Phase I trial of a standalone internet social anxiety treatment for adolescents who stutter: iBroadway

Anthony Gunn, Ross G Menzies, Mark Onslow, Sue O'Brian, Ann Packman, Robyn Lowe, Fjóla Dögg Helgadóttir, Mark Jones

Research output: Contribution to journalArticleResearchpeer-review

Abstract

BACKGROUND: iGlebe is a fully automated internet treatment program for adults who stutter that has been shown, in some cases, to reduce anxiety and effectively manage social anxiety disorder for many participants. No such automated internet treatment program exists for adolescents who stutter.

AIMS: The present paper reports a Phase I trial of an adolescent version of the adult program: iBroadway.

METHODS & PROCEDURES: Participants were 29 adolescents in the age range 12-17 years who were seeking cognitive-behaviour therapy (CBT) for anxiety associated with stuttering. The design was a non-randomized Phase I trial with outcome assessments at pre-treatment and immediately post-treatment after 5 months of access to the program. No contact by a clinical psychologist occurred during participant use of the program. Outcomes were a range of psychological, quality-of-life and stuttering severity measures.

OUTCOMES & RESULTS: The compliance rate for the seven iBroadway modules over 5 months was extremely favourable for internet CBT, at 52.4%. There was evidence of treatment effects for (1) the number of DSM-IV mental health diagnoses with the Diagnostic Interview Schedule for Children; (2) the Unhelpful Thoughts and Beliefs About Stuttering scale; (3) the Subjective Units of Distress Scale; and (4) parent-reported speech satisfaction.

CONCLUSIONS & IMPLICATIONS: Further development of iBroadway, the adolescent version of iGlebe, with Phase II trialling is warranted.


This research was supported by the National Health and Medical Research Council of Australia (program grants 633007 and 1132370). 

Original languageEnglish
JournalInternational Journal of Language and Communication Disorders
DOIs
Publication statusE-pub ahead of print - 30 Jul 2019

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Internet
Anxiety
Stuttering
Cognitive Therapy
Psychology
Adolescent Development
Therapeutics
Organized Financing
Diagnostic and Statistical Manual of Mental Disorders
Biomedical Research
Appointments and Schedules
Mental Health
Quality of Life
Outcome Assessment (Health Care)
Interviews
Health
Research

Cite this

Gunn, Anthony ; Menzies, Ross G ; Onslow, Mark ; O'Brian, Sue ; Packman, Ann ; Lowe, Robyn ; Helgadóttir, Fjóla Dögg ; Jones, Mark. / Phase I trial of a standalone internet social anxiety treatment for adolescents who stutter : iBroadway. In: International Journal of Language and Communication Disorders. 2019.
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abstract = "BACKGROUND: iGlebe is a fully automated internet treatment program for adults who stutter that has been shown, in some cases, to reduce anxiety and effectively manage social anxiety disorder for many participants. No such automated internet treatment program exists for adolescents who stutter.AIMS: The present paper reports a Phase I trial of an adolescent version of the adult program: iBroadway.METHODS & PROCEDURES: Participants were 29 adolescents in the age range 12-17 years who were seeking cognitive-behaviour therapy (CBT) for anxiety associated with stuttering. The design was a non-randomized Phase I trial with outcome assessments at pre-treatment and immediately post-treatment after 5 months of access to the program. No contact by a clinical psychologist occurred during participant use of the program. Outcomes were a range of psychological, quality-of-life and stuttering severity measures.OUTCOMES & RESULTS: The compliance rate for the seven iBroadway modules over 5 months was extremely favourable for internet CBT, at 52.4{\%}. There was evidence of treatment effects for (1) the number of DSM-IV mental health diagnoses with the Diagnostic Interview Schedule for Children; (2) the Unhelpful Thoughts and Beliefs About Stuttering scale; (3) the Subjective Units of Distress Scale; and (4) parent-reported speech satisfaction.CONCLUSIONS & IMPLICATIONS: Further development of iBroadway, the adolescent version of iGlebe, with Phase II trialling is warranted.This research was supported by the National Health and Medical Research Council of Australia (program grants 633007 and 1132370). ",
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Phase I trial of a standalone internet social anxiety treatment for adolescents who stutter : iBroadway. / Gunn, Anthony; Menzies, Ross G; Onslow, Mark; O'Brian, Sue; Packman, Ann; Lowe, Robyn; Helgadóttir, Fjóla Dögg; Jones, Mark.

In: International Journal of Language and Communication Disorders, 30.07.2019.

Research output: Contribution to journalArticleResearchpeer-review

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AU - Gunn, Anthony

AU - Menzies, Ross G

AU - Onslow, Mark

AU - O'Brian, Sue

AU - Packman, Ann

AU - Lowe, Robyn

AU - Helgadóttir, Fjóla Dögg

AU - Jones, Mark

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N2 - BACKGROUND: iGlebe is a fully automated internet treatment program for adults who stutter that has been shown, in some cases, to reduce anxiety and effectively manage social anxiety disorder for many participants. No such automated internet treatment program exists for adolescents who stutter.AIMS: The present paper reports a Phase I trial of an adolescent version of the adult program: iBroadway.METHODS & PROCEDURES: Participants were 29 adolescents in the age range 12-17 years who were seeking cognitive-behaviour therapy (CBT) for anxiety associated with stuttering. The design was a non-randomized Phase I trial with outcome assessments at pre-treatment and immediately post-treatment after 5 months of access to the program. No contact by a clinical psychologist occurred during participant use of the program. Outcomes were a range of psychological, quality-of-life and stuttering severity measures.OUTCOMES & RESULTS: The compliance rate for the seven iBroadway modules over 5 months was extremely favourable for internet CBT, at 52.4%. There was evidence of treatment effects for (1) the number of DSM-IV mental health diagnoses with the Diagnostic Interview Schedule for Children; (2) the Unhelpful Thoughts and Beliefs About Stuttering scale; (3) the Subjective Units of Distress Scale; and (4) parent-reported speech satisfaction.CONCLUSIONS & IMPLICATIONS: Further development of iBroadway, the adolescent version of iGlebe, with Phase II trialling is warranted.This research was supported by the National Health and Medical Research Council of Australia (program grants 633007 and 1132370). 

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