Purpose The purposes of this study were to examine the self-efficacy of school-based speech-language pathologists (SLPs) in conducting multidimensional treatment with children who stutter (CWS) and to identify correlates of self-efficacy in treating speech-related, social, emotional, and cognitive domains of stuttering. Method Three hundred twenty randomly selected school-based SLPs across the United States responded to an online survey that contained self-efficacy scales related to speech, social, emotional, and cognitive components of stuttering. These ratings were analyzed in relation to participants' beliefs about stuttering treatment and their comfort level in treating CWS, perceived success in therapy, and empathy levels, in addition to their academic and clinical training in fluency disorders as well as demographic information. Results Overall, SLPs reported moderate levels of self-efficacy on each self-efficacy scale and on a measure of total self-efficacy. Significant positive associations were observed between SLPs' self-efficacy perceptions and their comfort level in treating CWS, self-reported success in treatment, beliefs about the importance of multidimensional treatment, and self-reported empathy. There were some discrepancies between what SLPs believed was important to address in stuttering therapy and how they measured success in therapy. Conclusions Among school-based SLPs, self-efficacy for treating school-age CWS with a multidimensional approach appears stronger than previously reported; however, more progress in training and experience is needed for SLPs to feel highly self-efficacious in these areas. Continuing to improve clinician self-efficacy for stuttering treatment through improved academic training and increased clinical experiences should remain a high priority in order to enhance outcomes for CWS. Supplemental Material https://doi.org/10.23641/asha.12978194.

中文翻译：

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基于学校的言语病理学家对口吃儿童进行多维治疗时的自我效能感。

目的本研究的目的是检查学校口语语言病理学家（SLP）在对口吃儿童（CWS）进行多维治疗时的自我效能，并确定自我效能在治疗与语音相关的社交活动中的相关性，口吃的情感和认知领域。方法在美国，有320个随机选择的校本SLP进行了一项在线调查，该调查包含与口吃的言语，社交，情感和认知成分有关的自我效能感量表。除了参加者在流利性疾病方面的学术和临床培训以及人口统计学信息外，还根据参与者对口吃治疗的信念及其在治疗CWS方面的舒适度，在治疗中取得的成功感和同情程度等方面对这些评分进行了分析。结果总体而言，SLP在每个自我效能感等级和总体自我效能感的度量上报告了中等水平的自我效能感。SLP的自我效能感与其治疗CWS的舒适度，自我报告的治疗成功，对多维治疗的重要性的信念以及自我报告的同理心之间存在显着的正相关性。SLP认为对口吃治疗很重要的解决方案与他们衡量治疗成功的方法之间存在一些差异。结论在以学校为基础的SLP中，采用多维方法治疗学龄儿童CWS的自我效能似乎比以前报道的要强。但是，为了使SLP在这些领域具有高度自我效能感，还需要在培训和经验上取得更大的进步。通过改善学术训练和增加临床经验，继续提高临床医生对口吃治疗的自我效能，应继续作为提高CWS结果的一项高度优先事项。补充材料https://doi.org/10.23641/asha.12978194。