SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS最新文献

{"title":"Feeding and swallowing difficulties in previously hospitalised premature infants in the neonatal intensive care unit: Perspectives from South African caregivers.","authors":"Cynthia Sawasawa, Lavanya Naidoo, Salma Sheik Hoosen","doi":"10.4102/sajcd.v72i2.1119","DOIUrl":"10.4102/sajcd.v72i2.1119","url":null,"abstract":"<p><strong>Background: </strong> Premature birth is associated with many medical conditions including feeding and swallowing difficulties. Despite the existing knowledge on caregivers' experiences, there is a dearth of literature that has explored experiences of caregivers whose infants have feeding difficulties in the neonatal intensive care unit (NICU) in South Africa.</p><p><strong>Objectives: </strong> This study explored experiences of caregivers of premature infants diagnosed with feeding difficulties in the NICU within the South African context.</p><p><strong>Method: </strong> This study was conducted using an explorative qualitative design. Data were collected using an anonymous qualitative survey distributed through caregiver social media support groups. Purposive sampling was used to recruit 9 participants. Data were analysed using inductive thematic analysis.</p><p><strong>Results: </strong> Three main themes emerged, namely: (1) Emotional distress associated with infants' feeding and swallowing difficulties and prematurity, (2) infants' inability to feed orally and NICU restrictions: barriers to caregiver-infant attachment and bonding, and (3) caregiver informational needs regarding oral feeding and general child care.</p><p><strong>Conclusion: </strong> This study indicates the need for holistic family-centred healthcare practices within the NICU. Therefore, in addition to providing oral-sensorimotor intervention to infants with feeding and/or swallowing difficulties, speech-language therapists (SLTs) need to ensure that caregiver needs and concerns related to their child are addressed. Moreover, SLT interventions need to consider caregiver-infant attachment and bonding strategies in the absence of oral feeding.Contribution: This study highlights the need for family-centred care practices within the NICU, which considers informational needs, inclusion in oral-sensorimotor intervention, and the psychosocial needs of caregivers.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 2","pages":"e1-e9"},"PeriodicalIF":1.4,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"South African speech-language therapists' views on dysphagia in head and neck cancer patients.","authors":"Mishta Gungadeen, Jeannie Van der Linde, Marien A Graham, Bhavani S Pillay","doi":"10.4102/sajcd.v72i2.1118","DOIUrl":"10.4102/sajcd.v72i2.1118","url":null,"abstract":"<p><strong>Background: </strong> A significant gap in literature exists regarding speech-language therapists' (SLTs') guidelines for swallowing management in patients with head and neck cancer (HNC), particularly in low- and middle-income countries like South Africa.</p><p><strong>Objectives: </strong> This study explored a sample of South African SLTs' views of swallowing management in patients with HNC.</p><p><strong>Method: </strong> A custom-designed online questionnaire was shared on social media platforms and completed by 14 South African SLTs with experience in swallowing management of patients with HNC. Quantitative data were analysed using descriptive statistics and structured tabular thematic analysis for qualitative data.</p><p><strong>Results: </strong> Participants (n = 14) believed they have a key role in the swallowing management of patients with HNC. Yet, they often face obstacles, such as late inclusion as a team member, cultural and linguistic barriers and/or limited access to resources and standard operating protocols. Most SLTs in this sample (n = 8) include instrumental assessments during initial evaluation. Treatment varied for each patient (e.g., type of surgical procedure [n = 14], anatomical and physiological changes [n = 14]). Speech-language therapists highlighted the importance of multidisciplinary collaboration, cultural and linguistic considerations and professional development.</p><p><strong>Conclusion: </strong> This population requires increased SLT involvement in multidisciplinary teams to ensure timely and appropriate evidence-based swallowing intervention.Contribution: This study provides a description of SLTs' views on swallowing management of patients with HNC. Continued professional development is needed for South African SLTs to enhance evidence-based decision-making in HNC management, thus enhancing quality of care.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 2","pages":"e1-e10"},"PeriodicalIF":1.4,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing personnel and speech-language therapists communication practices in dysphagia management.","authors":"Alida De Beer, Athenkosi Mpiti, Zeenat Ganie, Lesedi Rakgase, Sinovuyo Mduzulwana, Aldon Barend","doi":"10.4102/sajcd.v72i2.1129","DOIUrl":"10.4102/sajcd.v72i2.1129","url":null,"abstract":"<p><strong>Background: </strong> Communication between speech-language therapists (SLTs) and nursing personnel is essential for safe dysphagia management, as unclear exchanges can compromise patient outcomes and care continuity. In South Africa, high patient loads, limited dysphagia training, and linguistic diversity create additional challenges, making effective interprofessional communication crucial.</p><p><strong>Objectives: </strong> This study aimed to identify communication practices related to dysphagia in exchanges between SLTs and nursing personnel, focusing on mutual understanding, openness in interactions and frustration experienced during communication. It also explored nursing personnel's preferred communication modes when discussing feeding and swallowing management.</p><p><strong>Method: </strong> A quantitative, cross-sectional design was used. Data were collected from 18 nurses by means of an adapted Nurse-Physician Communication Scale. The survey was distributed electronically across South Africa via multiple channels. Purposive sampling targeted nursing personnel with at least 6 months' experience in managing patients with dysphagia.</p><p><strong>Results: </strong> Findings showed that while some mutual understanding exists, nursing personnel often felt misunderstood during interactions with SLTs. Reduced mutual understanding and openness correlated with dissatisfaction in communication. Nursing personnel frequently perceived much of the dysphagia-related information as irrelevant, which increased frustration. Nurses expressed a preference for face-to-face verbal and written communication over electronic modes.</p><p><strong>Conclusion: </strong> The study highlights the need to improve communication practices employed in dysphagia management to support successful interactions and optimal patient management. Strengthening interdisciplinary communication between SLTs and nursing personnel can enhance patient outcomes, increase nursing satisfaction, and promote better teamwork.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 2","pages":"e1-e11"},"PeriodicalIF":1.4,"publicationDate":"2025-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived readiness of South African community service speech-language therapists to manage complex paediatric dysphagia.","authors":"Lavanya Naidoo, Cynthia Sawasawa, Nabeela Desai","doi":"10.4102/sajcd.v72i2.1110","DOIUrl":"10.4102/sajcd.v72i2.1110","url":null,"abstract":"<p><strong>Background: </strong> Feeding and swallowing difficulties usually demand specialised knowledge and skills for effective assessment and management. In South Africa, community service speech-language therapists (SLTs) play an integral role in delivering care within the public healthcare system, where the ratio of patients to medical professionals is notably disproportionate. However, the extent to which they feel prepared when managing these conditions remains relatively underexplored.</p><p><strong>Objectives: </strong> To explore the extent to which community service SLTs feel prepared when managing paediatric feeding and swallowing difficulties, the challenges they experience, and the resources and support systems available to them.</p><p><strong>Method: </strong> An explorative descriptive qualitative design was used in this study. Data were collected using online surveys and analysed using inductive thematic analysis. Twelve clinicians participated in this study, all of whom worked in different public healthcare institutions throughout South Africa.</p><p><strong>Results: </strong> Three themes emerged: (1) lack of confidence and self-doubt in their clinical skills; (2) systemic factors within the public health sector that impede service delivery; and (3) difficulty in navigating caregiver health beliefs and the duty of care.</p><p><strong>Conclusion: </strong> This study provides a nuanced understanding of the lack of preparedness community service SLTs feel when managing children with complex feeding and swallowing difficulties. The findings further underscore the need for additional mentorship support for these therapists, especially in facilities where there are no established speech therapy services.Contribution: The study has implications for improved service delivery initiatives and curriculum reform at institutions of higher learning.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 2","pages":"e1-e10"},"PeriodicalIF":1.4,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feeding and swallowing in cerebral palsy: Caregiver burden, quality of life and support needs.","authors":"Raquel Lewis, Michal Harty, Vivienne Norman","doi":"10.4102/sajcd.v72i2.1124","DOIUrl":"10.4102/sajcd.v72i2.1124","url":null,"abstract":"<p><strong>Background: </strong> Children with cerebral palsy (CP) often experience feeding and/or swallowing difficulties (FSD), which are lifelong, necessitating long-term care by caregivers, particularly in resource-constrained contexts like South Africa. This ongoing responsibility can lead to burden and reduced quality of life (QoL) for the caregiver and child. Exploring caregivers' experiences is required for planning and implementation of effective support services.</p><p><strong>Objectives: </strong> The study aimed to explore the experiences of caregivers of children with CP who have FSD, regarding the burden, QoL and support needs.</p><p><strong>Method: </strong> A qualitative case study design was used, involving eight mothers of children aged 2-8 years, recruited from a hospital-based CP clinic. Participants (aged 25-42 years) engaged in semi-structured telephonic interviews conducted in English and isiXhosa. Thematic analysis was conducted to generate themes and sub-themes.</p><p><strong>Results: </strong> Thematic analysis yielded seven main themes: Worry; Feeding is everything; Identified support needs; What helps me cope?; Cost of caregiving; Hopeful caregiving and Shortfalls of healthcare system and society, reflecting emotional strain, the centrality of feeding, specific support requirements, caregiver resilience, multifaceted burden and hope.</p><p><strong>Conclusion: </strong> Caregiver burden and QoL are closely linked and shaped by the emotional, physical, social and financial demands of caregiving. While caregivers described their unmet support needs, they also identified positive aspects of caregiving, including a sense of purpose and connection with their child.Contribution: The findings offer insight into caregiver experiences in South Africa and underscore the need for tailored, contextually relevant interventions to improve caregiver well-being and child outcomes.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 2","pages":"e1-e9"},"PeriodicalIF":1.4,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A description of feeding and swallowing in neonates with hypoxic ischemic encephalopathy.","authors":"Samantha Branfield, Natasha R Rhoda, Janine Joemat, Vivienne Norman","doi":"10.4102/sajcd.v72i2.1121","DOIUrl":"10.4102/sajcd.v72i2.1121","url":null,"abstract":"<p><strong>Background: </strong> Intrapartum-related complications, including intrapartum hypoxia and subsequent hypoxic ischemic encephalopathy (HIE), are the second leading cause of neonatal deaths in South Africa. Complications may be associated with a substantial burden of impairment, including dysphagia.</p><p><strong>Objectives: </strong> To describe the feeding and swallowing profile of neonates with HIE in a neonatal unit in Cape Town, South Africa.</p><p><strong>Method: </strong> A descriptive, exploratory, longitudinal study of 52 participants with varying severities of HIE is presented. Clinical feeding and swallowing assessments were conducted with 13 prospective participants using the Neonatal Feeding Assessment Scale, and medical folder reviews were conducted for 39 retrospective participants. Data were analysed using descriptive and inferential statistics.</p><p><strong>Results: </strong> A median of 4 days (p = 0.036) to oral feeding readiness and 5 days (p = 0.016) to full oral feeds was observed. Participants with a severely abnormal initial amplitude-integrated electroencephalography who did not receive hypothermia treatment demonstrated significantly longer times for both outcomes. Participants across all severities presented with feeding and swallowing difficulties, primarily in the oral phase. Most participants (96.2%) were discharged on full oral feeds, while the remaining 3.8% were discharged on nasogastric tube feeds while awaiting gastrostomy placement.</p><p><strong>Conclusion: </strong> Regardless of severity, neonates with HIE are at increased risk of feeding and swallowing difficulties. Thus, early identification and management before discharge from the neonatal unit, and long-term follow-up of infants with HIE, are recommended.Contribution: This study contributes to the small body of research on feeding and swallowing difficulties in neonates with HIE and may guide future research.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 2","pages":"e1-e9"},"PeriodicalIF":1.4,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From delay to detection: Dysphagia patterns in tracheostomised ICU patients in South Africa.","authors":"Nancy Barber","doi":"10.4102/sajcd.v72i2.1116","DOIUrl":"10.4102/sajcd.v72i2.1116","url":null,"abstract":"<p><strong>Background: </strong> Dysphagia in tracheostomised patients is highly prevalent but often underdiagnosed, especially in resource-constrained settings such as South Africa. Delays in referral and limited access to instrumental assessments further compromise the quality of care. There is limited data regarding the incidence and severity of dysphagia in patients with tracheostomies within this context.</p><p><strong>Objectives: </strong> This study aimed to evaluate the incidence of dysphagia in tracheostomised patients at a South African private intensive care unit (ICU) in order to understand and explore the need for context-appropriate, standardised practices of care in this population.</p><p><strong>Method: </strong> A retrospective file review was conducted on 68 adult patients who underwent fibreoptic endoscopic evaluation of swallowing (FEES) between July 2022 and January 2024. Data were extracted for 42 patients who had a tracheostomy at the time of assessment. Dysphagia severity was rated using the Penetration-Aspiration Scale (PAS). Descriptive statistics were used to analyse incidence, severity, referral timing and ICU stay duration.</p><p><strong>Results: </strong> A total of 66.6% of tracheostomised patients assessed using FEES presented with dysphagia. Penetration-aspiration scores showed a polarised distribution, with 33.3% scoring 1 (normal) and 28.6% scoring 8 (silent aspiration). The average time to referral was 25.7 days, with FEES completed after 32.4 days. These delays suggest missed opportunities for early identification.</p><p><strong>Conclusion: </strong> The findings highlight a high incidence of dysphagia and delays in referral, underscoring the need for standardised practices of care to support earlier identification and management.Contribution: Implementing context-appropriate protocols may improve referral efficiency, optimise resource use and enhance patient outcomes in South African ICUs.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 2","pages":"e1-e5"},"PeriodicalIF":1.4,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current trends and identified gaps in dysphagia research in Africa: A scoping review.","authors":"Skye N Adams, Kim Coutts","doi":"10.4102/sajcd.v72i2.1083","DOIUrl":"10.4102/sajcd.v72i2.1083","url":null,"abstract":"<p><strong>Background: </strong> In the context of Africa and other resource-limited settings, there is a necessity to address the unique challenges faced by dysphagic patients and to better understand how healthcare professionals, including speech language pathologists (SLPs), can provide contextually and culturally responsive care given our unique healthcare context.</p><p><strong>Objectives: </strong> Therefore, this scoping review aims to map and synthesise evidence relating to dysphagia research in Africa to understand trends as well as research and clinical gaps.</p><p><strong>Method: </strong> An electronic search of CINAHL, Medline, Academic Search Premier, Global Health, PubMed was conducted in May 2024. Peer-reviewed, English-language articles published between 2015 and 2024 were retrieved. A total of 627 articles were screened, and 61 were included in the final review.</p><p><strong>Results: </strong> Broadly, 60.7% of the articles stemmed from SA with 62.3% being conducted by SLPs. The articles predominantly focused on practice (n = 39, 63.9%) but also looked at aspects around prevalence, screening, assessment and teaching and learning. Research on dysphagia in Africa highlights the diverse patient populations affected by the condition and the need for interdisciplinary work.</p><p><strong>Conclusion: </strong> There is a strong trend towards patient descriptions and the need for describing local data and developing tools that are appropriate for our contexts, but the gaps strongly highlight the need for multidisciplinary involvement in dysphagia, which is not being conducted.Contribution: This study provides some insight into research being conducted in the African continent, including current trends and areas of future research.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 2","pages":"e1-e21"},"PeriodicalIF":1.4,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a FEES service in South Africa: Interdisciplinary reflections for dysphagia care.","authors":"Nancy Barber, Timothy Capon, Marina De Lira de Gouveia, Nolitha Radebe","doi":"10.4102/sajcd.v72i2.1115","DOIUrl":"10.4102/sajcd.v72i2.1115","url":null,"abstract":"<p><strong>Background: </strong> Dysphagia is a common and serious condition in critically ill patients, often associated with complications such as aspiration pneumonia and prolonged hospital stays. In South Africa, limited access to instrumental assessments such as fibreoptic endoscopic evaluation of swallowing (FEES) hinders accurate diagnosis and management, particularly in public healthcare settings.</p><p><strong>Objectives: </strong> This study aimed to critically reflect on the process of implementing an interdisciplinary FEES service in a private South African hospital and to explore how these insights could inform dysphagia care across healthcare sectors.</p><p><strong>Method: </strong> A duoethnographic approach was used, involving structured reflection among four co-researchers (three speech-language therapists [SLTs] and one otolaryngologist) who co-developed the FEES service. Data were collected through a recorded focus group and analysed using Braun and Clarke's reflexive thematic analysis. Trustworthiness was ensured through triangulation, member checking, and peer debriefing.</p><p><strong>Results: </strong> Six themes were identified: (1) catalysts for change in dysphagia management, (2) cultivating interprofessional collaboration, (3) navigating logistical and resource constraints, (4) advocating for FEES, (5) enhancing clinical decision-making, and (6) translating FEES into broader contexts. These themes illustrated how FEES improved diagnostic accuracy, fostered interdisciplinary collaboration, and offered scalable potential for public health systems.</p><p><strong>Conclusion: </strong> Implementing an interdisciplinary FEES service in a private hospital revealed both challenges and solutions relevant to broader healthcare settings in the South African context.Contribution: Fibreoptic endoscopic evaluation of swallowing offers a cost-effective, accessible diagnostic option for dysphagia care and should be considered for wider adoption within South Africa's National Health Insurance framework.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 2","pages":"e1-e6"},"PeriodicalIF":1.4,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shaping a research-driven future for speech-language therapy and audiology in South Africa.","authors":"Anita Edwards, Anna-Mari Olivier, Faheema Mahomed-Asmail, Jeannie Van der Linde","doi":"10.4102/sajcd.v72i1.1159","DOIUrl":"10.4102/sajcd.v72i1.1159","url":null,"abstract":"<p><p>No abstract available.</p>","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":"72 1","pages":"e1-e2"},"PeriodicalIF":1.4,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12587135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}