International Journal of Language & Communication Disorders最新文献

{"title":"‘To Hear and Be Heard’: The Co-Design of a Website to Support Communication Challenges Experienced by People With Parkinson's and Their Families and Friends","authors":"Naomi Cocks, Ramishka Thilakaratne, Paula Mcginley, Remy Hyland, Andrea M. Loftus, Karen Wylie","doi":"10.1111/1460-6984.70353","DOIUrl":"https://doi.org/10.1111/1460-6984.70353","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There is growing recognition that health research should reflect the needs and perspectives of people living with a condition and actively involve them and their families. Such involvement is particularly important in the co-design of strategies, tools and interventions intended to support everyday functioning. Although communication difficulties are common in people with Parkinson's, relatively few studies have addressed conversational challenges, and there has been limited co-design of communication interventions or supports with people with Parkinson's and their families reported in the literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to identify communication supports that people with Parkinson's and their families perceive as useful for managing conversations, and to co-design and evaluate one support method.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A three-phase co-design study was conducted. In Phase 1, three people with Parkinson's and two spouses participated in six group meetings to identify priorities for communication support. In Phase 2, two people with Parkinson's and one spouse worked collaboratively with two researchers over nine meetings to co-design a communication-focused website. This was one of the supports identified in Phase 1, intended to support everyday communication between people with Parkinson's and their families and to enhance communication-related self-efficacy. In Phase 3, a questionnaire was completed by 10 people with Parkinson's and 11 family members to evaluate the website's clarity, ease of navigation and usefulness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In Phase 1, co-designers identified two preferred forms of conversational support: (i) a face-to-face conversation training programme for people with Parkinson's and their families and (ii) a website co-designed by people living with Parkinson's and their families containing practical advice about communication. The website's structure, content, layout and name (‘To hear and be heard’) were co-designed during this phase. Phase 2 focused on co-designing and refining website content, appearance and layout, including the creation of video materials. In Phase 3, questionnaire responses indicated that the website was clear, easy to navigate, useful and appealing. In the evaluation phase participants reported that the resource would be particularly valuable for people newly diagnosed with Parkinson's and their families.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70353","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149258599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Can Speech and Language Therapists be Supported to Make Decisions Regarding Communication Therapy for People With Dementia? A Realist Theory-Development Study","authors":"Anna Hockley, Melania Calestani, Sarah Griffiths, Suzanne Beeke","doi":"10.1111/1460-6984.70346","DOIUrl":"10.1111/1460-6984.70346","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>As of 2021, there were 57 million people with dementia worldwide, and there are 885,000 people with dementia in the UK. Communication difficulties occur in all forms of dementia. Increasing difficulty communicating thoughts and needs affects social interaction and personal relationships, with implications for individuals’ and their relatives’ quality of life. Speech and language therapists are trained to provide communication support to people experiencing communication difficulties. However, whether people with dementia are offered communication support from speech and language therapy services varies significantly across the UK. This study aimed to explain how speech and language therapists currently make clinical decisions about offering communication support, and to explain how further guidance such as a decision-aid for clinicians may help people with dementia to receive more equitable care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used realist methods to develop a programme theory relating to speech and language therapist decision-making for dementia communication interventions, in order to inform future work to develop a decision-aid for non-dementia specialist speech and language therapists. Theories were produced and refined through an iterative process including literature review, stakeholder engagement and focus groups with speech and language therapists to help explain how speech and language therapists make decisions and how a decision-aid could support this process. Data was analysed through a top-down approach using an analytic appraisal journal, and a bottom-up approach using deductive and inductive coding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eighteen speech and language therapists participated in four focus groups. Eight theory statements were identified relating to how speech and language therapists currently make decisions about how, when and what type of communication therapy to offer people with dementia. Speech and language therapists make decisions about provision of communication therapy based on factors including staffing levels, prioritisation criteria, number of referrals received, personal beliefs, confidence, self-perceived skills, and team culture. Eight theories relating to how a proposed decision-aid might function were identified: provide therapy examples, peer support, service model examples, tailor for underserved groups, highlight the need for ongoing support, empower junior clinicians, and promote awareness of communication in dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusio","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13686552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural and Linguistic Adaptation of Diagnostic Language Assessments: A Scoping Review","authors":"Mignon Botes, Khetsiwe Masuku, Anniah Mupawose","doi":"10.1111/1460-6984.70357","DOIUrl":"10.1111/1460-6984.70357","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Diagnostic language assessments are central to identifying developmental language disorder; however, many widely used tools were developed and normed within monolingual Western contexts. Their application in multilingual and multicultural settings raises concerns about linguistic, cultural and psychometric validity. Although adaptation of diagnostic tools is frequently reported, the scope and quality of published adaptation research has not been systematically mapped.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This scoping review aimed to map the literature on the cultural and linguistic adaptation of diagnostic language assessment tools for multilingual and multicultural child populations, to describe the adaptation and validation approaches used, and to identify gaps relevant to future diagnostic tool development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>A scoping review was conducted following the Arksey and O'Malley framework and reported in line with PRISMA-ScR guidelines. Searches were conducted across four electronic databases for peer-reviewed studies published between 2014 and 2025. Studies (<i>n</i> = 14) were included if they reported the translation, cultural adaptation, or contextual modification of diagnostic language assessments for children aged 3–12 years. Data were charted on study characteristics, assessment tools, adaptation frameworks, validation methods and reported challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>Fourteen studies met inclusion criteria, representing 10 countries. Adapted tools assessed a range of language domains. Most studies reported multi-step adaptation processes and referenced established international frameworks; however, the depth of cultural adaptation and the rigour of psychometric validation varied substantially.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>Diagnostic language assessment adaptation research remains fragmented and methodologically inconsistent. The limited evidence base across diverse multilingual settings highlights an urgent need for contextually grounded, psychometrically robust diagnostic tools to support equitable assessment in multilingual settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on this subject</i>\u0000 \u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13677082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lexico-Semantic and Morphosyntactic Skills in Individuals With Parkinson's Disease: A Scoping Review","authors":"Leire Escalada-Cebadero, Gemma Moya-Galé","doi":"10.1111/1460-6984.70358","DOIUrl":"10.1111/1460-6984.70358","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This scoping review examines lexico-semantic and morphosyntactic skills in English-speaking individuals with Parkinson's disease (PD) using behavioral and neuroimaging data to inform clinical assessment and intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Following PRISMA-ScR guidelines, observational case-control studies published between 2004 and 2024 were retrieved from PubMed, PsycINFO, Web of Science, Scopus and ERIC. Thirty-nine studies met inclusion criteria. Methodological quality was evaluated using the Joanna Briggs Institute Checklist for Case-Control Studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Lexico-semantic impairments in PD are characterized by deficits in semantic fluency, action-verb retrieval, and figurative-language processing, particularly under higher cognitive load. Individuals with PD show reduced efficiency in lexical access, difficulty shifting between semantic categories, and weaker inhibition of competing meanings. Morphosyntactic studies similarly report slower processing and lower accuracy for syntactically complex sentences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Linguistic impairments in PD are best understood as a dynamic interaction between linguistic demands and domain-general cognitive resources, emerging most clearly under conditions of increased cognitive load. This pattern positions language as a sensitive indicator of broader cognitive vulnerability within the communication profile of PD, with direct implications for assessment and clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on the subject</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>Language impairments are a well-recognized non-motor feature of PD and can significantly affect communication and quality of life. Previous studies have reported lexico-semantic and morphosyntactic difficulties in PD, but findings are scattered across heterogeneous tasks and study designs, with no synthesis examining these domains together.</li>\u0000 </ul><i>What this study adds to the existing knowledge</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>This scoping review synthesizes evidence from behavioral and neuroimaging studies and shows that language difficulties in PD are most consistently observed under conditions of increased cognitive or processing demand, particularly in high-load contexts. Lexico-semantic impairments emerge reliably in such high-load contexts, while","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of Speech Sound Development in Preterm-Born Children: A Scoping Review","authors":"Sam Burr, Sam Harding, Sarah Rudd","doi":"10.1111/1460-6984.70347","DOIUrl":"https://doi.org/10.1111/1460-6984.70347","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There is substantial evidence for the detrimental impact of preterm birth on language development compared to children born at term. However, little is known regarding speech sound development of preterm infants. Speech development precedes language development and requires investigation in its own right. A clear picture of the evidence for speech sound development in preterm-born children is important to enable clinical services in early identification and intervention for these children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To understand the extent and type of evidence relating to typical and atypical speech sound development in children born before 37 weeks gestation (preterm).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A search of 5 MEDLINE, CINAHL, PsycInfo, EMBASE, EMCARE was undertaken in April 2026. Grey literature searching in Campbell collaboration, COSMIN, PROSPERO, FigShare and Open Science Framework, Google (advanced search), and SpeechBite was undertaken. Articles including samples of children reporting speech sound development (typical or atypical) were included in the review. Studies focusing on outcomes for reading and literacy were excluded, as were animal studies and those signed languages. Population demographics, assessment and outcome measures, methods of analysis and findings were extracted from each study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main contribution</h3>\u0000 \u0000 <p>28 studies from 14 different countries were included in the review. Twenty-five of the 28 studies reported differences in speech outcomes of PT children and FT children between the ages of 3 months and 12 years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This review found differences in how PT and FT children develop sounds for speech from birth through into childhood. Further large-scale, longitudinal research is needed to clarify what typical and atypical speech development look like in PT children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on this subject</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>The findings of this scoping review provide evidence of the differences between speech sound development between preterm born children and children born at term in the first 12 years of life. This information could contribute","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70347","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149199040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interprofessional Experiences and Roles of Healthcare Professionals in Early Support for Semantic Variant Primary Progressive Aphasia: A Qualitative Study","authors":"Tamami Shiba, Miyae Yamakawa, Yoshimi Endo, Kenjiro Komori, Kaori Umezaki, Yasushi Takeya, Kazue Shigenobu, Satoshi Tanimukai","doi":"10.1111/1460-6984.70355","DOIUrl":"https://doi.org/10.1111/1460-6984.70355","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>How nurses, occupational therapists, psychologists, and speech-language therapists in Japan understand their respective roles and collaborate, particularly in the early stages of semantic variant primary progressive aphasia, has not been sufficiently investigated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To clarify the experiences and professional roles of healthcare providers supporting individuals with semantic variant primary progressive aphasia and their families during the disease's early stages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>A qualitative descriptive study using a content analysis approach was conducted. Semi-structured interviews were conducted with ten healthcare professionals who had experience providing care to individuals with semantic variant primary progressive aphasia and their families. Interviews were audio-recorded, transcribed verbatim, and analyzed inductively using qualitative content analysis. Data were collected in hospital-based outpatient settings in Japan between October 2018 and April 2020.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>Four main categories were identified: (1) empathic understanding of the challenges individuals with semantic variant primary progressive aphasia and their families face in comprehending the disease and the need for structured rehabilitation; (2) supporting daily routines and family communication through structured rehabilitation; (3) promoting emotional stability and continuity of daily living through early intervention; and (4) connecting professional expertise across disciplines to support individuals based on a shared understanding. Participants described the challenges families face in accepting the need for early intervention and emphasized the importance of multidisciplinary collaboration in addressing emotional, communicative, and functional difficulties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>Care for individuals with semantic variant primary progressive aphasia requires early, structured rehabilitation embedded within a multidisciplinary framework. Clear role delineation and shared understanding among healthcare professionals are essential for effective support. Strengthening interprofessional collaboration and establishing accessible pathways for early support may help maintain daily functioning, reduce caregiver burden, and improve quality of life.</p>\u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70355","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149199039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acquisition Sequence of Grammatical Structures in Azerbaijani-Turkish-speaking Children Aged 4–6 Years: A Cross-Sectional Study","authors":"Jafar Masumi, Fatemeh Fekar Gharamaleki, Zeinab Fathipour-Azar, Ali Jahan","doi":"10.1111/1460-6984.70352","DOIUrl":"https://doi.org/10.1111/1460-6984.70352","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Grammatical development in children follows a relatively predictable sequence across languages; however, most evidence comes from Indo-European languages, particularly English. Azerbaijani-Turkish, an agglutinative Turkic language, remains understudied in terms of the order in which grammatical structures are acquired. Understanding typical acquisition sequences is essential for identifying children with developmental language disorder (DLD) in linguistically diverse populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to describe the receptive comprehension sequence of 28 grammatical structures in Azerbaijani-Turkish-speaking children aged 4–6 years and to identify which structures are most and least accurately comprehended across age groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional design was employed. A total of 237 children were assessed for eligibility, and after exclusions (<i>n</i> = 37), the final sample comprised 200 children (100 girls, 100 boys) aged 49–72 months, divided into four age groups (<i>n</i> = 50 each). The Azerbaijani-Turkish Grammar Comprehension Test (ATGCT) was used to assess receptive comprehension of 28 grammatical structures on a 0–2 scale. Developmental and cognitive screening measures included the Ages and Stages Questionnaire (ASQ) and the Wechsler Preschool and Primary Scale of Intelligence (WPPSI). One-way ANOVAs were used to compare age groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A clear developmental hierarchy emerged. Two-element phrases (<i>M</i> = 1.88, SD = 0.14) and indefinite pronouns (<i>M</i> = 1.86, SD = 0.16) were the easiest structures, while coordination ‘either-or’ (<i>M</i> = 0.97, SD = 0.52), sentences with objective and subjective pronouns (<i>M</i> = 0.99, SD = 0.52), and coordination ‘neither-nor’ (<i>M</i> = 1.10, SD = 0.51) were the most difficult. Significant age-related improvements were observed for all structures (all <i>p</i> < 0.05), with older children consistently outperforming younger ones. The largest age effects were found for two-element phrases (<i>F</i> = 4.21, <i>p</i> = 0.006, <i>η</i><sup>2</sup> = 0.061) and indefinite pronouns (<i>F</i> = 3.87, <i>p</i> = 0.010, <i>η</i><sup>2</sup> = 0.056).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study provides the first systematic description of the receptive comprehension sequence of grammatical structures in Azerbaijani-Turkish-speaking children. The findings offer a normative framework for speech-language pathologists working wit","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149205997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Group Voice Therapy via Telepractice on Voice Fatigue in Preschool Teachers","authors":"Mustafa Seyrek, Suna Tokgoz-Yilmaz, Tarik Babur Kucuk","doi":"10.1111/1460-6984.70350","DOIUrl":"https://doi.org/10.1111/1460-6984.70350","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Although in-person and face-to-face voice therapies have been used for years in professional voice users with voice fatigue, limited research examining the outcomes of group voice therapy via telepractice is available.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study investigated the effectiveness of group voice therapy via telepractice among preschool teachers with voice fatigue.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>Forty women preschool teachers with voice fatigue were recruited and randomly assigned to eight groups of five participants each in this prospective longitudinal design. The 45-min group voice therapy sessions were conducted via telepractice for eight weeks, utilizing both indirect (vocal hygiene training) and direct (Lax Vox Voice Therapy) techniques. Pre- and post-therapy and follow-up evaluations were performed using subjective, aerodynamic, and acoustic analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>Our results showed no significant differences between groups in terms of acoustic, aerodynamic, and subjective evaluations. However, significant differences were found between the time periods. Pairwise comparisons revealed that this effect was evident between the pre-therapy and other evaluation periods. Additionally, the study found that voice hygiene behaviours were maintained during the follow-up evaluations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>The results indicate that group voice therapy via telepractice could reduce voice fatigue in preschool teachers and increase their voice awareness and quality of life. It is recommended that this study be replicated in other professional voice users and patients with dysphonia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on this subject</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>Voice fatigue is common among preschool teachers due to prolonged voice use and unfavorable vocal environments. Previous studies have shown that voice therapy, including vocal hygiene education and direct voice techniques, can alleviate voice problems in professional users. However, most studies have focused on individual face-to-face therapy, while evidence regarding group voice therapy delivered via telepractices remains limited.</li>\u0000 </ul><i>What this paper adds to the existing knowledge</i>\u0000 \u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149205996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitative Efficacy of Music Speech Training for Speech Disorders in Patients With Tongue Cancers: A Pilot Study","authors":"Kaixin Guo, Chen Chen, Zhentao Lao, Yudong Xiao, Le Yang, Guiqing Liao, Shuo Lu, Peixuan Shi, Yujie Liang","doi":"10.1111/1460-6984.70341","DOIUrl":"10.1111/1460-6984.70341","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Patients with tongue cancers (TC) often experience speech disorders, necessitating a comprehensive rehabilitation strategy to enhance speech function after the surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To investigate the safety and efficacy of music speech training integrated into the postoperative routine speech rehabilitation for patients with TC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>A pilot cohort study was conducted, where patients in the intervention group (<i>n</i> = 10) were instructed to engage in music speech training twice a week for 4 weeks. Pre- and post-training assessments of speech function were performed, encompassing questionnaires (e.g., Speech Handicap Index, SHI), perceptual evaluations (words and sentences intelligibility), and acoustic analysis of vowels. Adverse events were monitored for safety throughout the process. The control group (<i>n</i> = 10) only underwent tongue strengthening exercise. Speech function assessments for the control group were administered concurrently with those for the intervention group to facilitate comparative analysis of baseline and post-intervention speech performance (SHI, words and sentences intelligibility, vowel space area (VSA) and formant centralization ratio (FCR)).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>No adverse effects were reported. The study included 20 participants (aged 28–67 years, 12 males). Baseline characteristics showed no significant differences between the intervention and control groups. Statistical analyses revealed significant improvements in speech-related quality of life (s-QoL) (<i>p</i> < 0.05) and speech intelligibility (words: <i>p</i> < 0.001, sentences: <i>p</i> = 0.006) in the intervention group following music speech training. In comparison with the control group, patients in the intervention group demonstrated higher word intelligibility scores after music speech training (68.25±5.37 vs. 52.00±10.93, <i>p</i> = 0.014). Furthermore, the VSA was greater in the intervention group (317488.04 ± 152059.21 vs. 248280.05 ± 126732.80, <i>p</i> = 0.044), indicating a broader range of tongue movement during the same postoperative period compared to the control group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>Music speech training demonstrated improvements in speech intelligibility and s-QoL among postoperative patients with TC, offering a promising new approach for postoperative speech rehabilitation.</p>\u0000 </section>\u0000 \u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Counting Words: Verbal Fluency Components and Executive Functions in Traumatic Brain Injury","authors":"Dolores Villalobos, David del Río, Itziar Guzmán, Amor Bize","doi":"10.1111/1460-6984.70351","DOIUrl":"10.1111/1460-6984.70351","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Verbal fluency (VF) tasks are consistently included in neuropsychological assessment protocols because they provide a rapid and sensitive measure of lexical retrieval and executive functioning across a wide range of neurological conditions. In addition to considering the number of words produced by the individual, examining other variables can provide highly valuable information about their cognitive performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study examines the clinical utility of looking into specific components of VF tasks by comparing the performance of patients with traumatic brain injury (TBI) to that of healthy controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method and Procedures</h3>\u0000 \u0000 <p>Twenty-seven individuals with TBI and 29 matched controls completed a neuropsychological assessment including phonological and semantic VF tasks, along with measures of processing speed, working memory (WM) and executive functioning. Group differences were analyzed across all variables, and within-group correlations were explored between VF components (total correct responses, perseverations, mean cluster size, and number of switches) and cognitive processes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>Significant group differences emerged for all cognitive measures and VF components, except for mean cluster size. In the TBI group, total correct responses on both VF tasks were associated with processing speed and WM measures. Additionally, the number of switches in phonological VF correlated with cognitive flexibility measures, while mean cluster size in semantic VF was related to a measure of WM. In contrast, within the control group, total correct responses and switching in phonological VF, as well as mean cluster size in semantic VF, were associated with WM performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>These findings highlight the sensitivity of VF tasks in detecting cognitive dysfunction following TBI. Importantly, the analysis of qualitative components (such as clustering and switching) provides a more detailed understanding of the executive mechanisms underlying VF performance. Thus, beyond simple word counts, these measures enhance the diagnostic and clinical value of VF tasks as tools for assessing cognitive functioning in both research and applied settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on this subject</i>\u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}