The practices and perspectives of Australian SLPs who treat adolescent and adult stuttering: a preliminary study

Speech language pathologists (SLPs) support adolescents and adults who stutter to ameliorate the negative impact that often occurs. Most research involving this population has focused on their lived experiences, treatment efficacy, and stuttering impact. There has been little exploration of SLP perspectives or experiences. This study investigates the practices, perceptions and confidence of SLPs who work with adolescents and adults who stutter and explores possible barriers and facilitators to successful treatment. In this qualitative study, six Australian SLPs who work with adolescents or adults who stutter were interviewed using a semi-structured interview approach. Data were analysed using interpretative phenomenological analysis. Analysis identified four themes: (1) working with adolescents and adults who stutter is complex and includes specific differences between the two age groups; (2) SLP confidence develops with experience and professional development, and can lead to tension between evidence-based practice and clinical judgement; (3) assessment, goal setting and treatment is individualised and should be client-directed; and (4) SLPs may not work with PWS due to experience, education or the complexity of stuttering. Insights into SLPs' practices and perspectives may assist in improving the efficiency and efficacy of treatment and future education of SLPs.