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Overview of Evidence-Based Treatment of Stuttering in Bulgaria and in the USA and Canada


Dobrinka GEORGIEVA1,

1South-West University “Neofit Rilski”,
Blagoevgrad, Bulgaria
2East Carolina University, Greenville, NC, USA
Received: 25-October-2019
Revised: 20-November-2019
Accepted: 27-Novemeber-2019
Online first: 28-Novemeber-2019


Introduction: The move towards evidence-based practice (EBP) requires speech-language pathologists (logopedists) to understand the types of studies that build an evidence base for the field as well as the standards for assessing the quality of evidence.

Objectives: This article discusses the conceptual and methodological issues associated with EBP in Bulgaria, the USA, and Canada related to clinical stuttering intervention. This article discusses how the movement towards the current high-level standards of practice established in North America may challenge some of the traditional Bulgarian beliefs regarding stuttering treatment.

Method: Theoretical overview and analysis of the existing literature data sources including systematic meta-analysis articles on EBP on stuttering.

Results: The study outlines the steps of EBP accepted in SLP. Thirteen systematic reviews and meta-analyses are discussed concerning the application of research evidence to clinical decision making. These issues remain problematic for Bulgarian logopedists who received their training before or during the recent professional shift from a special education subspecialty to a health profession specialty as represented by speech-language pathology (SLP).

Conclusions: The professional bodies that govern clinical practice in the Bulgarian health fields are not currently guided by EBP concepts. In Bulgaria, there is no evidence-based framework for the prevention, diagnosis, and treatment of stuttering as there is in the USA and Canada. In Bulgaria EBP stands as a fundamental way to promote changes appropriate for SLP as a health profession.


Key words: evidence-based practice (EBP), levels of evidence, stuttering, fluency disorder, clinical outcome, speech-language pathology, logopedics


Citation: Georgieva, D., Orlikoff, R. F. A Comparative Overview of Evidence-Based Treatment of Stuttering in Bulgaria and in the USA and Canada. Journal for ReAttach Therapy and Developmental Diversities.

Copyright ©2019 Georgieva, D., Orlikoff, R. F. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0)

Corresponding address:
South-West University “Neofit Rilski”,
Faculty of Public Health, Healthcare and Sport,
Department of Logopedics
St. 66, Ivan Mihailov, Blagoevgrad, Bulgaria

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