{"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}
Marizete Ilha Ceron, Marileda Barichello Gubiani, Karina Carlesso Pagliarin, Denis Altieri O Moraes, Márcia Keske-Soares
{"title":"The PraxiFala Battery: A diagnostic accuracy study.","authors":"Marizete Ilha Ceron, Marileda Barichello Gubiani, Karina Carlesso Pagliarin, Denis Altieri O Moraes, Márcia Keske-Soares","doi":"10.1080/17549507.2023.2263183","DOIUrl":"10.1080/17549507.2023.2263183","url":null,"abstract":"<p><strong>Purpose: </strong>To present the sensitivity and specificity and establish cutoff points (receiver operating characteristic [ROC] curve) for the PraxiFala Battery.</p><p><strong>Method: </strong>The sample included 308 Brazilian-speaking children aged 3;0-7;11. Twenty-one children had motor speech disorders (MSD), 58 children had phonological disorder (PD), and 229 had typical speech (TS) development. Participants were administered the PraxiFala Battery, which contains verbal (word and sentence production), nonverbal (orofacial praxis), and diadochokinetic tasks. The sensitivity and specificity of items in each task were then calculated using ROC curves.</p><p><strong>Result: </strong>Total scores on the verbal (word production), nonverbal (orofacial praxis), and diadochokinetic tasks had good sensitivity and specificity. The only scores with poor sensitivity and specificity in differentiating between TS, PD, and MSD were consistency and prosody in the verbal tasks (sentence production), and item /ta/ in the diadochokinetic task. Area under the ROC curve (AUC) values were greater than 0.7 for most items in the comparison between TS vs. MSD and PD vs. MSD. AUC values were poor or fair among children with TS and PD, suggesting that this instrument may not be accurate in identifying these groups.</p><p><strong>Conclusion: </strong>The verbal, nonverbal, and diadochokinetic tasks in the PraxiFala Battery had good sensitivity and specificity.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"820-832"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414961","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":"Virtual nourishment: Paediatric feeding disorder management with telepractice amidst COVID-19: An allied health perspective.","authors":"Sharon Smart, Denise Imms, Margo Brewer","doi":"10.1080/17549507.2023.2264550","DOIUrl":"10.1080/17549507.2023.2264550","url":null,"abstract":"<p><strong>Purpose: </strong>The rapid adoption of telepractice services by health professionals was necessary to maintain service continuity for children with paediatric feeding disorders during the COVID-19 pandemic, during periods where in-person therapy was restricted. The aim of this study was to explore clinical perspectives and reflections on the use of telepractice for managing paediatric feeding disorders during the pandemic.</p><p><strong>Method: </strong>A post-positivist qualitative approach using thematic analysis was adopted. This study seeks to understand participants' experiences and thoughts from allied health professionals from speech-language pathology, occupational therapy, and dietetics working with paediatric feeding in Western Australia. All participants delivered at least 10 telepractice sessions to children from birth to 12 years with a paediatric feeding disorder. Braun and Clarke's six-step thematic analysis process was used to analyse the data inductively.</p><p><strong>Result: </strong>Eleven allied health professionals representing eight clinical settings in Western Australia, including speech-language pathology, occupational therapy, and dietetics, working with paediatric feeding were recruited. The results revealed four themes: families becoming the catalyst of change, clinician comfort over confidence, insights into authentic mealtimes, and the paradox of choice.</p><p><strong>Conclusion: </strong>This study highlighted the need to build clinicians' confidence and competence, and the provision of service guidelines and training. Although many clinicians had positive experiences with telepractice, most returned to in-person delivery once COVID-19 restrictions were lifted, emphasising the importance of comfort in service delivery selection. We recognise that the findings of this study are constrained by the fact that it was conducted in a single geographical region and utilised a small qualitative sample. While telepractice was successful in managing paediatric feeding disorders, further development and implementation of telepractice guidelines are needed for telepractice to be a viable service delivery option for families and children with feeding disorders.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"873-883"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487892","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":"Evidence to support test interpretation: Evaluating the content validity of a new item set for the Transition Pragmatics Interview.","authors":"Gerard H Poll, Madison Mayes, Janis Petru","doi":"10.1080/17549507.2023.2287424","DOIUrl":"10.1080/17549507.2023.2287424","url":null,"abstract":"<p><strong>Purpose: </strong>There is little consensus on evidence-based practice guidelines for the selection of criterion-referenced assessments. Having confidence in scores from criterion-referenced assessments requires evidence that items align with their intended constructs. The purposes of these studies were to demonstrate evidence of content validity for the revised item set of a developing social communication assessment and to provide clinicians with a model of content validity evaluations that can be generalised to the review of other assessments.</p><p><strong>Method: </strong>In Study 1, 10 experts rated 25 newly-developed items for how well they represented the intended construct. In Study 2, seven participants ages 14-20 were administered the Three Step Test Interview to assess their cognitive processes for responding to new items. Examinee responses were coded for construct-relevant and construct-irrelevant factors.</p><p><strong>Result: </strong>Twenty-three of the 25 newly-developed items were deemed representative of the intended construct by experts and elicited construct-relevant response processes from examinees.</p><p><strong>Conclusion: </strong>The integration of expert review and examinee cognitive interviewing provides a more complete evaluation of the alignment of the items to their intended construct. Transparent reports of the methods and findings of content validity studies strengthen the ability of clinicians to select criterion-referenced assessments that support valid decisions.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"809-819"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11316841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth D Young, Sarah Hargus Ferguson, Lara M Brewer, Benjamin F Schiedermayer, Samuel M Brown, Lindsay M Leither
{"title":"Using a novel in-mask non-invasive ventilator microphone to improve talker intelligibility in healthy and hospitalised adults.","authors":"Elizabeth D Young, Sarah Hargus Ferguson, Lara M Brewer, Benjamin F Schiedermayer, Samuel M Brown, Lindsay M Leither","doi":"10.1080/17549507.2023.2251726","DOIUrl":"10.1080/17549507.2023.2251726","url":null,"abstract":"<p><p><i>Purpose:</i> Non-invasive ventilation (NIV) provides respiratory support without invasive endotracheal intubation but can hinder patients' ability to communicate effectively. The current study presents preliminary results using a novel in-mask ventilator microphone to enhance talker intelligibility while receiving NIV.<i>Method:</i> A proof-of-concept study assessed sentence intelligibility of five healthy adult talkers using a prototype model of the microphone under continuous positive airway pressure (CPAP; 5/5 cm H<sub>2</sub>O) and bilevel positive airway pressure (BiPAP; 8/4 cm H<sub>2</sub>O) ventilator conditions. A pilot study then assessed intelligibility, subjective comprehensibility and naturalness, and patient- and conversation partner-reported communication outcomes for eight patients undergoing therapeutic NIV while being treated in an intensive care unit (ICU).<i>Result</i>: Intelligibility increased significantly with the microphone on in the BiPAP condition for healthy volunteers. For patients undergoing NIV in an ICU, intelligibility, comprehensibility, and patient and conversation partner ratings of conversation satisfaction significantly improved with the microphone on. Patients with lower baselines without the microphone in certain measures (intelligibility, comprehensibility) generally showed a greater microphone benefit than patients with higher baselines.<i>Conclusion:</i> Use of a novel microphone integrated into NIV improved intelligibility during ventilation for both healthy volunteers and patients undergoing therapeutic NIV. Additional clinical studies will define precise benefits and implications of such improved intelligibility.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"845-860"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11014891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41217201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Karina Espinoza, Mirjana Lasan-Grevelhörster, Santosh Maruthy, Ann Packman, Mark Onslow
{"title":"Contemporary clinical conversations about stuttering: Does the cause of stuttering matter to clinicians?","authors":"Ana Karina Espinoza, Mirjana Lasan-Grevelhörster, Santosh Maruthy, Ann Packman, Mark Onslow","doi":"10.1080/17549507.2024.2425789","DOIUrl":"10.1080/17549507.2024.2425789","url":null,"abstract":"<p><strong>Purpose: </strong>To discuss whether stuttering causality matters to clinicians during clinical practice, and how and why it might matter. Additionally, to provide early-career clinicians and students with entry-level assistance with this complex topic.</p><p><strong>Method: </strong>The issue was discussed by two academics and two experienced speech-language pathologists in private practice. Written conversational turns in an exchange were limited to 100 words each. When that written dialogue was concluded, the moderator summarised the discussion.</p><p><strong>Result: </strong>All participants agreed that the cause of stuttering does matter to speech-language pathologists during clinical practice.</p><p><strong>Conclusion: </strong>The following three key points emerged from the conversation. Firstly, no-one referred to a formally stated theory or model when explaining cause to clients. Instead, all in the conversation stayed on the solid ground of current facts about the cause of stuttering. Secondly, explaining the cause of stuttering can benefit clients and parents. It can support them and give them confidence and empowerment during clinical management and increase the credibility of a management plan. Finally, in essence, this topic relates to evidence-based practice, for which there are no fixed rules. Different clinicians may make different judgments about what is and what is not true, useful, and important.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-6"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773870","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":"Utilising collaborative learning strategies with children who use AAC: A pilot online training program for speech-language pathologists.","authors":"Jamie B Boster","doi":"10.1080/17549507.2023.2266592","DOIUrl":"10.1080/17549507.2023.2266592","url":null,"abstract":"<p><strong>Purpose: </strong>Children who utilise augmentative and alternative communication (AAC) have difficulty participating in interactions with peers and speech-language pathologists (SLPs) lack training in the development of activities to specifically target participation. The purpose of the current study was to explore a pilot online training program designed to provide information about the development of collaborative learning (CL) activities to support participation.</p><p><strong>Method: </strong>A single-subject, multiple baseline across six participants in an initial group and a replication group was completed to assess the number of CL elements included in probe responses during baseline, intervention, and maintenance phases.</p><p><strong>Result: </strong>SLPs were highly accurate in their ability to answer multiple choice questions about CL elements (80%-90%); however, the overall effect of the intervention was weak with a Tau-U of 0.48 for the initial group and 0.53 for the replication group.</p><p><strong>Conclusion: </strong>SLPs can begin to develop skills in designing CL activities for children who utilise AAC as a means to support participation and foster social interaction. Future research is necessary to design efficient and effective online training for SLPs.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"784-792"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487891","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}
Thomas Gaffney, Jayne Newbury, Dean Sutherland, Toby Macrae
{"title":"Speech-language pathologists' practices and perceptions of parent involvement in paediatric services funded by the NDIS in Australia.","authors":"Thomas Gaffney, Jayne Newbury, Dean Sutherland, Toby Macrae","doi":"10.1080/17549507.2023.2281222","DOIUrl":"10.1080/17549507.2023.2281222","url":null,"abstract":"<p><p><i>Purpose</i>: There has been concern that a shift in disability funding to the National Disability Insurance Scheme (NDIS) in Australia may have influenced paediatric speech and language intervention to involve parents less in service delivery. This study aimed to describe paediatric speech-language pathologists' (SLPs) practices and perceptions of parent involvement in NDIS-funded speech and/or language intervention.<i>Method</i>: Seventy-two paediatric SLPs currently practicing in Australia with NDIS-funded speech and/or language clients completed an online survey. The survey assessed SLPs' self-reported practices supporting parent involvement through Likert scale responses and included open-text questions about perceived barriers and facilitators in NDIS-funded intervention services. Results from the survey were analysed using descriptive statistics, significance testing, and thematic analysis.<i>Result</i>: The majority of SLPs indicated commitment to involving parents in intervention. Experienced SLPs used more family-centred practices and Department of Education (DE)-based SLPs used fewer. Barriers arose from SLP, parent, and workplace characteristics. Facilitators included communication and rapport building, utilising a family-centred model of service delivery, and parent characteristics.<i>Conclusion</i>: This self-selected sample of Australian SLPs utilised many techniques to facilitate parent involvement within NDIS-funded paediatric speech and language intervention. Results indicate NDIS-funded SLP services for families are family focused.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"890-901"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038061","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}
Irene Rujas, Marta Casla, Eva Murillo, Miguel Lázaro
{"title":"Assessing vocabulary acquisition using a fast-mapping task in an Android application: A pilot study.","authors":"Irene Rujas, Marta Casla, Eva Murillo, Miguel Lázaro","doi":"10.1080/17549507.2024.2426700","DOIUrl":"https://doi.org/10.1080/17549507.2024.2426700","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to explore whether a fast mapping task embedded in an Android application (FastMApp) is a valid tool to assess referent selection abilities in Spanish-speaking children aged between 18 and 30 months. Traditional assessment tools for lexical development use static quantitative methods that assign children a final score to represent their overall vocabulary level. These methods fail to provide insights into the learning process, despite their potential relevance for clinical and educational purposes.</p><p><strong>Method: </strong>Sixty Spanish-speaking children participated in this study. They completed the FastMApp (a 22-trials' fast mapping noun task including 4- and 5-item trials, with one unknown object), and their caregivers rated their child's vocabulary on a parent-rated vocabulary inventory measure.</p><p><strong>Result: </strong>The data show a high percentage of responses to the task, indicating that the children were actively complied with the task. The scores for known labels are significantly higher compared to unknown labels, and the scores for 4-item trials are significantly higher compared to 5-item trials. We observed a strong and significant relationship between the scores in this task and the scores on the parent-rated vocabulary inventory measure.</p><p><strong>Conclusion: </strong>The results suggest that FastMApp is suitable for assessing early vocabulary acquisition in Spanish-speaking children.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-11"},"PeriodicalIF":1.4,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677506","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}
Özlem Yaşar, Ibrahim Erensoy, Esra Kavaz Uştu, Emel Tahir
{"title":"Reliability and validity of the Turkish version of the Aging Voice Index.","authors":"Özlem Yaşar, Ibrahim Erensoy, Esra Kavaz Uştu, Emel Tahir","doi":"10.1080/17549507.2024.2424221","DOIUrl":"https://doi.org/10.1080/17549507.2024.2424221","url":null,"abstract":"<p><strong>Purpose: </strong>The Ageing Voice Index is a valid and reliable tool for assessing the impact of changes in the voice of older adults. Our aim is to adapt the Aging Voice Index with Turkish older adults and test its reliability and validity to create the Turkish Aging Voice Index.</p><p><strong>Method: </strong>A total of 206 participants were included in the study. Construct validity, criterion validity, test-retest reliability, internal consistency, and confirmatory factor analysis were investigated. Finally, the sensitivity and specificity of the Turkish Aging Voice Index were calculated using receiver operating characteristics curve analysis.</p><p><strong>Result: </strong>The Turkish Aging Voice Index has excellent internal consistency (Cronbach's alpha= 0.971). A high intraclass correlation for test-retest reliability was found (ICC = 0.953, p < 0.001). Construct validity of the Turkish Aging Voice Index was found to be statistically significant (p < 0.001) by comparing the mean Turkish Aging Voice Index scores between the study and control groups. For criterion validity, a statistically positive high correlation was found between the mean scores of the Turkish Aging Voice Index and the Turkish version of the Voice Handicap Index-10 (r = 0.854, p < 0.001). The cut-off value of the Turkish Aging Voice Index was 15.50 with a sensitivity of 85.01% and a specificity of 84.8%.</p><p><strong>Conclusion: </strong>The Turkish Aging Voice Index is a valid and reliable tool for elderly patients with voice disorders. A score >15.50 is an indicator of voice problems in the older population.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-8"},"PeriodicalIF":1.4,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640036","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}