International Journal of Language & Communication Disorders最新文献

{"title":"Communication Support and Training for Families Affected by Aphasia: A National Survey Exploring Perspectives of Professionals","authors":"Lisbeth Frølund Kristensen, Lars Evald, Charlotte Overgaard, Dorthe Hansen, Jytte Isaksen","doi":"10.1111/1460-6984.70349","DOIUrl":"10.1111/1460-6984.70349","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Aphasia affects both the individuals and their families, impacting communication, social connectedness, roles and mental health. The focus in neurorehabilitation often remains on the individual, yet research suggests that addressing the family as a system would be beneficial. It remains unknown to what extent this is translated into clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To explore professionals’ perspectives on communication support and training addressing the needs of families living with aphasia across disciplines, positions and stages of neurorehabilitation in Denmark.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>An online survey with 21 items was developed and distributed via clinical networks and social media. The survey focused on characteristics of current services, perceived needs, barriers and facilitators related to communication support and training. Descriptive statistics and qualitative content analysis were applied.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>A total of 285 professionals from different professions and positions completed the survey. The majority of respondents reported that their institution provided communication support and training for individuals living with aphasia and/or their relatives, but often inadequately and several unmet needs were highlighted. The need for a more systematic, flexible, tailored and outreached approach to communication training to address the multi-faceted and evolving needs of families living with aphasia was highlighted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>The results highlight the importance of supporting and training professionals in addressing the needs of families living with aphasia throughout the course of rehabilitation and life with aphasia. This highlights the necessity of developing and providing more flexible and tailored interventions directed at these families in order to achieve genuine and sustainable changes.</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>Aphasia impacts both the individual and their families, whose rehabilitation needs are complex and evolving over time. Family-focused interventio","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13637052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117360","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":"Mapping the Evidence for Allied Health Interventions for Preterm Infants With Feeding Aversion: A Scoping Review","authors":"Ailish Harrison, Sarah Massey, Philip Powell, Samantha Armitage","doi":"10.1111/1460-6984.70348","DOIUrl":"10.1111/1460-6984.70348","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To identify and map the evidence on allied health professional led interventions for preterm infants with feeding aversion, and to critically examine the literature to inform clinical practice and highlight research gaps.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A Joanna Briggs Institute scoping review was conducted. Systematic searches of MEDLINE, AMED, Embase, Emcare, PsycINFO, CINAHL and grey literature identified studies published between 2000 and 2024. All study designs were eligible. Data on study characteristics, interventions and outcomes were extracted and synthesised descriptively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Contribution</h3>\u0000 \u0000 <p>Thirty-five studies were included from 4016 records, with intervention studies comprising 37.1% (<i>n</i> = 13). Fifty-six intervention techniques were identified, most commonly targeting infants’ environments (88.6%), behaviour (80%), body structures and movements (65.7%), and physiological states (62.8%). Interventions were delivered across outpatient (68.7%), home (43.7%), community (15.6%) and educational (12.5%) settings. Outcomes most frequently related to oral intake (72%), growth (64%), mealtime behaviours (40%), oral skills (32%) and caregiver outcomes (36%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The evidence base for allied health interventions in this population is diverse but limited. Findings support clinical decision-making and highlight the need for more rigorous research to strengthen evidence and inform service delivery.</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>Negative oral or feeding experiences are already known to increase the risk of feeding aversion. A range of interventions for feeding aversion are described in the literature, but no single best-practice approach has been established. Very few studies focus specifically on preterm infants and few focus on infants under 2 years more generally.</li>\u0000 </ul>\u0000 <i>What this study adds to the existing knowledge</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>This study mapped allied health interventions for preterm infants with feeding aversion, identifying fifty-six intervention techniques across eight intervention targets: the feeding environment, infant behaviour, body structures and movements, physiological systems and state, sensory organs and/or functions, relationships, participation,","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117352","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":"South African Speech-Language Therapists’ Perceptions of Youth Offenders and Youth Offender Rehabilitation","authors":"Johan Jacobus Maasz, Christiaan Bezuidenhout, Marien Alet Graham, Jeannie van der Linde","doi":"10.1111/1460-6984.70345","DOIUrl":"10.1111/1460-6984.70345","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Healthcare professionals (HCPs) tend to display similar levels of implicit bias towards certain groups as the general population. This is concerning as such biases are known to result in poorer clinical decision-making and therapeutic outcomes for offender populations. Understanding the perceptions that HCPs hold towards the groups they serve are therefore essential. Given the promising role that speech-language therapists (SLTs) could fulfil in youth offender rehabilitation, their perceptions towards the youth offender population needs further exploration. This study explored South African SLTs’ perceptions of youth offenders and youth offender rehabilitation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and procedures</h3>\u0000 \u0000 <p>Using non-probability purposive sampling, a cross-sectional, mixed-method online survey was distributed on social media platforms. Thirty-five SLTs registered with the Health professions council of South Africa (HPCSA) and currently practising in South Africa volunteered their participation. Quantitative data were analysed using point-biserial and Spearman correlations, while qualitative data were analysed using qualitative content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most participants had not received training related to working with individuals in the criminal justice system (CJS) [<i>n</i> = 32, 91.4%] and had not previously delivered services to youth offenders in the CJS (<i>n</i> = 25, 71.4%). More than half of the participants agreed that youth offenders can be rehabilitated and functionally reintegrated after incarceration (<i>n</i> = 21, 60.0%). The majority (<i>n</i> = 29, 90.3%) also agreed that societal attitudes contribute to the challenges that youth offenders face during reintegration. Participants reported that communication disorders could negatively influence the behaviour and social interactions of youth offenders by contributing to emotional and behavioural difficulties. Participants with no previous training in working with persons in the CJS were more likely to agree that biological risk factors such as a genetic predisposition (<i>p</i> = 0.048, <i>r<sub>s</sub></i> = 0.358) and a diagnosis of Autism Spectrum Disorder (<i>p</i> = 0.016, <i>r<sub>s</sub></i> =  0.430) could contribute to youth offending behaviour.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and implications</h3>\u0000 \u0000 <p>Participants generally perceived youth offenders and their potential for rehabilitation positively. They also demonstrated good insight into potential barriers and societal at","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082671","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":"Active Ingredients in Quantitative Dosage for Children With Phonological Impairment: A Scoping Review","authors":"Jill Titterington, Sarah Rudd, Helen Stringer, Emma Pagnamenta, Tomos Robinson, Sam Harding","doi":"10.1111/1460-6984.70339","DOIUrl":"10.1111/1460-6984.70339","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Speech Sound Disorder (SSD) reduces speech intelligibility, affecting a child's ability to make themselves understood. If SSD is not resolved in the early years it will negatively impact children's education and general well-being. Effective and efficient speech and language therapy is known to resolve SSD and mitigate these risks. Intervention for SSD is often provided in inadequate dosages to be effective or efficient. Quantitative dosage is an overarching term for the different aspects of intensity of intervention which may impact outcomes. Existing literature on quantitative dosage indicates that more intensive therapy approaches for SSD appear to be more effective and efficient than less intensive delivery. A scoping review of current research in this area will serve to clarify evidence-based knowledge and understanding about quantitative dosage, how it works, and how different components potentially interact to contribute to outcomes for children with phonological impairment (PI) (a sub-type of SSD), informing future service developments and research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This scoping review investigates quantitative dosage elements in interventions for 3-8-year-olds with PI within speech and language therapy-led contexts to identify preliminary evidence and inform reflections for practice and future research. It is registered on the Open Science Framework (OSF) registry (https://osf.io/b3as4/).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The review followed the Population, Concept, Context framework (Joanna Briggs Institute) and is reported in line with PRISMA guidance for Scoping Reviews. Key information sources were searched, including MEDLINE, CINAHL, PsycInfo, EMBASE. Grey literature searching included the COSMIN, PROSPERO, FigShare and Open Science Framework, Google scholar (advanced search), and SpeechBite. Data extraction included intervention approach, quantitative dosage of intervention delivery, outcome measurement tools, and context. The PAGER framework was used for analysis and synthesis of the identified patterns.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Contribution</h3>\u0000 \u0000 <p>Seventy-six papers were extracted for the synthesis. Only four studies specifically investigated the impact of quantitative dosage on outcomes. Three patterns developed across the 76 papers: <i>quantitative dosage is an active ingredient; issues reporting quantitative dosage; characteristics of the evidence base</i> and are discussed in relation to advances in the field, gaps, evidence for practice and research recommendations. Preliminary evidence for practice highlights that aspect","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082726","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":"A Data-Driven Approach to the Issue of ‘Catching Up With Monolinguals’","authors":"Cécile De Cat, Arief Gusnanto, Ludovica Serratrice, Philippe Prévost, Laurie Tuller, Sharon Unsworth","doi":"10.1111/1460-6984.70330","DOIUrl":"10.1111/1460-6984.70330","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Multilingual children in monolingual education systems are generally assessed against monolingual norms, raising questions about identifying genuine language support needs versus expected developmental trajectories.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to identify: (1) the amount of cumulative exposure to the societal language (SL) beyond which multilingual children perform within the range of monolinguals (at group level) in terms of SL proficiency, and (2) the point at which cumulative SL experience no longer correlates with SL proficiency outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We examined multilingual learners (ages 5–9 years) across three societal languages (English, French, Dutch), assessing morphosyntax via sentence repetition tasks and receptive vocabulary measures (breadth and depth). Binary partition and broken stick regression models were employed to identify thresholds in the exposure-outcome relationship while controlling for environmental and cognitive factors affecting both monolingual and multilingual children. Cumulative SL exposure was measured in month-equivalents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>For morphosyntax, at least 59 month-equivalents of cumulative SL exposure was required for multilingual children's mean performance to fall within the range of monolingual variation in SL proficiency. Diminishing returns occurred after approximately 57 months (years). For vocabulary, no clear or reliable thresholds emerged. Outcomes were more strongly predicted by cognitive factors and richness of language experience than cumulative exposure alone.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Continued SL support throughout primary education is recommended, with full group-level comparability to monolingual peers in morphosyntax suggested beyond approximately 93 month-equivalents. These findings provide research-informed guidance for practitioners to contextualise language assessment expectations based on multilingual children's language backgrounds, moving away from deficit-based comparisons.</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>Previous research has revealed considerable variation in ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13621806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076393","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 Perception Profiles in Korean-Speaking Children With Speech Sound Disorders","authors":"Hajeong Bang, Seunghee Ha","doi":"10.1111/1460-6984.70340","DOIUrl":"https://doi.org/10.1111/1460-6984.70340","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children with speech sound disorders (SSD) constitute a heterogeneous population, with speech difficulties arising from different loci within the speech processing system. Speech perception has long been implicated in SSD; however, previous findings remain mixed, partly due to differences in task demands and limited consideration of SSD subtypes. In particular, few studies have systematically examined speech perception across multiple contrast types that are explicitly structured around common developmental error patterns and across clinically defined SSD subgroups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to: (a) compare speech perception performance between children with SSD and typically developing (TD) peers across different phonological contrast types, and (b) examine whether children with articulation disorder, phonological delay, and phonological disorder exhibit distinct perceptual profiles that reflect subtype-specific characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Fifty-two Korean-speaking children aged 5–6 years participated (26 SSD; 26 TD). Speech perception was assessed using a minimal-pair identification task incorporating four substitution patterns frequently observed in Korean-speaking children: velar fronting, fricative stopping, affricate stopping, and affrication. Children with SSD were further classified into articulation disorder, phonological delay, and phonological disorder subgroups based on their surface error patterns. Group differences were analyzed in terms of overall accuracy and contrast-specific performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Children with SSD performed significantly below TD peers on the speech perception task. Across both groups, velar fronting contrasts were the most challenging, whereas contrasts involving manner differences were identified more accurately. Within the SSD group, subgroup comparisons did not reach significance for overall accuracy or for most contrast types; however, a descriptive trend was observed whereby children with articulation disorder showed numerically higher accuracy than children with phonological delay and phonological disorder. A significant subgroup difference emerged specifically for the affricate stopping contrast, with children in the phonological disorder subgroup showing significantly lower accuracy than those in the articulation disorder subgroup.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings indicate that speech perception difficulties in SSD are contrast-depende","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149048489","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":"User Experience and Satisfaction With a Web-Based Application to Improve Intelligibility in Parkinson's Disease","authors":"Gemma Moya-Galé, Julia Hunter, Alireza Goudarzi, Edwin Maas, Leire Escalada-Cebadero","doi":"10.1111/1460-6984.70344","DOIUrl":"https://doi.org/10.1111/1460-6984.70344","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Objectives</h3>\u0000 \u0000 <p>Motor speech impairments, such as hypokinetic dysarthria, are highly prevalent among individuals with Parkinson's disease (PD). These voice and speech deficits may significantly impact speech intelligibility, leading many individuals with PD to withdraw socially. Digital platforms may provide a feasible way to address motor speech impairments in this population while also fostering patients’ self-management skills through independent home-based practice. The objective of this preliminary one-group pre-post treatment study is to provide a qualitative examination of participants’ experience and satisfaction using a custom-developed web-based application to improve speech intelligibility using noise-augmented automatic speech recognition feedback.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Four individuals with PD completed one month (= 16 sessions) of a novel intensive speech treatment program through a web-based application with weekly online support from a speech-language pathologist. At post-treatment, participants completed individual interviews to document their user experience with the digital platform and a brief satisfaction survey. Interviews were analysed qualitatively following an experiential orientation and reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, participants were satisfied with their experience using the app.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <p>Four themes were generated from the data set: (1) From external feedback to metacognitive awareness, (2) two worlds colliding, (3) beyond voice and speech gains: Psychosocial benefits of noise-augmented automatic speech recognition, and (4) reconciling the demands of a digital interface with the motor and non-motor symptoms of Parkinson's disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Qualitative data yields preliminary support for the use of a digital speech web-based application that provides noise-augmented automatic speech recognition feedback to improve intelligibility in individuals with PD. Results support further testing of this protocol with a larger cohort of participants in a controlled environment.</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>Motor speech impairments, such as hypokinetic dysarthria, are highly prevalent among individuals with Parkinson's disease (PD). These voice and speech defici","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149048488","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":"Does More Speech Therapy Lead to Better Results in Childhood Apraxia of Speech? A Systematic Review and Meta-Analysis of the Available Evidence","authors":"Patricia McCabe, Donna C. Thomas, Jessica Xue Ming Choo, Rob Heard, Denise Ng","doi":"10.1111/1460-6984.70337","DOIUrl":"https://doi.org/10.1111/1460-6984.70337","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In recent years there has been a significant increase in the number and quality of childhood apraxia of speech (CAS) treatment research published. Much of this research has focussed on establishing treatment efficacy and identifying treatment components. A smaller subset of the literature has looked at treatment intensity, such as comparing therapy delivered twice per week with four times per week, however this literature has not been compared across interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This systematic review and meta-analysis examines cumulative intervention intensity and its components (dose per session, dose frequency, intervention duration—number of weeks) and reported treatment effects to understand whether there is a relationship between dose and effect in specific treatments or overall.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic search and review was registered with Prospero (CRD420251107259). Twelve electronic databases were searched supplemented by handsearching references lists. Included studies were coded for CAS diagnosis confidence, methodological quality, dose characteristics, and treatment outcomes. Standard mean difference (SMD), an effect size metric equivalent to Cohen's <i>d</i>, was calculated for 25 included papers and weighted Pearson's correlations performed to identify relationships between dose characteristics and treatment outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Contribution</h3>\u0000 \u0000 <p>This paper is the first to (1) create omnibus standard effect sizes across diverse interventions and (2) show the relationship between intensity and treatment outcome in children with CAS. The omnibus SMD across studies with three or more participants for treated items was 1.22 (confidence interval 0.76–1.67), a large effect, and for generalisation items was 0.66 (confidence interval 0.46–0.85) which is a moderate effect. These results show that CAS treatment works in well-controlled studies when delivered at least twice per week for at least 45 min per session.</p>\u0000 \u0000 <p>The relationship between intensity variables and generalisation SMD was less clear with weeks of therapy being moderately correlated (<i>r</i> = 0.39) and none of the other variables showing any relationship with study SMD. These results should be interpreted carefully as there was significant missing data and limited range in some variables. Researchers need to include more standard intensity information in reporting their results.</p>\u0000 </section>\u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70337","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149014639","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":"Normative Data and Reliability of the Test of Masticating and Swallowing Solids (TOMASS) in Healthy Brazilian Adults","authors":"Maria Eduarda Soares Arcaro, Amanda Bressanelli, Vanessa Brzoskowski do Santos, Alice Barbosa, Ed Bice, Maira Rozenfeld Olchik","doi":"10.1111/1460-6984.70328","DOIUrl":"https://doi.org/10.1111/1460-6984.70328","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The Test of Masticating and Swallowing Solids (TOMASS) is a standardized clinical assessment designed to quantify oral phase swallowing efficiency during solid food intake. Although TOMASS has been investigated in several countries, normative data for the Brazilian population are still lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To establish normative data and investigate the reliability of the Brazilian Portuguese version of TOMASS in healthy adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This observational cross-sectional study included 99 healthy adults stratified by age group. Individuals with dysphagia, head and neck cancer, neurological disorders, or gastrointestinal diseases were excluded. Participants underwent sociodemographic assessment, Montreal Cognitive Assessment (MoCA), oral structural evaluation, and TOMASS administration using a commercially available Cream Cracker biscuit available in Brazil. All assessments were video-recorded for subsequent analysis. Test-retest reliability was assessed through repeated administrations of TOMASS, and inter-rater reliability was analysed using video recordings. The analysed variables included the number of bites, the number of masticatory cycles, the number of swallows, and total ingestion time. Statistical analyses included Student's <i>t</i>-test, ANOVA with Bonferroni post hoc tests, Wilcoxon test, and ICC coefficient.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The sample included 99 healthy adults distributed across three age groups, with 54% women, a mean age of 50.2 (±16.3) years, mean education level of 12.4 (±4.1) years, and monthly household income equivalent to approximately two minimum wages (US$478 ± US$228). Significant differences were found between age groups in the number of masticatory cycles (<i>p</i> = 0.021), specifically between the 20–40 and 61+ age groups (<i>p</i> = 0.040). Significant differences were also observed in total task time (<i>p</i> < 0.001), with contrasts between the 20–40 and 61+ groups (<i>p</i> = 0.002), as well as between the 41–60 and 61+ groups (<i>p</i> = 0.013). Test-retest reliability ranged from moderate to excellent, and inter-rater reliability demonstrated good to excellent agreement across TOMASS variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Brazilian Portuguese version of TOMASS demonstrated satisfactory reliability and applicability for assessing mastication a","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 6","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70328","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149014728","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":"'It Is of Course About Being Human Together': Co-Development of a Primary Progressive Aphasia Awareness Campaign to Enhance Understanding of Speech and Language Therapy.","authors":"Anna Volkmer, Rosemary Townsend, Bethany Anthony, Sharon M Antonucci, Petronilla Battista, Sandrine Basaglia-Pappas, Jeanne Gallée, Stephanie Grasso, Maya L Henry, Peter Just, Nomiki Karpathiou, Becky Khayum, Monica Lavoie, Helen Moffat, Michael Petley, Philip Robinson, Kiiya Shibata, Cathleen Taylor-Rubin, Vanessa Ward, Jason D Warren, Nikki Zimmerman","doi":"10.1111/1460-6984.70324","DOIUrl":"10.1111/1460-6984.70324","url":null,"abstract":"<p><strong>Introduction: </strong>Globally, there is a lack of awareness of rare dementias such as those led by language decline (the primary progressive aphasias, PPA). The main treatment for PPA is speech and language therapy, yet many people are unaware of the benefits and are often not referred on by other health care professionals. Delays in diagnosis can exacerbate a delay in accessing resources such as speech and language therapy which can assist in maintenance of communication and independence. Some people affected by PPA are able to seek out information independently and navigate their own way to these services, but others experience substantial challenges in accessing support. This study was born out of discussions with people affected by PPA who identified an urgent need to raise awareness of PPA and the benefits of speech and language therapy. The aim of the project was to co-develop a PPA awareness campaign and, through feedback, understand the impact of a co-produced and delivered awareness campaign on awareness and knowledge of PPA and the role of the speech and language therapy.</p><p><strong>Methods: </strong>This study was informed by the People with Aphasia and Other Layperson Involvement (PAOLI) framework for guiding patient and public involvement (PPI) in aphasia research. Key components of the PPA awareness campaign were co-developed at a World Café event with 30 people affected by PPA. Consequently, engagement data were collected from social media posts during the 10-week campaign, and registration and attendance at the co-planned webinars. A feedback survey was collected from attendees after the event, and a micro-costing analysis conducted to understand the costs.</p><p><strong>Results: </strong>The 10-week PPA awareness campaign focused on raising awareness of the role of speech and language therapy for PPA and a bespoke logo was developed that was shared across seven participating countries internationally. Attendees reported increased knowledge of the role of speech and language therapists and valued hearing the voices of people affected by PPA throughout the campaign. Webinar events were well attended across the participating countries with an average of 300 attendees, ranging from 233 in Greece to 369 in the UK. The cost of developing the awareness campaign was calculated at £26.20 per webinar attendee in the UK.</p><p><strong>Discussion: </strong>The PPA awareness campaign was conceived by people affected by PPA and aimed to increase awareness that speech and language therapy can support people affected by the condition. The awareness campaign developed iteratively and concluded with an awareness day event spanning seven-countries internationally which are all now permanently accessible as resources on the International Speech and Language Therapist / Pathologist PPA network (International SLT/P PPA network) website. Future campaigns will take a more focused approach by targeting more specific audiences such as trai","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 5","pages":"e70324"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13551054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907869","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}