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How the school teachers’ knowledge, attitudes and practices (KAP) towards stuttering children results in how the teachers manage stuttering children: A protocol study.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
2015 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: Stuttering, also known as stammering is a speech disorder. The disorder is characterized by involuntary inhibitions, repetitions, trembling speech and unusual pronunciation of words along the normal speech delivery. Stuttering that persists into adolescence and adulthood will be very difficult to get rid of. The long term effects for a stutterer in his/her life had proved to be affecting the academics, professional life and love life. Also as a result, a stutterer always try to withdrawn from the public and will try to stay silent unless the situation demands otherwise. Still the researchers could not identify the exact causes of stuttering. Similarly many studies have also proven that one single treatment regimen is not a success for majority of the stutterers and the disorder often returns on ‘bad days’ after treatment. But early treatment initiatives, that includes speech therapy combined with psychological counseling and other remedies will act as a protective factor to certain extent, suggested by the speech pathologists and recent studies.

Objectives: The objectives of this thesis are i) to conduct a literature review about the knowledge, attitudes and practices (KAP) of high school teachers towards high school students around the globe ii) to develop a study protocol to conduct an exploratory study to find out knowledge, attitudes and practices (KAP) of high school teachers in Kerala state, India towards stuttering high school children iii) to explore how entertainment media has influenced high school teachers in developing knowledge, attitudes and practices (KAP) towards stuttering children.

Review of literature: A total of 22 studies were reveiwed related to different aspects of stuttering. Out of 22 studies, 4 studies were filtered which focus on school teachers’ perspectives towards stuttering children. School teachers perspectives towards stuttering children is a less explored subject under the main domain stuttering. The literature review points out to the information that school teachers believe stuttering is caused by psychological ailments, fear, evil powers, genetic and pathogens. A majority of the school teachers knows that speech and language pathologist can treat the disability. But a minority also opted for medical doctors and experienced stutterers can deliver a solution to the disability. A majority of the school teachers also responded against teasing and bullying stutterers and are like to help the child when he stutters in the class. Also majority are against the punishments when a child stutters. It is also noted that there is a significant lack of training for school teachers to deal with stuttering children. Lastly the influence of entertainment media in creating perceptions about stuttering were searched for, but related studies could not found. But the movies released worldwide over the last three decades are solid examples of how funny to portray stuttering in entertainment media regardless of the stutterers’ feelings.

Study setting: The target group for the proposed study are high school teachers, who teaches the children from 13 to 15 years of age (Class 8 to Class 10) in Kerala state, India. Kerala state is the highest literate state (93.9%) in India. High schools in Kerala demands more burden of learning with verbal communications associated with mental pressure from family, society and teachers. All these are aggravating factors for a stuttering high school child. The high school teachers are the ones who can easily identify those stutterers and can coordinate the issue with parents and other teachers. The school teachers along with school management can act as a connecting point between the speech therapists and the parents for further interventions, if they are aware of stuttering as a health problem.

Study design: The proposed study consists of 4 FGDs and 24 in-depth interviews using qualitative methodology and drafted interview guides. This will reveal the teachers’ perspectives towards the speech disability and their approaches towards managing stuttering children at that particular point of time. Qualitative content analysis is proposed with the help of ‘OpenCode’ PC program. Transcribed verbatim will be converted into latent content, meaning units, condensed meaning units, codes, categories / subcategories and themes. This will enable to reach a conclusion that can be narrated with the help of a suitable model.It is expected that results of the proposed study will help to develop a KAP (Knowledge, attitudes & practices) based early intervention that cater to the Kerala context for stuttering high school children. The study results will also contribute to develop a management strategy for school teachers and can be included in teacher training courses or as a part of inservice education for teachers.

Place, publisher, year, edition, pages
2015. , p. 43
Series
Centre for Public Health Report Series, ISSN 1651-341X ; 2015:53
Keywords [en]
Stuttering, attitudes of School teachers, Kerala state, India
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-153876OAI: oai:DiVA.org:umu-153876DiVA, id: diva2:1268495
External cooperation
Ernakulam district, Kerala state, India
Educational program
Master's Programme in Public Health
Presentation
2015-10-05, Butajira, Epidemiology and Global Health, Umeå University, Umeå, 08:15 (English)
Supervisors
Examiners
Available from: 2018-12-06 Created: 2018-12-06 Last updated: 2018-12-06Bibliographically approved

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