Turkish Version of the Stuttering Severity Instrument-Version 4 (SSI-4)

Yıl 2025, Cilt: 12 Sayı: 3, 850 - 866, 31.12.2025

Ayşe İlayda Mutlu , İlkem Kara , Şadiye Bacık Tırank , Dilan Cengiz

Öz

Objectives: The Stuttering Severity Instrument-4 (SSI-4) is a reliable and valid norm-referenced tool used to assess stuttering severity by comparing an individual's speech characteristics to a standardized sample. This study aimed to evaluate the validity and reliability of the SSI-4 for Turkish-speaking adults who stutter. The relationship between the frequency, duration, and physical concomitant behaviors in the SSI-4 and domains of Clinical Use of Self-Reports (CUSR) was also investigated.
Materials and Methods: The study included 40 adults who stutter (M/F = 29/11; age range = 18–39, M = 25.8, SD =6). The Turkish translation of SSI-4 was administered to all participants, and the recordings were evaluated by three speech and language therapists. Reliability analysis comprised inter-rater reliability, intra-rater reliability, and test-retest reliability of the Clinical Use of Self-Report (CUSR). Additionally, the correlation between the CUSR and the three main parameters of the SSI-4 was calculated.
Results: The SSI-4 demonstrated strong consistency with high inter-rater and intra-rater reliability coefficients (> .90) for the CUSR items. In addition, its test-retest reliability was also found to be high (> .90). However, no strong correlation was found between the CUSR and the SSI-4 parameters such as frequency, duration, and physical concomitants.
Conclusion: The study confirms that the Turkish version of SSI-4 is a valid and reliable tool for assessing stuttering severity in Turkish-speaking adults.

Anahtar Kelimeler

stuttering , stuttering severity , stuttering severity instrument , validity , reliability

Kekemelik Şiddeti Değerlendirme Aracının (SSI-4) Türkçe Versiyonu

Öz

Amaç: Kekemelik Şiddeti Değerlendirme Aracı (SSI-4), bireyleri bir örneklem ile karşılaştırarak kekemelik şiddetini değerlendirmek için kullanılan norm referanslı güvenilir ve geçerli bir ölçme aracıdır. Bu çalışma, SSI-4'ün Türkçe konuşan kekemeliği olan yetişkinler için geçerlilik ve güvenilirliğini değerlendirmeyi amaçlamaktadır. Ayrıca, SSI-4'te yer alan sıklık, süre ve fiziksel eşlik eden davranışlar ile klinik öz değerlendirme ölçeğinin (Clinical Use of Self-Reports- CUSR) alt boyutları arasındaki ilişki incelenmiştir.
Gereç ve Yöntem: Çalışmaya 40 kekemeliği olan yetişkin (E/K = 29/11; yaş aralığı = 18–39, M = 25.8, SS = 6) dahil edilmiştir. SSI-4’ün Türkçe versiyonu tüm katılımcılara uygulanmış ve kayıtlar üç dil ve konuşma terapisti tarafından değerlendirilmiştir. Güvenirlik analizi, gözlemciler arası güvenirlik, gözlemci içi güvenirlik ve CUSR test-tekrar test güvenirliğini kapsamıştır. Ayrıca, CUSR ile SSI-4'ün üç ana parametresi (sıklık, süre, fiziksel davranışlar) arasındaki korelasyon hesaplanmıştır.
Bulgular: SSI-4, CUSR maddeleri için yapılan gözlemciler arası ve gözlemciler içi tekrarlı değerlendirmelerde yüksek güvenirlik katsayıları (> .90) ile güçlü bir tutarlılık sergilemiştir. Ayrıca test-tekrar test güvenirliği de yüksek bulunmuştur (> .90). Ancak, CUSR ile SSI-4’ün sıklık, süre ve fiziksel davranışlar gibi parametreleri arasındaki korelasyonlar arasında güçlü bir ilişki saptanamamıştır.
Sonuç: Çalışma, SSI-4'ün Türkçe versiyonunun Türkçe konuşan kekemeliği olan yetişkinlerde kekemelik şiddetini değerlendirmek için geçerli ve güvenilir bir araç olduğunu doğrulamaktadır.

Anahtar Kelimeler

kekemelik , kekemelik şiddeti , kekemelik değerlendirme aracı , geçerlik , güvenirlik

Kaynakça

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