International Journal of Language & Communication Disorders最新文献

{"title":"Be Cognative: Cognates in the Rehabilitation of Cochlear Implant Users with German as a Second Language – A Computer-Based Experiment","authors":"Susann Thyson, Maika Werminghaus, Thomas Klenzner","doi":"10.1111/1460-6984.70138","DOIUrl":"10.1111/1460-6984.70138","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The rehabilitation of people with cochlear implants (PwCI) who speak more than one language poses significant challenges to healthcare systems, particularly in countries experiencing global migration. This study investigates the potential of cognates (CO) to enhance speech and language therapy for PwCI with German as a second language. A historically underserved group in rehabilitation contexts, speech and language therapy for PwCI speaking German as a second language is often affected by language barriers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to investigate whether PwCI with bi- or multilingual backgrounds show an increased positive selection rate and a reduced latency in understanding auditorily presented CO compared to Non-cognates (NCO), to identify a potential speech and language therapy approach for PwCI in the context of CI rehabilitation. In addition, the study investigated a possible correlation between the level of proficiency in the second language of PwCI and the frequency at which the second language is used in daily life with the selection of CO.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A computer-based experiment was conducted using the open-source software PsychoPy. The experiment involved 48 adult multilingual PwCI undergoing outpatient CI rehabilitation. Using a crossover design, participants completed auditory tasks involving CO and NCO at single-word and sentence levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study involved 48 multilingual PwCI with an average age of 55.7 years who received cochlear implants 66 months previously, on average. Participants spoke languages including Polish, Russian and Turkish, reflecting the linguistic diversity within the German population. The PwCI showed better performance in selecting and processing CO compared to NCO at both the single-word and sentence levels, with significantly faster response times for CO. Daily use of German did not significantly affect CO selection speed at the single-word level, but those who used German more often performed better with CO in sentences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusion</h3>\u0000 \u0000 <p>The results suggest that CO are processed faster and more accurately than NCO by multilingual PwCI. This finding highlights the potential of CO in auditory training and speech and language therapy, which is consistent with the existing literature on normal-hearing individuals. CO ca","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70138","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253288","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":"Participation and Experiences in Extracurricular Activities for Children With Developmental Language Disorder and Their Peers","authors":"Callyn Farrell, Virginia Slaughter, Aisling Mulvihill","doi":"10.1111/1460-6984.70134","DOIUrl":"10.1111/1460-6984.70134","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Participation in organised extracurricular social activities (OESAs) can provide wide-ranging positive developmental benefits for children. This study investigated whether participation and experiences differ for children aged 4- to 12-years with a developmental language disorder (DLD) compared to their typical language developing (TLD) peers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Parents of children with DLD (n = 18) and those of TLD peers (n = 21) reflected on their child's participation and experiences in OESAs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results demonstrated that parents of children with DLD reported engagement in a similar number of OESAs and for a similar length of time on a weekly basis compared to parents of TLD children. Additionally, when evaluating factors that facilitated positive participation experiences— such as their child's abilities and behaviour, features of the OESA, and the social environment —parents of children with DLD provided ratings mostly comparable to those of TLD parents. However, when children disengaged from an OESA, ability-related factors, such as communication, motor, and social skills, were more likely to be reported to influence the participation experience for children with DLD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings underscore the importance of fostering accessible and positive OESA experiences to support meaningful participation and access to the developmental benefits of OESAs for children with DLD.</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>Children with developmental disabilities often experience reduced participation in organised extracurricular social activities (OESAs), limiting their access to important developmental opportunities. For children with developmental language disorder (DLD), research has focused primarily on academic challenges, with limited understanding of their participation and experiences in non-academic, socially orientated activities. Previous studies have generally assumed participation barriers dominate the experiences of children with disabilities, potentially overlooking strengths, facilitators, and positive developmental contexts like OESAs.</li>\u0000 </ul>\u0000 </div>\u0000 \u0000 <div><i>What","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12497680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234023","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":"Establishing Norms of Connected Speech Measures for Story-Telling in Cantonese-Speaking Adults","authors":"Anthony Pak-Hin Kong, Cherie Wan-Yin Wong, Chester Yee-Nok Cheung","doi":"10.1111/1460-6984.70131","DOIUrl":"10.1111/1460-6984.70131","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Objectives</h3>\u0000 \u0000 <p>Narrative discourse is a useful means to organize ideas and create shared understandings. Clinically, performing discourse analysis on disordered spoken language could facilitate researchers and clinicians not only to evaluate one's language abilities but also to foreshadow his/her communication in real-life situations. Given the normative reference data of a specific discourse task, less-biased judgement and evaluation could be made, which could further facilitate assessment and intervention planning. This study aims to first develop norms by analysing the language samples produced by neurotypical Cantonese speakers on two well-familiarized narrative stories, The Boy Who Cried Wolf, and The Tortoise and Hare. Second, we aim to investigate the potential age and education effects on a wide range of micro- and macro-structural linguistics measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Two semi-spontaneous story narratives from the Cantonese AphasiaBank were selected for scoring. A total of 150 neurotypical Cantonese adult speakers produced the spoken discourse samples for each story narrative. All speakers were native Cantonese speakers living in Hong Kong; they were divided into three age groups: young (18–39 years old), middle-aged (40–59 years old), and older (> 60 years old). Audio recordings were transcribed, segmented, and annotated using CHAT conventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Normative references of various micro- and macro-structural linguistics measures and the standard scoring references for the two narrative stories were established. For the age effect on narrative discourse, the older adults produced less complex, coherent and thematic-related concepts compared to the young group. However, lexical diversity was preserved in the older group, resulting in no significant differences across the three age groups. For education effect, the higher education group outperformed the lower education group in verbal productiveness and content informativeness. Lastly, the two stories were found to be non-comparable to each other, thereby they should not interchange in pre- and post-test arrangements or in monitoring discourse performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The Cantonese discourse norms presented here can be applied in both research and clinical settings, facilitating a more objective review of language impairment and treatment planning. Second, this study demonstrated the effect of normal ageing on both the linguistics and concept","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12483306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201766","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":"An Observational Study of Discourse Tasks and Running Speech Sampling in the Assessment of Paediatric Voice Quality","authors":"Victoria Reynolds, Kristin Scavo-Smith, Kate Oteng-Bediako, Sophie Scanlon","doi":"10.1111/1460-6984.70132","DOIUrl":"10.1111/1460-6984.70132","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Running speech sampling is an essential component of a paediatric voice evaluation, in that it should provide the examiner with a representative vocal sample of the child's everyday voice use outside of the clinic setting. Current speech sampling practices, consisting of reading tasks, informal conversation sampling and the voice question (‘Tell me about your voice problem’), may not elicit consistent samples or samples of sufficient length to allow the examiner to make a reliable and valid judgement about vocal quality. The aim of this study is to compare the voice quality of children produced in response to existing running speech sampling methods and narrative elicitation tasks commonly used in language sampling activities, which are hypothesized to elicit longer units of connected speech.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Fifty-three children participated in the following tasks: prolonged vowels /a/ and /i/, the CAPE-V sentences. The reference standard running speech sampling tasks were: the voice question, an informal conversation sample and the Rainbow Passage. The comparison running speech sampling tasks were: My First Day, the Bus Story Test and the Test of Narrative Language-2. All tasks were audio-recorded. The voice samples were independently rated by two trained speech-language pathologists using the CAPE-V instrument. Inter-rater reliability was acceptable for all perceptual tasks (ICC 0.901–1.00). CAPE-V ratings were considered the primary comparison measure; smoothed cepstral peak prominence was considered a secondary comparison measure. Diagnostic indicators, sensitivity, specificity and positive and negative predictive values were calculated in order to evaluate the levels of diagnostic decision-making of the comparison tasks compared to the existing reference standard tasks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>On perceptual analysis, weak to strong correlations (<i>r</i> = 0.291–0.697) were observed between reference tasks, and weak to very strong correlations between reference and comparison tasks (<i>r</i> = 0.200–0.747). When diagnostic utility was compared, one or more indicators were at an acceptable level between the conversation sample and the narrative tasks, and the voice question and three out of four narrative tasks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A narrative elicitation procedure, such as a re-tell or story generation task, may be suitable for eliciting a running speech sample in paediatric voice evaluations. Both the acoustic properties","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193618","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":"Sentence Comprehension and L2 Exposure Effects in 6-Year-Old Sequentially Bilingual Children With Typical Development and Developmental Language Disorder","authors":"Sini Smolander, Marja Laasonen, Pekka Lahti-Nuuttila, Eva Arkkila, Elin Thordardottir, Sari Kunnari","doi":"10.1111/1460-6984.70125","DOIUrl":"https://doi.org/10.1111/1460-6984.70125","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Differentiating typical language development (TD) and developmental language disorder (DLD) in a bilingual context is difficult. The societal language is often the only mutual language of the child and the SLT. It has been shown that when assessing second language (L2) performance using tools developed for monolingual children, substantial differences between typical and disordered development can be found. There is a need for a systematic understanding of the applicability of tests across different language domains, taking language exposure into account. Sentence comprehension is an important part of language development, and receptive difficulties have often been considered to have prognostic value. Yet, the diagnostic value of sentence comprehension has received little research attention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>In the Helsinki longitudinal SLI study (HelSLI), we investigated L2 exposure effects on sentence comprehension in sequentially bilingual typically developing children (BiTD) and bilingual children with DLD (BiDLD). In addition to group-level comparisons, we examined the classification accuracy of two L2 sentence comprehension tests, taking several explanatory factors into account.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>A total of 100 six-year-old children were recruited from day care centres and a hospital clinic (54 BiTD children and 46 bilingual children with DLD). Two offline tests with multiple-choice and act-out tasks (Sentence Comprehension Test (Lausetesti) and Reynell Developmental Language Scales III, Verbal Comprehension Scale) were used to investigate sentence-level comprehension in Finnish. Multiple regression analysis was used to compare BiTD and BiDLD group performance while considering the effects of relative lifetime exposure to L2. Covariate-specific receiver operating characteristic (ROC) analysis was used to study the classification accuracy of the two tests and estimate the thresholds for optimal sensitivity and specificity of the tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>The TD bilingual children performed significantly better than their peers with DLD in both sentence comprehension tests. The effect of L2 exposure was significant but small and affected both groups similarly. Both tests classified the groups with fair sensitivity and specificity at their best, but the accuracy depended greatly on exposure. Depending on the age and exposure to L2, a sensitivity of 0.80 yielded a specificity of 0.16–0.87 on the Sente","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70125","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145181527","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":"Picture Description Discourse of the Western Aphasia Battery: Preliminary Reference Data From Mandarin Speakers and Comparison With Anomic Aphasia","authors":"Bao-Mei Deng, Li-Si Liang, Hai-Qing Zheng, Xi-Quan Hu, Jia-Xin Zhao","doi":"10.1111/1460-6984.70126","DOIUrl":"https://doi.org/10.1111/1460-6984.70126","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Discourse impairment significantly affects communication effectiveness. For a comprehensive understanding of pathological discourse behaviour, documentation of typical discourse production is essential. However, reference data from Mandarin speakers have not been previously available.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study sought to: (1) develop preliminary reference data for the Mandarin-speaking population to characterise discourse performance elicited by the picnic scene picture description task from the Western Aphasia Battery (WAB) and explore the relationship between demographic variables (i.e., age, education, gender) and discourse performance; (2) examine how persons with anomic aphasia differ from healthy adults on discourse measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method and Procedure</h3>\u0000 \u0000 <p>We recruited 207 healthy Mandarin-speaking adults to establish the reference data. The picture description task of the WAB was administered to all participants. Effects of age, gender, and years of education on discourse performance were examined. Additionally, the microstructural discourse variables of 11 individuals with anomic aphasia were compared with those of 11 age-, gender-, and education-matched healthy adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>Preliminary reference data were obtained. Findings in healthy controls revealed statistically significant effects of age and education on syntactic complexity (mean length of utterance) and communication efficiency (correct information units per minute). Age significantly impacted transmission effectiveness (percentage of correct information units). Education level significantly influenced lexical diversity (the moving-average type-token ratio). Individuals with anomic aphasia performed more poorly than healthy controls on most discourse measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>To our knowledge, this study provides the first reference data for analysing discourse production in the WAB picture description task among the Mandarin-speaking population. Persons with anomic aphasia underperformed healthy controls on most of the discourse measures. The findings contribute to improving microstructural evaluation of discourse impairment in clinical settings, particularly for persons anomic with aphasia.</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 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145181528","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":"Effects of Body Posture on Voice Range Profile Performance in Untrained Vocally Healthy Individuals","authors":"Ben Barsties v. Latoszek, Pia Droßard, Ferdinand Binkofski, Ewa v. Latoszek","doi":"10.1111/1460-6984.70130","DOIUrl":"10.1111/1460-6984.70130","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The voice range profile (VRP) is an acoustic measurement in vocal function voice assessment. While several factors influencing VRP outcomes are known, the impact of body posture during VRP recordings remains unexplored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To investigate the effects of standing and sitting posture on VRP performance in vocally healthy individuals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>Thirty vocally healthy and untrained participants were randomised into two groups. Group 1 performed VRP measurements first in a sitting position, followed by standing. Group 2 completed the tasks in reverse order. VRP parameters were compared between sitting and standing positions, and training effects between the first and second measurements were analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>No significant differences were found in any VRP parameter between sitting and standing positions (all <i>p</i> values > 0.05), with nearly all effect sizes being very small or small. Furthermore, no training effect was observed among the two trials in each group (all <i>p</i> values > 0.05, ICC > 0.75, very small or small effect sizes).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>Posture (sitting vs. standing) did not significantly influence VRP performance in the first instance when considering people without voice disorders. This might suggest flexibility in patient positioning during VRP assessments, potentially simplifying clinical protocols without compromising data integrity.</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 Range Profile (VRP) is a standard acoustic tool for assessing vocal function influenced by several factors such as recording methods, software, and patient characteristics. Though practical guidelines often recommend performing VRP assessments in a standing position, no empirical evidence has previously evaluated the effect of body posture on VRP outcomes. Thus, the clinical necessity of specific postural instructions during VRP remains unclear.</li>\u0000 </ul>\u0000 </div>\u0000 \u0000 <div><i>What this paper adds to the","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126310","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":"Influence of Speech and Language Therapy on Quality of Life in People With Primary Progressive Aphasia: A Scoping Review","authors":"Mirjam Gauch, Bianca Spelter, Katharina Geschke, Anna-Lena Köb, Oliver Tüscher, Isabel Heinrich, Sabine Corsten","doi":"10.1111/1460-6984.70129","DOIUrl":"https://doi.org/10.1111/1460-6984.70129","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>There is evidence that interventions provided by a speech and language therapist (SLT) can positively impact the quality of life (QoL) of people with primary progressive aphasia (PPA). Current reviews refer to functional approaches rather than categorising QoL-enhancing therapies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This paper aims to provide an overview of the approaches provided by SLTs to enhance QoL in people with PPA, taking into account influencing factors and various measurement instruments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Given the lack of concepts and inconsistent measurement instruments in the area of QoL-enhancing therapies, the methodology of a scoping review was selected. Studies were identified through a broad database search in five databases (Medline, ScienceDirect, Speechbite, Psyndex and Cochrane). The research was further conducted using Google Scholar and handsearching of reference lists. The 244 studies identified were subjected to a duplicate check as well as a title, abstract and full-text screening. The inclusion criteria were the presence of at least one person with PPA in the study sample, the described implementation of an intervention by at least one SLT, and QoL as a defined and measured outcome criterion. The Mixed Methods Appraisal Tool (MMAT) was used to assess the quality of the studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Contribution</h3>\u0000 \u0000 <p>Twelve studies met the inclusion criteria. The studies showed evidence of an improved or stable QoL of the participants over the period of the respective interventions. Of the included studies, seven interventions took place in individual settings, three in group settings, and one in a dyadic constellation. In one study a combination of individual and group settings was used. The therapeutic approaches mainly aimed at more than one level of the Framework for Outcome Measurement. Most frequently covered were activities and participation (<i>n</i> = 9) and body function and body structure level (<i>n</i> = 7). The assessments used varied widely. The American Speech-Language-Hearing Association Quality of Communication Life Scale was used most frequently (<i>n</i> = 3). Other assessments included the Aphasia Impact Questionnaire-21 or the Stroke and Aphasia Quality of Life Scale-39, as well as interviews or self-administered rating scales. The quality of the studies was heterogeneous and ranged from 2 to 5 out of a maximum of 5 according to MMAT criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70129","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145110710","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":"The Effect of Genotype on Self-Reported Dysarthria and Dysphagia in Parkinson's Disease: A Parkinson's Progression Marker Initiative Study","authors":"Matthew Dumican, Therese Reyers, Alyson Malczewski, Zoë Thijs","doi":"10.1111/1460-6984.70124","DOIUrl":"10.1111/1460-6984.70124","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The objective of this study was to examine baseline and longitudinal differences of self-reported dysarthria and dysphagia in the most common genetic subtypes of Parkinson's disease (PD) using the Parkinson's Progression Marker Initiative (PPMI) dataset.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a retrospective, longitudinal study utilizing data from the PPMI dataset. Dysarthria- and dysphagia-specific questions from the Unified Parkinson's Disease Rating Scale (UPDRS) and Scales of Outcomes in Parkinson's Disease-Autonomic questionnaire (SCOPA-AUT) were extracted for people with Parkinson's disease (PwPD) with leucine-rich repeat kinase 2 gene (LRRK2), GBA, and SNCA genotypes across up to five research visits. Relevant patient (age, sex, etc.) and disease (severity, phenotype, medication, etc.) data were extracted along with scores from the Montreal Cognitive Assessment (MoCA). Linear mixed models (LMMs) were used to analyse longitudinal data between genotypes, as well as to examine the interaction effects between genotypes and tremor dominant (TD) or postural instability/gait determinant (PIGD) phenotypes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 211 PwPD met inclusion criteria at their baseline visit (LRRK2 <i>n</i> = 115, GBA <i>n</i> = 68, SNCA <i>n</i> = 15). LMMs displayed significant differences in genotypes longitudinally, with significant differences between LRRK2, GBA, and SNCA genotypes at multiple time points in dysarthria and dysphagia self-reports. LRRK2-genotyped participants routinely self-reported lower dysarthria (<i>p</i> < 0.001) and dysphagia severity for UPDRS (<i>p</i> < 0.001) and SCOPA-AUT (<i>p</i> = 0.007) questions. SNCA-genotyped participants self-reported the most severe dysarthria (<i>p =</i> 0.002) and dysphagia symptoms for UPDRS (<i>p</i> < 0.001) and SCOPA-AUT (<i>p</i> < 0.05) over time. There were no differences between genotypes at baseline, and no effects of motor phenotype at any time point.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This was the first study to examine longitudinally how genotypes in PD specifically impact self-reported dysarthria and dysphagia severity. Findings from our study suggest different genotypes of PD affect the degree of self-reporting dysarthria and dysphagia severity. Specifically, LRRK2 genotypes self-reported lower dysarthria and dysphagia severity, while SNCA genotypes self-reported the most severe dysarthria and dysphagia of this sample. Importantly, SNCA genotypes self-report a faster in","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082165","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":"Goal Setting in Speech–Language Pathology: A Pilot Test of a ‘One-Size-Fits-All’ Planning Framework","authors":"Justine Leigh Hamilton, Erin Paige Hopkins, Cassandra Marie Kerr","doi":"10.1111/1460-6984.70128","DOIUrl":"10.1111/1460-6984.70128","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Developing treatment goals and hierarchies is fundamental to effective intervention. Despite this, interventions are often vaguely or ambiguously described, negatively impacting outcome measurement, client engagement, and team communication. THIMS (Target, Hierarchy, Ingredients, Measures, Success Criterion) is a novel intervention planning framework that aims to improve the specificity and measurability of treatment goals and hierarchies in speech–language pathology (SLP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The objective of this pilot study was to determine if clinician training in the use of the THIMS Framework was feasible and effective at improving the specificity and measurability of SLP treatment goals and hierarchies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We completed a within-group pre-post pilot study to determine the impact of training speech-language pathologists (SLPs) to use the THIMS Framework. We evaluated participant recruitment, task completion, and attrition, as well as the specificity and measurability of SLP goals and hierarchies submitted before and after training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-three SLPs completed the study, with participants representing a broad range of years of experience and clinical practice areas. Results showed feasible recruitment and retention and significantly higher scores for treatment goals and hierarchies after completing THIMS training sessions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Training in the use of the THIMS Framework was feasible for a small sample size and resulted in increased specificity and measurability of SLP treatment goals and hierarchies. This ‘one-size-fits-all’ framework has the potential to fill the current gap for a systematic but flexible goal and hierarchy writing system for SLPs.</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>For many years, the importance of specificity in goal writing and intervention planning has been highlighted as critical for ensuring client engagement, objective outcome measurement, and effective team communication. Despite this, studies continue to reveal a disconnect between clinicians acknowledging the importance","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12441661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076443","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}