International Journal of Language & Communication Disorders最新文献

{"title":"Auditory-Perceptual Evaluation of Situationally-Bound Judgements of Listener Comfort for Postlaryngectomy Voice and Speech","authors":"Natalie Smith, Nedeljko Jovanovic, Philip C. Doyle","doi":"10.1111/1460-6984.70114","DOIUrl":"https://doi.org/10.1111/1460-6984.70114","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The influence of the listening environment in which communication occurs has been of longstanding interest related to communication disorders. It also has been posited that specific listening scenarios may differentially effect listener judgements of a speaker. In the case of those who have lost their larynx and normal voice due to cancer, a listener's assessment may carry a substantial penalty. This study was designed to determine if situationally-bound communication ‘scenario’ influences a listener's auditory-perceptual judgement of level of comfort for three modes of postlaryngectomy alaryngeal speech: oesophageal (ES), tracheo-oesophageal (TE) and electrolaryngeal (EL) speech. Additionally, a modified oesophageal speech (MES) group where air insufflation pauses were excluded digitally, was also included; this modification was employed to reduce the potential impact of unusual, non-junctural pauses that may occur in some oesophageal speakers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>Forty-eight speaker samples (12 speakers per alaryngeal group) were evaluated by 22 naïve adult listeners for a dimension termed listener comfort (LC). Judgements assessed all speaker samples based on two implied listening scenarios: (1) a social conversation interaction (LC-Soc) and (2) a telephone conversation (LC-Tel). Both scenarios were rated by listeners using a visual analogue scaling procedure. Ratings were provided in a counterbalanced manner across two sessions separated by 7–10 days.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>Listener ratings were not found to differ significantly by listening scenario (social vs. telephone) for any given speech mode. However, significant differences were observed in listener judgements of TE speakers when compared to EL, ES and MES speaker samples for both LC-Soc and LC-Tel listening scenarios. Further, a significant correlation was found between judgements of LC-Soc and LC-Tel, indicating a strong relationship between the two.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>Listeners indicated that they were more comfortable listening to TE speakers when compared to the other postlaryngectomy speech modes that were evaluated. This suggests that in general, a listener's perceived LC may be more favourable to TE speech. Thus, these comparative findings provide objective data on how a listener may respond to postlaryngectomy communication methods and, consequently, may offer valuable insights into the relative merits of these postlaryngectomy communication rehabilitation methods. Collectively, the findings of thi","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144897648","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":"‘AAC Isn't a Take It or Leave It’: The Augmentative and Alternative Communication Training Experiences of Australian Speech-Language Pathologists Working in Paediatrics","authors":"Clancy Conlon, Robyn Preston, Barbra Zupan","doi":"10.1111/1460-6984.70111","DOIUrl":"https://doi.org/10.1111/1460-6984.70111","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Augmentative and alternative communication (AAC) is a core area of practice for Australian speech-language pathologists (SLPs); however, there is no current literature describing the state of AAC training in Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Therefore, this study aimed to investigate the training experiences and needs of Australian SLPs in AAC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method and Procedures</h3>\u0000 \u0000 <p>This study followed a sequential-explanatory mixed methods approach. First, 205 SLPs completed a quantitative online survey. Next, 16 SLPs participated in a one-on-one, semi-structured interview, which was conducted over Zoom. Results were than triangulated for analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>Overall, SLPs rated their university training in AAC as poor, and this did not differ based on time spent in the workforce. SLPs felt that current students should be receiving comprehensive training in AAC at university, inclusive of theory and practice. SLPs reported accessing a range of post-professional training, but the most common training formats did not align with their training preferences, which included practical, face-to-face training with a presenter who is knowledgeable and passionate about AAC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>Given that AAC has been recognised as a practice area in Australia since 2012 and AAC users are present on most paediatric SLP caseloads, better quality training needs to be made accessible throughout Australia. This is particularly pertinent for university programmes that are responsible for training the future SLP workforce.</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>Speech-language pathologists (SLPs) internationally report limited training in AAC while at university. Minimal research has been conducted on the training of SLPs in AAC in Australia.\u0000</li>\u0000 </ul>\u0000 </div>\u0000 \u0000 <div><i>What this study adds to existing knowledge</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>Australian SLPs report inadequate AAC training at university and feel that SLP students ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891599","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":"Stakeholder Perspectives on the Responsible Innovation in Health Framework for Addressing Stigma-Based Health Inequalities Among People Who Stutter","authors":"Sébastien Finlay, Geneviève Lamoureux, Anne Moïse-Richard, Lucie Ménard, Ingrid Verduyckt","doi":"10.1111/1460-6984.70115","DOIUrl":"https://doi.org/10.1111/1460-6984.70115","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>People who stutter (PWS) experience stigma-based health inequalities that can negatively impact their quality of life. Yet, few interventions in the literature are explicitly designed to address these systemic disparities. The Responsible Innovation in Health (RIH) framework offers a promising foundation for developing health innovations that are equitable, sustainable and contextually responsive. This study explores how stakeholders interpret and apply the RIH framework to envision interventions that reduce stigma and promote health equity for PWS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using a mixed-methods design, namely the Participative Concept Mapping Approach, stakeholders (PWS, clinicians, health innovators) participated in a workshop to generate, sort and rate ideas based on their importance and feasibility. Concept maps were used to analyse and categorize ideas thematically.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Stakeholders generated 94 ideas across six clusters as follows: (1) Digital Technology and Video Media, (2) Collective and Professional Approaches, (3) Cost and Accessibility, (4) Inclusive and Sustainable Intervention Design, (5) Engaging Multi-Modal Approaches and (6) Flexibility. The environmental responsibility value of the RIH framework received limited focus. Discrepancies between the importance and feasibility of ideas highlighted challenges in implementing interventions, while ensuring their sustainability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study demonstrates how stakeholders prioritize values of the RIH framework when envisioning stigma-reducing health innovations for PWS. Findings highlight the need for embedding sustainability within clinical practices and underscore the importance of patient and user feedback to bridge the gap between impactful concepts and practical solutions, ensuring that interventions are meaningful, feasible and grounded in the RIH values.</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>Stuttering is associated with stigma-based health inequalities that extend beyond speech, impacting PWS across multiple domains of life. Research has documented the effects of stigma on quality of life, access to care and communicative participation for PWS. However, frameworks to guide the develo","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70115","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881093","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":"Representations of Clients and Speech and Language Therapists in Assessment Reports: A Critical Analysis","authors":"Mary-Pat O'Malley, Elizabeth Armstrong, Rena Lyons, Nicole Müller","doi":"10.1111/1460-6984.70113","DOIUrl":"https://doi.org/10.1111/1460-6984.70113","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This paper examines assessment report-writing from a critical perspective, a relatively unexplored aspect of speech and language therapy (SLT) clinical practice. To date, there has been little discussion of the relationship between discourse formats, objectives of assessment reports, and the effects of these objectives on how clients and speech and language therapists (SLTs) are portrayed. Furthermore, there has been little exploration of the concepts of objectivity and scientific writing in relation to report-writing in SLT. An emphasis on a scientific, objectifying system has long been in operation in the profession: the establishment of diagnostic categories and the relegation of the personal, subjective experiences of client and SLT to secondary, non-scientific status. However, person-centred care (PCC) is now a focus in SLT in an attempt to rehumanise care by considering clients as unique individuals with important knowledge to contribute.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine representations of clients and SLTs in assessment report-writing drawing on systemic functional linguistics (SFL) and critical discourse analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>A total of 28 assessment reports were collected: 18 assessment report-writing exemplars from published texts aimed at modelling professional report-writing and 10 assessment reports from clinical practice. The global structure of the reports was identified, and the reports were also analysed using transitivity analysis as defined in SFL. <i>Doing</i>, <i>saying</i>, <i>sensing</i>, and <i>being processes</i>, and passives were identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>Without exception, all reports followed a similar global structure for organising the content, with an overall focus on presenting the speech, language, communication, and swallowing/feeding impairments under consideration while omitting the perspectives of the clients and families. The global structure was characterised by a problem focus. The use of passive verbs masked the SLT as an agent of clinical actions and positioned the clients as recipients of the actions of unidentified professionals while also under-emphasising their individual perspectives, experiences, and goals. SLTs used categorical assertions (i.e., declarative statements with no modality) to make claims appear scientific, while the relatively less-frequent contributions of clients and family members were introduced using saying processes, highlighting their subjectivity. In the paediatric reports, no child's perspective was included.<","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881051","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":"'Why Aren't We Fighting Our Case?': Speech and Language Therapists’ Perspectives on Intervention for Preschool Children With Oral Comprehension Difficulties","authors":"Katherine Shobbrook, Rosie Miller, Shybah Yunis, Suzanne Beeke, Wendy Best","doi":"10.1111/1460-6984.70112","DOIUrl":"https://doi.org/10.1111/1460-6984.70112","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Oral comprehension difficulties are prevalent amongst preschool children with language needs and are related to academic, social and emotional outcomes. Speech and language therapists (SLTs) frequently deliver comprehension intervention to preschool children, but the influences on their clinical decisions are unknown. Understanding these influences and how chosen interventions align with models of evidence-based practice (EBP), particularly in an area where research evidence is sparse, is crucial to developing effective intervention and supporting the implementation of research to practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To investigate SLTs’ perspectives on the delivery of intervention to preschool children with oral comprehension difficulties and to examine these in the context of models of EBP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>Semi-structured interviewing gathered the perspectives of 14 UK-based SLTs, representing a range of years of experience, work settings and employment models (NHS and independent). Data were analysed using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>The overarching theme ‘Flexibility and Constraint’ described a complex and challenging process whereby SLTs respond to sometimes conflicting influences from external drivers, the needs of the child and adults around them, perspectives on who has responsibility for effecting change, and their own perceptions of clinical autonomy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>SLTs’ practice aligns with components of EBP, but the need to be flexible and responsive to individual circumstances is frequently in conflict with constraints affecting the ability to deliver individualised intervention. Implications include how individual SLTs and speech and language therapy services promote the ways in which they are evidence-based practitioners and advocate for their specialist role in supporting preschool children with oral comprehension difficulties.</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>Models of EBP emphasise the considered application of research, patient preferences and clinician-related","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869624","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":"Expiratory Muscle Strength Training to Improve Voice and Respiratory Outcomes After Laryngectomy: A Feasibility Study","authors":"Freya Sparks, Margaret Coffey, Lucy Dipper, Jessica Crowther, Simon Hamilton, Louise Occomore-Kent, Katerina Hilari","doi":"10.1111/1460-6984.70107","DOIUrl":"https://doi.org/10.1111/1460-6984.70107","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>People with laryngectomy who use a tracheoesophageal voice prosthesis for communication experience changes to respiratory function resulting in reduced breath support and increased secretions. This impacts tracheoesophageal voice quality and volume. Expiratory muscle strength training (EMST) is an effective treatment for cough management, voice and respiratory function in other clinical populations, such as neurodegenerative conditions and benign voice disorders. There is limited evidence for the use of EMST in people with laryngectomy. This study explores EMST feasibility and preliminary efficacy with tracheoesophageal speakers. It is hypothesised that, like in other disorders, EMST can improve respiratory parameters and thus tracheoesophageal voice quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>(1) To investigate the feasibility and acceptability of EMST after laryngectomy. (2) To determine the impact of EMST on respiratory function; participant-reported outcome measures (PROMS) of cough and secretion burden, voice-related quality of life and experiences of communication; objective and perceptual measures of tracheoesophageal voice quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>This was a before–after study with time (double baseline) providing experimental control. Participants completed a 5-week EMST protocol and 6-week maintenance period. Assessments were taken at two baselines, post-EMST and at 6-week follow-up: respiratory: maximum expiratory pressure (MEP), peak flow, forced expiratory volume (FEV1); PROMS: CASA-Q, SECEL, V-RQOL; voice: voice recording for perceptual (clinician-rated) analysis, maximum phonation time, decibels. One-way repeated measures ANOVA or Friedman tests were used as appropriate to explore the pattern of change. Effect sizes were reported.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>Ten participants (eight male and two female) completed EMST. Participants found EMST acceptable and beneficial, reporting subjective changes in breathing and exercise tolerance. There were no significant differences in any measures between the two baselines. Significant increase from baseline was found in peak flow, FEV1 and decibels post-EMST training and post 6-week maintenance period, respectively. MEP increased significantly from baseline to post-EMST training only. PROMS showed a reduction in cough impact, sputum symptoms and reduced self-evaluation of communication impairment post-EMST. There was a non-significant reduction in maximum phonation time and no sign","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144853820","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":"Trends in the Acquisition of Clinical Reasoning in the Assessment of Speech Sound Disorders: Using the Script Concordance Test","authors":"Ting-Fang Chan, Li-Li Yeh","doi":"10.1111/1460-6984.70105","DOIUrl":"https://doi.org/10.1111/1460-6984.70105","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Clinical reasoning is essential for speech–language pathologists (SLPs) when addressing ill-defined questions in various clinical settings. This study focuses on the acquisition of clinical reasoning skills in SLP students, particularly their evolution with clinical experience. To achieve this, the study developed and validated the first cloud-based script concordance test (SCT) tailored for assessing clinical reasoning skills in SSD diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An expert panel of 15 SLPs (average experience of 20.3 years) helped develop and score the SCT, which was administered to 51 undergraduate students (22 sophomores, 18 juniors, and 11 seniors). Statistical analyses examined the predictive role and trend of clinical experience in three dimensions (utility, interpretation, and diagnosis).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A significant difference in mean SCT scores was found between the expert panel and student groups (<i>p</i> < 0.05). Trend analysis showed a significant impact of clinical experience on SCT performance across all dimensions (all <i>F</i>s > 9.91, <i>p</i> < 0.001), with greater experience linked to better reasoning skills. Low-scoring items highlighted challenges with stimulability testing, indicating a lack of clinical consensus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study demonstrates that clinical reasoning skills in SSD assessment become more refined with accumulated experience. The SCT developed effectively differentiates reasoning abilities between experts and students, offering a valuable tool for advancing clinical decision-making in speech–language pathology. These findings have practical implications, empowering SLP educators to design effective training programs and preparing students for the challenges they may face in 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 this subject?</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>The knowledge base of clinical practitioners includes both content and its organization. Clinical reasoning is the cognitive ability to integrate, organize, and interpret information as a key aspect of expertise in evidence-based practice. Recently, script concordance tests, which use case-based scenarios to reflect clinical decision-making processes, have become a popular method for assessing these reasoning skills.</li>\u0000 </ul>\u0000 </div>\u0000 \u0000 <div><i>What thi","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144853819","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":"Convergent Validity of the Cross-Linguistic Lexical Task","authors":"Svetlana Kapalková, Kamila Polišenská, Andrej Mentel, Tereza Horská, Monika Janíková, Martina Zubáková","doi":"10.1111/1460-6984.70110","DOIUrl":"https://doi.org/10.1111/1460-6984.70110","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>The aim of the current study is to assess the validity of the Cross-linguistic lexical task (CLT) against direct and indirect measures of lexical skills across 2–6 years of age, for a crucial period of lexical development. In addition to evaluating relationships between measures at the level of total score, we also explored agreement at an item level between two lexical measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Participants were 109 Slovak-speaking 2–6-year-old typically developing children who all completed the Cross-linguistic lexical task (CLT-SK). Three additional measures of lexical skills were obtained: A parental checklist (Slovak adaptation of CDI; <i>n</i> = 30, aged 30–36 months), a narrative task to estimate production of Internal State Terms (<i>n</i> = 79, aged 41–81 months) and a non-word repetition task (<i>n</i> = 105, aged 30–81). The agreement at the item level was determined between items that were included in both the CLT-SK and CDI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Correlational analyses showed that the CLT-SK was significantly related to all measures. While relationships at the level of total scores were confirmed, agreement at the level of individual items between parental judgement and the child's performance was poor.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results support the view that CLT-SK is a valid instrument to assess lexical skills in children aged 2–6 years when total scores are evaluated. However, the agreement at the level of individual items was inadequate, which may have implications for clinical work and/or research based on assumed knowledge of individual items.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on this subject</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>The validity of parental checklists in relation to direct vocabulary assessments is well established, particularly in pre-school-aged children. However, there is limited research exploring the relationship between different direct measures of lexical knowledge. This gap highlights the need for further investigation to understand how various methods complement each other in assessing lexical skills.</li>\u0000 </ul>\u0000 </div>\u0000 \u0000 <div><i>What this paper adds to existing knowledge</i>\u0000 \u0000 <ul","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815071","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":"Prediction of Speech Impairment in Patients Treated for Oral or Oropharyngeal Cancer Using Automatic Speech Analysis","authors":"Mathieu Balaguer, Julien Pinquier, Jérôme Farinas, Virginie Woisard","doi":"10.1111/1460-6984.70103","DOIUrl":"https://doi.org/10.1111/1460-6984.70103","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Perceptual evaluation of speech disorders produces scores that poorly predict the consequences of speech impairment on the communication abilities of patients treated for oral/oropharyngeal cancer. This may be mitigated by automatic speech analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To measure communication and speech impairment using automatic analyses of spontaneous speech and self-administered questionnaires in patients treated for oral cavity or oropharyngeal cancer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>The spontaneous speech of 25 patients was recorded during a semistructured interview. Various acoustic and automatic tools were applied to the speech signal to obtain scores relating to the different linguistic levels. Reduction of dimensionality was applied to retain only relevant and nonredundant parameters. Self-administered questionnaires assessing communication and associated factors (associated deficits, anxiety/depression, cognitive status, communication needs relating to social circles, self-perception of speech impairment and quality of life) were conducted. A predictive modelling of communication and speech impairment by LASSO regression was performed using the scores from the automatic tools alone, which were then combined with the scores arising from the questionnaires.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>A total of 149 automatic parameters were extracted from the speech signal, of which 75 were retained after dimensional reduction. Predictive modelling of communication and speech impairment [Holistic Communication Score (HoCoS)] using the selected automatic parameters (number of sonants and occlusives recognised per second) provides a correlation of 0.83 between the predicted and actual score. This modelling is reliable (<i>r</i><sub>S</sub> = 0.82 between five-fold cross-validation and HoCoS). The correlation reaches 0.89 when including associated factors in the modelling, while maintaining a high reliability (<i>r</i><sub>S</sub> = 0.70 between five-fold cross-validation and HoCoS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>The use of automatic speech analysis allows a reliable prediction of the communication and speech impairment experienced by the patients. This study opens up new perspectives for the use of automatic speech recognition systems in clinical evaluation and for the consideration of functional and ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144767356","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":"What Factors Contribute to the Motivation of Adults Who Stutter to Continue Their Treatment? A Qualitative Study","authors":"Atefeh Moazeni, Mohammad Mahdi Shamsaee, Mahbubeh Nakhshab","doi":"10.1111/1460-6984.70102","DOIUrl":"https://doi.org/10.1111/1460-6984.70102","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Stuttering is a chronic condition that requires long-term management. Previous research emphasizes that motivation plays a critical role in therapy success. Motivation is an intrinsic process that drives and directs behaviour, making it a key determinant in whether individuals continue or discontinue therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aims to explore the factors influencing the motivation of adults who stutter to continue therapy, focusing on identifying themes and insights related to therapy continuation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>A qualitative content analysis approach was used, involving 24 adults aged 30 to 40 who stutter. Participants were recruited through purposeful and snowball sampling from social media groups of the Iranian Stuttering Association and speech and language pathologists' platforms. Participants were divided into two groups: those who chose to continue their speech therapy (<i>n</i> = 11) and those who decided to discontinue it (<i>n</i> = 13). Data were collected through semi-structured, in-depth interviews conducted online, which were analysed using content analysis to identify themes and subthemes related to the motivation of continuing stuttering therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>The study identified six key themes that influence motivation to continue therapy: therapist characteristics, therapy structure and process, therapeutic setting and tools, perceived treatment effectiveness, client psychological dynamics, and social support and perception. These themes played a critical role in shaping clients' motivation and their decision to persist in therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>This research underscores that a strong therapeutic alliance, along with supportive family and social environments, can enhance motivation by fulfilling basic psychological needs (autonomy, competence, and relatedness). These needs can be addressed by focusing on effective therapeutic interactions, minimizing ambiguity in the treatment process, designing tailored treatment plans based on each client's unique goals and circumstances, fostering active participation, and providing constructive feedback.</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>Stuttering requi","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144767357","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}