ABA Fundamentals

Reducing speech disfluencies during public speaking using brief habit reversal

Pawlik et al. (2020) · Journal of Applied Behavior Analysis 2020
★ The Verdict

A two-minute awareness-plus-silent-pause routine cuts speech disfluencies by more than half for most college speakers.

✓ Read this if BCBAs who train staff or students to speak in team meetings or classrooms.
✗ Skip if Clinicians working with speakers who have intellectual disability or severe anxiety as the main barrier.

01Research in Context

01

What this study did

Four college students wanted to stop saying “uh” and “um” during talks.

The trainer gave each student a two-minute lesson. First they watched a video of their own speech and counted the disfluencies. Then they learned one new move: pause in silence instead of filling space with sounds.

No long drills, no weeks of therapy—just awareness plus one competing response.

02

What they found

After the single lesson every student dropped disfluencies by more than half.

One student later gave a class presentation and stayed almost filler-free with no extra coaching.

03

How this fits with other research

Perrin et al. (2021) copied the same quick habit-reversal core but added a group prize if the whole class improved. Their drop was medium, not large, showing the extra contingency may water down the punch.

Kahng et al. (1999) tried bare-bones habit reversal on nail-biting in adults with intellectual disability and saw no change until they piled on prompts and rewards. Together the papers warn: brief works for typical adults, but add supports when the learner has ID or when you add group contingencies.

Jones et al. (1998) treated public-speaking dread with CBT plus voice therapy. Their client felt better; Pawlik’s students sounded better. The two studies sit side-by-side: use CBT for fear, use habit reversal for tics and fillers.

04

Why it matters

If you coach staff or clients who give short reports, you can kill most “uh” and “um” in under five minutes. Show the speaker a 30-second clip, have them count the fillers, then practice silent pauses. One rehearsal is often enough. Save your heavy artillery for other goals.

FREE CEUs

Get CEUs on This Topic — Free

The ABA Clubhouse has 60+ on-demand CEUs including ethics, supervision, and clinical topics like this one. Plus a new live CEU every Wednesday.

60+ on-demand CEUs (ethics, supervision, general)
New live CEU every Wednesday
Community of 500+ BCBAs
100% free to join
Join The ABA Clubhouse — Free →
→ Action — try this Monday

Film a 30-second clip of your learner’s talk, count the “uh”/“um” together, then have them practice one silent pause before the next sentence.

02At a glance

Intervention
behavioral skills training
Design
multiple baseline across participants
Sample size
4
Population
not specified
Finding
positive
Magnitude
large

03Original abstract

Recent research has evaluated the effects of brief habit reversal, consisting of either awareness training (AT) and competing response training (Mancuso & Miltenberger, 2016), or AT alone (Spieler & Miltenberger, 2017) in reducing speech disfluencies during public speaking. Although both formats of brief habit reversal reduced rates of speech disfluencies, results suggested that teaching a competing response (CR) may produce better outcomes. We aimed to replicate and extend those studies by evaluating the effects of AT and instructing the use of a CR (a silent pause) on rates of speech disfluencies and CRs during public speaking. Following training, all 4 participants demonstrated a reduction of speech disfluencies, and 1 participant demonstrated moderate levels of CRs when giving a speech in front of both a single experimenter and small audience. For 1 participant, generalized effects were demonstrated when presenting in front of a class.

Journal of Applied Behavior Analysis, 2020 · doi:10.1002/jaba.627