International Journal of Language & Communication Disorders最新文献

{"title":"Feasibility, acceptability and preliminary effects of speech–language therapy in breastfeeding support: A mixed methods pilot study with migrant women in Portugal","authors":"Ana Cláudia Lopes, Marisa Lousada","doi":"10.1111/1460-6984.70026","DOIUrl":"https://doi.org/10.1111/1460-6984.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Breastfeeding is the optimal method of infant feeding, particularly during the first 6 months after birth, and ideally continuing until the child is at least 2 years old. Speech–language therapists (SLTs) can improve the quality of care in this area, especially in vulnerable populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This pilot study aimed to assess the feasibility, acceptability and effectiveness of speech–language therapy to support breastfeeding among migrant women in Portugal. It evaluates breastfeeding outcomes, maternal self-efficacy and quality of life post-intervention, and explores the role of SLTs in this context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>A total of 18 migrant women were recruited between September 2023 and September 2024. The speech–language therapy intervention included ante- and postnatal breastfeeding support, evaluated using pre- and post-workshop questionnaires assessing breastfeeding knowledge, attitudes, beliefs and practices. Postpartum follow-up was conducted at 1, 3 and 6 months, during which time the neonatal oral-motor assessment scale (NOMAS), breastfeeding self-efficacy scale (BSES) and maternal postpartum quality of life questionnaire (MPQLQ) were administered. Feasibility outcomes such as recruitment, retention, adherence and acceptability were also assessed, and semi-structured interviews were completed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>The findings indicated high feasibility, with strong recruitment and retention rates. Breastfeeding self-efficacy significantly improved, with scores rising from 55.6 (SD = 9.8) pre-intervention to 67.2 (SD = 8.3) at 6 months postpartum (<i>t</i>(15) = 5.89, <i>p</i> < 0.001). Maternal quality of life increased from 62.3 (SD = 5.2) at 1 month to 72.1 (SD = 4.6) at 6 months (<i>t</i>(15) = 6.23, <i>p</i> < 0.001). A 100% breastfeeding rate was achieved at 6 months postpartum. Qualitative data revealed that the participants valued comprehensive breastfeeding support and SLT involvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>This study demonstrated that speech–language therapy interventions are feasible and effective in improving breastfeeding outcomes among migrant women, warranting further investigation through larger trials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <section>\u0000 \u0000 <h3> What is already known on the subje","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707484","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 impact of acquired communication impairments on sexuality and intimacy: A scoping review","authors":"Laura Lin Wolford, Vanessa Arratia, Nicholas Behn, Emma Power","doi":"10.1111/1460-6984.70023","DOIUrl":"10.1111/1460-6984.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Communication is critical to sexuality and sexual health. It is therefore reasonable to assume that acquired communication impairments would impact sexuality, but research is sparse. The research that does discuss these impacts can be difficult to find, as studies are spread across a wide variety of literature bases, and sexual topics are often combined with other concerns. Coupled with clinicians’ discomfort in addressing sexual issues, this leads to a lack of clinical support for patients’ sexual concerns.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This scoping review aimed to map and summarize the existing literature on sexuality and acquired communication impairments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>Six databases were searched: CINAHL, PubMed, MEDLINE, PsycINFO, Web of Science and Scopus. To find studies from the literature on acquired communication impairments and their aetiologies that addressed sexuality and communication, a combination of sexuality and communication impairment terms was used. A total of 97 articles met inclusion criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Contribution</h3>\u0000 \u0000 <p>Across aetiologies and literature bases, acquired communication impairments have been found to negatively affect sexuality. However, researchers rarely evaluate the nature of the communication impairment or its effects on sexuality directly. People with communication impairments are more often systematically excluded from acquired disability research on sexuality. Using the reviewed literature, we present recommendations for including sexuality-related topics in communication disorder research and including people with communication impairments in sexuality-related research. We also present recommendations for speech–language pathologists to begin incorporating sexuality-related topics in their clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>The effects of communication impairments on sexuality are insufficiently researched. The literature that does exist points to substantial impacts. This area of research deserves more concerted attention so that clinicians may have guidance and support in addressing the issue with their clients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <section>\u0000 \u0000 <h3> What","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677398","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 UK C-BiLLT: Validity and reliability of an online assessment of spoken language comprehension for children with severe motor disorders","authors":"Lindsay Pennington, Lily Potts, Janice Murray, Johanna Geytenbeek, Kate Laws, Jenefer Sargent, Michael Clarke, John Swettenham, Julie Lachkovic, Catherine Martin, Elaine McColl","doi":"10.1111/1460-6984.70025","DOIUrl":"https://doi.org/10.1111/1460-6984.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Current UK measures of early spoken language comprehension require manipulation of toys and/or verbal responses and are not accessible to children with severe motor impairments. The Computer-Based Instrument for Low motor Language Testing (C-BiLLT) (originally validated in Dutch) is a computerized test of spoken language comprehension that children with motor disorders control using their usual response methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To create a UK version of the C-BiLLT, evaluate its validity and reliability, and assess its practicability for children with motor disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>The C-BiLLT was translated into British English and items were adapted to ensure familiarity to UK children. A total of 424 children (233 females, 191 males) aged 1:6–7:5 (years:months) without developmental disabilities were recruited from North East England. Children completed the UK C-BiLLT and Preschool Language Scales 5 (PLS-5) for convergent validity evaluation and either the visual reception subtest of the Mullen Scales of Early Learning (MSEL) (children aged 1:8–5:5) or Ravens Coloured Progressive Matrices (CPM) (ages 5:6–7:5) to assess divergent validity. A total of 33 children completed the UK C-BiLLT within 4 weeks of initial assessment for test–retest reliability assessment (intraclass correlation coefficient—ICC). Internal consistency was assessed using Cronbach's alpha and exploratory factor analysis examined structural validity. A total of 24 children (10 female, 14 male; aged 4–12 years) with non-progressive motor disorders who use augmentative and alternative communication (AAC), rated the UK C-BiLLT's ease of use and completed British Picture Vocabulary Scales (BPVS) and CPM as for convergent and divergent validity testing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>Internal consistency was high for children without motor disorders (<i>α</i> = 0.96). Exploratory factor analysis extracted two factors, together explaining 68% of the total variance. Test–retest reliability was excellent (ICC = 0.95; 0.90–0.98 95% confidence interval—CI). UK C-BiLLT scores correlated highly with PLS-5 (<i>r</i> = 0.91) and MSEL (<i>r</i> = 0.81), and moderately with CPM (<i>r</i> = 0.41); and increased across full-year age-bands (<i>F</i>(6, 407) = 341.76, <i>p</i> = < 0.001, <i>η</i><sup>2</sup> = 0.83). A total of 19 children with motor disorders rated the UK C-BiLLT as easy/ok to use; two judged it hard; three declined to rate the ease ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143646024","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 core components of clinical planning for Comprehensive, High-dose Aphasia Treatment (CHAT): A task analysis","authors":"Rachel Levine, Jade Dignam, Kirstine Shrubsole, Marie-Pier McSween, Annie J. Hill, David A. Copland","doi":"10.1111/1460-6984.70021","DOIUrl":"https://doi.org/10.1111/1460-6984.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Intensive comprehensive aphasia programmes (ICAPs) deliver intensive aphasia rehabilitation via a cohort approach, aligning with the World Health Organization's (WHO) International Classification for Functioning, Disability and Health (ICF). ICAPs are an effective treatment approach for aphasia rehabilitation, and their implementation within healthcare settings is currently being investigated. However, there are challenges associated with selecting and tailoring evidence-based treatments for delivery within ICAPs and supportive processes for selecting and tailoring therapy are required. To address this challenge, structured and collaborative clinical planning has been incorporated as a key element of one modified ICAP (mICAP), the Comprehensive, High-dose Aphasia Treatment (CHAT) programme. CHAT provides 50 h of personalized, goal-directed therapy for language impairment and function across 8 weeks. Our current understanding of how clinical planning is conducted for this programme is limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>(1) To identify and define the individual tasks performed as part of a structured, collaborative clinical planning process for CHAT and its telerehabilitation counterpart TeleCHAT; and (2) to understand speech pathologists’ perspectives of the key components, roles and resources for clinical planning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed methods hierarchical task analysis (HTA) approach was utilized to analyse observations of 10 goal-setting sessions and planning discussions of 13 patients across two CHAT and TeleCHAT cohorts. Focus groups and interviews with seven speech pathologists and two speech pathology leaders involved in delivering or supporting the delivery of the programmes were also conducted. Clinical planning tasks, personnel involved and resources used were iteratively built into a task analysis framework. Perspectives on the key elements of clinical planning were obtained and analysed using deductive qualitative content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven clinical planning tasks, comprising 25 subtasks, were identified across CHAT and TeleCHAT: assessment and analysis, goal-setting, an initial planning meeting, scheduling and coordination, resource preparation, a midway planning meeting, and planning throughout therapy. One additional task was identified for TeleCHAT: identify and prepare technology. Identifying appropriate patients for CHAT and TeleCHAT was considered a precursor to clinical planning. Each clinical plann","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143638786","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":"Intervention factors associated with efficacy, when targeting oral language comprehension of children with or at risk for (Developmental) Language Disorder: A meta-analysis","authors":"Sirpa Tarvainen, Pauline Frizelle, Hanna Granroth-Wilding, Suvi Stolt, Kaisa Launonen","doi":"10.1111/1460-6984.70013","DOIUrl":"https://doi.org/10.1111/1460-6984.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Language interventions are complex behavioural interventions, making it difficult to distinguish the specific factors contributing to efficacy. The efficacy of oral language comprehension interventions varies greatly, but the reasons for this have received little attention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The aim of this meta-analysis was to examine which intervention factors are associated with efficacy (as expressed with effect sizes) regarding interventions aiming to improve oral language comprehension on its own, or together with expressive language, in children under the age of 18 with or at risk for (developmental) language disorder—(D)LD. Whether the interventions for younger and older children differ from one another regarding efficacy or factors possibly associated with efficacy were also examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>Studies (<i>n</i> = 46) were identified through two systematic scoping reviews. Factors associated with efficacy were categorized according to the internal characteristics of the intervention as well as factors external to the intervention. Statistical analyses were conducted to examine the association between these factors and intervention efficacy as represented by effect sizes on oral language comprehension outcome measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>Targeting language, language environment or compensatory strategies indicated efficacy, whereas aiming to improve language processing indicated no clinically significant efficacy. Targeting only receptive language was associated with larger effect sizes than targeting both receptive and expressive language. The interventions for younger (2–7 years) and older (8–13 years) children indicated a similar degree of efficacy, but the way in which these results were achieved varied, as comprehension interventions for younger and older children differed from one another. Many factors associated with effect sizes were also associated with each other making interpretation of the results complex.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>These indicative results suggest that it is not reasonable to target language processing, such as auditory processing or automatization, when aiming to improve oral language comprehension. Targeting receptive language only rather than both receptive and expressive language seems preferable to maximize efficacy when aiming to support solely oral language comprehension instead of targeting both expression a","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571395","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":"Comparing factors influencing wellbeing in young adults with aphasia and young adults with developmental language disorder","authors":"Vasiliki Kladouchou, Nicola Botting, Katerina Hilari","doi":"10.1111/1460-6984.70020","DOIUrl":"https://doi.org/10.1111/1460-6984.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Understanding factors influencing wellbeing is crucial for the development of effective services. Aphasia in older individuals and developmental language disorder (DLD) in children significantly affect how people live and function. Despite the increasing stroke incidence in young adults and the growing recognition of DLD as a lifelong disorder, the literature lacks evidence on the wellbeing of young adults, aged between 18 and 40 years old, with these conditions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To identify factors influencing wellbeing in young adults with aphasia and DLD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>This cross-sectional between-group study involved 78 young adults with aphasia, DLD and no language impairments, with mean (SD) age of 30.5 (6.38) years. A total of 12 measures were used to assess wellbeing, language, cognition, health, emotional distress, social functioning and psychological resources. Feasibility and acceptability were informed by a pilot-study. One-way-unrelated analysis of variance (ANOVA) and Kruskal–Wallis tests were used to compare groups on language, cognition and wellbeing, while correlation analyses identified factors influencing wellbeing in each group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>No significant differences were found between clinical groups in language and cognitive profiles, with both scoring lower than those with no language impairments. The wellbeing of individuals with aphasia and DLD was similar to that of adults with no language impairments. Health, emotional distress and social support were common drivers of wellbeing among all groups, with positive performance in those scales indicating better wellbeing. Language and self-esteem showed significant links with wellbeing for those with DLD, but not for the aphasia group. The higher the self-esteem level of people with DLD, the higher their wellbeing rating. Interestingly, language was negatively related to wellbeing in people with DLD, with higher language scores correlating with lower levels of wellbeing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>Aphasia and DLD share factors affecting wellbeing, but the different origins of the disorders seem to influence the overall nature of wellbeing. Wellbeing in DLD is primarily impacted by the language disorder, whereas in aphasia it is influenced by its secondary to the disorder char","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143564808","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 and cost-effectiveness of high-intensity versus low-intensity speech intervention in children with a cleft palate: Protocol for a randomized controlled trial","authors":"Fien Allemeersch, Kristiane Van Lierde, Nick Verhaeghe, Kim Bettens, Tara Mouton, Greet Hens, Cassandra Alighieri","doi":"10.1111/1460-6984.70019","DOIUrl":"https://doi.org/10.1111/1460-6984.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In children with a cleft palate with or without a cleft lip (CP±L), some evidence exists for superior results of high-intensity speech intervention (HISI) compared with low-intensity speech intervention (LISI) on speech and health-related quality of life (HRQoL). However, the existing research often involves small sample sizes. Additionally, therapy in these studies is typically administered by researchers with extensive experience in treating speech disorders in these children. In contrast, first-line speech–language pathologists (SLPs) often possess considerably less experience in treating these children and clinical practice is subject to a wider array of environmental influences. Moreover, there are insufficient data on the cost-effectiveness of HISI compared with LISI. So far, these factors have hampered the implementation of HISI in clinical cleft practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The purpose of this study is twofold: (1) to compare the effectiveness of HISI and LISI on a larger societal scale, as delivered by first-line SLPs, on speech and HRQoL in Belgian Dutch-speaking children with a CP±L; and (2) to evaluate the cost-effectiveness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>This study consists of a large-scale, longitudinal, two-centre randomized controlled trial to investigate the effectiveness of HISI and LISI. Children with a CP±L, aged between 4 and 12 years, are randomly assigned to one of the two intervention groups. A sample size calculation determined that 35 participants per group are needed to ensure adequate statistical power. Children in the HISI group will receive intervention with a session duration of 30 min, a dose frequency of five sessions per week and a total intervention duration of 8 weeks (two 4-week blocks with a rest period of 12 weeks). Children in the LISI group will receive intervention with a session duration of 30 min, a dose frequency of two sessions per week and a total intervention duration of 20 weeks. The cumulative intervention intensity is kept constant. Each child will receive identical phonetic–phonological speech intervention provided by first-line community SLPs in private practices. Speech samples and patient- and caregiver-reported outcome measures will be collected on multiple data points before, during and after the intervention period. The cost-effectiveness will be evaluated by applying a cost-effectiveness and cost-utility analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>It is hypothesized that HISI will lead to superior speech outcomes in terms of consonant production and p","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143496931","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":"Experiences and perspectives of UK speech and language therapists on telehealth assessment with people living with post-stroke aphasia","authors":"Amanda Comer, Sarah Northcott, Nicholas Behn, Abi Roper, Niamh Devane, Katerina Hilari","doi":"10.1111/1460-6984.70018","DOIUrl":"https://doi.org/10.1111/1460-6984.70018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Stroke care in the UK was significantly affected by the COVID-19 pandemic, with many services switching to telehealth. Post-pandemic, a UK survey of speech and language therapists (SLTs) working with people with aphasia (PWA) showed the vast majority planned to continue to use telehealth alongside in-person intervention. Telehealth is considered a cost-effective and feasible method of service delivery; however, there is limited evidence to support its use in the assessment of people with post-stroke aphasia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To investigate what barriers and facilitators SLTs experience when administering telehealth assessments to PWA and to explore SLTs’ perspectives on what makes for a positive patient experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>Focus groups (dyadic/triadic) were conducted via videoconferencing. Transcripts were analysed using framework analysis. Inclusion criteria for participants were SLTs working in the UK with PWA, with experience of using telehealth assessment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>A total of 14 SLTs participated across six groups. Seven themes were identified: assessment; technology; factors specific to PWA; factors specific to family, carers and their environment; factors specific to SLTs; benefits of telehealth assessment; and what telehealth would look like in an ideal world. Facilitators to telehealth assessment included good internet connectivity, access to a helper, adapted assessments, preparation and training PWA to use telehealth platforms. Barriers included reduced control over the environment, having a cognitive impairment, aphasia severity, low beliefs in competence using technology and challenges with managing the emotional needs of PWA during telehealth assessment. A strong therapeutic relationship, offering choice and flexibility in assessment administration, promoted a positive patient experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>This study provides new insights into the current use of telehealth assessment with PWA by SLTs in the UK. Barriers and facilitators identified can support the implementation of telehealth assessment in SLT services. Providing a positive patient experience when using telehealth assessment is important to SLTs, with patient choice a key factor. Further research is indicated to increase the range of standardized ass","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143475656","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":"Aphasia partnership training: What outcomes do people with aphasia, family members and speech and language therapists expect?","authors":"Rebecca Palmer, Katerina Hilari, Carla Magdalani, Joanne Coster, Suzanne Beeke, Emma Gibbs, Helen Witts, Kate Sudworth, Caroline Jagoe, Madeline Cruice","doi":"10.1111/1460-6984.70015","DOIUrl":"https://doi.org/10.1111/1460-6984.70015","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Life with aphasia affects the whole family with shorter, less frequent conversations, frustration, reduced social networks, isolation and tension in relationships. Evidence suggests communication partner training (CPT) benefits families. However, expected improvements are poorly articulated. The Aphasia Partnership Training (APT) project aimed to identify target outcomes of a new family dyad CPT programme through persons with aphasia (PWA), family member and speech and language therapist (SLT) consensus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Consensus on desired outcomes was achieved through nominal groups with 20 people with mild to severe aphasia across five groups and 10 family members of people with mild to severe aphasia across three groups, each facilitated by —two to three SLTs. Twelve CPT researchers 16 clinical SLTs with experience of CPT participated in a three-round eDelphi to gain consensus on outcomes they perceived most likely to change. Results were triangulated using a convergence coding scheme to demonstrate agreement, partial agreement, dissonance or silence amongst the three stakeholder groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All stakeholders agreed ‘conversation’ and ‘thoughts and feelings’ were very important outcomes of APT/very likely to change (agreement). Change in ‘relationships’ was very important to family members, important to PWA and considered very likely to change by SLTs (partial agreement). Change in ‘language’ (specifically talking) was very important to PWA, but not important to family members, and SLTs were uncertain about language improvement from APT (dissonance). Each outcome construct is illustrated by specific examples generated and agreed by all stakeholder groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We should aim to achieve improvements in conversation and thoughts and feelings with CPT, consider the impact on relationships and investigate the potential for language improvement (talking) as an outcome of APT. Outcome measures can be selected based on good coverage of examples generated within these constructs, ensuring they are meaningful to PWA and family members.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <section>\u0000 \u0000 <h3> What is already known on the subject</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143455932","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":"Effect of delayed auditory feedback on stuttering-like disfluencies","authors":"Mazin Alqhazo, Zaidan Alkhamaiseh","doi":"10.1111/1460-6984.70007","DOIUrl":"https://doi.org/10.1111/1460-6984.70007","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Delayed auditory feedback (DAF) has been used in the treatment of stuttering, providing different results across different populations and age groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study examines the impact of delayed auditory feedback (DAF) on stuttering-like disfluencies (SLDs) in the spontaneous speech of Jordanian individuals who stutter.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>A cross-sectional experimental design was employed to analyse the effects of DAF on the conversational speech of 35 participants (9 females, 26 males) with persistent developmental stuttering, aged 5–29 years (M = 13.1, SD = 6.1). The Stuttering Severity Instrument was used to assess the severity of stuttering. Participants who met the inclusion criteria were asked to talk about general topics of their interests during two different listening conditions (with DAF and without DAF).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>No significant DAF effects were found on SLDs in terms of duration [<i>p</i> = 0.18] (blocks, prolongations) and repetition [<i>p</i> = 0.22] (sound repetition, syllable repetition, word repetition). Neither severity nor age affected the use of DAF on SLDs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>The study concludes that DAF did not result in a significant decrease in SLDs in the spontaneous speech of participants. These findings highlight the limited effect of DAF in reducing stuttering in this specific population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <section>\u0000 \u0000 <h3> What is already known on the subject</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>Delayed auditory feedback (DAF) has been shown to reduce stuttering frequency by between 60% and 80%. Furthermore, DAF mediates an immediate improvement in the fluency of speech without affecting speech naturalness (Ritto, Juste, and Andrade, 2015). Van Borsel et al. (2003) concluded that DAF offers an effective tool to reduce stuttering when it is applied as the only treatment outside a clinical environment. They also found that fluency is enhanced when DAF is consistently used over a longer period of time.</li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> What this paper adds to existing knowledge","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456119","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}