International Journal of Language & Communication Disorders最新文献

{"title":"Long-Term Speech Outcomes in Moderate-to-Severe Childhood Speech Sound Disorder: A Systematic Review","authors":"Alexandra J. Garrett, Sermin Tukel, Angela T. Morgan","doi":"10.1111/1460-6984.70231","DOIUrl":"10.1111/1460-6984.70231","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Parents of children with moderate-to-severe speech sound disorder presenting to clinic want to understand prognosis for their child; however, there is unclear evidence as to the specific long-term speech outcomes in this group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To review long-term speech outcomes in children with moderate-to-severe speech sound disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A systematic review identified 3697 papers; 21 papers containing 15 unique studies (six had overlapping data) met inclusion criteria for moderate-to-severe speech sound disorder with at least one follow-up speech assessment unrelated to intervention outcomes. Studies were appraised for quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main contribution</h3>\u0000 \u0000 <p>Overall, 9 cohort studies, and 6 case studies of children aged 2y3m-to-11y9m at initial assessment were included. Most (11/15) had two-to-three follow-up time points, and 80% (12/15) specified speech diagnosis or subtype. The most prominent moderate-to-severe speech diagnosis that reached criteria for inclusion was Childhood Apraxia of Speech. Speech outcomes reported in case studies included word (7/15), syllable (7/15), consonant (11/15), and vowel (5/15) accuracy, phonological patterns (9/15, prosody (2/15), consistency (1/15), and intelligibility (2/15). Case studies revealed reduced error frequency and improved single-word accuracy and intelligibility, but persistent error types over time (e.g. token-to-token inconsistency). Cohort studies mostly reported on overall gross improvement, such as ‘resolved’ or ‘persistent’ disorder; however, the severity of the ‘persistent’ subgroup was not delineated. Study quality was generally good, with limitations mostly related to confounding factors such as influence of therapy, or poor or absent specification of the specific speech subtype at time zero.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While case studies indicated reduced error frequency over time, larger-scale data are needed to confirm findings. In the current context of health service demands for speech therapy, longitudinal speech outcome data, measuring meaningful speech outcomes are critically needed to identify predictors of longer-term outcomes and inform prioritisation for treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624640","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":"Addressing Future Changes in Communication Using Hypothetical Scenarios With People With Primary Progressive Aphasia and Care Partners: A Conversation Analytic Study","authors":"Winsnes Ingvild, Halvorsen Mia, Krogh Elise, Volkmer Anna","doi":"10.1111/1460-6984.70235","DOIUrl":"10.1111/1460-6984.70235","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>People with primary progressive aphasia (PPA) will experience a decline in language and cognitive function, and behavioural changes are not uncommon. Decline in everyday skills has been reported and becomes more pronounced over time. Previous research has shown that people with PPA and their care partners (CPs) want to address future changes. Addressing future changes and future planning is highlighted in guidelines, such as the National Institute for Health and Care Excellence's (NICE) guidelines on Decision-making and mental capacity. The Better Conversations with PPA is a manualised program, where planning for future changes is addressed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to explore how the topic of planning for the future in Better Conversations with PPA is undertaken in conversations during the treatment sessions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Conversation analysis (CA) is highlighted as the “gold standard” for analysing recorded healthcare communication. Using applied CA, a method to systematically study social interaction, we analysed video recordings from four dyads, comprising a person with PPA and a care partner, participating in the Better Conversations with PPA program. The sessions are led by a speech and language therapist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcome and results</h3>\u0000 \u0000 <p>Our analysis shows that the structure of the conversations about the future is closely aligned with the structure of the Better Conversations with PPA program session plan. The speech and language therapist creates several opportunities for the dyads to engage in conversations about the future, using hypothetical questions and scenarios, creating a conversation environment where future changes can be addressed without the dyads having to relate this to themselves. Thereby orienting to the delicacy of the topic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Better Conversations with PPA program provides a promising framework for addressing future changes. The use of hypotheticals seems to be a useful strategy to promote sensitive conversations about future changes.</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>Primary progres","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13050999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624592","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":"Effectiveness of Telehealth-Based Speech Therapy in Improving Articulation, Resonance, Nasal Emission, and Intelligibility in Children With Repaired Cleft lip and Palate: A Systematic Review","authors":"Vidhi Sharma, Priyam Arora, Akshay Dhiman, Sri Harish, Tapan K Gandhi, Suvashis Dash","doi":"10.1111/1460-6984.70236","DOIUrl":"10.1111/1460-6984.70236","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cleft lip and palate (CLP) is a prevalent congenital anomaly associated with persistent speech disorders, including articulation errors, resonance imbalances, and nasal emission, despite surgical repair. Access to specialized speech-language pathologist care remains limited, particularly in remote and underserved regions. Telehealth has emerged as a scalable solution, yet systematic evidence on its efficacy, technological reliability, and implementation in CLP-specific speech therapy is lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This systematic review critically evaluates the effectiveness of telehealth-based speech interventions in improving articulation, resonance, nasal emission, and intelligibility in children with repaired CLP, while examining technological modalities, feasibility, data security, and barriers to adoption.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following PRISMA 2020 guidelines, we searched PubMed, Scopus, Web of Science, Cochrane Library, and Google Scholar from inception to 30 December 2025 using structured Boolean terms combining CLP, speech therapy, and telepractice. Interventional studies in English reporting paediatric speech outcomes were included. Data were extracted on study design, sample characteristics, intervention delivery, outcomes, and risk of bias using RoB 2.0, ROBINS-I, and SCED tools. Narrative synthesis was applied due to heterogeneity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Contribution</h3>\u0000 \u0000 <p>Eleven studies demonstrated consistent improvements in articulation accuracy (e.g., PCC increases of 15%–30%), resonance, and intelligibility via synchronous (Zoom, WhatsApp) and hybrid platforms. AI-assisted feedback and acoustic optimization enhanced fidelity. High caregiver satisfaction, reduced costs, and continuity during restrictions were key resilience factors. Connectivity issues, audio distortion, and small sample sizes were common limitations. Risk of bias was moderate overall.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Telehealth is a clinically effective, feasible, and secure modality for CLP speech rehabilitation, comparable to in-person therapy when technologically optimized. Hybrid models and caregiver integration are recommended. Large-scale RCTs are needed to confirm long-term efficacy and cost-effectiveness</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 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595591","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":"Abstracts From the RCSLT Conference 2025","authors":"","doi":"10.1111/1460-6984.70212","DOIUrl":"10.1111/1460-6984.70212","url":null,"abstract":"","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595556","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 Customised, Intensive Parent–Child Interaction Therapy for Children With Down Syndrome: Findings From a Real-World Pilot Effectiveness Study","authors":"Ciara O'Toole, Hannah Moloney, Chloe McCarthy, Sophie Vousden, Abby O'Sullivan, Deirdre Flynn, Susanna Stokes, Emily D. Quinn, Pauline Frizelle","doi":"10.1111/1460-6984.70233","DOIUrl":"10.1111/1460-6984.70233","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Coaching parents through parent–child interaction therapy (PCIT) is a key aspect of early communication intervention for children with Down syndrome. However, the evidence for its effect on child language outcomes is limited. Some research has indicated that more intensive, individualised interventions yield better outcomes; however, in Ireland many children receive less than the optimal dosage of intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The aim of the study was to investigate the effectiveness of an intensive PCIT intervention in a real-world clinical context using a structured coaching protocol. We also aimed to explore SLT and parental views/experiences of the intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>We piloted a PCIT intervention incorporating keyword signing (JEMT + Sign) with four parent–child dyads. A multiple baseline, individual case series design was used to measure the intervention effects based on (1) accuracy of parental strategies; (2) frequency of parental strategies and (3) child communication acts. Four parent–child dyads took part in a twice-weekly intervention delivered by two trained specialist speech and language therapists over 11 weeks, via a hybrid in-person and tele-practice model. Parental coaching followed a ‘teach-model-coach-review’ protocol. Researchers not involved in delivering the intervention coded parent behaviours and child communication acts at baseline, during the intervention and at follow-up. In addition, interviews were conducted to gather parent and practitioner views on the intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>Using structured visual analysis supplemented with single-case statistics, we found that the intervention resulted in an increase in parental accuracy and for some, increased frequency of JEMT + Sign strategy use, although with individual variation. The children's language and communication improvements were also variable. Clinicians noted that the intervention suited the families involved, but may not be feasible for all families and found the structured coaching protocol of this intervention to be particularly helpful and effective. Parents valued the more intensive and individualised intervention, although they recognised that their existing relationship with the clinician and the flexibility of delivery were beneficial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13022060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522440","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":"Functional Voice Restoration After Laryngeal Transplantation: A Multidisciplinary Protocol and Longitudinal Outcomes","authors":"Bin Zeng, Hailing Gu, Zheng Jiang, Mailudan Ainiwaer, Yitao Zheng, Jimin Yang, Jia Ren, Fei Chen","doi":"10.1111/1460-6984.70228","DOIUrl":"10.1111/1460-6984.70228","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Laryngeal transplantation offers the potential for patients to regain vocal function, yet standardised voice rehabilitation protocols are lacking. We share the experience of our team in the regular follow-up of voice function evaluation and address this gap by establishing a multidisciplinary pathway for functional recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Four male transplant recipients (3 laryngeal cancers, 1 hypopharyngeal cancer) underwent protocolized assessments at 1/3/6/8 months post-op: subjective assessment (GRBAS scale) and objective evaluation (multiparametric acoustic analysis and electronic laryngoscopy). Personalized rehabilitation was delivered weekly by a licensed speech therapist. Protocol evolution occurred: Patients 1–2 received conventional training; Patients 3–4 received intensive neuromuscular reinnervation strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The voice of the four patients showed a gradual decrease in the degree of hoarseness, a gradual alleviation of breathiness, and a gradual decrease in asthenia score, with the overall condition improving. The MPT was about 1.8 s at 1 month after surgery which kept increasing in all patients. The 3rd patient, who performed the best among the 4 patients, had an MPT of more than 10 s at 8 months after surgery. Laryngeal mucosa sensory function was gradually established in patients starting 3 months after operation, and compensatory vibration of ventricular band appeared at 8 months after operation with the assistance of voice training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study anchored to neuromuscular reinnervation milestones demonstrates that standardised evaluations coupled with individualized training progressively restore vocal function. Our protocolized framework guides evidence-based rehabilitation for institutions pursuing laryngeal transplantation</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>Laryngeal transplantation surgically restores laryngeal anatomy but faces functional recovery challenges due to delayed neuromuscular reinnervation. Existing literature focuses predominantly on immunosuppression and graft viability, with sparse evidence guiding postoperative voice rehabilitation. Standardised protocols for phonatory recovery—routine in other neurogenic voice disorders (e.g., vocal fold paralysis)—are absent. Fewer than 20 human cases have been reported","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522464","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 Neuromuscular Electrical Stimulation on Swallowing Function for Post-Stroke Dysphagia: A Systematic Review and Meta-Analysis","authors":"Juan Xu, Jiangman Wei, Guangyuan Xu","doi":"10.1111/1460-6984.70230","DOIUrl":"10.1111/1460-6984.70230","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>In this study, our aim is to compare the effects of neuromuscular electrical stimulation (NMES) and other treatment methods for treating dysphagia after a stroke.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic search in Web of Science, PubMed, Scopus, Clinical Trials was conducted from their earliest record to 5 September 2024. The study included a randomised controlled trial design. The experimental group received NMES alone, while the control group received NMES and/or conventional dysphagia therapy. The Physiotherapy Evidence Database rating scale was utilized to evaluate the quality of the studies that were included in this analysis. We obtained the post-treatment mean differences (MD) and standard deviations (SD) for the selected outcomes recorded in both the experimental and control groups to facilitate subsequent meta-analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of sixteen studies were identified. In the comparison of swallow treatment that incorporates NMES versus swallow treatment that does not include neuromuscular electrical stimulation, the meta-analysis found a significant MD of −7.23, with a 95% confidence interval (CI) ranging from −13.62 to −0.84 (<i>P</i> = 0.03) in the functional dysphagia scale (FDS). In Functional Oral Intake Scale, the MD = 0.66, 95%CI ranging from −0.31 to 1.62 (<i>P</i> = 0.18). In Penetration Aspiration Scale, the MD = −1.05, 95%CI ranging from −1.50 to −0.60 (<i>P</i> < 0.00001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The application of NMES in swallow therapy appears to demonstrate greater efficacy in the management of post-stroke dysphagia compared to approaches that do not incorporate such stimulation, albeit the existing body of research is limited. Furthermore, the evidence currently available is inadequate to substantiate the assertion that NMES, when employed in isolation, surpasses swallow therapy.</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>Post-stroke dysphagia is a common and debilitating condition, significantly impairing the quality of life for stroke survivors. Neuromuscular electrical stimulation (NMES) has gained attention as an adjunct to conventional dysphagia therapy, with prior studies indicating potential benefits. However, the clinical efficacy of NMES for improving swallowing functions specifically in stroke-induced dysphagia remains unclear due to inconsistent findings","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522418","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":"Analyzing the Attitudes of Teachers in Spain Toward Stuttering","authors":"Marta Modrego-Alarcón, María Cruz Pérez-Yus, Mayte Navarro-Gil, Héctor Morillo-Sarto, Alicia Monreal-Bartolomé, Kenneth O. St. Louis","doi":"10.1111/1460-6984.70223","DOIUrl":"10.1111/1460-6984.70223","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Teachers play a crucial role in fostering supportive environments for all students. However, research indicates that their knowledge and attitudes toward stuttering are often similar to those of the general population. The primary aim of this study is to examine the attitudes of teachers at different educational levels in Spain toward stuttering and to explore how these attitudes relate to specific sociodemographic variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A cross-sectional, self-report design was employed with a sample of 250 teachers from various educational levels and teaching roles across Spain. Participants completed the Public Opinion Survey on Human Attributes-Stuttering (POSHA–S).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, the attitudes of teachers in Spain toward stuttering were generally positive and exceeded those observed in other comparison groups, except for the <i>Knowledge Source</i> component. Positive attitudes toward stuttering were strongly associated with factors reflecting experience and knowledge, such as training in stuttering, teaching students who stutter, current teaching role, and self-identification as a person who stutters.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings highlight the importance of providing teachers with targeted training and direct experience with students who stutter to foster supportive attitudes.</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>Attitudes toward stuttering can significantly affect the wellbeing and development of people who stutter. While these attitudes have been studied internationally, no research has examined teachers’ attitudes in Spain toward students who stutter.</li>\u0000 </ul>\u0000 <i>What this paper adds to existing knowledge</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>This study shows that teachers in Spain—including School-Based Speech-Language Pathologists (SLPs) and Special Education Teachers—generally hold more positive attitudes than those reported in previous studies. However, some harmful beliefs remain, such as underestimating genetic factors or perceiving students who stutter as shy, introverted or incapable of demanding tasks.</li>\u0000 </ul>\u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13022064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522438","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":"Communication Self-Efficacy for People With Parkinson's Disease","authors":"Alissa N. Smith, Carolyn Baylor","doi":"10.1111/1460-6984.70217","DOIUrl":"10.1111/1460-6984.70217","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Self-efficacy for communication, defined as confidence in one's ability to communicate, is a construct grounded in social cognitive theory and has demonstrated relevance in research on communication disability. Its role in the communicative participation of people with Parkinson's disease (PwPD) has not been explored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To explore if self-efficacy for communication for PwPD differs across communicative activities, changes over time and following speech therapy, and is associated with communicative participation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>Self-reported data for self-efficacy for communication and communicative participation were collected from 40 community-dwelling PwPD (half who received new speech therapy and half who did not) two times, 6 months apart.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>Participants demonstrated higher communication self-efficacy with friends and when ordering food or drinks, and lower confidence when talking in a large group or giving a speech at an informal group. Self-efficacy for communication did not differ between groups who did and did not receive speech therapy, nor did it change after speech therapy; but it significantly declined for participants who did not receive therapy during the study. Self-efficacy for communication was significantly associated with communicative participation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Self-efficacy for communication varies across some situations but not others. PwPD may be vulnerable to declining self-efficacy in the absence of communication intervention or support.</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>Self-efficacy, or confidence in one's ability to perform a task, is a well-established construct within social cognitive theory. In research on communication disability, particularly in aphasia and stuttering, communicative self-efficacy has been shown to be sensitive to therapy effects and linked to outcomes such as participation, anxiety, and depression. However, little is known about communicative self-efficacy in Parkinson's disease, how it may vary across situations and time, or how it relates to other rehabilitation outcomes.</li>\u0000 </ul>\u0000 <i>What this paper adds to the existing kno","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Link Between Syntactic Complexity and Stuttering-Like Disfluencies in French Speaking Adults","authors":"Alice Le Dévic, Sascha Diwersy, Ivana Didirková","doi":"10.1111/1460-6984.70218","DOIUrl":"10.1111/1460-6984.70218","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Stuttering is a neurodevelopmental disorder characterized by speech disfluencies. While studies have shown a link between syntactic complexity and stuttering in children, its role in adults who stutter (AWS) remains unclear. This study investigates whether increased syntactic complexity correlates with stuttering-like disfluencies (SLDs) in AWS and evaluates three syntactic complexity indices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants included 24 French-speaking adults (12 AWS, 12 controls), matched for age, gender, and education. Participants completed a sentence description task using sentences of varying syntactic complexity. Syntactic complexity was quantified using three measures: Mean Length of Utterance (MLU), Index of Syntactic Complexity (ISC), and Index of Productive Syntax (IPSyn). Disfluencies were categorized as SLDs or other disfluencies (ODs). Statistical analyses examined the relationship between syntactic complexity and disfluencies across participant groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>AWS produced significantly more SLDs than controls across all levels of syntactic complexity. The number of disfluencies increased with syntactic complexity in AWS but not in controls. MLU was the most sensitive index for predicting disfluencies. Severe stutterers exhibited higher disfluency rates compared to mild and moderate stutterers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Increased syntactic complexity exacerbates stuttering in AWS. MLU, a measure of sentence length, proved most effective for explaining disfluency rates, suggesting its clinical utility. Findings support the demands and capacities model, indicating that reducing syntactic demands may alleviate stuttering.</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>Persistent developmental stuttering is characterized, among others, by an increased number of disfluencies, known as stuttering-like disfluencies. Many linguistic factors influence the apparition of stuttering-like disfluencies, such as phonological characteristics of disfluent sounds. Regarding morphosyntactic factors, it is known that disfluencies switch from function to content words in adults and studies on some languages show that syntactic complexity does influence stuttering in the adult populati","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12962291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357209","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}