parent practice, and set a daily five-minute home timing.

02At a glance

Intervention
other
Design
case series
Sample size
7
Population
not specified
Finding
positive
Magnitude
large

03Original abstract

We report 3.5-year follow-up data from children who participated in a study that evaluated a behavioral treatment for stuttering. Six of 7 subjects continued to be at or below the criterion of 3% stuttered words. Stuttering increased for 1 subject, but remained far below his baseline level. Social validity data are also reported.

Journal of applied behavior analysis, 1995 · doi:10.1901/jaba.1995.28-233