Clarine Maria Thomas, Rakesh Chowkalli Veerabhadrappa, R Vani Lakshmi, Sunila John
{"title":"Comparison of diadochokinesis in Kannada-speaking adults who do and do not stutter.","authors":"Clarine Maria Thomas, Rakesh Chowkalli Veerabhadrappa, R Vani Lakshmi, Sunila John","doi":"10.1080/17549507.2026.2716264","DOIUrl":"https://doi.org/10.1080/17549507.2026.2716264","url":null,"abstract":"<p><strong>Purpose: </strong>In the context of limited understanding of the objective measurement of diadochokinesis in adults with stuttering, the study aimed to compare the oral diadochokinetic and laryngeal diadochokinetic rates between adults who stutter and adults who do not stutter. The study further examined the effect of lexicality (real words vs. non-words) in oral diadochokinetic tasks.</p><p><strong>Method: </strong>Using Praat software, oral (oral diadochokinetic rate, consonant-vowel duration, and inter-syllabic duration) and laryngeal diadochokinetic rates were examined among 35 adults who stutter and 35 age- and gender-matched adults who do not stutter. Further, the effect of stimuli (real word vs. non-word) during oral diadochokinetic tasks was also examined.</p><p><strong>Result: </strong>Significant differences were noted between groups for monosyllabic oral and laryngeal diadochokinetic rates, but not during bi- and tri-syllabic diadochokinetic tasks, suggesting potential differences in speech-motor control between the groups. There was no significant difference between groups in consonant-vowel duration and inter-syllabic duration. In contrast to adults who do not stutter groups, a significant difference was observed with adults who stutter producing bi-syllabic real words faster than the non-words.</p><p><strong>Conclusion: </strong>The present study emphasises the importance of using the dual diadochokinetic protocol (oral and laryngeal diadochokinetic), incorporating both real and non-word oral diadochokinetic tasks during clinical evaluations.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882019","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}
Shane Erickson, Kate Bridgman, Hannah Stark, Sarah Gravina, Stephanie Fornaro
{"title":"A pragmatic pilot study of school speech-language pathologist delivery of the Lidcombe Program via telepractice.","authors":"Shane Erickson, Kate Bridgman, Hannah Stark, Sarah Gravina, Stephanie Fornaro","doi":"10.1080/17549507.2026.2713489","DOIUrl":"https://doi.org/10.1080/17549507.2026.2713489","url":null,"abstract":"<p><strong>Purpose: </strong>While evidence supports use of the Lidcombe Program for school-age children who stutter, accessing treatment can be problematic. Telepractice could overcome service barriers, yet scarce research has investigated telepractice delivered Lidcombe Program by school speech-language pathologists.</p><p><strong>Method: </strong>In this pragmatic pilot study, 16 school-age children (6;1-11;2) received the Lidcombe Program via telepractice at home or school by one of five offsite speech-language pathologists. Independent speech data were collected before treatment and nine months after commencing treatment. Additionally, data regarding parent satisfaction and perspectives were collected.</p><p><strong>Result: </strong>After nine months of treatment, speech data were collected from 10 of the 16 children, five of whom had already met criteria for entry to Lidcombe Program Stage 2. The remaining six children withdrew prior to this data-point. Significant group reductions in percentage of syllables stuttered (<i>p</i> = .05) and severity ratings (<i>p</i> = .05) were achieved, however should be interpreted with caution given varied participant treatment response. Parents reported that telepractice was convenient, increased access, and did not negatively impact the speech-language pathologists' therapeutic relationship.</p><p><strong>Conclusion: </strong>Reductions in stuttering, along with positive parent reports, mean telepractice delivered Lidcombe Program by school speech-language pathologists can be effective for some children while overcoming access barriers.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800459","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}
Emma Alegre, Adriana Penman, Rachael Unicomb, Nerina Scarinci
{"title":"The perceptions of speech-language pathologists on managing stuttering across the lifespan: Outcomes of a mixed-methods national workforce survey.","authors":"Emma Alegre, Adriana Penman, Rachael Unicomb, Nerina Scarinci","doi":"10.1080/17549507.2026.2718365","DOIUrl":"https://doi.org/10.1080/17549507.2026.2718365","url":null,"abstract":"<p><strong>Purpose: </strong>This study explored the self-perceived competence of speech-language pathologists working in Australia to manage stuttering across the lifespan, factors influencing provision of evidence-based practice, and support needs to develop confidence in this area.</p><p><strong>Method: </strong>A national online survey was completed by 147 practising speech-language pathologists. Quantitative data were analysed using descriptive statistics and qualitative data were analysed using content analysis.</p><p><strong>Result: </strong>Perceived competence was highest and above the competence threshold for assessment of stuttering across the lifespan and for working with pre-school children. Participants rated themselves below the competence threshold in one-third of measured areas, including troubleshooting therapy and discharging clients for school-age, adolescents, and adults who stutter. Adolescent stuttering received the most ratings below the competence threshold, specifically in selecting appropriate therapy, collaborating with teachers, and evaluating outcomes. Barriers to evidence-based practice included affordability, long waitlists, and session frequency. Factors affecting treatment success included systemic constraints, limited experience, and challenges applying research to diverse presentations. Speech-language pathologists emphasised the need for practical learning, observation, supervision, and accessible professional development.</p><p><strong>Conclusion: </strong>Findings highlight self-reported gaps in competence and systemic barriers to managing stuttering. Support needs identified by speech-language pathologists provide evidence to inform future professional development and advocacy to improve services.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-15"},"PeriodicalIF":1.6,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800522","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":"\"I was overwhelmed but happy… that he was communicating with me\": How maternal emotions influenced acceptance of augmentative and alternative communication.","authors":"Linda S Duke, Anna Urbanowicz, Joanne M Watson","doi":"10.1080/17549507.2026.2715015","DOIUrl":"https://doi.org/10.1080/17549507.2026.2715015","url":null,"abstract":"<p><strong>Purpose: </strong>This study explored how mothers' emotions influenced their psychological acceptance of aided augmentative and alternative communication for children with complex communication needs.</p><p><strong>Method: </strong>Five mothers reflected on their experiences following augmentative and alternative communication recommendations. Data were analysed using reflexive thematic analysis, then re-examined using the appraisal tendency framework to understand how emotions and associated cognitive appraisals shaped augmentative and alternative communication decisions.</p><p><strong>Result: </strong>When mothers viewed augmentative and alternative communication as supporting their goal for their child to communicate functionally, they felt hope, gratitude, joy, and pride; reducing worry and reinforcing acceptance of augmentative and alternative communication. Strong negative emotions, particularly grief, impeded acceptance. Interactions with practitioners, goal congruence, and emotion contagion influenced maternal trust in augmentative and alternative communication recommendations.</p><p><strong>Conclusion: </strong>Mothers' emotions reflect their cognitive appraisals of augmentative and alternative communication's relevance to their communication goals for their children. Speech-language pathologists recommending augmentative and alternative communication to children, therefore, should routinely explore mothers' emotional responses and tailor education, counselling, and intervention accordingly. Fostering hope, addressing uncertainty, engineering rewarding AAC experiences, and collaborating on goals all support augmentative and alternative communication acceptance. Future research should explore emotional journeys of parents who made different augmentative and alternative communication decisions.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-11"},"PeriodicalIF":1.6,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800454","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":"Carer- and self-reported mealtime challenges for children and young people with cerebral palsy: What do they tell us?","authors":"Lisa N Moshovis, A Marie Blackmore, Kelly A Weir","doi":"10.1080/17549507.2026.2716831","DOIUrl":"https://doi.org/10.1080/17549507.2026.2716831","url":null,"abstract":"<p><strong>Purpose: </strong>This study describes the carer- and self-reported mealtime challenges for children and young people with cerebral palsy. These data are novel and incorporate the consumer's perspective to inform service delivery.</p><p><strong>Method: </strong>Participants included children and young people with cerebral palsy (aged 1-26 years) or their caregivers in Western Australia. Participants wrote comments to two open-ended questions regarding causes of coughing or choking during meals from a larger survey on respiratory risk factors. These written responses form the dataset for the present study. Data were analysed using thematic analysis.</p><p><strong>Result: </strong>Of 551 respondents, 272 answered the open-ended questions (<i>n</i> = 255 carer-reported, <i>n</i> = 17 self-reported; mean age of children and young people with cerebral palsy = 10.6 years [SD = 6.1]; <i>n</i> = 160 male; <i>n</i> = 54 V on the Gross Motor Functional Classification Scale; <i>n</i> = 85 with texture modifications and/or tube). Only 8.1% reported no safety concerns at mealtimes. The issues respondents reported around mealtime challenges and safety were collated into five themes: (a) types of food and drink, (b) oral skills and swallow function, (c) mealtime behaviours, (d) mealtime assistance, and (e) health and medical issues.</p><p><strong>Conclusion: </strong>This study identifies key mealtime challenges for children and young people with cerebral palsy. Clinical practice recommendations are provided. They involve multifactorial assessment, individualised planning, and multidisciplinary management.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-11"},"PeriodicalIF":1.6,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800513","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":"Diagnostic accuracy of narrative-related skills in identifying Chinese Mandarin-speaking school-age children with developmental language disorder.","authors":"Jin Xue, Junjing Zhuo, Panpan Li, Esther Geva","doi":"10.1080/17549507.2026.2705422","DOIUrl":"https://doi.org/10.1080/17549507.2026.2705422","url":null,"abstract":"<p><strong>Purpose: </strong>Macro- and micro-structures of narratives index different aspects of the language system. Thus, measures of narratives at macro- and micro-structures have the potential to discriminate the status of children's language ability. The present study examined the diagnostic accuracy of a tool utilising narrative measures for identifying children with developmental language disorder.</p><p><strong>Method: </strong>Narrative samples were collected from 34 typically developing children and 34 children with developmental language disorder by using a wordless-picture story generation task. These narrative samples were scored for these macro- and micro-structures. Sensitivity, specificity, and likelihood ratio were calculated to assess the accuracy that indices at macro- and micro-structures of narratives discriminate Mandarin-speaking children with and without developmental language disorder.</p><p><strong>Result: </strong>It was found that a composite of macro- and micro-structure measures yields adequate sensitivity and specificity. Narrative structures, the number of different words, the total number of words, the mean length of utterance, and Chinese syntactic structures approached satisfactory sensitivity, specificity, and positive and negative likelihood ratios.</p><p><strong>Conclusion: </strong>The result suggest that the wordless-picture story generation task is a valid tool for distinguishing Mandarin-speaking children with and without developmental language disorder.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-18"},"PeriodicalIF":1.6,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800525","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}
Rachel Wanless, Mary Claessen, Daniel F Gucciardi, Sharon Smart
{"title":"Assessment and diagnosis of Paediatric Feeding Disorder: A scoping review of assessment tools and psychometric properties.","authors":"Rachel Wanless, Mary Claessen, Daniel F Gucciardi, Sharon Smart","doi":"10.1080/17549507.2026.2713492","DOIUrl":"10.1080/17549507.2026.2713492","url":null,"abstract":"<p><strong>Purpose: </strong>Paediatric Feeding Disorder occurs when oral intake is not age-appropriate and associated with impaired medical, nutritional, feeding skill, and/or psychosocial dysfunction. Psychometric properties of feeding assessments are variable, with unclear mapping to the Paediatric Feeding Disorder criteria. We aimed to explore paediatric feeding and swallowing assessment tools mapped to Paediatric Feeding Disorder domains and narratively analyse the psychometric properties.</p><p><strong>Method: </strong>This systematic scoping review utilised three databases (Medline, Embase, Web of Science). Studies written in English regarding children 0;6 months to 3;11 years with psychometrics on assessment of Paediatric Feeding Disorder were included.</p><p><strong>Result: </strong>32,322 papers met inclusion criteria, and 137 papers were included in final extraction. Ninety-five feeding assessments were identified; 66.3% parent-reported questionnaires, 31.6% clinician assessments, and 2.1% clinician or caregiver rating scales. Of these, 87% of assessments included a combination of Paediatric Feeding Disorder domains. Psychometric properties were reported on 520 occasions, the highest being internal consistency (13.5%).</p><p><strong>Conclusion: </strong>Diagnosis of Paediatric Feeding Disorder requires use of feeding assessments with the <i>strongest</i> psychometric evidence to comprehensively assess <i>all four</i> Paediatric Feeding Disorder domains. Assessments should incorporate parent-reported <i>and</i> clinician assessment to synergise caregiver perspectives with clinical expertise. Further research is needed to enhance reliability and validity testing of paediatric feeding assessments to form a comprehensive Paediatric Feeding Disorder diagnosis.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765609","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}
Katherine Broomfield, Laura Hrastelj, Deborah James
{"title":"Dialogue in practice: How can reimagining 'communication' re-envision speech-language pathology?","authors":"Katherine Broomfield, Laura Hrastelj, Deborah James","doi":"10.1080/17549507.2026.2713497","DOIUrl":"10.1080/17549507.2026.2713497","url":null,"abstract":"<p><strong>Purpose: </strong>Speech-language pathology has traditionally been informed by sender-receiver models of communication and medicalised frameworks that prioritise impairment, diagnosis, and measurable outcomes. While these approaches have contributed substantially to clinical assessment and intervention, they can underrepresent relational, social, and embodied dimensions of communication that shape participation in everyday life. We argue that expanding the theoretical foundations of speech-language pathology through engagement with dialogic, sociological, and philosophical perspectives can enrich contemporary practice. Drawing on the work of sociological philosophers we explore communication as a dynamic, co-constructed, and polyphonic process in which meaning emerges through interaction, embodiment, and encounter.</p><p><strong>Method: </strong>We reflect on three qualitative research projects involving people with communication disabilities. Across these examples, dialogic concepts illuminate aspects of practice that are often difficult to capture through conventional frameworks, including relational attunement, embodied knowledge, ethical responsiveness, and co-construction of meaning.</p><p><strong>Result: </strong>Dialogic conceptualisations of communication offer speech-language pathologists a broader professional vision that extends beyond impairment-focused models towards more collaborative, person-centred, and contextually situated practice.</p><p><strong>Conclusion: </strong>Dialogism offers concepts that can advance assessment, intervention, professional education, and research; greater engagement with theory can support more ethical, creative, and inclusive approaches to communication support.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763334","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":"Workforce diversity in German speech-language pathology: A nationwide survey on representation, inclusion, and discrimination.","authors":"Wiebke Scharff Rethfeldt, Catharina Güttler","doi":"10.1080/17549507.2026.2708231","DOIUrl":"10.1080/17549507.2026.2708231","url":null,"abstract":"<p><strong>Purpose: </strong>Limited diversity in speech-language pathology is an issue as populations served become increasingly diverse. This study provides the first overview of demographic diversity within the German speech-language pathology workforce and examines discrimination experiences across multiple dimensions, with comparisons to national population statistics where possible.</p><p><strong>Method: </strong>A nationwide cross-sectional online survey using a 65-item self-identification questionnaire was conducted. Fully completed responses from speech-langauge pathologists (<i>n</i> = 1580) were analysed descriptively. Variables included age, gender, sexual orientation, citizenship/nationality, immigration history, ethnic origin/racialisation, religion/belief, language, disability, qualification pathways, and self-reported discrimination. Data were collected via LimeSurvey following guidance from the Federal Anti-Discrimination Agency.</p><p><strong>Result: </strong>The workforce was predominantly female (91.3%) and White (93.16%). Respondents with an immigration history (18.29%) and Muslim affiliation were comparatively underrepresented compared with the general population. Sexual orientation and overall religious affiliation broadly aligned with population estimates. Heritage-language proficiency in major migrant languages was limited. Overall, 69% reported experiencing discrimination at least occasionally, most commonly based on gender. Respondents with an immigration history more often reported multiple perceived bases of discrimination.</p><p><strong>Conclusion: </strong>The German speech-language pathology workforce appears demographically homogenous, particularly regarding ethnicity/racialisation and heritage-language diversity. Discrimination is common. These findings provide a baseline for understanding workforce diversity and relate to United Nations Sustainable Development Goals 3, 4, 5, 8, and 10.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-20"},"PeriodicalIF":1.6,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690036","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}