International Journal of Language & Communication Disorders最新文献

{"title":"User Experiences With Fully Immersive Virtual Reality Applications in the Context of Speech-Language-Hearing Sciences. A Scoping Review.","authors":"Jannis Hansa, Roman Lefarth, Hilke Hansen","doi":"10.1111/1460-6984.70289","DOIUrl":"10.1111/1460-6984.70289","url":null,"abstract":"<p><strong>Purpose: </strong>This scoping review aims to explore user experiences (UX) with fully immersive virtual reality (VR) applications in speech-language-hearing sciences (SLHS). It seeks to identify what feedback therapists and patients have provided when VR has been used in SLHS, what methods have been used to assess UX in this context, and what research gaps exist.</p><p><strong>Methods: </strong>The review follows the JBI Manual for Evidence Synthesis and PRISMA-ScR guidelines. It includes studies with licensed speech-language pathologists or harinterventions involve fully immersive VR applications where UX was evaluated. The search strategy included the databases MEDLINE, CINAHL, Web of Science, PsycInfo, PsycArticles, and SpeechBITE.</p><p><strong>Results: </strong>Of 580 identified unique articles, 16 were included, most of which focused on adult neurogenic or fluency disorders, with singular articles focusing on other SLHS-relevant disorders. The studies used various qualitative, quantitative, and mixed-methods approaches to collect UX data, primarily through interviews and questionnaires. Results highlighted assessment methods and feedback for seven UX categories: visual, auditory, presence, emotional, technical, usefulness, and limitations.</p><p><strong>Conclusions: </strong>The review found that VR applications for SLHS are still in early development, and UX is often not a primary focus. Reported user feedback is largely positive, especially regarding immersion and usability. The review highlights the need for using standardized UX assessment frameworks and increased interdisciplinary collaboration with experts in the field to improve the development of SLHS-relevant VR applications. Future research should focus on expanding UX evaluations and integrating more robust methodological tools.</p><p><strong>What this paper adds: </strong>What is already known on this subject Though some reviews exist on the use of VR in communication sciences and treatment, most of these include non- or semi-immersive VR applications. Fully immersive VR offers a much deeper user experience (UX) that can be valuable for therapeutic purposes. However, no reviews have specifically explored what is already known about this topic in the SLHS field. What this paper adds to existing knowledge This review systematically presents user perspectives of therapists and patients in the context of managing various communication disorders, as well as instruments used to assess UX. Many studies only assessed user experiences as a byproduct of feasibility testing or application development. Nevertheless, important insights regarding the challenges and opportunities of VR applications were gained. What are the potential or actual clinical implications of this work? When developing or testing a VR application intended for therapeutic purposes, it is crucial to include the intended users, such as therapists, caregivers, and patients, in the process. Researchers should m","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":"e70289"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13560104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406675","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":"Emotional, Relational, and Identity Shifts in Aphasia Caregiving: An Interpretative Phenomenological Analysis of Care Partner Experiences.","authors":"Eleanor Siegle, Brooke Boxrud, Stewart A Shankman, Claudia M Haase, Sameer A Ashaie","doi":"10.1111/1460-6984.70290","DOIUrl":"10.1111/1460-6984.70290","url":null,"abstract":"<p><strong>Background: </strong>Care partners of people with aphasia, an acquired language disorder affecting multiple linguistic modalities, face significant life changes when assuming caregiving responsibilities. These changes affect both physical and psychological well-being, yet the nuanced experiences of care partners remain underexplored.</p><p><strong>Aims: </strong>Our aim was to explore the subjective experiences of informal care partners of people with aphasia and understand how caregiving influences their identities, relationships and emotional well-being.</p><p><strong>Methods & procedures: </strong>Thirteen informal care partners participated in three focus groups (4-5 care partners per group) using a semi-structured interview format. Data were analysed using interpretative phenomenological analysis (IPA). IPA is a qualitative approach grounded in a double hermeneutic process in which participants make sense of their experiences and researchers engage with and interpret that sense-making to support a richer analysis than surface-level description could provide.</p><p><strong>Outcomes & results: </strong>Analysis revealed four superordinate themes: (1) Shapeshifting to manage many roles; (2) loss of intimacy; (3) relentless positivity and (4) resentment, anger and sadness.</p><p><strong>Conclusions & implications: </strong>Caregiving in aphasia involves identity transformations, emotional labour and relational strain. Findings highlight the need for interventions that address care partners' psychosocial adjustment, normalize negative emotions, and support authentic emotional exchange within aphasia-caregiving relationships.</p><p><strong>What this paper adds: </strong>What is already known on the subject Care partner experiences in aphasia caregiving have been well-documented, however, current research in the field predominantly relies on descriptive qualitative methods or quantitative burden measures. In comparison, the lived and interpretive dimensions of caregiving in aphasia remain underexplored. What this study adds to existing knowledge This study examines the subjective experiences of caregiving in aphasia using interpretative phenomenological analysis, as this method allows for a deeper look at how care partners make sense of the identity, relational, and emotional-level dimensions of caregiving. What are the clinical implications of this study? To better support care partners. overall well-being, clinicians could incorporate these findings into family education that includes facilitated discussions or therapeutic exercises to address topics such as identity shifts and the emotional and relational complexities of caregiving.</p>","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":"e70290"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13352106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425892","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":"Patient Perspectives on Self-Management of Voice Prostheses in Surgical Voice Restoration After Laryngectomy.","authors":"Nicky Gilbody, Patricia Holch, Annie Hurren","doi":"10.1111/1460-6984.70276","DOIUrl":"10.1111/1460-6984.70276","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Surgical Voice Restoration is the gold standard method of re-establishing spoken communication after laryngectomy, where the voice-box is surgically removed. A silicone voice prosthesis (valve) allows voicing. To minimise health risks, valves must be changed swiftly if they fail. While self-management of health conditions is considered a key NHS objective, few people with laryngectomy in the UK change their own valve, requiring ongoing clinic attendance and healthcare professional input.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;To explore the perspectives of people with laryngectomy on self-changing, determining pertinent factors in decision-making around valve change methods with a view to informing clinical practice and supporting provision of personalised care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods and procedures: &lt;/strong&gt;Ten semi-structured interviews were carried out online and via telephone. Five 'self-changers' and five participants using clinician-led valve changes were recruited via social media and charitable organisations. Reflexive Thematic Analysis was used to generate themes within the data.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcomes and results: &lt;/strong&gt;Thematic analysis generated three main themes. (1) My valve, my way; (2) Unequal relationships; (3) A search for normality. Data synthesis revealed patient perspectives on life with surgical voice restoration, which have otherwise not been explored in research to date. Valve leaks were associated with distress and linked to diminished social participation and quality of life. Barriers and facilitators to self-changing were highly individual, indicating the need for a personalised approach to education and decision-making around self-changing. Perceptions of disempowerment were expressed by people with laryngectomy, with limited opportunities for shared decision-making and an imbalance of power between patient and healthcare professional. Analysis also showed that self-changing may offer benefits by reducing the impact of valve changes on quality of life.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion and implication: &lt;/strong&gt;Laryngectomy and surgical voice restoration have a significant impact on the activity and participation of people with laryngectomy. Empowering people with laryngectomy to participate in shared decision-making around their care is essential. A personalised approach is required, including the provision of tools, support and opportunity to jointly make decisions around valve change methods. Clinical implications include the core elements of decision-making conversations and training processes alongside points to consider for individual clinicians, service managers and policy makers. Further research on treatment burden and shared decision-making tools is warranted.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;What this paper adds: &lt;/strong&gt;What is already known on the subject Surgical voice restoration, using a silicone voice prosthesis (valve) to allow voice production, is considered the gold-standard in re-establishing communi","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":"e70276"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13353035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425832","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":"Key Considerations in Health Economic Evaluations of High-Intensity Speech Intervention for Children With Cleft Palate.","authors":"Fien Allemeersch, Kristiane Van Lierde, Cassandra Alighieri, Kim Bettens, Tara Mouton, Greet Hens, Nick Verhaeghe","doi":"10.1111/1460-6984.70291","DOIUrl":"10.1111/1460-6984.70291","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;This paper aims to provide speech and language pathologists and researchers with practical, educational guidance on designing health economic evaluations (HEEs) to assess the cost-effectiveness of high-intensity speech intervention (HISI) for children with cleft palate with or without cleft lip (CP±L).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;Key methodological considerations for designing HEEs of HISI for children with CP±L were identified by drawing on established frameworks. The foundational framework by Drummond et al. (2015) and the CHEERS reporting standards served as guiding structures for organizing and synthesizing principles relevant to conducting rigorous and transparent HEEs. Based on this conceptual synthesis, this paper provides practical recommendations to support researchers in implementing high-quality HEEs in the context of HISI for children with CP±L.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Despite growing interest in HISI, rigorous evidence on its cost-effectiveness is still lacking. Well-designed HEEs are needed to inform policymakers about the efficient allocation of healthcare resources. Clear evidence on cost-effectiveness is essential to ensure that implementation and reimbursement decisions are based on interventions that are both clinically effective and economically justified.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;What this paper adds: &lt;/strong&gt;What is already known on this subject High-intensity speech intervention (HISI) is increasingly used in the management of speech sound errors in children with cleft palate with or without cleft lip (CP±L), with growing evidence supporting its clinical effectiveness. However, despite rising healthcare costs and pressure on effective service delivery, evidence on the cost-effectiveness of HISI remains limited. Health economic evaluations (HEEs) are well established in health research but are underutilised in speech and language therapy, and existing studies often show considerable methodological variability and limited transparency in reporting. What this study adds to existing knowledge This paper provides structured, practical guidance for designing rigorous HEEs of HISI for children with CP±L. Drawing on established frameworks and the CHEERS reporting standards, it synthesises key methodological considerations tailored to speech and language therapy research. The study clarifies how HEEs can be systematically integrated into intervention research in this field and offers concrete recommendations to improve methodological quality, transparency, and comparability of future economic evaluations of speech interventions for children with CP±L. What are the clinical implications of this study? By supporting the design of high-quality HEEs, this paper enables speech and language pathologists and researchers to generate evidence on the economic value of HISI. Such evidence can inform service planning and reimbursement decisions, supporting efficient allocation of resources in cleft care. Ultima","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":"e70291"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13366439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438637","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":"An Early Lexical Screening Tool for British English: Psychometric Properties and Clinical Utility.","authors":"Allegra Cattani, Dora Bianchi, Caroline Floccia","doi":"10.1111/1460-6984.70287","DOIUrl":"10.1111/1460-6984.70287","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Existing direct measures of vocabulary for ages 2-3 years are insufficient as vocabulary increases to include nouns, verbs, adjectives and adverbs, reflecting qualitative changes that support emerging grammatical abilities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;The present study aims to establish the psychometric properties and validate a lexical screening tool for 19-36-month-old British English-speaking children, the WinG (Words in Game) test. Specifically, it examines gender differences in internal consistency, concurrent validity and predictive gender invariance across comprehension and production tasks. In addition, the study evaluates the diagnostic accuracy of the tool by establishing clinical cut-off scores to distinguish children with typical versus at-risk language development. Finally, it presents developmental trends in toddlers' aggregate lexical comprehension and production scores, reported in percentiles and stratified by gender.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods and procedures: &lt;/strong&gt;Participants were 336 English-speaking children aged 19-36 months. Sub-set of 85 children were screened with the Words in Game (WinG) test and the Preschool Language Scale (PLS-4). The PLS-4 scores were used as reference tests to ascertain psychometric properties and estimate the sensitivity and specificity of the WinG comprehension and production tasks.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcomes and results: &lt;/strong&gt;Girls outperformed boys on both comprehension and production tasks. The WinG comprehension and production tasks showed strong concurrent validity, with scores positively and highly correlated with the PLS-4 reference measures. Predictive gender invariance was also demonstrated, as both WinG dimensions predicted PLS-4 scores equivalently across genders. Using the 15th percentile as a cut-off, the WinG test demonstrated fair sensitivity for comprehension and good sensitivity for production, though specificity was below the desirable threshold for both tasks.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions and implications: &lt;/strong&gt;The tool provides a valuable starting point for identifying early receptive and expressive lexical difficulties through direct assessment by speech and language therapists (SLTs). Clinical implications and limitations are also discussed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;What this paper adds: &lt;/strong&gt;What is already known on this subject Lexical receptive and expressive abilities emerge and expand rapidly in the second and third years of life. Clinicians and Speech and Language therapists (SLTs) need a systematic, reliable tool to observe the early lexical skills of toddlers. What this study adds to existing knowledge This study established the psychometric properties and validated the Words in Game (WinG) test from a large sample of 19-36-month-old British English learning children to measure the receptive and expressive nouns and predicates (verbs, adjectives and adverbs). The PLS-4 scores were used as a reference standard test. The WinG comprehension and ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":"e70287"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13339757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148399050","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":"Cross-Modality Treatment Generalization in Sentence Comprehension in Aphasia: Evidence From Structural Priming and Webcam-Based Eye-Tracking.","authors":"Willem S van Boxtel, Peng Zhang, Nadine Martin, Victor Ferreira, Jiyeon Lee","doi":"10.1111/1460-6984.70284","DOIUrl":"10.1111/1460-6984.70284","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Acquired neurogenic communication disorders such as aphasia are associated with sentence production and comprehension difficulties. However, sentence-level treatments for aphasia do not consistently yield generalized gains across modalities, from production to comprehension or vice versa. This limits the effectiveness of current aphasia treatments. In this study, we present structural priming, the phenomenon where repeated grammatical structures are used more frequently and are easier to process, as a potentially effective treatment for sentence-level deficits in aphasia, and one which may achieve generalization from production to comprehension. Further, we assessed whether lexical overlap between prime and target sentences (lexical boost) affected the strength of cross-modality generalization.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;24 people with aphasia (PWA) and 16 age-matched controls completed a structural priming sentence production treatment. Their comprehension of trained structures (passives and double-object datives) was tested with a sentence-picture matching task before and after training to assess cross-modality generalization effects. Eye movements were recorded during the comprehension task using webcams.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results and conclusions: &lt;/strong&gt;Response times and fixation times to the target picture were facilitated from pre- to post-training, although comprehension accuracy remained stable. While controls were more facilitated by same-verb priming, PWA benefited more from different-verb priming. Improvements in sentence production during training were related to the strength of improvements on the comprehension task across groups. These results suggest that structural priming has the potential to achieve cross-modality transfer of treatment gains and different-verb priming may be more effective in aphasia than same-verb priming.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;What this paper adds: &lt;/strong&gt;What is already known on the subject Acquired neurogenic communication disorders such as aphasia are associated with sentence production and comprehension impairments. However, sentence-level treatments for aphasia do not consistently yield generalized gains across modalities, from production to comprehension or vice versa. This severely limits the effectiveness of current treatments. What this study adds to existing knowledge In this study, we present structural priming, the phenomenon where repeated grammatical structures are used more frequently and are easier to process after exposure, as an effective treatment for sentence-level deficits in aphasia, and one which achieves reliable generalization from production to comprehension. Further, we assessed whether lexical overlap between prime and target sentences (lexical boost) affected the strength of cross-modality generalization. Eye movements were tracked using webcams, which offers a novel and accessible method of online data collection for communication disorders. What are t","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":"e70284"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13358036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431480","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 Processing Skills in Arabic-Speaking Children Who Stutter.","authors":"Omayma Afsah, Hazem Alawadli","doi":"10.1111/1460-6984.70294","DOIUrl":"10.1111/1460-6984.70294","url":null,"abstract":"<p><strong>Background: </strong>Several experiments have investigated phonological encoding in children who stutter (CWS) using different phonological processing skills and yielded equivocal results. Studies examining phonological processing skills in Arabic-speaking CWS are scarce and focused on discrete tasks. The current study's aim was to (1) compare the performance of Egyptian Arabic-speaking CWS on a variety of phonological processing tasks to that of children who do not stutter (CWNS) in order to get a broad picture of children's phonological encoding skills and (2) examine the association of phonological processing deficits, if any, with stuttering severity.</p><p><strong>Methods: </strong>This case-control study was executed on 92 monolingual Arabic-speaking Egyptian children between the ages of 4 years 6 months to 6 years 5 months, including 50 typically-developing children and 42 children diagnosed with stuttering. Phonological processing was evaluated in both groups using a battery of tests that included assessments of phonological awareness, memory, and retrieval.</p><p><strong>Results and conclusion: </strong>Results revealed that Arabic-speaking CWS demonstrated significantly lower performance on all phonological processing skills than normally fluent children. However, such performance was not related to stuttering severity. Sex differences were detected where females demonstrated better performance than males. Phonological encoding deficits might be implicated in stuttering development. Evaluation of phonological processing skills should be integrated in the overall assessment of CWS.</p><p><strong>What this paper adds: </strong>What is already known on this subject Several experiments in different languages (e.g., English, Persian, Arabic, and Kannada) have explored phonological processing in children who stutter (CWS) over individual tasks or a combination of tasks as a means for investigating phonological encoding and yielded equivocal results. What this study adds to existing knowledge Arabic-speaking CWS demonstrated significantly lower performance on all phonological processing skills than normally fluent children. No relation was found between performance in phonological processing and stuttering severity in CWS. Females who stutter show better performance in phonological processing than males. Phonological encoding deficits might be implicated in stuttering development. What are the clinical implications of this study? Evaluation of phonological processing skills should be included in the overall assessment of CWS.</p>","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":"e70294"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13370138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449942","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":"Correction to \"Knowledge, Attitude and Practices of Swallowing and Dysphagia: A Cross-Sectional Survey Among the Community Dwelling Adults of South India\".","authors":"","doi":"10.1111/1460-6984.70293","DOIUrl":"10.1111/1460-6984.70293","url":null,"abstract":"","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":"e70293"},"PeriodicalIF":2.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13365628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438680","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 Systematic Review on Patient and Public Involvement in Research on Childhood Communication Difficulties","authors":"Zhixing Yang,&nbsp;Quynh Brooke Ho,&nbsp;Ria Bernard,&nbsp;Liam Barrett,&nbsp;Peter Howell","doi":"10.1111/1460-6984.70281","DOIUrl":"https://doi.org/10.1111/1460-6984.70281","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;The proposal to involve patients and the public (Patient and Public Involvement; PPI) in research is increasingly recognised as important in research concerning speech, language, and hearing and communication difficulties. Whilst there is extensive guidance about PPI involvement by national agencies such as the National Institute of Health Research in the UK, little information is currently available concerning whether these expectations are met in any area of healthcare provision.&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;This systematic review aimed to identify, describe and evaluate how PPI has been implemented and reported in research concerning childhood speech, language, hearing and communication difficulties.&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;Six electronic databases were systematically searched for eligible studies reporting PPI in these fields. Records were screened against predefined eligibility criteria. Data were extracted on study characteristics, PPI contributors, stages and methods of involvement, reported impacts, and quality of PPI reporting. The methodological and PPI quality were assessed using MMAT and GRIPP2 Short Form, and findings were synthesised narratively.&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;Twenty-one studies were included. PPI was reported variously across speech, language, hearing and communication topics, the implementations varied considerably. Parents, carers and professionals were more commonly involved than children and young people themselves. Most studies used consultation-based approaches, often during early stages (e.g., study design or material development), while fewer reported involvement in later stages (e.g., dissemination, implementation or evaluation). Reporting was inconsistent, particularly regarding contributor characteristics, accessibility adaptations, decision-making influence, and the impact of PPI.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The systematic review showed that PPI in childhood speech, language, and hearing difficulties has advanced significantly, with the growing interest and number of publications, particularly in the past five years. The review also highlighted challenges such as confusion and heterogeneity of PPI concepts, representativeness issues, tokenistic practices, lack of support given to lay contributors, and limited impact evaluation. Future research should distinguish PPI from research participation,","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70281","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148324933","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":"Early Identification of DLD in Paediatric Practice: A Pilot Validation of the CLAP Screening Tool in Italian Outpatient Settings","authors":"Andrea Ricotti,&nbsp;Danilo Dimitri,&nbsp;Federica Nebbia,&nbsp;Andrea Carpino,&nbsp;Lorena Charrier,&nbsp;Giulia De Cillis,&nbsp;Silvia Bonzo,&nbsp;Maria Actis,&nbsp;Elena Grosso,&nbsp;Emanuela Malorgio,&nbsp;Silvia Gambotto,&nbsp;Lucia Borsotti,&nbsp;Silvia Gallo,&nbsp;Fabiana Marnetto,&nbsp;Emilia Parodi","doi":"10.1111/1460-6984.70282","DOIUrl":"10.1111/1460-6984.70282","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;Language development in early childhood varies considerably, making early detection of Developmental Language Disorders (DLDs) challenging despite their high prevalence and long-term effects on learning and mental health. In Italy, no culturally adapted, easy-to-use screening tools are currently available in primary care. To address this gap, a screening tool was developed to support the early identification of children aged 24–72 months at risk of DLD and other clinically relevant language difficulties.&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;To evaluate the psychometric properties and accuracy of the Comunicazione e Linguaggio in Ambulatorio Pediatrico (CLAP), a brief age-specific screening tool designed for use in Italian paediatric outpatient settings.&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;In this pilot validation study, children were recruited by primary care paediatricians during routine well-child visits and stratified into four age groups: 24–30, 36–42, 48–54, and 60–72 months. After administration of the CLAP screening tool, each child underwent a blinded speech-language pathologist (SLP) assessment. Psychometric evaluation included internal consistency, item–total correlations, confirmatory factor analysis, and item response theory indices (discrimination and difficulty). Diagnostic accuracy was assessed using ROC curves, area under the curve (AUC), sensitivity, specificity, and optimal cut-offs. Analyses were conducted separately for each age group.&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;Fifty children were enrolled in each age group; overall, 24% of the sample fell into the pathological subgroup after the blinded SLP assessment. Internal consistency was acceptable in the 24–30-month (KR-20 = 0.695) and 36–42-month (KR-20 = 0.777) groups, but lower in older children. Factor analyses supported a mainly unidimensional structure in the younger groups. Item response theory showed good discrimination and informativeness for several items. ROC analyses indicated excellent diagnostic accuracy in the 24–30-month group (AUC = 0.93; sensitivity = 92%; specificity = 87%), fair accuracy in the 36–42- and 48–54-month groups (AUC = 0.75 and 0.74), and poor performance in the 60–72-month group (AUC = 0.46).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion and Implications&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The CLAP demonstrates promising psychometric properties and good-to-fair accuracy as a brief scre","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70282","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320275","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}