International Journal of Language & Communication Disorders最新文献

{"title":"The Daily Experience of Family Members Caring for Persons With Chronic Oropharyngeal Dysphagia: A Qualitative Investigation","authors":"Aurora Ninfa,&nbsp;Giulia Morandi,&nbsp;Antonio Schindler,&nbsp;Antonella Delle Fave","doi":"10.1111/1460-6984.70094","DOIUrl":"https://doi.org/10.1111/1460-6984.70094","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Appropriate management of chronic oropharyngeal dysphagia (OD) requires a family-centred approach. However, limited information is available on the challenges and resources perceived by informal caregivers who assist individuals with chronic OD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate the daily challenges and resources reported by informal caregivers of persons with chronic OD, in order to identify critical aspects requiring implementation through healthcare services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Eighteen Italian informal caregivers (age 54.2 ± 12.9; 61% female) assisting adults with chronic OD participated in a qualitative study based on a modified framework analysis approach. Care-related challenges and resources were investigated through semi-structured interviews. Two clinical researchers transcribed and coded the interviews, elaborated a working analytical framework, indexed and charted the data. Discrepancies were solved through negotiated agreement and discussion with a third academic researcher. Proportion agreement on extracted quotations was computed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Interviews generated 360 quotations (86% agreement). Specific OD-related challenges emerged in various domains: practical (meal management, food availability and preparation, daily planning), informational, psychological (coping strategies, caring burden, acceptance of their care recipients’ condition, psychological support) and social (change in social roles, care recipient's well-being, social acceptance of OD, social support). The majority of participants identified OD-related problems (<i>n</i> = 17, 94%) and obstacles in healthcare services use (<i>n</i> = 12, 67%); almost half reported care needs (<i>n</i> = 8, 44%). Regarding resources, most participants referred to coping strategies (<i>n</i> = 17, 94%), personal capabilities (<i>n</i> = 17, 94%), support from family (<i>n</i> = 14, 82%) and healthcare services (<i>n</i> = 14, 78%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings suggest that caring for a person with chronic OD prompts personal and social challenges and resources, besides practical and informational issues. Further research is needed to better understand the determinants and dynamics of caregivers’ positive adjustment and promote a comprehensive family-centred care, overcoming the disease-centred view of caring, primarily focussed on providing information about meal management, clinical issues and related aspects.</p>\u0000 </section>\u0000","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695789","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":"Work-Related Quality of Life and Well-Being of Speech and Language Therapists in Ireland","authors":"Victoria Hogan,&nbsp;Mary Pat O'Malley,&nbsp;Michael Hogan,&nbsp;Margaret Hodgins","doi":"10.1111/1460-6984.70090","DOIUrl":"https://doi.org/10.1111/1460-6984.70090","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Few studies have examined well-being among speech and language therapists (SLTs), and no study to date has examined quality of working life. Research is also needed to better understand how individual and organisational factors influence quality of working life and well-being of SLTs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The aims of this study were to characterise quality of working life and well-being in Irish SLTs and determine the impact of individual and organisational factors on quality of working life and well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>SLTs in Ireland (<i>N</i> = 105) completed a cross-sectional, electronic survey in the summer of 2022 which included measures of work-related quality of life, organisational constraints, well-being, workload and turnover intentions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Well-being and quality of work-life scores were lower than published norms. Higher workload and higher organisational constraints were both related to lower quality of working life, <i>F</i>(4, 104) = 21.904, <i>p</i> &lt; 0.001, and higher organisational constraints were related to lower well-being, <i>F</i>(1,103) = 20.269, <i>p</i> &lt; 0.001. Lower quality of working life in turn predicted higher turnover intention, <i>F</i>(1,103) = 31.502, <i>p</i> &lt; 0.0005.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>The results indicate the importance of organisational constraints in relation to both quality of work life and well-being of Irish SLTs. Workload is also an important factor related to quality of work life. Lower quality of working life is a problem for the SLT profession as it relates to higher turnover intention. This study demonstrates the importance of exploring the work experience of SLTs and highlights working conditions that may lower quality of working life and result in SLTs leaving the sector.</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>Although QoWL has been widely examined in the healthcare sector, there has been very little examination of the QoWL of SLTs. Similarly, few studies have been conducted examining the well-being of SLTs.</li>\u0000 </ul>\u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695788","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":"Dynamic Assessment of Narratives in Bilingual Dutch-Speaking Children: Identification of Developmental Language Disorders","authors":"Julie Daelman,&nbsp;Kristiane Van Lierde,&nbsp;Lut Willems,&nbsp;Manon Evrard,&nbsp;Ellen Simon,&nbsp;Evelien D'haeseleer","doi":"10.1111/1460-6984.70085","DOIUrl":"https://doi.org/10.1111/1460-6984.70085","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Bilingual children are at risk for being misdiagnosed with developmental language disorders (DLD) because language tests in speech-language practice often fail to accommodate cultural and linguistic diversity. Evaluation of learning ability and modifiability during dynamic assessment may improve the diagnostic procedure for bilingual children, as children with developmental language disorders tend to have a more limited learning ability for language.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to investigate whether there are differences between typically developing bilingual children and bilingual children with DLD on gain scores (i.e., difference between post- and pre-measurement) and modifiability using a dynamic assessment protocol focusing on narrative abilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>Ten typically developing bilingual children and six bilingual children with a diagnosis of DLD (6;0–10;1 years) participated in this study. A test-teach-retest protocol with two intervention sessions of 30 min was administered. Before and after the intervention phase, the narrative abilities of the participants were measured using a telling and a retelling task from the Multilingual Assessment Instrument for Narratives (MAIN). The narrative intervention focused on teaching story structure elements to improve the children's story grammar. After each session, the modifiability of the children's learning abilities was rated by two investigators using a standardised questionnaire. Gain scores and modifiability were compared between groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>After the intervention sessions, both groups differed significantly in scores on the modifiability questionnaire with the typically developing children being more responsive to the intervention compared to the children with DLD. No difference in gain scores could be detected between the two groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>Dynamic assessment of narratives and more specifically the evaluation of modifiability, is a valid method to differentiate between bilingual children with DLD and bilingual children with language differences due to a decreased language exposure in one or all of their languages, the Ethics Committee of the Ghent University Hospital and could therefore be employed more during diagnostic procedures in clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144624555","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":"Neonatal Nurses’ Understanding of the Factors That Enhance and Hinder Early Communication Between Preterm Infants and Their Parents: A Narrative Inquiry Study","authors":"Julia Petty,&nbsp;Lisa Whiting,&nbsp;Celia Harding","doi":"10.1111/1460-6984.70093","DOIUrl":"https://doi.org/10.1111/1460-6984.70093","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Infants born preterm are at high risk of facing difficulties with acquiring speech, language and communication skills. Research on the direct benefits of parent–infant communication in neonatal units is limited. This study recognises that although neonatal nurses regard early communication as important, there is scope to develop a wider range of resources to help support professionals’ understanding of the importance of communication in neonatal care.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To explore neonatal nurses’ understanding of factors that can enable or hinder early communication and interaction between preterm infants and parents within a neonatal unit setting.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods and Procedures&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study employed a narrative inquiry approach with nine neonatal nurses, selected through purposive sampling. Narrative interviews investigated nurses’ views and understanding of the enablers and challenges to communication in this patient group, along with their role in enhancing early communication between infants and parents. Data reporting was undertaken using the Consolidated Criteria for Reporting Qualitative Studies (COREQ), aligning with Enhancing the QUAlity and Transparency of Health Research (EQUATOR) framework.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Outcomes and Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Narrative analysis revealed the following four themes: the importance of education and experience in neonatal care; supporting parents of infants receiving neonatal care; encouraging communication strategies; the impact of limiting parental presence and wearing facemasks.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions and Implications&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Neonatal nurses commented that using early communication strategies with infants and supporting parents to learn how to communicate directly with their infant is essential. However, none were able to fully describe the key components of early communication from a linguistic perspective, nor give specific examples beyond skin-to-skin care, bonding, reading infant cues and hearing familial voices during conversation and reading. Although these are very important antecedent skills that provide a framework for developing communication, they are not always a direct means to enhance language development specifically. As preterm infants are at high risk of altered language and communication development, a real need exists for neonatal nurses to develop linguistically rooted m","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70093","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614969","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":"A Scoping Review of the Observed and Perceived Functional Impacts Associated With Language and Learning Disorders in School-Aged Children","authors":"Jérémy Perichon,&nbsp;Marianne J. Paul,&nbsp;Damien Chabanal,&nbsp;Norbert Maïonchi-Pino","doi":"10.1111/1460-6984.70086","DOIUrl":"https://doi.org/10.1111/1460-6984.70086","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Assessing children with Developmental Language Disorder (DLD) and Specific Learning Disabilities (SLD) requires a clear understanding of how these conditions impact their daily lives. However, existing assessment tools are not systematically grounded in a theoretical framework, and there is a lack of consensus regarding the relevant dimensions and indicators to be evaluated. Notably, the concepts of &lt;i&gt;functional impact&lt;/i&gt; and &lt;i&gt;functional impairment&lt;/i&gt;—which are essential for identifying needs, informing clinical decision-making and tailoring interventions—remain poorly defined and are frequently used interchangeably, even though they refer to distinct aspects of functioning. This conceptual ambiguity hinders the development of consistent, theory-based assessment models and contributes to inconsistencies across both research and clinical settings.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The study aims to describe and clarify the concepts of ‘functional impact’ and ‘functional impairment,’ as well as to identify and classify the leading dimensions and indicators used to measure the functional consequences of DLD and SLD in school-aged children.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods and Procedures&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A scoping review was performed on a systematic search of studies published between January 2013 and November 2023 across six databases (Medline, PsycINFO, CINAHL, ERIC, Psychology &amp; Behavioural Science Collection and Education Source). In total, 1950 documents were reviewed using predefined eligibility criteria, resulting in 53 documents being included for the final data extraction. The analysis followed a qualitative approach, combining both inductive and deductive analyses. An inductive approach was used to develop a new conceptual framework (definitions and classification system), while a deductive approach was applied to organise the identified dimensions and indicators into five overarching categories.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Main Contribution&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;There is notable variability in the terminology used to describe functional impact and functional impairment, as well as ambiguity surrounding their respective meanings. Using an iterative lexicographical approach, we established operational definitions, distinguishing between two subcategories of functional consequences: observed and perceived functional impacts. This conceptual distinction enhances the clarity and applicability of these constructs in both research and clinical settings. Furthermore, five major categories were identified to","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615462","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":"Economic Evaluations of Speech and Language Therapy Interventions: A Scoping Review","authors":"James Hill,&nbsp;Amit Kulkarni,&nbsp;Deborah Moll,&nbsp;Lotte Meteyard,&nbsp;Louise Shelley,&nbsp;Grace Chugg,&nbsp;Gemma Jones,&nbsp;Valerio Benedetto,&nbsp;Catherine Harris,&nbsp;Alison Doherty,&nbsp;Joanna Harrison,&nbsp;Andrew Clegg","doi":"10.1111/1460-6984.70091","DOIUrl":"https://doi.org/10.1111/1460-6984.70091","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;With constrained funding and increasing demand, the pressures on health and care services globally continue to grow. Given the challenges faced, it is imperative that services and interventions demonstrate cost-effectiveness, as well as patient/service-user and societal benefits, to maximize impact. Research has started to explore the cost-effectiveness of speech and language therapy (SLT) interventions, but little is known about this body of evidence overall. Given the increasing demand for economic information by different decision-makers, an overall understanding of the current evidence base is needed. Such an evaluation should map and assess the current evidence to identify key gaps, areas of strength, and recommendations for future economic evaluations of SLT.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To identify the extent and type of economic evaluations assessing the cost (including cost-effectiveness) of SLT interventions.&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;A scoping review was conducted identifying studies across seven key databases from date of inception to 20 October 2023. Studies were included if they assessed any type of cost of an intervention which was primarily delivered (directly or indirectly) by a speech and language therapist. A narrative synthesis was undertaken and clustered around common populations of interest, including adults post-stroke, adults with aphasia or dysarthria, adults with Parkinson's disease, adults with head and neck cancer, and children, young people, and adults with a range of conditions.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Outcomes and Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This scoping review identified 52 studies which have been published over three and a half decades. Recently, there has been a notable increase in the number of studies, specifically cost-effectiveness and cost-utility analyses; however, there were limited internal citations and a substantial variation in populations and interventions assessed by these studies. Economic evaluations were carried out alongside various effectiveness study designs, using different units of analysis, time horizons, and perspectives.&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;Although a small number of studies have begun to explore the economic aspects of SLT, evidence in this area remains relatively scarce, highlighting the need to prioritize further economic evaluations. Given the substantial heterogeneity and limited interconnec","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70091","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144606630","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":"Turkish Version of the Montreal Children's Hospital Feeding Scale: Validity and Reliability Study in Children With Cerebral Palsy","authors":"Özgü İnal Özün,&nbsp;Sevilay Karahan,&nbsp;Mustafa Cemali,&nbsp;Selen Serel Arslan","doi":"10.1111/1460-6984.70074","DOIUrl":"https://doi.org/10.1111/1460-6984.70074","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study was conducted to translate The Montreal Children's Hospital Feeding Scale (MCH-FS) into Turkish and to evaluate the psychometric properties of the Turkish version (T-MCH-FS) in children with cerebral palsy (CP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The study involved 160 children (70 children with CP and 90 typically developing children) aged 18 to 72 months. Karaduman Chewing Performance Scale (KCPS), Paediatric version of the Eating Assessment Tool-10 (PEDI-EAT-10) and Behavioral Pediatrics Feeding Assessment Scale (BPFAS) were used to examine the construct validity of the T-MCH-FS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Internal consistency was sufficient with a Cronbach's alpha value of 0.820. There were correlations between the T-MCH-FS and the KCPS (<i>r</i> = 0.377, <i>p</i> &lt; 0.001), the PEDI-EAT-10 (<i>r</i> = 0.655, <i>p</i> &lt; 0.001) and the BPFAS scores for total frequency, child frequency, parent frequency, restriction and poor strategies (<i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The T-MCH-FS was found to be a reliable and valid instrument to evaluate feeding problems in children with CP and typically developing children.</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>Feeding problems are very common in children with CP and cause stress for the individual and their caregivers.</li>\u0000 </ul>\u0000 </div>\u0000 \u0000 <div><i>What this paper adds to existing knowledge</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>The MCH-FS is a practical and quick tool which provides a comprehensive overview regarding feeding problems.</li>\u0000 </ul>\u0000 </div>\u0000 \u0000 <div><i>What are the potential or actual clinical implications of this work?</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>The T-MCH-FS has been shown to be a reliable and valid tool for assessing feeding problems in children with CP.</li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 </div>","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144606571","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 PD COMM Process Evaluation: Describing Interventions and Implementation in a UK Pragmatic Randomised Controlled Trial of Speech and Language Therapy for People With Parkinson's-Related Dysarthria","authors":"Avril Nicoll,&nbsp;Marian C. Brady,&nbsp;Patricia Masterson-Algar,&nbsp;Christopher Burton,&nbsp;Gillian Beaton,&nbsp;Sylvia Dickson,&nbsp;Maria Caulfield,&nbsp;Christina H. Smith,&nbsp;Carl E. Clarke,&nbsp;Natalie Ives,&nbsp;Sue Jowett,&nbsp;Caroline Rick,&nbsp;Rebecca Woolley,&nbsp;Catherine M. Sackley,&nbsp;on behalf of the PD COMM collaborative group","doi":"10.1111/1460-6984.70084","DOIUrl":"https://doi.org/10.1111/1460-6984.70084","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>As people with Parkinson's experience progressive communication changes, effective, implementable speech and language therapy (SLT) interventions are needed. Process evaluations alongside pragmatic randomised controlled trials (RCTs) are of clinical value if they describe, compare and understand the implementation of trial interventions. This paper reports the PD COMM process evaluation. PD COMM was a large, UK multi-centre phase III pragmatic RCT of SLT in the National Health Service (NHS). It recruited 388 people with Parkinson's who were randomised to Lee Silverman Voice Treatment (LSVT), Standard NHS SLT, or no dysarthria intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To describe and compare the content and service delivery components of the PD COMM SLT interventions; understand experiences of implementing LSVT; explain trial outcomes; and reflect on implications for practice and research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>We took a pragmatic, mixed methods approach. The intervention description team used a sub-sample of routine therapy notes and trial record forms, the Template for Intervention Description and Replication (TIDieR) and simple descriptive statistics to compare Individual Participant Therapy Data (LSVT <i>n</i> = 51; Standard NHS SLT <i>n</i> = 54). In parallel, informed by Normalisation Process Theory (NPT), the implementation team conducted qualitative interviews with a sub-sample of therapists (<i>n</i> = 20) and participants (<i>n</i> = 24) to understand the additional work of implementing LSVT. The core process evaluation team met to integrate the findings in relation to the trial outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>LSVT was largely delivered per protocol, tailored to participants’ interests and interactions. Dosage was a key difference between the two interventions, commonly achieved by two or more therapists delivering LSVT. Effective mechanisms were LSVT's structured design, repetitive and social nature, practise requirements and focus on volume. Standard NHS SLT was eclectic, reflecting a range of clinical approaches at a lower intensity, including some techniques and activities in common with LSVT. Although focused on impairment therapy, including specific voice therapy techniques, it also featured cognitive-linguistic and psychosocial targets and low technology augmentative and alternative communication (AAC). The trial design may have limited opportunities for group intervention.</p>\u0000 </section>\u0000","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70084","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144598233","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 Understanding of Complex Syntax in Children From 5 to 9 Years, Using a Novel Assessment Approach – The Test of Complex Syntax- Electronic (TECS-E)","authors":"Pauline Frizelle,&nbsp;Ana Oliveira-Buckley,&nbsp;Tricia Biancone,&nbsp;Jorge Oliveira,&nbsp;Paul Fletcher,&nbsp;Dorothy V. M. Bishop,&nbsp;Cristina McKean","doi":"10.1111/1460-6984.70079","DOIUrl":"https://doi.org/10.1111/1460-6984.70079","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The present study investigated English-speaking 5–9 year olds’ (<i>n</i> = 600, normative sample) comprehension of relative, adverbial and complement clauses using the Test of Complex Syntax-Electronic (TECS-E), an online interactive assessment. with strong test-retest reliability, concurrent validity and internal consistency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Using an opt out protocol three groups of children were recruited from schools—a sample for whom we could ascertain test-retest reliability (<i>n</i> = 122), a sample to explore concurrent validity, using the Test for the Reception of Grammar (TROG-2) (<i>n</i> = 131) and a main normative sample (<i>n</i> = 906). The main sample was reduced to 600, to ensure that the final sample accurately represented the population of the Republic of Ireland, with respect to sex, socio-economic status and locale. Children completed the TECS-E independently in groups within their pre/school classroom. The TROG-2 was administered individually.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Scores increased with age from 5–9 years with considerable growth in development between 5;06 and 7 years, suggesting that 7 years is an important milestone in children's understanding of complex syntax. Girls performed significantly better than boys, particularly between 6 and 7 years. Those from disadvantaged backgrounds scored significantly lower than those who were more affluent, until 7 years, and this was more marked in boys than in girls. Children performed highest on relative clauses, followed by complement clauses, and last on adverbial clauses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study provides a developmental hierarchy as well as important information regarding growth in English-speaking children's understanding of complex syntactic structures in the early school years and how this interacts with sex as well as social disadvantage.</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>Complex sentences play a crucial role in children's language and literacy development. They become increasingly relevant as children progress through school, from both an academic and social perspective. Despite this, we lack a comprehensive picture of children's understanding of these types of sentences.</li>\u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70079","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144598238","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":"Evaluating the Long-Term Effects of Multimodal Language Rehabilitation on Second Language Acquisition and Recovery in Bilingual Aphasic Patients: A Retrospective Cohort Study","authors":"Xiaoyi Wang","doi":"10.1111/1460-6984.70076","DOIUrl":"https://doi.org/10.1111/1460-6984.70076","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 evaluate the long-term effects of multimodal language rehabilitation on second language acquisition and recovery in bilingual aphasic patients.&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 data of 78 bilingual aphasic patients who underwent language rehabilitation at the language rehabilitation team consisting of students and experts in this field from Beijing Jiaotong University and other universities and institutes from January 2021 to December 2022 were retrospectively analysed. Patients were divided into the conventional group (receiving conventional language rehabilitation, &lt;i&gt;n&lt;/i&gt; = 38) and the multimodal group (receiving multimodal language rehabilitation, &lt;i&gt;n&lt;/i&gt; = 40). The overall efficacy rate, second language vocabulary acquisition, language function scores, oral motor function scores, articulation clarity and quality of life scores in both groups were compared.&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;The multimodal group demonstrated significantly higher overall efficacy rates compared to the conventional group (97.50% vs. 81.58%, &lt;i&gt;p&lt;/i&gt; &lt; 0.05). Notably, multimodal rehabilitation led to marked improvements in second language vocabulary acquisition (10.25 ± 2.14 vs. 8.14 ± 1.56, &lt;i&gt;p&lt;/i&gt; = 0.001) and language function scores (124.75 ± 18.04 vs. 108.90 ± 17.62, &lt;i&gt;p&lt;/i&gt; = 0.001). Enhanced articulation clarity (24.65 ± 4.75 vs. 20.58 ± 5.22, &lt;i&gt;p&lt;/i&gt; = 0.001) and a social function, mental health and emotional role function in the quality of life further underscored its therapeutic advantage.&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;Multimodal language rehabilitation significantly facilitates second language recovery in bilingual aphasia, with sustained improvements in linguistic competence and psychosocial well-being. These findings advocate for prioritizing multimodal approaches in clinical practice to address the complex linguistic needs of bilingual patients.&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 the subject&lt;/i&gt;\u0000 \u0000 &lt;ul&gt;\u0000 \u0000 &lt;li&gt;Bilingual aphasia poses unique challenges in rehabilitation due to the complex interaction between two languages in a shared cognitive system. While there is a growing body of research on monolingual aphasia, the long-term efficacy of multimodal language rehabilitation in bilingual aphasic patients remains understudied.&lt;/li&gt;\u0000 &lt;/ul&gt;\u0000 &lt;/div&gt;\u0000 \u0000 &lt;div&gt;&lt;i&gt;What this paper adds to e","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581937","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}