Immediate Effects of Delayed Auditory Feedback on Stuttering: A Systematic Review and Meta‐Analysis of Literature Published 2000–2024.

Purpose: This systematic review and meta‐analysis evaluated the fluency‐ enhancing effect of DAF alone in individuals with developmental stuttering. Methods: Following PRISMA 2020 guidelines, we searched multiple databases for studies published between 2000 and 2024. Eligible studies examined DAF co...

Descripción completa

Detalles Bibliográficos
Publicado en:International Journal of Language & Communication Disorders (John Wiley & Sons, Inc.) Vol. 61; no. 4; pp. 1 - 14
Autores principales: Iimura, Daichi, Yamamoto, Takuma, Ishida, Osamu
Formato: Artículo
Publicado: John Wiley & Sons, Inc. Jul/Aug2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=hlh&AN=195594453&site=ehost-live
header:
  @attributes:
    shortDbName: hlh
    uiTerm: 195594453
    longDbName: Humanities International Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    jinfo:
      jid:
        14606984
        NRNM
      jtl: International Journal of Language & Communication Disorders (John Wiley & Sons, Inc.)
      issn: 14606984
      maglogo: N
    pubinfo:
      dt: Jul/Aug2026
      vid: 61
      iid: 4
      pid: 52269
      pub: John Wiley & Sons, Inc.
    artinfo:
      ui:
        195594453
        10.1111/1460-6984.70283
      ppf: 1
      ppct: 13
      formats:
      tig:
        atl: Immediate Effects of Delayed Auditory Feedback on Stuttering: A Systematic Review and Meta‐Analysis of Literature Published 2000–2024.
      aug:
        au:
          Iimura, Daichi
          Yamamoto, Takuma
          Ishida, Osamu
        affil:
          Institute of Human Sciences, University of Tsukuba, Tsukuba Ibaraki,, Japan
          Graduate School of Intelligent and Mechanical Interaction Systems, University of Tsukuba, Tsukuba Ibaraki,, Japan
          Faculty of Education, Chiba University, Chiba, Japan
      su:
        Reading
        Research funding
        Speech
        Task performance
        Stuttering
        Treatment effectiveness
        Meta-analysis
        Severity of illness index
        Descriptive statistics
        Chi-squared test
        Systematic reviews
        MEDLINE
        Confidence intervals
        Data analysis software
        Online information services
        Speech therapy
        Psychology information storage & retrieval systems
        ERIC (Information retrieval system)
      sug:
        subj:
          Reading
          Research funding
          Speech
          Task performance
          Stuttering
          Treatment effectiveness
          Meta-analysis
          Severity of illness index
          Descriptive statistics
          Chi-squared test
          Systematic reviews
          MEDLINE
          Confidence intervals
          Data analysis software
          Online information services
          Speech therapy
          Psychology information storage & retrieval systems
          ERIC (Information retrieval system)
      keyword:
        delayed auditory feedback
        disfluency
        meta‐analysis
        stuttering
        systematic review
      ab: Purpose: This systematic review and meta‐analysis evaluated the fluency‐ enhancing effect of DAF alone in individuals with developmental stuttering. Methods: Following PRISMA 2020 guidelines, we searched multiple databases for studies published between 2000 and 2024. Eligible studies examined DAF conditions applied to speech tasks with stuttering‐related outcomes. Meta‐analyses were conducted using a random‐effects model, with subgroup analyses by disfluency type, delay time, speech task, stuttering severity, and participant age. Results: Of the 194 records screened, eight studies involving a total of 98 participants in total met the inclusion criteria, and five studies involving 61 participants were eligible for quantitative synthesis. Each study included 8–20 participants ranging from school‐age children to adults. Most participants were male, and stuttering severity ranged from mild to severe. DAF conditions were evaluated using oral reading and spontaneous speech/monologue tasks. Meta‐analysis revealed no significant overall benefit of DAF compared with normal auditory feedback (NAF; mean difference = –1.46, 95% CI [–4.83, 1.91]). Conclusion: DAF alone does not consistently reduce disfluencies; however, specific populations and conditions may derive greater benefits from it. Larger, well‐controlled studies are needed to clarify its therapeutic potential and clinical applications. WHAT THIS PAPER ADDS: What is already known on this subjectDelayed auditory feedback (DAF) has been reported to improve fluency in people who stutter and is used in several assistive devices. However, its independent effect remains unclear because DAF is often combined with other altered auditory feedback conditions.What this study adds to existing knowledgeThis systematic review and meta‐analysis evaluated the exclusive effect of DAF on stuttering. The results indicate that DAF alone does not consistently reduce disfluency compared with NAF, although certain conditions (e.g., shorter delays or reading tasks) may show greater benefits.What are the potential or actual clinical implications of this work?Clinicians should interpret the fluency‐enhancing effects of DAF cautiously when used alone. Further well‐controlled studies are needed to determine which individuals and speech contexts may benefit most from DAF‐based interventions.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
    refInfo:
    copyright:
      @attributes:
        flag: Y
      dt:
        @attributes:
          year: 2026
    holdings:
      @attributes:
        islocal: N