Crystal Kelly, Petrea Cornwell, Ronelle Hewetson, Anna Copley
{"title":"\"Everyone's brains are different…you can't just have one therapy plan to suit everyone\" - A qualitative investigation of community-based rehabilitation services following traumatic brain injury.","authors":"Crystal Kelly, Petrea Cornwell, Ronelle Hewetson, Anna Copley","doi":"10.1080/17549507.2024.2390513","DOIUrl":"10.1080/17549507.2024.2390513","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the lived experiences of adults who have received community-based rehabilitation (CBR) services in Australia or New Zealand for cognitive-communication disorders (CCDs) following traumatic brain injury (TBI) and their support people. Participants' recommendations for future models of care were also explored to enhance rehabilitation services for people with TBI.</p><p><strong>Method: </strong>A qualitative descriptive approach grounded in phenomenology was used, whereby semi-structured interviews were conducted with each participant. A total of 28 interviews were completed, four in-person and 24 via video conferencing. Two participant groups were recruited: Adults with TBI; and their support people. Sixteen adults with a self-reported diagnosis of cognitive-communication disorder (CCD) following TBI who had received CBR and 12 support people were included. Interviews were analysed using reflexive thematic analysis.</p><p><strong>Result: </strong>Four themes were identified by the participant groups indicating the core pillars of CBR models of care. They included the importance of: (a) accessible and inclusive CBR services; (b) specialised clinical skills and treatment approaches; the acknowledgment that (c) knowledge is power; and the significance of (d) peer networks and support.</p><p><strong>Conclusion: </strong>This study further advances the evidence base of how services can be optimised to meet the complex needs of adults with CCDs following a TBI. Clinicians, researchers, and service providers should endeavour to incorporate the four core pillars outlined to enhance future CBR models of care for this clinical population.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"621-633"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330684","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}
Prarthana Shivabasappa, Elizabeth D Peña, Lisa M Bedore
{"title":"Developmental changes in the word co-occurrences of Spanish-English bilingual children with and without developmental language disorder.","authors":"Prarthana Shivabasappa, Elizabeth D Peña, Lisa M Bedore","doi":"10.1080/17549507.2024.2381467","DOIUrl":"10.1080/17549507.2024.2381467","url":null,"abstract":"<p><strong>Purpose: </strong>The study aimed to understand how bilingual children with typical language development (TLD) and those with developmental language disorder (DLD) use frequent word co-occurrences in their narratives.</p><p><strong>Method: </strong>We studied the change over time in the word co-occurrences used by 30 Spanish-English bilingual children with and without DLD (experimental group). An additional normative group consisted of 98 TLD Spanish-English bilingual first graders. Children narrated two Spanish and two English stories in kindergarten and first grade. Employing a Python program on the transcribed narratives, we extracted all adjacent two-word and three-word co-occurrences. From the normative group, the 90 most frequently occurring two-word and 90 most frequently occurring three-word co-occurrences were extracted. The type and tokens of word co-occurrences each child in the experimental group produced out of the 180 identified word co-occurrences were analysed.</p><p><strong>Result: </strong>Overall, children at first grade produced more word co-occurrences types than in kindergarten. Children with DLD used fewer types of word co-occurrences but produced them as often as than their TLD peers. Children with DLD increased their word co-occurrences from kindergarten to first grade at the same rate although at a lower frequency. Children in both groups produced similar types and tokens of word co-occurrences in both Spanish and English, except tokens of two word co-occurrences. Children produced two word co-occurrences more often in English than in their Spanish narratives.</p><p><strong>Conclusion: </strong>The results shed light on children with DLD's deficits in production of word co-occurrences, indirectly reflecting possible deficits in statistical pattern detection.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"717-726"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019223","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}
Vincent Learnihan, Sue-Ellen Hogg, Kimberley Davis
{"title":"The telehealth surge: Speech-language pathology mode of service delivery and consumer characteristics during COVID-19.","authors":"Vincent Learnihan, Sue-Ellen Hogg, Kimberley Davis","doi":"10.1080/17549507.2024.2388061","DOIUrl":"10.1080/17549507.2024.2388061","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the characteristics of speech-language pathology (SLP) consumers prior to and during the COVID-19 pandemic, with respect to the mode of service delivery within a local health district in New South Wales, Australia, to inform future health service planning.</p><p><strong>Method: </strong>Observational study examining SLP occasions of service data pre-COVID-19 (2019-2019; <i>n</i> = 6413) and during the COVID-19 pandemic (2020-2021; <i>n</i> = 6908). Spatial mapping and multilevel models were used to examine associations between sociodemographic characteristics, telehealth utilisation, and videoconferencing.</p><p><strong>Result: </strong>During COVID-19, SLP occasions of service increased by 7.7% compared to pre-COVID-19. Model 1 found odds of adopting telehealth (telephone or videoconference) during COVID-19 were significantly higher for those aged 0-4 and 5-17 years compared to older age groups. Consumers in inner regional areas were significantly less likely to adopt telehealth than in major city areas, whereas females were significantly more likely to adopt telehealth. Those living in areas experiencing higher relative disadvantage were less likely to use telehealth. Model 2 found odds of adopting videoconferencing only were also significantly higher for the younger age groups (0-4 and 5-17 years) and females.</p><p><strong>Conclusion: </strong>A rapid transition to a virtual model of care was critical to the successful delivery of SLP services during COVID-19. Immediate prioritisation and integration of targeted models of care, where suitability is high and benefits most likely to be experienced, is feasible.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"727-734"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113914","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}
Victoria Sandham, Anne E Hill, Fiona Hinchliffe, Rebecca M Armstrong
{"title":"The translatability of communication interventions in paediatric autism: A scoping review.","authors":"Victoria Sandham, Anne E Hill, Fiona Hinchliffe, Rebecca M Armstrong","doi":"10.1080/17549507.2024.2388060","DOIUrl":"10.1080/17549507.2024.2388060","url":null,"abstract":"<p><strong>Purpose: </strong>Translation of research is requisite for speech-language pathologists; however, barriers have been reported. This review aimed to identify the extant literature published on communication for autistic children, and examine the replicability and translatability of communication interventions for speech-language pathologists providing services to children with autism.</p><p><strong>Method: </strong>A scoping review was conducted using a six-stage protocol. Following initial database searching and screening, data were extracted from included studies for demographic characteristics and Template for Intervention Description and Replication (TIDieR) checklist elements. Stakeholder consultation interviews with 13 speech-language pathologists who work with autistic children were also undertaken.</p><p><strong>Result: </strong>The database search revealed 4719 studies on the topic of communication in autistic children, of which 762 were communication intervention studies. Of these included intervention studies, 30% were considered replicable according to the TIDieR checklist. Stakeholder consultation revealed that poorly described intervention studies hindered translation efforts.</p><p><strong>Conclusion: </strong>The vast amount of autism communication intervention literature and the variable quality of intervention description reporting are barriers to accessing high quality literature for translation to practice. Improved reporting of intervention descriptions in autism communication intervention studies would support research translation into clinical settings.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"647-659"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113915","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}
Megan Madonna, Elodie Jeffers, Katherine E Harding
{"title":"Caregiver training improves child feeding behaviours in children with paediatric feeding disorder and may reduce caregiver stress: A systematic review and meta-analysis.","authors":"Megan Madonna, Elodie Jeffers, Katherine E Harding","doi":"10.1080/17549507.2024.2381459","DOIUrl":"10.1080/17549507.2024.2381459","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this systematic review and meta-analysis was to synthesise the evidence from randomised controlled trials for caregiver training on child and family outcomes for children with paediatric feeding disorder.</p><p><strong>Method: </strong>A systematic review was conducted in accordance with PRISMA guidelines. Searches of Medline, CINAHL, PsychInfo, and EMBASE were conducted using the key concepts of paediatrics, feeding disorders, parents/caregivers, and training. Eligible studies included randomised controlled trials published in peer-reviewed articles, testing the impact of caregiver training on outcomes for children with paediatric feeding disorder.</p><p><strong>Result: </strong>Eight articles met the inclusion criteria, involving 575 participants from three countries. Seven articles were included in the meta-analyses, providing high certainty evidence that caregiver training improves child feeding behaviours and reduces unhelpful caregiver mealtime strategies compared with no intervention. Uncertainty remains in regard to impact on caregiver stress and intervention intensity.</p><p><strong>Conclusion: </strong>Caregiver training is an effective strategy for improving outcomes in children with paediatric feeding disorder. Further research is required to determine the most effective methods of caregiver training, including the intensity of treatment required to attain clinically important benefits for families with different levels of need.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"634-646"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141502","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}
Michelle Erlam, Bianca Jackson, Mascha Moerenburg, Mark Henaghan, Anna Miles
{"title":"Ethical and legal considerations when supporting children engaging in eating and drinking with acknowledged risk in New Zealand.","authors":"Michelle Erlam, Bianca Jackson, Mascha Moerenburg, Mark Henaghan, Anna Miles","doi":"10.1080/17549507.2025.2556945","DOIUrl":"https://doi.org/10.1080/17549507.2025.2556945","url":null,"abstract":"<p><strong>Purpose: </strong>Children and families choose eating and drinking with acknowledged risk, often while receiving support from professionals, such as paediatricians and speech-language pathologists. These decisions may fall inside the <i>zone of parental discretion</i>, where decisions are deemed to be 'good enough' for a child and may not prioritise physical health but would not cause significant harm. Often a contentious space, health professionals may feel uncertain of their ethical or legal obligations when supporting these families and children. Further complicated when children attend education and are fed by school staff, school-based speech-language pathologists may feel unsure how to support these children and families. Much of the literature surrounding paediatric feeding disorders comes from the US; however, these studies do not consider the legal context of New Zealand.</p><p><strong>Result: </strong>This article attempts to outline laws, legal principles, and ethical principles applicable to this topic, in the hopes of highlighting health professionals' obligations and options when supporting these families.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-11"},"PeriodicalIF":1.9,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132215","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":"The late paid price: The lived experience of late radiation associated dysphagia.","authors":"Hilary Cochrane, Camilla Dawson, Stacey A Skoretz","doi":"10.1080/17549507.2025.2555248","DOIUrl":"https://doi.org/10.1080/17549507.2025.2555248","url":null,"abstract":"<p><strong>Purpose: </strong>Late radiation-associated dysphagia is a rare side effect of radiation treatment for head and neck cancer. Arising over five years after treatment, it may profoundly impact survivors' health and quality of life. This study sought to gain insight into the lived experience of late radiation associated dysphagia.</p><p><strong>Method: </strong>This qualitative study utilised semi-structured phone interviews. Research assistants completed transcription using a consensus process with the first author for unclear speech segments. A patient partner was consulted at all study stages. Participants were purposively sampled from a single Canadian province, and an inductive thematic analysis was employed.</p><p><strong>Result: </strong>Twelve participants were enrolled between 9-33 years post cancer diagnosis. Four main themes were identified: a) Glad to be alive, but…, b) eating isn't the same, c) it changes everything, and d) a lot of gaps.</p><p><strong>Conclusion: </strong>We identified impacts beyond physiological changes. Social connection, daily logistics and eating related quality of life challenges were prevalent. Results highlight gaps in person-centred decision making and access to health care professionals who understand and recognise this complex condition. We recommend improved patient education, provider awareness, as well as monitoring and treatment for late effects.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115018","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}
Annemarie Murphy, Benjamin Bailey, Robert Savage, Rauno Parrila, Joanne Arciuli
{"title":"ABRACADABRA literacy instruction delivered by speech-language pathologists to children with autism during the COVID-19 pandemic.","authors":"Annemarie Murphy, Benjamin Bailey, Robert Savage, Rauno Parrila, Joanne Arciuli","doi":"10.1080/17549507.2025.2555990","DOIUrl":"https://doi.org/10.1080/17549507.2025.2555990","url":null,"abstract":"<p><strong>Purpose: </strong>This feasibility study explored literacy instruction for children with autism in an area of socioeconomic disadvantage during the COVID-19 pandemic.</p><p><strong>Method: </strong>Fifty-nine autistic children (5-12 years) participated in a baseline assessment before being assigned to one of two instruction conditions or a control group. The first instruction group participants received a total of 13 weeks of literacy instruction using ABRACADABRA (a free online web application), delivered by a speech-language pathologist. The second instruction condition also received a total 13 weeks of ABRACADABRA literacy instruction, supplemented with shared book reading. The control group continued their business-as-usual school and other activities over the 13 weeks.</p><p><strong>Result: </strong>Children who participated in instruction made statistically significant gains in their nonword reading skills from pre- to post-instruction with a large effect size. There were no other statistically significant results at the conservative alpha level utilised. However, effect sizes for all reading outcome measures were similar to previous research using ABRACADABRA with autistic children (with medium to large effect sizes observed across various reading accuracy and reading comprehension skills).</p><p><strong>Conclusion: </strong>Further research on literacy instruction delivered via via in person sessions and telepractice for children with autism is greatly needed. These findings contribute to the scarce knowledge base of literacy instruction for children with autism and the impact of the COVID-19 pandemic on this group.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114970","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":"The training of speech-language pathologists in augmentative and alternative communication: A scoping review.","authors":"Clancy Conlon, Barbra Zupan","doi":"10.1080/17549507.2025.2551011","DOIUrl":"10.1080/17549507.2025.2551011","url":null,"abstract":"<p><strong>Purpose: </strong>Prior reviews have identified that US speech-language pathologists receive minimal university training in augmentative and alternative communication. This scoping review sought to identify and synthesise current research on training experiences, needs, and outcomes of clinicians in augmentative and alternative communication, globally.</p><p><strong>Method: </strong>A scoping review was conducted identifying literature within four databases in addition to citation chaining. Two authors reviewed 30% of abstracts with the final 70% reviewed by the first author. Review of full texts followed the same method. Data were extracted and analysed according to participant profile, training experiences, needs, and outcomes.</p><p><strong>Result: </strong>Thirty-one studies were included. Clinicians reported limited university training in augmentative and alternative communication; many reported accessing post-graduate training. Training needs varied, however, the need for training in augmentative and alternative communication was commonly reported (options, high-tech, assessment, and intervention).</p><p><strong>Conclusion: </strong>We found there is substantial variability in how augmentative and alternative communication training is provided at university level both within and between countries. Clinicians reported accessing post-qualification training and indicated training needs in a range content areas. The outcomes of training in augmentative and alternative communication appears positive for student-clinicians. Further research focussed on qualified-clinicians is required using comprehensive evaluation procedures.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034408","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}
Cara Lin Hill, Kevin McNamara, Laura Alston, Anna Miles, Jenny Choi, Anna Wong Shee
{"title":"Factors influencing the implementation of mealtime interventions in inpatient and aged care settings: A systematic review.","authors":"Cara Lin Hill, Kevin McNamara, Laura Alston, Anna Miles, Jenny Choi, Anna Wong Shee","doi":"10.1080/17549507.2025.2546001","DOIUrl":"https://doi.org/10.1080/17549507.2025.2546001","url":null,"abstract":"<p><strong>Purpose: </strong>Many mealtime interventions have been developed over the past ten years. The effective implementation of such interventions into clinical practice is crucial to improve the swallowing safety and/or mealtime-related quality of life for people living with dysphagia or at risk of malnutrition. This systematic review summarises and critically appraises the literature on implementation of mealtime interventions in inpatient and aged care settings.</p><p><strong>Method: </strong>A systematic database search was conducted using CINAHL, Embase, and MEDLINE. In total, 4475 records were identified and 25 studies met the inclusion criteria. Data were extracted relating to country, healthcare setting and characteristics, number of participants, target population, research method and designi intervention implemented, framework used, implementation strategies, facilitators and barriers to implementation, intervention outcomes, and implementation outcomes.</p><p><strong>Result: </strong>Findings highlighted gaps in the literature regarding implementation of evidence-based mealtime interventions and their associated outcomes. Staff training and engaging key stakeholders were the most used implementation strategies. Inconsistencies in the reporting of implementation processes and outcomes were identified.</p><p><strong>Conclusion: </strong>Further research is required to evaluate the most effective strategies for implementing mealtime interventions and the successful integration of evidence-based practices, thus enhancing the quality of care and the well-being of individuals experiencing dysphagia.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-19"},"PeriodicalIF":1.9,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016447","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}