International Journal of Language & Communication Disorders最新文献

{"title":"Correction to \"'Don't Say \"Fis\" Say \"Fish\" ', 'I Said \"Fis\"': Ethical Considerations in Therapy to Change Child Speech\".","authors":"","doi":"10.1111/1460-6984.70327","DOIUrl":"10.1111/1460-6984.70327","url":null,"abstract":"","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 5","pages":"e70327"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13560607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Family History of Developmental Stuttering: A Scoping Review.","authors":"Yuto Sato, Mizuki Aoki, Shoko Miyamoto, Daichi Iimura","doi":"10.1111/1460-6984.70323","DOIUrl":"10.1111/1460-6984.70323","url":null,"abstract":"<p><strong>Background: </strong>A positive family history is a significant risk factor for developmental stuttering. However, the reported rates of positive family histories are inconsistent across studies, making it difficult to synthesise the findings.</p><p><strong>Aim: </strong>This scoping review aimed to systematically map the literature on family histories of stuttering to clarify the reported stuttering proportions and identify methodological trends and gaps.</p><p><strong>Method & procedures: </strong>We conducted a literature search of PubMed, Web of Science, and PsycINFO on 4 February 2025. Two authors independently screened the records in two stages: first by title and abstract, and then by full text.</p><p><strong>Outcomes & results: </strong>We reviewed 19 studies that reported family histories of participants with developmental stuttering. Basic study characteristics such as sample size and country were extracted, and descriptive statistics, including family history rates, were calculated for quantitative data. A key finding was the wide variability in the reported proportion of individuals with a positive family history, ranging from 20.0% to 90.9%. This variability was strongly associated with inconsistencies in methodology, including the scope of relatives considered, the definition of stuttering within the family, and data collection methods.</p><p><strong>Conclusions & implications: </strong>This review found that methodological variability appeared to be the primary factor contributing to the wide variation in reported rates in the research on family histories of stuttering. The findings suggest the need for rigorous research approaches to obtain a more comprehensive understanding of this phenomenon.</p><p><strong>What this paper adds: </strong>What is already known on this subject A positive family history is widely recognized as a major risk factor for developmental stuttering, and genetic evidence suggests a strong heritable component. However, reported proportions of individuals with a family history of stuttering vary substantially across studies, making it difficult to synthesize the evidence and interpret findings consistently. What this study adds to the existing knowledge This scoping review systematically mapped 19 studies and revealed that reported rates of positive family history range widely from 20.0% to 90.9%. The review identifies key sources of methodological variability as primary contributors to this inconsistency. These findings highlight the need for greater clarification when defining and assessing family history in stuttering research. What are the potential clinical implications of this study? Clinicians and researchers may benefit from using clearer criteria and consistent reporting frameworks, which could support more accurate risk evaluation and better integration of genetic, epidemiological, and clinical evidence.</p>","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 5","pages":"e70323"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13528779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867428","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":"Exploring the Laryngectomy Pathway Experience-a Mixed-Method, Patient Journey Mapping Study of Two US Health Centres.","authors":"Laurie Wennerholm, Clare L Burns, Elizabeth C Ward, Jasmine Foley, J K Rasamny, Craig Berzofsky, Gina Palma","doi":"10.1111/1460-6984.70326","DOIUrl":"10.1111/1460-6984.70326","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Consensus guidelines advocate multidisciplinary care to optimise recovery following laryngectomy. However, limited evidence exists regarding the nature of the patient recovery journey or their experience accessing rehabilitation services.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;This study examined the services accessed by, and experiences of, individuals with a laryngectomy (IWL) in the first 12 months post-surgery.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods and procedures: &lt;/strong&gt;Patient journey mapping methodology was used to explore the healthcare journey and patient experience of 12 IWL across the first 12 months of rehabilitation. Demographics and detailed service data were collated from medical records and later reviewed for accuracy with each participant. Individual interviews were used to explore issues that influenced care experiences, and participants also provided experiential ratings relating to the emotional impact of each appointment (positive/negative/neutral) and the reason for the rating. Journeys were explored collectively as a group, then 3 detailed patient journeys are presented highlighting similarities and differences in participant experiences.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcomes and results: &lt;/strong&gt;Participants attended a median (Mdn) of 7 medical visits (range = 4-14), 12 allied health visits (range = 4-45), saw 13 different professionals (range = 6-22), and travelled to 6 locations (range = 2-6) for healthcare. Factors adding to the complexity of the health care journeys included preparation for surgery, nature of surgery (primary versus salvage), access to trained specialists throughout phases of care, coordinating between services, travel and funding for consumables. Despite issues, participants largely rated experiences as positive (Mdn = 77; range = 37%-100% positive). Participant perspectives on issues impacting their healthcare journey formed 6 themes: (1) Preparation for laryngectomy surgery, (2) Recovery post-surgery (3) Access to skilled and coordinated services, (4) Approach of healthcare staff, (5) Communication difficulties impacting healthcare, and (6) Accessing laryngectomy resources and costs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions and implications: &lt;/strong&gt;Following laryngectomy, a wide range of multidisciplinary services are accessed to support recovery and rehabilitation. Examining patient experiences through journey mapping has highlighted challenges that can influence the care pathway. Addressing issues that impact service access and patient experience will assist in enhancing laryngectomy care pathways and improve the patient experience.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;What this paper adds: &lt;/strong&gt;What is already known on the subject Current care pathways advocate specialist, multidisciplinary care for optimal recovery for individuals with a laryngectomy (IWL). Although existing laryngectomy guidelines specify that a range of specialist services are required, and detail what those services should entail, what this actually looks like an","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 5","pages":"e70326"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13537336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882258","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":"Assessment and Diagnostic Standards of Childhood Apraxia of Speech in Turkish-Speaking Children: A Scoping Review.","authors":"Eddy C H Wong, Aşena Karamete, Ayşın Noyan-Erbaş","doi":"10.1111/1460-6984.70336","DOIUrl":"10.1111/1460-6984.70336","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Childhood apraxia of speech (CAS) is a motor speech disorder for which assessment and diagnostic standards have been largely informed by studies of English-speaking populations. Evidence related to CAS in Turkish-speaking children remains sparse, is published across both Turkish- and English-language sources, and variable in diagnostic rigor.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;This scoping review aimed to map existing evidence on the assessment and diagnostic standards of CAS in Turkish-speaking populations, with a focus on diagnostic approaches, assessment tasks, diagnostic quality, reported clinical features and gaps in the literature.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The review followed the PRISMA Extension for Scoping Reviews guidelines. Systematic searches were conducted across thirteen English-and Turkish-language databases for peer-reviewed articles published between 2007 and 2025. Studies reporting on at least one Turkish-speaking child with CAS or suspected CAS were included. Extracted data included diagnostic methods, assessment tasks, reported clinical features and assessor information. Diagnostic quality was evaluated using an established rating framework and findings were synthesised narratively.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Main contribution: &lt;/strong&gt;Five studies met the inclusion criteria, comprising 45 Turkish-speaking children with CAS or suspected CAS. Diagnostic approaches ranged from reliance on general perceptual judgement to expert-based evaluation and standardized assessment tools, with evidence of improved diagnostic quality over time. Assessment tasks sampled multiple domains, including single-word production, connected speech, speech inconsistency, oral motor skills, diadochokinesis and prosody. Reported clinical features largely reflected language-universal characteristics of CAS, with limited investigation of Turkish-specific patterns.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Although progress in CAS assessment for Turkish-speaking children is evident, gaps remain in diagnostic consistency, psychometric evidence and language-specific research, highlighting the need for further systematic investigation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;What this paper adds: &lt;/strong&gt;What is already known on this subject Assessment and diagnosis of childhood apraxia of speech (CAS) are largely guided by evidence and assessment tools developed for English-speaking populations. Research on CAS in Turkishspeaking children is limited, scattered across languages, and shows wide variability in diagnostic approaches and rigor, making it difficult to draw firm conclusions or guide clinical practice. What this study adds to the existing knowledge This scoping review provides the first integrated synthesis of English- and Turkish-language evidence on the assessment and diagnostic standards of CAS in Turkish-speaking children. It demonstrates a gradual improvement in diagnostic quality over time and shows that reported clinical features largely mirror language-u","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 5","pages":"e70336"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148972060","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":"Consonant Proficiency From 18 Months to 10 Years in Swedish Children With Unilateral Cleft Lip and Palate.","authors":"Anette Lohmander, Inghild Riis Kjelsvik, Christina Persson","doi":"10.1111/1460-6984.70338","DOIUrl":"10.1111/1460-6984.70338","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background and aim: &lt;/strong&gt;Longitudinal speech results in children born with cleft palate with or without cleft lip are sparse. The aim of this study was to investigate the longitudinal development of consonant proficiency in Swedish children born with unilateral cleft lip and palate (UCLP).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods and procedures: &lt;/strong&gt;Previously collected data on Swedish children with UCLP treated in Gothenburg and Stockholm were retrieved from the Scandcleft datasets. Only children with complete data on babbling at 18 months, and speech variables based on phonetic transcription at 3, 5 and 10 years of age were included (n = 32). Three surgical procedures for palatal closure were represented. At both centres, half of the children had undergone a two-stage palatal repair with soft palate closure at 6 months and hard palate closure at 12 months. The remaining children received either the same procedure but with hard palatal repair at 3 years (after the 3-year assessment), or a one-stage complete palatal repair at 12 months. Data were analysed using descriptive statistics on Percentage of Consonants Correct (PCC) and on oronasal symptoms at 3, 5, and 10 years of age, and for PCC also with correlation and regression analyses to examine the predictive value of early consonant production.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcomes and results: &lt;/strong&gt;Despite substantial individual variation, there were no significant group-level differences in the main outcomes across primary surgical procedures, with the exception of a higher prevalence of oronasal symptoms at 3 years in the subgroup with unrepaired hard palate. Average PCC improved by age but remained below that of peers at all time points. Presence of oral stops at 18 months was the only variable that predicted a higher PCC at later ages. The percentage of oronasal symptoms decreased with age. Children who had not undergone secondary surgery and had a low number of speech therapy visits (indicating less need) exhibited the highest PCC and the lowest percentage of oronasal symptoms.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions and implications: &lt;/strong&gt;The findings suggest that early consonant production may serve as a predictor of later consonant proficiency. The large individual variation indicates that a need for individualised speech-language follow-up in addition to standardised documentation, and that factors beyond the surgical protocol influence speech outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;What this paper adds: &lt;/strong&gt;What is already known on this subject Both early consonant production and later consonant proficiency in children with cleft palate with or without cleft lip have been shown to be poorer than in peers. However, the longitudinal aspect has been sparsely investigated, and true longitudinal data are needed. What this paper adds to existing knowledge The longitudinal outcome regarding consonant proficiency support previous findings indicating a small or negligible impact of primary surgical protocol. Furthermore, ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 5","pages":"e70338"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148972031","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":"Discovery Research on the Success Factors for Schools-Based Multiple Model Speech and Language Placements: A Rapid Scoping Review.","authors":"Despina Laparidou, Sophie Willis, Louise Howe, Aparna Ramachandran","doi":"10.1111/1460-6984.70331","DOIUrl":"10.1111/1460-6984.70331","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Demand for children's speech and language therapy (SLT) services has surged globally, exacerbated by the COVID-19 pandemic and workforce shortages. In England, waiting lists remain extensive, with over 66 000 children awaiting intervention in early 2025. Delayed access to SLT services is linked to poorer academic, social, and health outcomes. Innovative approaches are urgently needed to address these challenges. Embedding SLT student placements within schools offers a potential solution, simultaneously enhancing service capacity and providing authentic learning experiences. International evidence, such as the Broken Hill model in Australia, supports this approach, particularly for rural and remote communities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;This rapid scoping review aimed to identify success factors, barriers, and enablers of school-based SLT placement models, and to assess their potential for scalability and sustainability. The review sought to inform policy and practice by synthesising evidence on supervision models and implementation strategies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Following PRISMA-ScR guidelines and Arksey & O'Malley's framework, a comprehensive search was conducted across eight databases (e.g., Web of Science, ERIC, CINAHL, Medline) and supplemented by grey literature searches. Inclusion criteria focused on SLT student placements in schools, particularly in underserved areas. Fourteen studies published between 2011 and 2024 were included, predominantly from Australia (57%), with others from the USA and UK. Data were extracted and synthesised narratively around barriers, facilitators, and model characteristics.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Main contribution: &lt;/strong&gt;Findings indicate that school-based SLT placements can increase service capacity, improve student confidence and employability, and foster interprofessional collaboration. Successful models share key principles: Integration into policy frameworks, dedicated funding, strong cross-sector partnerships, cultural responsiveness, and structured supervision. Barriers include insufficient funding, infrastructure limitations in rural areas, student preparedness, and challenges with technology during remote delivery. Facilitators include early stakeholder engagement, flexible supervision approaches, and orientation training. Evidence suggests that positive placement experiences may influence graduates' willingness to work in underserved areas, addressing workforce shortages.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;School-based SLT placements represent a promising strategy to alleviate service pressures and enhance workforce development. Greater alignment with health and education policy, sustainable funding, and approaches tailored to diverse contexts may support successful implementation. Scaling effective models could reduce waiting lists, improve equitable access to SLT services, and provide high-quality experiential learning for future practitioners.&lt;/p&gt;&lt;p&gt;&lt;stron","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 5","pages":"e70331"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13560603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921556","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 Confidence, Aphasia Severity and Well-Being: A Cross-Sectional and Longitudinal Study in People With Post-Stroke Aphasia.","authors":"Sarah S AlFraih, Emma Patchwood, Ciarán Kenny, Paul Conroy","doi":"10.1111/1460-6984.70316","DOIUrl":"10.1111/1460-6984.70316","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Communication confidence is increasingly recognised as a clinically crucial yet under-researched topic in aphasiology. It has been reported to be one of the most valuable treatment outcomes by stroke survivors. A scoping review of therapies targeting confidence in stroke survivors revealed a growing interest in this topic and identified outcome measures for confidence. However, there were limited studies, with small sample sizes, that explored communication confidence in stroke survivors with aphasia. Further evidence is needed regarding this topic.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;This study aims to examine communication confidence in a comparatively larger and heterogeneous sample of people with post-stroke chronic aphasia. The research questions explore (1) relationships between measures of language, communication confidence, confidence after stroke and well-being and (2) stability of these measures over time and if changes align with self-perceptions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methodology: &lt;/strong&gt;Participants with chronic aphasia after stroke (i.e., 6 months or more) and interested in exploring their communication confidence were recruited to participate in online assessments. Assessments included a test-battery consisting of the 'Western Aphasia Battery-Revised-WAB-R', 'Confidence after Stroke Measure-CaSM', 'Communication Confidence Rating Scale for Aphasia-CCRSA' and 'ONS-4'. The test battery was administered at two separate time-points approximately 6-months apart.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Twenty-seven participants were recruited for initial assessment and 18 were followed-up after 6 months. Aphasia severities varied from mild to very severe with a mean WAB-R aphasia quotient (AQ) of 74.4 (range from 9.1 to 98.2). Baseline measures indicated mean scores of 43.4/81 for the CaSM, 28.1/40 for the CCRSA and 25.9/40 for the ONS-4. Statistically significant correlations were found between confidence after stroke and well-being (r = 0.76, p &lt; 0.001), communication confidence and confidence after stroke (r = 0.51, p = 0.006), and communication confidence and language skills (r&lt;sub&gt;s&lt;/sub&gt; = 0.68, p &lt; 0.001). Although language skills and communication confidence remained relatively stable over time, confidence after stroke (r = 0.61, p = 0.01) and well-being (r = 0.55, p = 0.02) significantly improved.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The findings suggested stronger correlations between closer conceptual constructs (e.g., language and communication confidence, confidence and well-being). Improvements in confidence and well-being may have potential implications for rehabilitation approaches and may support the development of more holistic interventions for people with aphasia. This study also demonstrated the feasibility of conducting online, longitudinal research on stroke survivors.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;What this paper adds: &lt;/strong&gt;What is already known on the subject Communication confidence is a clinically crucial and valu","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 5","pages":"e70316"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13562815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931551","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":"Relationship Between EAT-10 Scores, Pharyngeal Residue Severity, and Penetration-Aspiration in Individuals With Idiopathic Parkinson's Disease: A FEES-Based Correlation and Discriminative Performance Study.","authors":"İbrahim Erensoy, Fatma Esen Aydınlı, Özlem Yaşar, Emel Tahir, Murat Polat, Murat Terzi","doi":"10.1111/1460-6984.70335","DOIUrl":"10.1111/1460-6984.70335","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Dysphagia is common in individuals with Idiopathic Parkinson's Disease (IwIPD) and affects both swallowing safety and efficiency. Pharyngeal residue and penetration-aspiration are key impairments associated with dysphagia in this population, yet their relationship across different bolus consistencies and volumes remains incompletely understood. The clinical role of patient-reported outcome measures, such as the Eating Assessment Tool-10 (EAT-10), in relation to instrumental swallowing findings also requires further investigation. This study aimed (1) to examine the relationship between pharyngeal residue and penetration-aspiration across different bolus consistencies and volumes in IwIPD, and (2) to evaluate the discriminative performance of the EAT-10 against FEES findings related to these swallowing impairments.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Ninety-seven IwIPD were included. Participants completed the EAT-10 and underwent Flexible Endoscopic Evaluation of Swallowing (FEES). Ten swallowing trials were conducted using boluses of varying consistencies and volumes prepared according to the International Dysphagia Diet Standardisation Initiative (IDDSI). FEES recordings were independently rated by three clinicians using the Penetration-Aspiration Scale (PAS) and the Yale Pharyngeal Residue Severity Rating Scale (YPRSRS).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Larger bolus volumes were associated with higher residue severity and PAS scores across planned within-consistency comparisons. Significant correlations were observed between PAS scores and both EAT-10 and YPRSRS scores across consistencies and volumes (ρ = 0.56-0.91, p &lt; 0.01). The EAT-10 showed discriminative performance against FEES findings related to pharyngeal residue, penetration, and aspiration across swallowing trials. Interrater reliability for YPRSRS and PAS ratings ranged from 0.58 to 0.87. Vallecular residue was highest for regular solid, while PAS scores were highest for thin liquid at 20 mL.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;In IwIPD, swallowing efficiency was strongly associated with swallowing safety across different bolus consistencies and volumes. EAT-10 scores showed discriminative performance against FEES findings; however, the EAT-10 should be interpreted as a patient-reported screening measure rather than a diagnostic test for physiological swallowing impairment. Comprehensive FEES protocols incorporating a range of bolus consistencies and volumes may support more accurate assessment and individualized dysphagia management in this population.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;What this paper adds: &lt;/strong&gt;What is already known on this subject Dysphagia is highly prevalent in individuals with Idiopathic Parkinson's Disease (IwIPD) and may involve impairments in both swallowing safety and swallowing efficiency, including pharyngeal residue, penetration, and aspiration. Bolus consistency and volume are known to influence swallowing performance. Patient-reported outc","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 5","pages":"e70335"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13560608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921496","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":"Investigating the Effects of Adding Explicit Teaching and/or Signing to Story-Based Vocabulary Intervention for School-Aged Children With (Developmental) Language Disorder.","authors":"Lucy Hughes, Cécile Larralde, Hilary Nicoll, Nataša Marić, Caroline Burke, Susan Ebbels","doi":"10.1111/1460-6984.70317","DOIUrl":"10.1111/1460-6984.70317","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Children with language disorders, including developmental language disorder (DLD), experience challenges with word learning. Common components of vocabulary interventions include presenting target words in a story, providing explicit teaching and using sign/gesture alongside speech. However, previous studies have not investigated the relative contribution of these components, in isolation or combination.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To measure the effects of adding explicit teaching and/or augmentative signing to a story-based vocabulary intervention.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Eighteen participants, aged 7;09-15;02 years, took part in our within-participant design study. All had a language disorder; 14 with DLD, and four with an associated biomedical condition. They were taught 48 real verbs and adjectives, randomly assigned to one of four conditions, over an 8-week intervention period. In the reference condition, participants watched videos of a speech and language therapist (SLT) reading a story where target words were presented incidentally, four at a time. In the first experimental condition, the delivering SLT added explicit teaching to the reference intervention. This included: providing definitions, modelling words in sentences, requesting retrieval and employing a cueing hierarchy. The second experimental condition added augmentative signing to the reference intervention, whereby the SLT in the video signed the target words as they appeared in the story. The final experimental condition added both explicit teaching and signing. In all conditions, frequency of word presentations was controlled. Word sets were counterbalanced to minimise confounds. Outcome measures assessed vocabulary knowledge and use with: (1) a word definition task and (2) sentence generation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Participants showed stronger progress in all experimental conditions, compared to the reference condition. Bayesian models showed that adding both explicit teaching and augmentative signing in combination to the reference intervention did not lead to greater progress than adding just one of these components. Neither participants' age nor language ability were associated with intervention progress.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Discussion: &lt;/strong&gt;Our results indicate that adding either explicit teaching or augmentative signing to story-based vocabulary intervention is similarly advantageous. Adding both does not confer additional advantage. Larger-scale studies are needed to explore differences between participants and experimental conditions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions/implications: &lt;/strong&gt;Our study highlights the importance of evaluating systematically the contribution of potential active ingredients within interventions. In particular, analysing how they work together and separately is important, as adding more ingredients does not necessarily improve effectiveness. Our results inform vocabulary teaching, indicating that sta","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 5","pages":"e70317"},"PeriodicalIF":2.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13528867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867335","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":"Phonological Awareness and Nonword Repetition in Children With and Without Speech Sound Disorders: A Comparative Analysis","authors":"Özlem Icoz,&nbsp;Esra Özcebe","doi":"10.1111/1460-6984.70318","DOIUrl":"https://doi.org/10.1111/1460-6984.70318","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aimed to compare phonological awareness and verbal working memory skills, as measured by a nonword repetition task, in children with speech sound disorders (SSD) and typically developing peers. It also examined the relationship between these two cognitive-linguistic abilities within each group.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The study included 30 children aged 4 to 6 years diagnosed with SSD and 30 age-matched typically developing children. Participants were recruited from a clinical population and their typically developing siblings or relatives. Participants completed phonological awareness test and nonword repetition task. Group comparisons and correlation analyses were conducted to assess performance differences and interrelations between skills.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Children with SSD demonstrated significantly lower performance in both phonological awareness tasks and nonword repetition compared to the control group. Within-group correlation analyses revealed a significant relationship between verbal working memory and word awareness in the SSD group, whereas in the control group, verbal working memory was significantly correlated with rhyme awareness.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The findings suggest that children with SSD experience not only speech production difficulties but also weaknesses in phonological awareness and verbal working memory. The nature of the associations between these abilities appears to differ between children with and without SSD, highlighting the need for comprehensive, multidimensional assessment and intervention approaches that target both speech and underlying cognitive-linguistic processes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; WHAT THIS PAPER ADDS&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;&lt;i&gt;What is already known on this subject&lt;/i&gt;\u0000 \u0000 &lt;ul&gt;\u0000 \u0000 &lt;li&gt;Children with speech sound disorders (SSD) frequently demonstrate difficulties in phonological awareness and nonword repetition, both of which are associated with later language and literacy outcomes. Although these relationships have been widely investigated, many studies have included children with co-occurring language impairments or have focused on English-speaking populations. Consequently, the relationship between phonological awareness and verbal working memory in preschool children with isolated SSD remains insufficientl","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 5","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70318","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784400","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}