International Journal of Speech-Language Pathology最新文献

{"title":"Assessment of multilingual children by Western Australian speech-language pathologists: A survey of practices, barriers and facilitators.","authors":"Emily Frances Hunt, Charn Nang, Suzanne Jacqueline Meldrum, Elizabeth Armstrong","doi":"10.1080/17549507.2025.2499516","DOIUrl":"https://doi.org/10.1080/17549507.2025.2499516","url":null,"abstract":"<p><strong>Purpose: </strong>In the past decade, diagnostic criteria for developmental language disorder, guidelines for assessment of multilingual children, and reviews of the diagnostic utility of dynamic assessment have been published. It is unknown how Australian speech-language pathologists currently assess multilingual children or how local factors influence assessment.</p><p><strong>Method: </strong>A mixed-method anonymous online survey of Western Australian speech-language pathologists explored the frequency and perceived usefulness of assessment practices recommended for multilingual children, elements of dynamic assessment used, and the utility of specific client factors for diagnosis. Confidence ratings and descriptions of barriers and facilitators that affect assessment of multilingual children were also collected.</p><p><strong>Result: </strong>Nineteen speech-language pathologists completed the survey. Over 90% used case/family history and norm-referenced assessments. They most strongly valued case history and family interviews, but fewer valued language processing tasks or language sample analysis. Over three quarters performed dynamic assessment with varying elements included. Two-thirds were confident to assess multilingual children. Interpreter access, availability of specific assessments, supportive networks, and professional development influenced assessment accuracy.</p><p><strong>Conclusion: </strong>The speech-language pathologists in this study combine data from various sources to assess multilingual children for developmental language disorder. Increased access to interpreter services, professional development, and additional time and resources may improve services.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-15"},"PeriodicalIF":1.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of AAC technology with embedded literacy supports on the participation of children who are emerging symbolic communicators during shared reading.","authors":"Christine Holyfield, Lauramarie Pope, Bethany Frick Semmler, Tim DeLuca, Brooke Zimmerman, Erik Jakobs, Janice Light","doi":"10.1080/17549507.2025.2499504","DOIUrl":"https://doi.org/10.1080/17549507.2025.2499504","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluated the impact of high-tech augmentative and alternative communication designed with features to support literacy development on the active participation of children who are emerging symbolic communicators within shared storybook reading, a key context for language and literacy learning.</p><p><strong>Method: </strong>Four children who were emerging symbolic communicators diagnosed with autism or a developmental disability with autism-like features participated in the ABAB single case experimental design. Condition A represented participants' typical lack of access to aided augmentative and alternative communication. Condition B represented access to high-tech aided augmentative and alternative communication featuring colour photos to support comprehension and a feature designed to support foundational reading skills.</p><p><strong>Result: </strong>Despite variability in participation and required prompting, all participants demonstrated increased linguistic participation with access to augmentative and alternative communication. Nonoverlap of all pairs was calculated to estimate the condition effect size; calculations suggested augmentative and alternative communication had a moderate to strong effect for all participants.</p><p><strong>Conclusion: </strong>This study supports and expands upon literature documenting the importance of access to high-tech aided augmentative and alternative communication that is thoughtfully designed for children who have emerging symbolic communication. Still, this study was limited in size and scope and more comprehensive research is needed to understand how best to support language and literacy learning opportunities.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-13"},"PeriodicalIF":1.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Paediatricians' knowledge of paediatric feeding disorders in Jordan.","authors":"Mawada A Saleem, Wesam B Darawsheh, Yaser S Natour","doi":"10.1080/17549507.2025.2494652","DOIUrl":"https://doi.org/10.1080/17549507.2025.2494652","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate paediatricians' knowledge about paediatric feeding disorders and the role of speech-language pathologists and occupational therapists and whether their work setting or years of experience influenced their knowledge.</p><p><strong>Method: </strong>A cross-sectional survey design was used. The total score was out of 62 which included a subscale score of knowledge about paediatric feeding disorders out of 50 and a subscale score of knowledge about the role of rehabilitation team out of 12. Descriptive statistics were conducted and two-way ANOVA investigated the effect of two independent variables on the scores, that is, work setting and years of experience.</p><p><strong>Result: </strong>A total of 191 paediatricians (138 male and 53 female) participated. The mean total score of participants was <i>M =</i> 29.90 years (SD =12.20), range (12-60). Paediatric feeding disorders were not evaluated nor managed by 26.7% and 23% of participants, respectively. Evaluation procedures for paediatric feeding disorders included bedside evaluation (75.9%), ultrasound (71.2%), videofluoroscopy (52.9%), endoscopy, and/or flexible/fiberoptic endoscopic evaluation of swallowing (50.8%). The most common treatment was drug treatment (64.92%). Speech-language pathologists and occupational therapists were considered to be members of the multidisciplinary team by 63.87% and 28.80% of participants, respectively. Referrals to speech-language pathologists and occupational therapists were made by 44.5% and 36.13% of participants, respectively. Significant differences for the independent variables of work setting (<i>p < 0.01</i>) and years of experience (<i>p < 0.01</i>) were found, indicating greater knowledge for paediatricians working in private settings and for those with less years' experience.</p><p><strong>Conclusion: </strong>There is a need for professional educational programs for paediatricians in Jordan, especially for those working in public settings. Such programmes need to focus on the nature of paediatric feeding disorders and the current evidence for management, as well as the roles and contributions of the multidisciplinary rehabilitation team.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-12"},"PeriodicalIF":1.4,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Employment decision-making of final year speech-language pathology and occupational therapy students: Factors influencing job selection.","authors":"Chloe Schlatter, Jane McCormack, Elspeth Froude","doi":"10.1080/17549507.2025.2493657","DOIUrl":"https://doi.org/10.1080/17549507.2025.2493657","url":null,"abstract":"<p><strong>Purpose: </strong>Speech-language pathology and occupational therapy are among the fastest growing professions in Australia. This study aimed to explore the settings in which speech-language pathologists and occupational therapy students are choosing to work and the factors influencing their employment decision-making.</p><p><strong>Method: </strong>A cross-sectional survey design was used to capture employment preferences. Final year students from all undergraduate (Bachelors) and post-graduate (Masters) speech-language pathology and occupational therapy programs across Australia were invited to participate. Quantitative data were analysed using descriptive statistics while qualitative data were analysed using content analysis.</p><p><strong>Result: </strong>A total of 57 speech-language pathology and 27 occupational thearpy students in the final year of their degrees completed the survey. Speech-language pathology students reported a preference for working in community settings (68.42%) with individuals who had spoken language needs (94.74%). Occupational thearpy students reported a preference for working within private practice (77.78%) and with adults (70.37%). Both disciplines identified three key factors influencing employment decisions: a) Inclusive and positive workplace culture, b) supervision and support, and c) work-life balance.</p><p><strong>Conclusion: </strong>Final year speech-language pathology and occupational thearpy students value workplace environment, culture, and support when making decisions about employment. Considering these factors when developing workplace policies and processes could enhance recruitment, support, and retention of these health professionals.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-12"},"PeriodicalIF":1.4,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of adults with a tracheostomy: An international survey of speech-language pathologists' practice.","authors":"Anna Miles, Sarah Wallace","doi":"10.1080/17549507.2025.2482865","DOIUrl":"https://doi.org/10.1080/17549507.2025.2482865","url":null,"abstract":"<p><strong>Purpose: </strong>Speech-language pathologists are specialists in communication, swallowing, and weaning as core members of the multidisciplinary tracheostomy team. Inconsistent tracheostomy care is known to result in staff and patient frustration, delayed intervention, and patient harm. Little is known about international speech-language pathology tracheostomy practices.</p><p><strong>Method: </strong>This global survey explored training, clinical practices, perceived knowledge, skills and roles, as well as barriers to change and successes. Questions consisted of likert scale and open-ended questions. 1 458 Speech-language pathologists completed the survey representing six continents and 52 countries.</p><p><strong>Result: </strong>Overall, speech-language pathologists were confident in their knowledge and skills. Tracheostomy teams were viewed as a key facilitator of best care. Access to Flexible Endoscopic Evaluation of Swallowing was variable and considered valuable by all. Four key themes emerged: Knowledge and skills, roles and multidisciplinary tracheostomy team relationships, written documentation and protocols, and access to resources. Multidisciplinary tracheostomy team relationships and being valued as a professional were the most common concerns. Speech-language pathologists had a plethora of successes to share that had changed their workplace.</p><p><strong>Conclusion: </strong>This survey shows speech-language pathologists are aligned internationally with common purpose and values. Speech-language pathologists voiced challenges in multidisciplinary tracheostomy team relationships, standardising practice, and resourcing. Benchmarking is the first step to targeted change and we hope this will support and empowerclinicians to continue to innovate tracheostomy practice.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-14"},"PeriodicalIF":1.4,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social-emotional development in children with at risk of developmental language disorder: Relationships with interactional behaviours and language abilities.","authors":"Merve Dilbaz-Gürsoy, Esra Özcebe","doi":"10.1080/17549507.2025.2481860","DOIUrl":"https://doi.org/10.1080/17549507.2025.2481860","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to examine if children at risk of developmental language disorder show differences in social-emotional competence and/or behavioural problems compared to their typically developing peers. It also investigates the correlation between the interactional behaviours of parents and children and how it relates to the language and social-emotional development of children.</p><p><strong>Method: </strong>The study included 102 children (51 children at risk of developmental langauge disorder, 51 typically developing peers). All children were aged between 24-36 months. Children's expressive and receptive language abilities, expressive vocabulary, and social-emotional development were evaluated. Parent and child's interactional behaviours, such as parental responsiveness and child's initiation, were assessed during free play.</p><p><strong>Result: </strong>Children at risk of developmental language disorder demonstrated significantly higher problem behaviours and lower social-emotional competences compared to their typically developing peers. A significant relationship was found between expressive vocabulary and social-emotional competence in the at risk group. It was established that there were some significant correlations between language, social-emotional development, and parent-child interactional behaviours.</p><p><strong>Conclusion: </strong>This study offers evidence that children at risk of developmental language disorders are at increased risk of having additional emotional and/or behavioural problems. Certain parental interactional behaviours are linked to their children's language and social-emotional development, particularly for typically developing children.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-14"},"PeriodicalIF":1.4,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Counselling in speech-language pathology: Self-efficacy, clinical competencies, and professional development needs in Croatia.","authors":"Marina Olujić Tomazin, Ana Leko Krhen, Iva Hrastinski","doi":"10.1080/17549507.2025.2482806","DOIUrl":"10.1080/17549507.2025.2482806","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated counselling practices among speech-language pathologists in Croatia, examining the frequency and timing of counselling, perceived efficacy of counselling skills and clinical competence, attitudes towards speech-language pathologist counselling, and relationships between counselling skills and clinical competencies.</p><p><strong>Method: </strong>Using a cross-sectional design, a total of 113 speech-language pathologists completed an online survey consisting of demographic information, questions about counselling attitudes, the Self-Efficacy Measurement Tool for Counselling in Speech-Language Pathology questionnaire, and a clinical competencies questionnaire. Data were analysed using non-parametric statistics and multiple regression analysis.</p><p><strong>Result: </strong>Despite rating their counselling skills highly, the majority of participants expressed the need for additional counselling training. They expressed the strongest confidence in exploration and action skills but lower confidence in emotional support and insight skills. Counselling skills strongly correlated with general clinical competencies. Emotional support, session management, and action skills explained 62% of the variance in general clinical competencies. Speech-language pathologists with additional counselling training and longer professional experience demonstrated higher self-efficacy in both counselling and clinical skills.</p><p><strong>Conclusion: </strong>The findings highlight the essential role of counselling in speech-language pathology practice, despite the lack of formal training of Croatian professionals. Results suggest a need for mandatory counselling courses in graduate speech-language pathology programmes.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-11"},"PeriodicalIF":1.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevention of, and response to, sexual and gender-based violence, for refugees who experience communication disability: Evidence from Rwanda.","authors":"Julie Marshall, Helen Barrett","doi":"10.1080/17549507.2025.2484313","DOIUrl":"https://doi.org/10.1080/17549507.2025.2484313","url":null,"abstract":"<p><strong>Purpose: </strong>Risk of exposure to sexual and gender based violence increases during forced migration. Refugee girls and women with communication impairments are at particular risk, with under-identification and lack of appropriate services contributing to increased risk of abuse and limited access to support/redress. This paper describes an innovation project in Rwanda, involvingn the refugee community and service providers. The projects aimed to: a) Document sexual and gender based violence prevention and sexual and reproductive health education services, b) identify inclusive practice and challenges, c) understand refugees' perspectives on access to information and services, and d) recommend changes.</p><p><strong>This paper describes an innovation project in rwanda, with the refugee community and service providers, led by two female, british, speech-language pathologists. for refugees in rwanda who experience communication disability, it aimed to: </strong></p><p><strong>Method: </strong>The project was framed using the Humanitarian Innovation Guide and drew on action research. Individual interviews (21), focus group (81 participants) and workshops (38 participants) were carried out. Content and framework analysis were used and a Humanitarian Innovation Guide 'Problem Statement' and 'Challenge Brief' were developed.</p><p><strong>Result: </strong>Interviews and focus group data generated seven categories and themes, including services, risks, experiences, and needs. Workshops validated findings and participants identified next steps and solutions.</p><p><strong>Conclusion: </strong>Refugees experiencing communication disability face challenges related to sexual and gender based violence prevention and sexual and reproductive health education. Service providers face challenges meeting refugees' needs, but can identify ideas for improved inclusion.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-17"},"PeriodicalIF":1.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, attitudes, and practices of Australian speech-language pathologists regarding health promotion and prevention for children's speech, language, and communication needs: A cross-sectional survey.","authors":"Laura Graham, Rachael Unicomb","doi":"10.1080/17549507.2025.2484314","DOIUrl":"https://doi.org/10.1080/17549507.2025.2484314","url":null,"abstract":"<p><strong>Purpose: </strong>A public health approach has the potential to address inequities in speech, language, and communication needs and prevent and reduce the impact of these needs in the population. However, little is known about speech-language pathologists' knowledge, attitudes, and practices regarding a public health approach, including health promotion and prevention. The aim of this study was to investigate the self-rated knowledge, attitudes, and practices of Australian clinicians regarding health promotion and prevention for children's speech, language, and communication needs.</p><p><p>A cross-sectional online survey of 96 Australian speech-language pathologists was conducted. Inferential statistics were used to investigate associations between clinicians' self-rated knowledge, training, attitudes, practices, and demographics.</p><p><strong>Result: </strong>The majority of participants had positive attitudes towards health promotion and reported high self-rated knowledge of health promotion. More recently trained speech-language pathologists reported learning about health promotion in their university professional training. Different levels of self-rated knowledge, attitudes, practices, and barriers to practice were associated with workplace type (e.g. private practice, state health department).</p><p><p>Australian speech-language pathologists are supportive of health promotion and prevention for children's speech, language, and communication needs. Further research into the organisational aspects and educational needs related to health promotion and prevention of these needs are recommended.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-12"},"PeriodicalIF":1.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Grammar intervention using graduated input type variation (GITV) for pre-primary children: A single-case experimental design study.","authors":"Anita M-Y Wong, Hannah H-I Sou, Lexi H-T Ip, Catherine H-K Chiu, Cecila W-S Au","doi":"10.1080/17549507.2024.2320118","DOIUrl":"10.1080/17549507.2024.2320118","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the early efficacy of a new theory-driven principle of grammar intervention, graduated input type variation (GITV).</p><p><strong>Method: </strong>Three Cantonese-speaking children, aged between 4;01 and 5;10, with oral language difficulties participated in this single baseline within-participant single case experimental study. The children received a total of 300 teaching episodes of the target serial verb construction via focused stimulation and recast over 10 30- to 45-minute sessions. The 30 exemplars of the target included low type variation of the verbs in each of the first five sessions, followed by high type variation in the remaining sessions.</p><p><strong>Result: </strong>Visual analysis revealed that all children improved their performance in the target construction but not the control vocabulary in the probes, suggesting a treatment effect. Maintenance of treatment effects was also observed in all children. Positive results in across-behaviour generalisation to the untrained construction were observed in all children. Generalisation to other less structured linguistic contexts and to the narrative retell discourse context was minimal and observed in one child only.</p><p><strong>Conclusion: </strong>Preliminary evidence suggested early efficacy of GITV as a principle for grammar intervention. Modifications in the research methodology are recommended for future studies involving children with developmental language disorder.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"272-284"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140194910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}