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KMID : 0921420090140020200
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Korean Journal of Communication Disorders
2009 Volume.14 No. 2 p.200 ~ p.211
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Comparing the Clinical Judgments of Stuttering Specialists to Stuttering Severity Rated by the Paradise-Fluency Assessment (P-FA)
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Lee Eun-Ju
Park Jeong-Hyun
Shin Moon-Ja
Sim Hyun-Sub
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Abstract
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Background & Objectives: The purpose of this study was to compare fluency specialists’ subjective clinical judgments of stuttering with objective severity, as rated by the Paradise-Fluency Assessment (P-FA). We aimed to provide a reference that would be of use in revising the P-FA.
Methods: Five fluency specialists were asked to judge the severity of stuttering of 36 people who stutter (i.e., 12 preschoolers, 12 school-age children, and 12 adults) on a four-point scale after watching video clips recording the participants’ utterances elicited by the P-FA items. Additionally, two different researchers rated the same 36 participants’ speech samples based on the P-FA.
Results: Findings showed high inter-rater agreement in clinical judgments of stuttering severity. Similarly, a high degree of intra-rater agreement was observed in clinical judgments across the two evaluations. However, the judges tended to report lower stuttering severity on the four-point scale compared to severity ratings calculated using the P-FA. No statistically significant relationship was found between the clinical judgments and the P-FA scores in the case of preschool children and adults. However, there was a statistically significant relationship for school-age children.
Discussion & Conclusion: These findings suggest guidelines for the revision of the P-FA. The data also provide a springboard for further discussion of stuttering assessment.
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KEYWORD
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Paradise-Fluency Assessment (P-FA), clinical judgments, fluency specialist
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