International Journal of Speech-Language Pathology最新文献

Effects of mindfulness meditation on attention processes in people with aphasia. 正念冥想对失语症患者注意力过程的影响。

IF 1.9 4区医学

International Journal of Speech-Language Pathology Pub Date : 2026-05-09 DOI: 10.1080/17549507.2026.2661347

Britta Biedermann, Rosemary Croasdale, Anne Whitworth, Peter Sedlmeier, Sianne Bailey, Neville Hennessey

{"title":"Effects of mindfulness meditation on attention processes in people with aphasia.","authors":"Britta Biedermann, Rosemary Croasdale, Anne Whitworth, Peter Sedlmeier, Sianne Bailey, Neville Hennessey","doi":"10.1080/17549507.2026.2661347","DOIUrl":"https://doi.org/10.1080/17549507.2026.2661347","url":null,"abstract":"Purpose: People with post-stroke aphasia show verbal-language difficulties and verbal working memory problems, but can also present with attention-related deficits. Meditation can positively impact attention in healthy meditators; however, few studies have investigated effects of meditation on different attention processes in people with aphasia. The aim of this study was to explore whether an intensive meditation training could enhance attention processes in people with aphasia, while also testing for potential generalisation to verbal language processes.Method: Five people with chronic aphasia with anomia, good comprehension, and no meditation experience, joined a 9-week meditation training. Repeated pre- and post-training measures of attention and verbal language were collected, as well as repeated ratings of perceived impact on participants' attentional focus, everyday attention and word finding abilities.Result: Prior to training, participants showed deficits in at least one visual and/or auditory attention task in addition to word retrieval and verbal working memory deficits. Four participants showed gains on at least one measure of non-verbal attention following meditation training. No gains in verbal-language skills were observed except for one participant.Conclusion: Visual and auditory attention can be enhanced independently of verbal-language skills in people with aphasia when engaging in regular meditation practice.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-17"},"PeriodicalIF":1.9,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864716","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}

引用次数: 0

Access to support for children with speech, language, and communication needs in the longitudinal study of Indigenous children. 在土著儿童的纵向研究中，为有言语、语言和交流需要的儿童提供支持。

IF 1.9 4区医学

International Journal of Speech-Language Pathology Pub Date : 2026-05-03 DOI: 10.1080/17549507.2026.2661350

Cyrena Hunt-Madden, Ebony Lewis, Alison Purcell, Rona Macniven

{"title":"Access to support for children with speech, language, and communication needs in the longitudinal study of Indigenous children.","authors":"Cyrena Hunt-Madden, Ebony Lewis, Alison Purcell, Rona Macniven","doi":"10.1080/17549507.2026.2661350","DOIUrl":"https://doi.org/10.1080/17549507.2026.2661350","url":null,"abstract":"Purpose: Strong communication skills support Australian Aboriginal and Torres Strait Islander children's connections to community, culture, and education. Ongoing impacts of colonisation and social determinants of health may increase the likelihood of speech, language, and communication needs for Aboriginal and Torres Strait Islander children, however national data is limited. Speech-language pathology can address speech, language, and communication needs, but factors impacting access for this population are not well understood. This study aimed to establish caregiver reported prevalence of speech, language, and communication needs in Aboriginal and Torres Strait Islander children aged 0-6 years and identify facilitators and barriers to accessing support.Method: Mixed modelling and qualitative content analyses were used to examine data for 474 children in a national longitudinal study of Aboriginal and Torres Strait Islander children.Result: In total, 47.0% of children had speech, language, and communication needs between 0-6 years, with only 48.0% with speech, language, and communication needs, accessing support. Higher access was linked to caregiver-rated health, concern duration, and concerns across multiple communication domains. Key access barriers included service availability and awareness.Conclusion: The high prevalence of speech, language, and communication needs and limited access to support highlights the need to reduce access barriers and consider public health models of intervention that incorporate Aboriginal and Torres Strait Islander views of health.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822668","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}

引用次数: 0

Microstructure and macrostructure narrative skills in children with childhood apraxia of speech. 儿童言语失用症的微观结构和宏观结构叙事技巧。

IF 1.9 4区医学

International Journal of Speech-Language Pathology Pub Date : 2026-04-29 DOI: 10.1080/17549507.2026.2658035

Janet Vuolo

{"title":"Microstructure and macrostructure narrative skills in children with childhood apraxia of speech.","authors":"Janet Vuolo","doi":"10.1080/17549507.2026.2658035","DOIUrl":"https://doi.org/10.1080/17549507.2026.2658035","url":null,"abstract":"Purpose: To characterise strengths and weaknesses in microstructure and macrostructure narrative skills in children with childhood apraxia of speech compared to children with typical development.Method: We present data from 38 children (aged 4-11 years), including 18 children with childhood apraxia of speech and 20 children with typical development. Eleven children with childhood apraxia of speech had a documented language disorder. Children generated narratives for two wordless videos. Group differences on microstructural and macrostructural variables were assessed using Mann-Whitney U tests. Pearson product-moment correlations were used to assess the strength of association between key age, speech, and narrative measures within each group.Result: Children with childhood apraxia of speech produced utterances with lower morphosyntactic complexity and productive vocabulary, included fewer total words and scored lower on every macrostructural measure; though only conclusion and the narrative total score were significantly different from children with typical development. Age was significantly correlated with several measures in children with typical development, whereas speech accuracy was significantly correlated with several measures in children with childhood apraxia of speech.Conclusion: We documented strengths and weaknesses in children with childhood apraxia of speech that generally align with and extend prior literature. Overall, children with childhood apraxia of speech are able to adequately convey many story components despite speech and microstructural difficulties. Clinical implications are discussed.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-17"},"PeriodicalIF":1.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786687","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}

引用次数: 0

Longitudinal determinants of reading and writing abilities in late primary school in children with developmental language disorder. 发展性语言障碍儿童小学后期阅读和写作能力的纵向影响因素。

IF 1.9 4区医学

International Journal of Speech-Language Pathology Pub Date : 2026-04-28 DOI: 10.1080/17549507.2026.2655872

Llorenç Andreu, Raquel Balboa-Castells, Nadia Ahufinger, Laura Ferinu, Josué García-Arch, Mònica Sanz-Torrent

{"title":"Longitudinal determinants of reading and writing abilities in late primary school in children with developmental language disorder.","authors":"Llorenç Andreu, Raquel Balboa-Castells, Nadia Ahufinger, Laura Ferinu, Josué García-Arch, Mònica Sanz-Torrent","doi":"10.1080/17549507.2026.2655872","DOIUrl":"https://doi.org/10.1080/17549507.2026.2655872","url":null,"abstract":"Purpose: This study examines the contribution of a set of cognitive and linguistic variables as longitudinal predictors of reading (decoding and comprehension) and writing (spelling and text generation) in children with developmental language disorder two years later.Method: A two-wave longitudinal study was conducted with 58 Catalan-Spanish bilingual children, including 31 with developmental language disorder and 27 with typical language development. At Time 1, participants were assessed in oral language and cognitive abilities. At Time 2, two years later, their reading and writing skills were evaluated.Result: Children with typical development significantly outperformed those with developmental lanugage disorder in decoding, reading comprehension, spelling, and text generation. In the developmental language disorder group, phonological awareness and expressive vocabulary predicted decoding; while phonological awareness, concepts and the ability to follow directions, predicted reading comprehension. Additionally, nonword repetition and phonological awareness predicted spelling, whereas nonword repetition and word association predicted text generation.Conclusion: The findings highlight that oral language difficulties in children with developmental language disorder impact reading and writing development. Phonological awareness plays a crucial role in literacy beyond pre-school, emphasising the need for interventions that strengthen these skills.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-20"},"PeriodicalIF":1.9,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786719","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}

引用次数: 0

Measuring phonological complexity in Thai: Adaptation and application of the word complexity measure. 泰语语音复杂性测量：词复杂性测量的适应与应用。

IF 1.9 4区医学

International Journal of Speech-Language Pathology Pub Date : 2026-04-28 DOI: 10.1080/17549507.2026.2651739

Sujinat Jitwiriyanont, Kiattipoom Nantanukul

{"title":"Measuring phonological complexity in Thai: Adaptation and application of the word complexity measure.","authors":"Sujinat Jitwiriyanont, Kiattipoom Nantanukul","doi":"10.1080/17549507.2026.2651739","DOIUrl":"https://doi.org/10.1080/17549507.2026.2651739","url":null,"abstract":"Purpose: This study aims to develop a tool for assessing phonological complexity in Thai, based on the Word Complexity Measure. An adapted version, the Word Complexity Measure-Thai, is introduced with the hypothesis that existing Thai clinical wordlists do not represent phonological complexity evenly across parameters. The study also proposes a new preliminary Thai wordlist as a prototype for testing phonological complexity.Method: The Word Complexity Measure-Thai was developed and applied to analyse seven Thai wordlists used in speech sound production assessment. The distribution of seven parameters across three domains (word patterns, syllable structures, and sound classes) was examined. A new 50-word prototype list was then constructed to achieve balanced parameter distribution, using the Word Complexity Measure-Thai scoring criteria.Result: Findings showed that current Thai wordlists fail to capture phonological complexity comprehensively. Some parameters, such as final consonants, were overrepresented; while consonant clusters and trills were rare. Polysyllabic words were notably lacking. The new list demonstrated balanced representation across all domains.Conclusion: The Word Complexity Measure-Thai and its prototype wordlist have the potential to serve as a complementary clinical tool, providing a detailed and developmentally appropriate means to assess Thai children's speech and a linguistically-grounded foundation for future phonological research.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-11"},"PeriodicalIF":1.9,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786681","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}

引用次数: 0

Speech production in children with mild bilateral hearing loss using hearing aids. 使用助听器的轻度双侧听力损失儿童的语言生成。

IF 1.9 4区医学

International Journal of Speech-Language Pathology Pub Date : 2026-04-27 DOI: 10.1080/17549507.2026.2655871

Artemi Vella, Vicky Wei Zhang, Joseph Tagudin, Kate Favot, Vijayalakshmi Easwar

{"title":"Speech production in children with mild bilateral hearing loss using hearing aids.","authors":"Artemi Vella, Vicky Wei Zhang, Joseph Tagudin, Kate Favot, Vijayalakshmi Easwar","doi":"10.1080/17549507.2026.2655871","DOIUrl":"https://doi.org/10.1080/17549507.2026.2655871","url":null,"abstract":"Purpose: The study aimed to (a) compare the articulation accuracy and phonological processes of 5-year-old children with mild bilateral hearing loss and normal hearing peers, and (b) determine the relationship between the age of first hearing aid fitting and speech production accuracy.Method: A total of 28 5-year-old children with mild bilateral hearing loss and 60 age-matched peers with normal hearing were assessed using the Diagnostic Evaluation of Articulation and Phonology. Percentages of consonants, vowels, and phonemes correct, and counts of phonological processes were extracted. For each phoneme, the type and frequency of errors were quantified.Result: Compared to normal hearing peers, children with mild milateral hearing loss had significantly lower percentages of consonants, vowels, and phonemes correct. In terms of phonological processes, children with mild bilateral hearing loss had a significantly higher proportion of stopping, voicing, gliding, final consonant deletion, and cluster reduction errors than their normal hearing peers. The mean age of the first hearing aid fitting was 13 months. No association was found with the age of first hearing aid fitting and articulation accuracy.Conclusion: Despite hearing aid fitting, mild bilateral hearing loss can compromise a child's speech production development. To reduce the impact of speech delays on communication competence, close monitoring and preventative management is recommended.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786655","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}

引用次数: 0

The feasibility of using a train-the-trainer model for vocabulary intervention for Spanish-exposed late talkers: A single-subject experimental design. 训练-训练者模型对西班牙语暴露晚语儿童词汇干预的可行性：单受试者实验设计。

IF 1.9 4区医学

International Journal of Speech-Language Pathology Pub Date : 2026-04-27 DOI: 10.1080/17549507.2026.2646439

Sarah Lynn Neiling, Mary Alt, Sarah R Cretcher, Kimberly Estefania Leon

{"title":"The feasibility of using a train-the-trainer model for vocabulary intervention for Spanish-exposed late talkers: A single-subject experimental design.","authors":"Sarah Lynn Neiling, Mary Alt, Sarah R Cretcher, Kimberly Estefania Leon","doi":"10.1080/17549507.2026.2646439","DOIUrl":"https://doi.org/10.1080/17549507.2026.2646439","url":null,"abstract":"Purpose: This study examined the feasibility of implementing an efficacious, statistically-based, word learning intervention, Vocabulary Acquisition and Usage for Late Talkers (VAULT), in a caregiver-implemented service delivery model primarily via telehealth with late talkers exposed to Spanish or Spanish and English. Caregivers were coached by professionals with experience supporting Latine1 families in early childhood development, but who were not speech-language pathologists. The aim was to explore the feasibility of train-the-trainer models.Method: Four caregiver-child pairs participated in a single-subject, multiple baseline design. Coaches trained caregivers who administered VAULT. Outcomes included fidelity to the coaching protocol, VAULT, social validity, and child expressive vocabulary.Result: Two caregivers completed the study, while two exited mid-treatment citing scheduling difficulties. Coaches demonstrated high fidelity with some variability to teach-model-coach-review and VAULT. Caregivers reached the target rate of nine models per minute on average, though with variability. VAULT had evidence of social validity, however there may have been too many required research-specific tasks. All children learned some treatment words and increased their expressive vocabulary.Conclusion: Fidelity varied by triad, indicating the need for more supports for consistency. Acceptability of VAULT was promising, however participant drop-out showed the need for fewer research activities or more supports.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-24"},"PeriodicalIF":1.9,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786684","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}

引用次数: 0

Is iohexol an acceptable alternative to barium sulphate for videofluoroscopy swallowing studies? An observational mixed-methods study using the theoretical framework of acceptability. 碘己醇是一种可接受的替代硫酸钡的透视吞咽研究吗？采用可接受性理论框架的观察性混合方法研究。

IF 1.9 4区医学

International Journal of Speech-Language Pathology Pub Date : 2026-04-23 DOI: 10.1080/17549507.2026.2651735

Lauren Williamson, Michelle Lin, Nicholas Van Veenendaal, Toni Withiel, Daniel Nguyen, Aruska N D'Souza

{"title":"Is iohexol an acceptable alternative to barium sulphate for videofluoroscopy swallowing studies? An observational mixed-methods study using the theoretical framework of acceptability.","authors":"Lauren Williamson, Michelle Lin, Nicholas Van Veenendaal, Toni Withiel, Daniel Nguyen, Aruska N D'Souza","doi":"10.1080/17549507.2026.2651735","DOIUrl":"https://doi.org/10.1080/17549507.2026.2651735","url":null,"abstract":"Purpose: Videofluoroscopic swallowing studies traditionally use barium sulphate and remains the gold standard for evaluating swallowing disorders. Due to a global shortage, this study investigates the acceptability of iohexol as an alternative.Method: An observational mixed-method study in a quaternary hospital. Speech-language pathologists rated 294 swallows across 70 videofluoroscopic swallowing studies on a 5-point Likert scale assessing visibility, while blinded to the contrast used (barium or iohexol). Speech-language pathologists experienced with both agents also completed a qualitative online survey on contrast acceptability. Both data types were given equal weight in analysis.Result: Fifteen Speech-language pathologists (mean years of experience 6.87, SD = 5.33) completed visibility ratings; 11 completed the acceptability survey. Acceptability was found to be consistency dependent with iohexol preferred for thin fluids; yet acceptability was also influenced by contrast availability, taste, preparation time, and effort, as well as patient aspiration risk. When blinded to the contrast used, speech-language pathologists were more often satisfied with barium (odds ratio 0.51, 95% CI 0.46-0.58); however, for fluids alone, iohexol was rated more satisfactory (odds ratio 1.26, 95% CI 1.07-1.49).Conclusion: Barium sulphate remains preferable for visibility and preparation, but iohexol was also acceptable, particularly for fluids and in situations where barium is unavailable.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786667","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}

引用次数: 0

Exploring the experiences of culturally diverse speech-language pathologists. 探索不同文化背景的语言病理学家的经验。

IF 1.9 4区医学

International Journal of Speech-Language Pathology Pub Date : 2026-04-22 DOI: 10.1080/17549507.2026.2652491

Lauren Boeyen, Paige Chewter, Stacie Attrill

{"title":"Exploring the experiences of culturally diverse speech-language pathologists.","authors":"Lauren Boeyen, Paige Chewter, Stacie Attrill","doi":"10.1080/17549507.2026.2652491","DOIUrl":"https://doi.org/10.1080/17549507.2026.2652491","url":null,"abstract":"Purpose: In Australia, practitioners who are culturally and linguistically diverse are underrepresented in the speech-language pathology profession, partly due to systemic racism within healthcare systems. This study aims to explore the experiences of qualified culturally diverse speech-language pathologists practising in Australia.Method: Researchers applied Flanagan's (1954) Critical Incident Theory and Lave and Wegner's (1991) Legitimate Peripheral Participation theory to analyse interviews gathered from twenty culturally and linguistically diverse speech-language pathologists. Analysis identified 336 critical incidents, which were collated and further analysed thematically.Result: Analysis identified three themes: Acculturation', 'being othered', and 'connectedness with culturally diverse communities'. Participants described challenges, including discrimination and the cognitive load of adapting to Australian cultural norms, as well as strengths, such as building rapport with culturally diverse clients and delivering culturally responsive care. The findings highlight the unique experiences of culturally diverse clinicians as both individuals who experience systemic barriers to healthcare delivery and as valuable practitioners with the knowledge and skills to shape the speech-language pathology profession.Conclusion: The findings contribute to discussions regarding diversity in the speech-language pathology workforce, highlighting the need to address identified profession-level barriers to create an inclusive and equitable professional environment that is responsive to culturally diverse practitioners.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-17"},"PeriodicalIF":1.9,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786714","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}

引用次数: 0

Speech language pathologists' perspectives of supporting people with complex communication needs to make decisions about where and how they live. 语言病理学家的观点，支持有复杂沟通需求的人决定他们在哪里和如何生活。

IF 1.9 4区医学

International Journal of Speech-Language Pathology Pub Date : 2026-04-22 DOI: 10.1080/17549507.2026.2658031

Ashleigh McLeod, Elspeth Froude, Joanne Watson, Natalie Berg

{"title":"Speech language pathologists' perspectives of supporting people with complex communication needs to make decisions about where and how they live.","authors":"Ashleigh McLeod, Elspeth Froude, Joanne Watson, Natalie Berg","doi":"10.1080/17549507.2026.2658031","DOIUrl":"https://doi.org/10.1080/17549507.2026.2658031","url":null,"abstract":"Purpose: In Australia, the National Disability Insurance Scheme enables people under 65 to consider moving into alternative accommodations. However, people with complex communication needs may be excluded from decisions about where and how they live because they cannot express their preferences. This study explores the current practices of speech-language pathologists supporting people with complex communication needs with decision-making about accommodation.Method: Utilising a collective case study design, five speech-language pathologists who support people with complex communication needs who are considering moving to specialist disability accommodation were purposively sampled to explore similarities and differences in practice. Semi-structured interviews with clinicians were transcribed and analysed thematically.Result: Seven main themes were generated. These themes described participants' current skills, factors that influence their timely involvement in supporting people with complex communication needs, the importance of navigating the National Disability Insurance Scheme, the absence of policies and procedures to effectively support decision-making, and suggestions for future practice.Conclusion: Speech-langugae pathology practice in supporting people with complex communication needsto make decisions about where and how they live is variable and challenged by the absence of adequate National Disability Insurance Scheme funding, and practice guidelines. Clinicians could be integral to supporting decision-making for people with complex communication needs about accommodation but require adequate time and training to do so effectively.","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786708","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}

引用次数: 0