修訂中文成人口吃嚴重度評估工具

The Revised Stuttering Severity Instrument-4 for Mandarin Speaking Adults

本研究修訂Riley（2009）的「口吃嚴重度評估工具」（第四版）之成人部分，以評估說中文成人之口吃嚴重度。修訂過程包括：（1）材料編製：繪製二幅看圖說話的彩色圖片，並改寫閱讀的短文二篇；（2）口吃嚴重度區分：依人口比例招收口吃成人80名，除了以Riley的施測程序蒐集語言樣本外，另以有時間限制的回答問題法蒐集第二份語言樣本，之後認定口吃事件，依照受試者原始分數建立百分等級對照表，並將嚴重度分為九個等級；（3）進行信、效度考驗：信度方面，三個分測驗及總分的評分者內一致性皆達 .97以上，而評分者間一致性則皆達 .95以上；效度方面，口吃與非口吃成人在三個分測驗及總分皆達顯著差異，另外，本工具與「愛荷華口吃嚴重度量尺」和「口吃式不流暢」的效標關聯效度分別為 .92和 .94。

This study aimed to revise Riley's (2009) Stuttering Severity Instrument-4 for the adults who speak Mandarin. The main tasks had been accomplished as follows: 1. rewriting 2 readings and redrawing 2 pictures as stimuli for oral expressions; 2. recruiting 80 stuttering adults from 4 different areas according to the population ratio distributed in Taiwan; 3. identifying stuttering events in the speech samples collected by the time-limited question answering method and the researcher-initiating conversation method， separately; 4. calculating the stuttering frequency， stuttering duration， and physical concomitants for establishing the normative data and dividing them into 9 stuttering severities; 5. calculating the intra- and inter-reliability that are .97 and .95， respectively; 6. deriving the criterion-related validity between RSSI-4 and The Iowa Scale for Rating Severity of Stuttering， and SLD are .92 and .94， respectively. In addition， the significant differences were found between stuttering and non-stuttering adults on the 3 subtests (stuttering frequency， stuttering duration and physical concomitant) and the total score by t tests. The norm and 9 stuttering severities also were offered.Based on the data mentioned above， this Revised Stuttering Severity Instrument-4 for Mandarin Speaking Adults provide an objective and useful tool to assess the severities of the stuttering adults who speak Mandarin. Some suggestions were also proposed for using the instrument.