Using simplified regulated breathing with an adolescent stutterer: application of effective intervention in a residential context.
Simplified regulated breathing gives adolescents in residential care a fast, self-run tool that lowers stuttering.
01Research in Context
What this study did
Burack et al. (2004) worked with one 15-year-old boy who lived in a residential facility. The teen stuttered often, so the team taught him simplified regulated breathing (SRB).
They coached him to pause, take a gentle breath, and start speaking again. Sessions happened during normal cottage routines. Staff collected data before, during, and after training.
What they found
Stuttering dropped when the boy used SRB. Some days were better than others, but the overall trend was down.
The skill stayed with him while he lived at the facility. Variable days still showed improvement compared with baseline.
How this fits with other research
Clarke (1998) used a similar simplified habit-reversal package for a teen athlete. Both studies kept the core steps short and teen-friendly. The athlete also got a response-cost piece; the stutterer did not.
Fantino (1981) taught an adult to give himself a brief time-out from speaking after each stutter. That self-management tactic also cut stuttering, showing more than one behavioral path to fluency.
Richman et al. (2001) took the opposite route: parents delivered the Lidcombe program to preschoolers. Their positive results remind us that age and setting drive the choice of tool—SRB fits adolescents in care, while parent-led praise fits little kids at home.
Why it matters
If you serve teens in group homes or detention, stuttering can hurt peer relationships and self-esteem. SRB is quick to teach, needs no extra gear, and can fold into daily routines. Try adding it to your behavior plan when older clients show speech blocks. Track stutters per minute before and after you train the skill, and share the graph with the youth so he sees his own progress.
Want CEUs on This Topic?
The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.
Join Free →Pick one teen who stutters, teach the three-step SRB routine, and count stutters during lunch conversation for one week.
02At a glance
03Original abstract
Simplified regulated breathing (SRB) has been demonstrated to reduce or eliminate stuttering in children. However, much of the current research has evaluated the intervention with school-aged children within educational contexts. In the current case report, we extended the application of SRB by evaluating its effectiveness in treating stuttering displayed by a 15-year-old resident of a large midwestern residential facility. Further, we evaluated the impact across different assessment conditions. Results showed that SRB resulted in decreased stuttering for the participant, although differential effectiveness across conditions was noted. These results are discussed in terms of the generality of SRB across client populations and clinical settings, as well as the value of addressing contextual variables when treating stuttering.
Behavior modification, 2004 · doi:10.1177/0145445503259267