International Journal of Speech-Language Pathology最新文献

{"title":"Caregivers' insights into supporting their late talkers using a <i>Hanen^®</i> parent program.","authors":"Sarah Bartlett, Sharynne McLeod","doi":"10.1080/17549507.2024.2438103","DOIUrl":"https://doi.org/10.1080/17549507.2024.2438103","url":null,"abstract":"<p><strong>Purpose: </strong>To explore caregivers' experiences and engagement during the 16-week <i>Target Word</i>^™ <i>Hanen® program</i> <i>for parents</i> designed to support late talkers.</p><p><strong>Method: </strong>Qualitative interpretative description methodology was used to understand the experience of five caregivers who had completed <i>Target Word</i>^™ to support their children (aged 18-36 months). Caregivers attended a focus group to share their perspectives. Transcripts of these focus groups were analysed using reflexive thematic analysis.</p><p><strong>Result: </strong>Two themes were identified regarding caregiver engagement during <i>Target Word</i>^™ intervention. Firstly, caregivers described explicit support roles for speech-language pathologists: (a) Beginning phase (clarify expectations), (b) middle phase (enable caregiver to link changes in their behaviour to positive child outcomes), and (c) final phase (empowered caregivers). Secondly, caregiver engagement is influenced by: (a) Individual needs and expectations, (b) active engagement during key learning moments, and (c) influence of the broader environment.</p><p><strong>Conclusion: </strong>Each caregiver participating in <i>Target Word</i>^™ experienced unique engagement journeys over the course of the program. Speech-language pathologists can explicitly facilitate engagement at each phase of <i>Target Word</i>^™ to promote active engagement for learning and ultimately caregiver empowerment to support their children's language growth.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-15"},"PeriodicalIF":1.4,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916033","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":"Parents' perspectives on speech-language assessment for their preschool-aged children: A scoping review.","authors":"Shanda Duggleby Wenzel, Lesley Pritchard-Wiart, Monique Charest","doi":"10.1080/17549507.2024.2438080","DOIUrl":"https://doi.org/10.1080/17549507.2024.2438080","url":null,"abstract":"<p><strong>Purpose: </strong>Assessment allows speech-language pathologists to identify clients' strengths and needs while laying the foundation for the therapeutic relationship. However, the extent to which parents' experiences with assessment has been explored in the literature is unclear. The purposes of this review were to: a) Identify and summarise the available literature on parents' experiences with speech-language assessment for their preschool-aged children, and b) identify gaps in the literature.</p><p><strong>Method: </strong>Using an established framework for scoping reviews, the authors conducted a search of seven databases including literature up to April 2024. Two researchers independently reviewed articles for inclusion and discussed discrepancies, and a third researcher provided input when consensus could not be reached. Data extracted included study aims, participant information, and the aspects of the assessment process including the lead-up to the assessment, the assessment itself, receiving a diagnosis, and interim supports following the assessment.</p><p><strong>Result: </strong>Ten studies met inclusion criteria, however, only three studies were focussed on parents' experiences with speech-language assessment.</p><p><strong>Conclusion: </strong>In the included studies, aspects of assessment have been addressed but with limited depth and breadth. To date, the perspectives studied have primarily been those of monolingual, English-speaking mothers. Proposed reporting considerations are discussed, and clinical and research implications are explored.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-14"},"PeriodicalIF":1.4,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878635","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":"Image use in aphasia rehabilitation: Practices of speech-language pathologists in South Africa and international contexts.","authors":"Bhavani Sarveshvari Pillay, Jeannie Van Der Linde, Marien Alet Graham, Shakila Dada","doi":"10.1080/17549507.2024.2434229","DOIUrl":"https://doi.org/10.1080/17549507.2024.2434229","url":null,"abstract":"<p><strong>Purpose: </strong>The study aimed to explore speech-language pathologists' practices regarding image selection and use in the treatment of people living with aphasia. Images are widely utilised with people living with aphasia, however, supporting their communication optimally remains challenging.</p><p><strong>Method: </strong>Ninety-two speech-language pathologists from South Africa, Australia, USA, and the UK completed a custom-designed online survey. Descriptive and inferential statistics, with structured-tabular thematic analysis were used.</p><p><strong>Result: </strong>Sixty-two (82.7%) of the 75 participants who conduct assessments with people living with aphasia mostly use images. Sixty-seven (72.8%) of the total sample include images during treatment. South African respondents reported using black-and-white line drawings (28.1%) less frequently than speech-language pathologists from other countries (9.8%). Coloured images were preferred overall. South African participants significantly reported culture (62.5%) and religious orientation as \"always important\" (63.3%) compared to their counterparts (34.1%, 12.2%). Respondents use images to support learning and language; and less frequently in discourse with people living with aphasia. The more experienced a respondent was, the more knowledgeable and confident they felt incorporating images. Themes of client considerations and clinical settings for images emerged. Speech-language pathologists' perceived barriers were time, larger caseloads, people living with aphasia's variable responses to images, and lack of resources.</p><p><strong>Conclusion: </strong>Speech-language pathologists in this sample have a knowledge base of image types and factors that may contribute to image interpretation in people living with aphasia. However, further research globally is needed. A structured approach to image selection is lacking in both low and middle-income, and high-income countries. Considering people living with aphasia's skills, preferences, and communication partner involvement may optimise image use. Development of a framework for systematically organising image features for people living with aphasia is warranted.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-14"},"PeriodicalIF":1.4,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878633","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":"Exploring multidisciplinary team members' experiences of supporting eating and drinking with acknowledged risk in healthcare and aged care settings.","authors":"Cara Lin Hill, Renee Heard, Laura Morrison, Laura Alston, Chloe Brown, Courtney Skontra, Rhiannon Beggs, Olivia A King","doi":"10.1080/17549507.2024.2434224","DOIUrl":"https://doi.org/10.1080/17549507.2024.2434224","url":null,"abstract":"<p><strong>Purpose: </strong>Dysphagia is a swallowing condition which has significant health and quality of life implications. Speech-language pathologists provide assessment and support shared decision making to optimise swallowing safety. Many people elect to eat and drink with acknowledged risk. This study aimed to explore multidisciplinary team members' perceptions and experiences supporting eating and drinking at acknowledged risk decision-making and practice, and to determine resources needed to support teams in this area.</p><p><strong>Method: </strong>Semi-structured focus groups and one interview were facilitated with multidisciplinary team members (<i>N</i> = 32) from across the continuum of care at a regional health service to explore perceptions and experiences in supporting eating and drinking at acknowledged risk and identify needs to implement best practice.</p><p><strong>Result: </strong>Four themes were constructed from the data highlighting the complexity and cyclical nature of supporting eating and drinking at acknowledged risk decision-making and practice. Themes included dynamic shared decision-making, communicating effectively to support and inform eating and drinking at acknowledged risk decision-making, enabling eating and drinking at acknowledged risk in practice, and risks and implications for clinicians and staff.</p><p><strong>Conclusion: </strong>Best practice eating and drinking at acknowledged risk decision-making and implementation in healthcare and aged care settings is complex. Effective communication and appropriate support for staff working in this area is crucial, given the clinical, ethical, and moral implications that arise when supporting people who elect to eat and drink at acknowledged risk.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-11"},"PeriodicalIF":1.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142795949","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":"Let the eyes do the talking: A scoping review of eye-tracking in paediatric communication assessment and intervention.","authors":"Lauren Hoopmann, Benjamin Bailey, Joanne Arciuli","doi":"10.1080/17549507.2024.2425012","DOIUrl":"https://doi.org/10.1080/17549507.2024.2425012","url":null,"abstract":"<p><strong>Purpose: </strong>Eye-tracking technologies are of great interest to individuals who use them to communicate and their supporters. This review maps and critically evaluates the research on eye-tracking in paediatric communication assessment and intervention, including user perceptions, to guide future clinical practice and identify future practice-related research priorities. In an advance on previous reviews, the study reports on effect sizes, as well as research quality and reproducibility of included studies.</p><p><strong>Method: </strong>Seven databases were sytematically searched using terms related to eye-tracking, the paediatric population, and communication assessment or intervention. Information on study design and key findings, including effect sizes, were extracted. Research quality and reproducibility were evaluated using validated measures.</p><p><strong>Result: </strong>Included studies explored the use of eye-tracking in paediatric communication assessment (<i>n</i> = 14) or intervention (<i>n</i> = 10) and/or users' perceptions of eye-tracking technologies in speech-language pathology (<i>n</i> = 7). Eye-tracking was well-received and has been used effectively to measure and support children's communication, though effect sizes varied. Opportunities for improved research quality and reproducibility are identified.</p><p><strong>Conclusion: </strong>Eye-tracking technologies can be integrated into paediatric communication assessment and intervention and are generally well received by child users and their supporters. Clinical implications and directions for future practice-related research are discussed.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-12"},"PeriodicalIF":1.4,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773990","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":"Mapping the parent experience of echolalia in autism spectrum disorder onto a conceptual taxonomy.","authors":"Eli G Cohn, Keith R Mcvilly, Matthew J Harrison","doi":"10.1080/17549507.2023.2244201","DOIUrl":"10.1080/17549507.2023.2244201","url":null,"abstract":"<p><strong>Purpose: </strong>Echolalia, the repetition of previously heard speech, is prevalent in a variety of neurologic and psychiatric disorders. Within the context of echolalia in autism spectrum disorder (ASD), research and intervention historically assume a clinical standpoint with two opposing paradigms: behaviourism and developmentalism. The literature is largely silent on how those other than researchers and clinicians understand echolalia. This study examined how parents experience echolalia through their children with ASD. The aim of the study was to ascertain if the parental perception of echolalia in ASD aligns with, or offers alternative perspectives to, current clinically-orientated views.</p><p><strong>Method: </strong>We employed online semi-structured interviews to document the experiences of 126 parents, reflecting on their children with ASD aged 3 to 34 years of age, to determine if the parent experience could be mapped onto existing clinical frameworks, or if they might offer new perspectives. We used hermeneutic phenomenological data analysis in an abductive framework.</p><p><strong>Result: </strong>Echolalia has predominantly been represented in literature through the perspectives of behaviourism or developmentalism. We found however, that echolalia is a phenomenon that is experienced by parents in a variety of different ways to that of the current clinically-orientated understandings. Such new ways of understanding echolalia that emerged from our analysis include one understanding which is dependent upon how echolalia is heard, and one in which parents are \"waiting for echolalia to evolve.\"</p><p><strong>Conclusion: </strong>The traditional dichotomous clinical positions do not resonate with all parents, and reliance on these traditional perspectives alone may impact effective engagement with parents and the success of interventions and support strategies. Our findings have implications for future research, the education of clinicians and educators, and the design of support and intervention for those who have echolalia.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"793-808"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152946","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":"An online survey of clinical practice and confidence in diagnosing acquired apraxia of speech in Cantonese speakers.","authors":"Eddy C H Wong, Min Ney Wong, Tiffany On Kiu Wong","doi":"10.1080/17549507.2023.2263181","DOIUrl":"10.1080/17549507.2023.2263181","url":null,"abstract":"<p><strong>Purpose: </strong>The assessment and diagnosis of apraxia of speech (AOS) have been well studied in the English context, yet there is limited understanding of the clinical practice in speakers of other languages, like Cantonese. This study aimed to obtain information about the clinical practice of assessment methods and diagnostic criteria used, and confidence in diagnosing, AOS in Cantonese speakers.</p><p><strong>Method: </strong>An online survey constructed with Google Forms was completed by 27 speech-language pathologists (SLPs) in Hong Kong. The questionnaire comprised 12 questions covering (a) demographic information, (b) experience working with speakers with AOS, (c) confidence in making AOS diagnosis in Cantonese speakers, (d) assessment tasks or methods used for assessing AOS in Cantonese speakers, (e) clinical features used for diagnostic purposes, and (f) assessment tasks used to determine the presence of clinical features for diagnostic purposes.</p><p><strong>Result: </strong>All respondents (100%) made AOS diagnoses based on the observed clinical features, while no respondents made diagnoses using only standardised tests or quantitative measures. Six clinical features were commonly used by most of the respondents: articulatory groping (100%), inconsistent articulatory errors (100%), length effects (85.2%), difficulty initiating speech (81.5%), automaticity effects (81.5%), and sound distortions (77.8%). More than half of the respondents collected connected speech samples (64%), and conducted diadochokinesis (64%) and repetition tasks (64%). The average confidence level of the respondents for making AOS diagnoses was fair (3.63/5).</p><p><strong>Conclusion: </strong>The SLPs in Hong Kong make AOS diagnoses based on the observed clinical features that have been reported in the English literature. Although some of the clinical features have been updated as non-discriminatory for AOS, they are still being used for AOS diagnosis in Cantonese speakers. Tendencies were observed with respect to the assessment tasks selected. The fair diagnostic confidence level suggests a need for future investigations of AOS in Cantonese speakers and the development of assessment tools.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"902-916"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231817","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":"Does doffing the FEES Box generate a significant cloud of particles after aerosol-generating procedures? A proof-of-concept study.","authors":"Anne Li, Michelle G Ganann, Jessica M Pisegna","doi":"10.1080/17549507.2023.2264541","DOIUrl":"10.1080/17549507.2023.2264541","url":null,"abstract":"<p><strong>Purpose: </strong>The spread of airborne diseases, including coronaviruses, remains a widespread public health concern. Published studies outline the use of protective barriers to limit the spread of pathogenic particles and droplets resulting from coughing, sneezing, and talking. The findings suggest a role for these barriers during aerosol-generating procedures, such as flexible endoscopic evaluation of swallowing (FEES). However, the question remains of whether doffing a protective barrier will create a concentrated cloud of particles that will increase health professionals' exposure.</p><p><strong>Method: </strong>We simulated four clinical scenarios of coughing and sneezing, talking, eating and drinking, and delivering supplemental oxygen to test whether doffing the FEES Box protective barrier would result in a particle cloud.</p><p><strong>Result: </strong>For all scenarios simulated, doffing the FEES Box did not result in a significant increase in mean particle count. Further, the manner of FEES Box removal did not significantly influence mean particle counts on a consistent basis.</p><p><strong>Conclusion: </strong>These results suggest that doffing the FEES Box does not increase exposure to airborne particles. Although more research is needed to confirm these findings, FEES Box usage should be considered during aerosol-generating procedures, to protect and reassure healthcare professionals who work with patients with COVID-19 or other airborne diseases.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"833-844"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523134","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":"Sex differences in perceived speech intelligibility in patients with facial nerve palsy.","authors":"Raymond Hayler, Emma Charters, Susan Coulson, Tsu-Hui Hubert Low","doi":"10.1080/17549507.2023.2259136","DOIUrl":"10.1080/17549507.2023.2259136","url":null,"abstract":"<p><strong>Purpose: </strong>Facial nerve palsy (FNP) affects physical and social function, including speech. There exists discrepancy between professional and patient perception of appearance following FNP; however, speech differences remain unknown. We aimed to compare ratings of speech intelligibility by different listeners.</p><p><strong>Method: </strong>Patients were identified through the Sydney Facial Nerve Service. FNP related scoring was obtained using the Sunnybrook Facial Grading System, Sydney Facial Grading Score, Facial Disability Index, and Speech Handicap Index. Intelligibility was scored by a speech-language pathologist, member of the public, and patient using a standardised passage. FNP scoring and intelligibility were compared using interclass coefficients (ICC).</p><p><strong>Result: </strong>Forty patients were recruited (females = 20). There was no difference in FNP scoring, nor between the frequency or types of phonemic errors. Observers' rating of intelligibility had an ICC of 0.807, compared with 0.266 and 0.344 for patients compared to the member of the public and speech-language pathologist respectively. Observers rated males and females intelligibility similar (<i>p</i> > 0.05), but females rated their intelligibility lower than males (74.5 ± 12.8 vs. 82.5 ± 8.4, <i>p</i> = 0.025).</p><p><strong>Conclusion: </strong>Patients, particularly females, perceive their speech to be less intelligible than observers. Clinicians should be aware of this discrepancy, which does not correlate with physical function.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"884-889"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428188","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":"\"Ready or not, here we come\": Positioning speech-language pathology for success and the challenges ahead.","authors":"Natalie Munro, Elizabeth Cardell","doi":"10.1080/17549507.2024.2428047","DOIUrl":"https://doi.org/10.1080/17549507.2024.2428047","url":null,"abstract":"","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":"26 6","pages":"765-766"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717512","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}