Auditory Prediction and Error Evaluation in the Speech of Individuals Who Stutter

NCT06181149 | Recruiting

• 2 other identifiers: R01DC0201621R01DC020162-01A1
• Study Type: interventional
• Target: 300
• Locations: 1 country
• Sites: 2

Brief Summary

Stuttering negatively impacts communication and reduces the overall quality of life and well-being of individuals who stutter. This study will provide a strong foundation for developing neural and behavioral interventions for stuttering. Participants will be asked to name pictures, read words/sentences silently or aloud, and listen to speech and nonspeech sounds while their speech, muscle, and brain signals are collected. Some participants may also receive brain stimulation while reading and speaking.

Conditions

Healthy Subjects; Stuttering, Developmental

Keywords

stuttering

Outcome Measures

Primary Outcomes (2)

• Change in brain activity before and during speaking

  Participants will hear speech sounds in each trial before speaking or reading words. Participants' brain activity will be recorded while completing the speaking or reading tasks. The investigators will measure how the participant's brain activity in response to the played sounds changes during speaking and reading tasks. For this purpose, the investigators will measure the amplitude of the brain activity (in microvolts; µV) measured using a commercial electroencephalography system. The amplitude (µV) of the brain signals will be examined both before speaking and during speaking at two time points.

  within each session of the study that may last up to 2 hours

• change in speech when participants experience auditory errors

  In each trial, participants will experience an auditory error while they produce speech (e.g., they may say "head" but hear "had"). The investigators will measure how the participants' speech changes due to auditory errors that they experience in the current trial. For this p\[purpose, the investigators will use commercial microphones to record speech signals and then examine the amplitude of the speech in specific frequency ranges (measured in Hertz; Hz). The frequencies (Hz) of speech in trials with auditory errors will be compared with those without auditory errors.

  within each session of the study that may last up to 2 hours

Study Arms (4)

Group 1

EXPERIMENTAL

Behavioral: Delaying speech initiation

Group 2

EXPERIMENTAL

Behavioral: Auditory errors and pre-speech auditory modulation

Group 3

EXPERIMENTAL

Behavioral: Contributions of the speech premotor cortex to pre-speech auditory modulation

Group 4

EXPERIMENTAL

Behavioral: Delaying auditory feedback

Interventions

Delaying speech initiation BEHAVIORAL

This intervention will examine the effects of misalignment between prediction and auditory feedback in participants. We will use transcranial magnetic stimulation to induce a temporal misalignment between prediction and auditory feedback while participants produce speech.

Group 1

Auditory errors and pre-speech auditory modulation BEHAVIORAL

This intervention will examine the contributions of auditory errors to pre-speech auditory modulation. Participants will receive auditory perturbations while speaking, and we will collect their brain activities throughout the study.

Group 2

Contributions of the speech premotor cortex to pre-speech auditory modulation BEHAVIORAL

This intervention will examine the effects of stimulation of the left ventral premotor cortex on pre-speech auditory modulation. Participants will receive electrical stimulation while speaking.

Group 3

Delaying auditory feedback BEHAVIORAL

This intervention will examine the effects of misalignment between prediction and auditory feedback in participants. We will use delayed auditory feedback to induce a temporal misalignment between prediction and auditory feedback while participants produce speech.

Group 4

Eligibility Criteria

• Age: 3 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• being a monolingual, native speaker of American English
• absence of developmental, psychological, neurological, or communication disorders (other than developmental stuttering) as confirmed by a certified research SLP
• normal (age-appropriate) binaural pure-tone hearing threshold (0.5-4k Hz; ≤25 dB HL for younger than 70 years, and ≤35 dB HL for older than 70 years)
• not taking any medications that affect the central nervous system
• absence of safety contra-indication for tDCS, TMS and MRI (for adults)
• scoring at the 20th percentile or higher on standardized speech-language tests (for children)

Sponsors & Collaborators

• Arizona State University: lead
• University of Washington: collaborator
• National Institute on Deafness and Other Communication Disorders (NIDCD): collaborator

Study Sites (2)

Arizona State University

Tempe, Arizona, 85287, United States

RECRUITING

Univeristy of Washington

Seattle, Washington, 98105, United States

RECRUITING

MeSH Terms

Conditions

Stuttering

Condition Hierarchy (Ancestors)

Speech Disorders; Language Disorders; Communication Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Ayoub Daliri, PhD

CONTACT

4807278397; ayoub.daliri@asu.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: BASIC SCIENCE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 7, 2023
• First Posted: December 26, 2023
• Study Start: January 1, 2024
• Primary Completion (Estimated): December 30, 2027
• Study Completion (Estimated): December 30, 2027
• Last Updated: August 21, 2025

Record last verified: 2025-08

Locations

US (2)