International Journal of Language & Communication Disorders最新文献

{"title":"A Cluster Randomized Controlled Trial Comparing the Efficacy of Pre-School Language Interventions—Building Early Sentences Therapy and an Adapted Derbyshire Language Scheme","authors":"Cristina McKean, Christine Jack, Sean Pert, Carolyn Letts, Helen Stringer, Mark Masidlover, Anastasia Trebacz, Robert Rush, Emily Armstrong, Kate Conn, Jenny Sandham, Elaine Ashton, Naomi Rose","doi":"10.1111/1460-6984.70036","DOIUrl":"https://doi.org/10.1111/1460-6984.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children's language abilities set the stage for their education, psychosocial development and life chances across the life course.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To compare the efficacy of two preschool language interventions delivered with low dosages in early years settings (EYS): Building Early Sentences Therapy (BEST) and an Adapted Derbyshire Language Scheme (A-DLS). The former is informed by usage-based linguistic theory, the latter by typical language developmental patterns.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a pre-registered cluster randomized controlled trial in 20 EYS randomized to receive BEST or A-DLS. Children aged 3;05–4;05, who were monolingual, with comprehension and/or production scores ≤ 16th centile (New Reynell Developmental Language Scales—NRDLS) and no sensorineural hearing impairment, severe visual impairment or learning disability were eligible. A total of 102 children received the intervention. Speech and language therapists delivered interventions with high fidelity in 15-min group sessions twice weekly for 8 weeks. Baseline (T1), outcome (T2), and follow-up (T3) measures were completed blind to the intervention arm. Outcomes were NRDLS comprehension and production standard scores (SS), measures of language structures targeted in the interventions and communicative participation (FOCUS-34).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Both interventions were associated with significant change from T1 to T2 and from T1 to T3 in all outcomes. There were no differences between interventions in gains in NRDLS comprehension SS at T2 or T3. BEST produced greater gains in NRDLS production SS between T1–T2 (<i>d</i> = 0.40) and T1–T3 (<i>d</i> = 0.55) and in BEST-targeted sentences (<i>d</i> = 0.77). Children receiving BEST made significantly more progress after intervention (T2–T3) in both comprehension and production. Both interventions were associated with large, clinically significant changes in communicative participation as measured by teacher reports (FOCUS-34).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A low-dosage intervention can produce language gains with moderate to large effects. The accelerated progress after the BEST intervention underscores the significant potential of interventions designed with reference to usage-based theory, which precisely manipulates language exposure to promote the specific cognitive mechanisms hypothesized","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143875582","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":"Adapting in interaction involving Mandarin speakers with aphasia: A conversation analysis of turn initial responses to healthcare professionals’ questions","authors":"Xinxin Yang, Wen Ma","doi":"10.1111/1460-6984.70029","DOIUrl":"https://doi.org/10.1111/1460-6984.70029","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Aphasia is a communication disorder caused by brain damage. People with aphasia (PWA) often experience difficulties in interaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study uses conversation analysis (CA) and examines the interactions of 10 PWA (5 fluent and 5 non-fluent speakers) and their healthcare professionals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The study aims to to explore how Mandarin-speaking PWA adapt to difficulties in initiating responses to questions from healthcare professionals. It also examines how the ways PWA adapt may vary across different types of aphasia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two adaptive practices were identified: turn initial repeats and turn initial iconic gesture. The findings suggest that fluent speakers with aphasia tended to adapt with turn initial repeats, while non-fluent speakers relied more on iconic gestures in starting a response turn. These practices allow PWA to maintain progressivity in responding to questions and assist them in formulating answers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>The study provides empirical evidence on how linguistic and multimodal resources can enhance everyday interactions and be applied in interaction-focused therapy for Mandarin-speaking PWA.</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>Existing research has primarily focused on communication challenges and adaptation strategies among individuals with aphasia who speak English, German and Finnish. There is a noticeable gap in the literature concerning Mandarin speakers with aphasia and their experiences in everyday communication. To our knowledge, no study has yet explored the specific challenges they encounter and how they cope with them.</li>\u0000 </ul>\u0000 </div>\u0000 \u0000 <div><i>What this paper adds to the existing knowledge</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>This study explores the communication challenges faced by Mandarin speakers with aphasia during interactions with health professionals, with a particular focus on turn initial responses to questions. Two disti","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143871561","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":"Language, Communicative Participation, and Well-Being in Young Children with (Presumed) Developmental Language Disorder","authors":"Iris Duinmeijer, Sanne Peet, Lonneke Janssen, Annette Scheper, Margo Zwitserlood-Nijenhuis, Wendy Bliekendaal, Marijke Zoons, Britt Hakvoort","doi":"10.1111/1460-6984.70037","DOIUrl":"https://doi.org/10.1111/1460-6984.70037","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children with developmental language disorder (DLD) have problems acquiring language, affecting their communicative participation, social–emotional functioning (SEF) and quality of life (QoL).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To investigate whether communicative participation mediates the relation between language and SEF and QoL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>In a longitudinal design, 511 children were recruited via early intervention groups for children with (presumed) DLD. Language and IQ scores were obtained at a mean age of 3;11 (T0). In kindergarten, communicative participation, SEF and QoL were measured via parental questionnaires (T1, mean age 4;8). The relationship between language and SEF and QoL was investigated directly and with communicative participation as a mediating factor using structural equation modelling.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>Expressive grammar was related to communicative participation, SEF and QoL, while receptive language and expressive vocabulary were not. Children with better expressive grammar at T0 showed better communicative participation at T1. Better communicative participation, in turn, was related to less problems in SEF and higher QoL. We also found an unexpected positive direct relation between expressive grammar and problems in SEF. Post-hoc analyses showed that this was likely to be a suppressor effect, caused by a small subset of children with relatively good expressive grammar and poor communicative participation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>Communicative participation is a mediator in the relation between language and SEF and QoL. These results underline the importance of addressing communicative participation as a functional measure of language ability both in research 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>Children with DLD have problems acquiring language and communication skills. Alongside and related to these challenges, many children with DLD experience greater problems in SEF and lower levels of QoL, although there is considerable variation among children. Previous r","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143861913","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":"Social–Emotional Functioning and Quality of Life in Language Disorders: A Systematic Review of Development From Childhood to Adolescence","authors":"Mélanie van Barreveld, Annette Scheper, Constance Vissers, Iris Duinmeijer, Britt Hakvoort","doi":"10.1111/1460-6984.70039","DOIUrl":"https://doi.org/10.1111/1460-6984.70039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>It is well-established that children and adolescents with developmental language disorder (DLD) have social–emotional difficulties. This is reflected in their behaviour, for instance, by (social) withdrawal, hyperactivity or difficulty with peer relations. Children with DLD are also known to have poorer quality of life (QoL). This is likely to be related to social–emotional difficulties, for both concern similar developmental domains but from a different point of view. Findings on the social–emotional abilities, QoL and predictors thereof in children with DLD are inconsistent across studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This review investigates how social–emotional functioning (SEF) and QoL develop from childhood into early adulthood in children with DLD. These developments are then compared and predictors are identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>A systematic review of 128 articles, conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines in January 2024, yielded 34 articles for inclusion after qualitative assessment. Clinical populations were labelled differently (e.g., DLD, specific language impairment (SLI), language impairment (LI)) but adhered to inclusion criteria for language disorder (LD). The majority of the articles focused on SEF (<i>n</i> = 30 articles), while the remaining examined QoL (<i>n</i> = 4 articles).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Contribution</h3>\u0000 \u0000 <p>This is the first review to simultaneously investigate SEF and QoL in children with LD. No single developmental pattern was found for SEF: a range of possible developmental trajectories exists. Interestingly, prosocial skills generally appear to improve over time, whereas children also experience increasing problems with peer relations. Few studies employed a longitudinal design regarding QoL, but those that did suggest that children with LD are likely to have poorer and declining QoL, at least between the ages of 4 and 9. The sole study examining SEF and QoL in the same sample found a predictive relationship between early SEF and later QoL. Linguistic abilities were predictive in less than half of the studies on SEF development and had little impact on QoL development. Findings on other predictors were inconsistent.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Despite their interrelatedness, SEF and QoL do not necessarily develop simi","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143857070","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":"Translation and Validation of the TOR-BSST Into Turkish for Stroke Patients","authors":"Serkan Bengisu, Özlem Öge-Daşdöğen, Rosemary Martino","doi":"10.1111/1460-6984.70042","DOIUrl":"https://doi.org/10.1111/1460-6984.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The most common cause of death in Turkey is attributed to vascular diseases, including stroke. Dysphagia stands out as one of the prevalent and life-threatening complications that often follow a stroke. Within the Turkish context, the availability of validated bedside screening tests for assessing dysphagia remains limited. The primary objective of this study was to undertake the translation of the TOR-BSST into Turkish and subsequently validate this newly translated Turkish version.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Once the translation of the TOR-BSST into Turkish was accomplished, 60 stroke patients were consecutively enroled in the validation process. The enroled patients were evaluated using the TOR-BSST-TR, administered by a speech and language pathologist (SLP) trained in TOR-BSST screener training. On the screening day, each patient underwent a videofluoroscopic swallowing study (VFSS), administered by another SLP blinded to the patient's medical information and TOR-BSST-TR results. The VFSS images were recorded for independent analysis by the second SLP who conducted the VFSS, and a third SLP, also blinded to the TOR-BSST-TR findings, using the Penetration Aspiration Scale (PAS) to measure airway invasion severity, and Dysphagia Severity Rating Scale (DSRS) to measure overall dysphagia severity. The reliability of the gold standard VFSS ratings was assessed using the intra-class correlation coefficient (ICC). The accuracy of the new TOR-BSST-TR was assessed using sensitivity, specificity, predictive values and likelihood ratios.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of all the 60 patients, 35 (58.3%) failed the TOR-BSST-TR, and 33 (55%) were identified with some degree of dysphagia from VFSS imaging scores. The overall inter-rater reliability (in ICC, 95% CI) for the gold standard ratings were as follows: PAS semi-solids (0.98, 0.95–0.99), PAS liquids (0.75, 0.58–0.85) and overall DSRS (0.70, 0.32–0.85). Based on the total screening score of the TOR-BSST-TR, the sensitivity, specificity, positive and negative predictive values along with positive likelihood ratio were as follows: 93.9%, 85.2%, 90.5%, 90.4% and 6.34, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The TOR-BSST was successfully translated into Turkish, and the resulting TOR-BSST-TR demonstrated high accuracy in the acute stroke phase using videofluoroscopy as the gold standard. Specifically, the new TOR-BSST-TR screening tool yielded excellent sensitivity, specificity and predictive values in this patient population. The clinical implementation of this validated screening tool has the po","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852778","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":"Translating Technology Into Speech–Language Pathology Practice: Qualitative Interviews Using Transcranial Magnetic Stimulation as a Case Study","authors":"Ellen E. R. Williams, Brenton Hordacre, Nigel C. Rogasch, Mitchell Goldsworthy, Stacie Attrill","doi":"10.1111/1460-6984.70041","DOIUrl":"https://doi.org/10.1111/1460-6984.70041","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Technologies such as videofluoroscopy, therapy applications, and telehealth have been translated into the clinical toolkit of many speech–language pathologists (SLPs). Transcranial magnetic stimulation (TMS) is an emerging technology that shows therapeutic promise for communication and swallowing disorders and, once suitable for clinical use, SLPs will likely be responsible for delivering this treatment. As such, it is critical that SLP opinions and attitudes towards TMS, as well as broader translation issues facing the profession, are considered early in the TMS research and translation process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>(1) To explore in-depth the determinants of SLP behaviour that could influence translation of TMS into speech–language pathology practice; and (2) to examine these behavioural determinants within the context of profession-wide research-to-practice gaps.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with 10 SLPs, who were classified into novice, intermediate, or expert TMS knowledge/experience levels. Reflexive thematic analysis conventions were used to inductively and deductively code interview data. The refined Theoretical Domains Framework (rTDF) informed study design, analysis, interpretation, and reporting, and served as a theoretical lens through which recommendations were developed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>Four main themes were derived from interview data, representing four overarching determinants of SLP behaviour: actual knowledge/experience; perceptions of professional role and capabilities; optimism/pessimism mindset and emotions; and environmental factors. Results within each theme were categorised as TMS-specific (aim 1) or profession-wide (aim 2).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>Many TMS-specific behavioural determinants could impact the translation of TMS into speech–language pathology, however these exist against the backdrop of larger, profession-wide translation issues. A taxonomy of nine recommendations for bridging technology translation gaps in speech–language pathology is provided, with a view to facilitating future implementation of TMS and other technologies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143849246","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":"Speech–Language Pathologists’ Perceptions of Their Competence in Managing Stuttering: A Systematic Review with Narrative Synthesis","authors":"Emma Alegre, Adriana Penman, Rachael Unicomb, Nerina Scarinci","doi":"10.1111/1460-6984.70040","DOIUrl":"https://doi.org/10.1111/1460-6984.70040","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Stuttering can significantly impact an individual's quality of life and has the potential to affect social interactions, academic and career opportunities, and well-being. Speech–language pathologists (SLPs) play a crucial role in the treatment of stuttering across the lifespan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This systematic review aimed to describe (1) how competent SLPs perceive themselves to be in their management of stuttering and (2) the factors that influence SLPs’ perceived competence in managing stuttering.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive search of eight electronic databases resulted in 13 studies that met the inclusion criteria. A narrative synthesis was completed on the extracted data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Contribution</h3>\u0000 \u0000 <p>Competence was perceived to be lower in treatment than in assessment. Perceived competence was higher in SLPs who saw people who stutter more frequently and engaged in more continuing professional education in stuttering. Factors affecting SLPs’ perceived competence also included: the level of support to implement treatment, knowledge of stuttering, formal education in stuttering, years of experience as an SLP, experiences with stuttering, familiarity with people who stutter, previous treatment outcomes and the perceived complexity of stuttering. The available data were primarily focused on participants working in paediatric populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The review revealed diversity in perceived competence when managing stuttering, influenced by factors related to SLPs’ professional and personal experiences, the practice context and available evidence, with notable variation in competence across different settings and regions. Further research is required across the lifespan to better understand the relationships between factors and to guide future interventions for competence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <p><i>What is already known on the subject</i></p>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>Research has identified gaps in SLPs’ knowledge, clinical experience and confidence in treating stuttering. These studies highlighted SLPs’ limited awareness of effective interventions, varying levels of ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70040","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143849245","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":"Correction to ‘Online indirect group treatment for preschool children who stutter—Effects on stuttering severity and the impact of stuttering on child and parents’","authors":"","doi":"10.1111/1460-6984.70032","DOIUrl":"https://doi.org/10.1111/1460-6984.70032","url":null,"abstract":"<p>Gembäck, C., McAllister, A., Femrell, L. &amp; Lagerberg, T.E. (2025) Online indirect group treatment for preschool children who stutter—effects on stuttering severity and the impact of stuttering on child and parents. <i>International Journal of Language &amp; Communication Disorders</i>, 60, e70008. https://doi.org/10.1111/1460-6984.70008</p>","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70032","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826797","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":"Benefits of Adding a Psychomotor Therapy Over a Combined-Approach Treatment in Adults who Stutter: A Randomized Controlled Trial","authors":"Jorge Farias-Jr,&nbsp;Claudia R. L. Cardoso,&nbsp;Gil F. Salles","doi":"10.1111/1460-6984.70038","DOIUrl":"https://doi.org/10.1111/1460-6984.70038","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Few previous randomized trials investigated whether additional therapies could improve the efficacy of the standard combined-approach (stuttering modification and fluency shaping) treatment in adults who stutter (AWS).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To evaluate in a randomized controlled clinical trial whether the addition of a psychomotor therapy over a standard combined-approach treatment could improve the efficacy of treatment in young AWS.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods &amp; Procedures&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A total of 47 young AWS (mean age = 24 years, 79% males) with at least moderate stuttering (evaluated by the stuttering severity instrument—3, SSI-3 ≥ 21 points) were randomized to either a standard combined-approach treatment (24 AWS, control group, 16 sessions of 40 min over 8 weeks) or to standard treatment plus the psychomotor therapy (23 AWS, intervention group, adding 20 min of psychomotor training after each session). Stuttering improvement was assessed by reductions in SSI-3 scores, examined using Wilcoxon tests. The primary outcome was the difference in SSI-3 reductions between the control and intervention groups, evaluated by Mann–Whitney tests.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Outcomes &amp; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Control and psychomotor intervention groups were well-balanced in most baseline characteristics, including stuttering severity (mean SSI-3 score = 32.6 points). After treatment both groups significantly reduced SSI-3 (mean absolute reduction = 10.1 points, 95% confidence interval (CI) = 8.5–11.7 points, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), without any significant difference between the two groups (mean difference = 1.0 point, 95% CI = −2.2 to −4.2 points, &lt;i&gt;p&lt;/i&gt; = 0.39). Also, there were no significant differences between the groups in relative percentage reductions, or in the proportion of individuals who reached a &gt; 30% reduction or a post-treatment SSI-3 &lt; 20 points. There were also no significant differences in separate SSI-3 components (frequency and duration of stuttering events and physical concomitants).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions &amp; Implications&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This randomized controlled trial did not demonstrate any benefit of adding a psychomotor therapy over a standard combined-approach treatment in young AWS.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Trial Registration&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;ReBEC, identifier number RBR-6YY755.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; WHAT TH","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818605","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":"Experiences of Fluent Siblings Living with Children Who Stutter in Malaysia: A Qualitative Study","authors":"Ying Qian Ong,&nbsp;Nur Nabilah Ahmad Ghazali,&nbsp;Susheel Joginder Singh,&nbsp;Rachael Unicomb,&nbsp;Shin Ying Chu","doi":"10.1111/1460-6984.70034","DOIUrl":"https://doi.org/10.1111/1460-6984.70034","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Previous studies have predominantly investigated the impact of having a child who stutters (CWS) on parents and their associated parent–child relationship. However, there is a gap in the literature regarding the perceptions of stuttering held by siblings living with CWS in Malaysia.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To explore the experiences of fluent siblings of Malaysian CWS.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods &amp; Procedures&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A total of 10 fluent siblings were recruited (mean age = 13.40 years, SD = 3.23, age range = 7–18 years, four females) and semi-structured interviews were used to explore their perceptions towards their siblings who stutter, their emotional reactions towards their siblings, the strategies they use during communication breakdowns and how stuttering affects their relationships with their siblings. All interviews were performed using Zoom to allow data collection during the COVID-19 pandemic lockdown. To avoid parental bias, all interviews were conducted without the parent's participation in the interviews. Interviews were conducted in both Bahasa Malaysia (Malaysia's native language) and English (the second most spoken language in Malaysia), depending on the participants’ preferred languages. Each interview lasted between 20 and 25 min (mean = 22.8, SD = 2.56). Audio recordings were de-identified and transcribed verbatim. Thematic analysis was used to explore the lived experiences of these siblings.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Outcomes &amp; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Four main themes were identified: (1) how siblings perceive the speech of CWS; (2) the communication strategies used by siblings to repair communication breakdown; (3) the feelings that fluent siblings have about stuttering and how they cope with it; and (4) how the stuttering makes the siblings’ relationships closer.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions &amp; Implications&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study's findings provide multiple perspectives on the perceptions and attitudes of siblings around stuttering. In addition, the study offers useful insights about the needs of these siblings and techniques for meeting those needs. These results have the potential to contribute to the existing knowledge base and assist speech–language pathologists and other healthcare professionals in working effectively with CWS and their families.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; WHAT THIS PAPER ADDS&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;&lt;i&gt;What is already known on the subject&lt;/i&gt;\u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818606","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}