International Journal of Language & Communication Disorders最新文献

{"title":"Immediate Effects of Delayed Auditory Feedback on Stuttering: A Systematic Review and Meta-Analysis of Literature Published 2000–2024","authors":"Daichi Iimura, Takuma Yamamoto, Osamu Ishida","doi":"10.1111/1460-6984.70283","DOIUrl":"10.1111/1460-6984.70283","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This systematic review and meta-analysis evaluated the fluency- enhancing effect of DAF alone in individuals with developmental stuttering.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following PRISMA 2020 guidelines, we searched multiple databases for studies published between 2000 and 2024. Eligible studies examined DAF conditions applied to speech tasks with stuttering-related outcomes. Meta-analyses were conducted using a random-effects model, with subgroup analyses by disfluency type, delay time, speech task, stuttering severity, and participant age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 194 records screened, eight studies involving a total of 98 participants in total met the inclusion criteria, and five studies involving 61 participants were eligible for quantitative synthesis. Each study included 8–20 participants ranging from school-age children to adults. Most participants were male, and stuttering severity ranged from mild to severe. DAF conditions were evaluated using oral reading and spontaneous speech/monologue tasks. Meta-analysis revealed no significant overall benefit of DAF compared with normal auditory feedback (NAF; mean difference = –1.46, 95% CI [–4.83, 1.91]).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>DAF alone does not consistently reduce disfluencies; however, specific populations and conditions may derive greater benefits from it. Larger, well-controlled studies are needed to clarify its therapeutic potential and clinical applications.</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>Delayed auditory feedback (DAF) has been reported to improve fluency in people who stutter and is used in several assistive devices. However, its independent effect remains unclear because DAF is often combined with other altered auditory feedback conditions.</li>\u0000 </ul><i>What this study adds to existing knowledge</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>This systematic review and meta-analysis evaluated the exclusive effect of DAF on stuttering. The results indicate that DAF alone does not consistently reduce disfluency compared with NAF, although certain conditions (e.g., shorter delays or reading tasks) may show greater benefits.</li>\u0000 </ul><i>Wha","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70283","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309927","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":"Parental Perspectives and Experiences of Working With Speech and Language Therapists to Support Home Practice for Their Child With a Speech Sound Disorder: A Qualitative Study","authors":"Katherine Pritchard, Vesna Stojanovik, Jill Titterington, Emma Pagnamenta","doi":"10.1111/1460-6984.70280","DOIUrl":"10.1111/1460-6984.70280","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Speech sound disorder (SSD) is broadly defined as difficulty producing speech sounds in childhood. It can have a lasting impact on academic outcomes and well-being, making effective early intervention vital. Speech and language therapists (SLTs) consider parental involvement—particularly supporting their child with home practice—as essential to a child's progress. Relationships between SLTs and parents are known to facilitate this engagement. However, there is a significant gap in the literature regarding parents’ perspectives, and little is known about what parents perceive to be most effective in supporting home practice. Understanding these perspectives is crucial for designing interventions that are both feasible and meaningful for families.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the perspectives of parents of children with SSD aged ≤5;11, about their experiences with speech and language therapy intervention sessions and home practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>This study used qualitative methodology. Nine parents, recruited via social media, professional networks and a university clinic, participated in focus groups or 1:1 interviews. A group of children, aged 4–6, who had lived experience of SSD, speech and language therapy and home practice were consulted to design the topic guide and inform data analysis. Discussions were recorded, transcribed verbatim and analysed using Reflexive Thematic Analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>Four main themes were constructed as follows: (1) Building positive therapeutic relationships is fundamental to families’ experiences and creates the foundation for successful home practice. (2) SLTs need to employ a wide range of skills and knowledge, including a multi-modal approach to empower parents and develop their capability. (3) Clear communication is key for shared power, understanding of roles, active involvement and effective home practice. (4) Factors outside an individual's control can impact parents’ attitudes towards, and engagement with, home practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>We conclude that relationships between SLTs and parents, and the skills required to build these, underpin parental motivation to engage in home practice. To maximise parental capability, SLTs ensure that parents understand not only what to do but why they are doing it, u","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70280","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303005","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 Quasi-Experimental Study of an Online Communication Partner Training Program for Orthoptic Students","authors":"Sonia Lau, Emma Power, Amanda French","doi":"10.1111/1460-6984.70277","DOIUrl":"10.1111/1460-6984.70277","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>Current clinical practice guidelines recommend communication partner training (CPT) for healthcare professionals to maximise effective communication when providing care to clients with an acquired brain injury (ABI) from stroke and traumatic brain injury. Orthoptists are eye care professionals who work with people with ABI who often have concurrent communication and visual impairments. However, CPT studies often do not include orthoptists, and training programs seldom explicitly address the intersection of vision and challenges to common supportive communication strategies. This study evaluated the impact on knowledge and confidence, acceptability, appropriateness and feasibility of a self-paced, online CPT program (interact-ABI-lity) for orthoptic students from the perspective of students and qualified orthoptists. It also explored ways of embedding content on visual impairment into student learning programs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>An explanatory, sequential mixed-methods quasi-experimental study was conducted. Participants were qualified orthoptists (<i>n</i> = 13) and orthoptic students (<i>n</i> = 37) who enrolled in the interact-ABI-lity program. They completed quantitative pre- and post-intervention confidence and knowledge questionnaires, and qualitative feedback was collected through semi-structured focus groups following CPT. Non-parametric tests (Mann–Whitney <i>U</i> test and the related-samples Wilcoxon signed rank test) were used to analyse the confidence and knowledge scores, and qualitative data were examined using content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After completing interact-ABI-lity, orthoptic students showed a significant increase in confidence (<i>n</i> = 37 pre, 24 post; <i>p</i> < 0.001) and knowledge (<i>p</i> < 0.001) about communicating with people with ABI. Almost all participants (96.1%) rated the program ‘very useful’ or ‘extremely useful’. Across nine focus groups, orthoptic students (<i>n</i> = 17), qualified orthoptists (n = 6) and orthoptic educators (<i>n</i> = 5) reported that the program developed valuable knowledge and skills for clinical practice, particularly for entry-level professionals with limited exposure to ABI. Practical experience through interdisciplinary workshops and clinical placements were identified as valuable for enhancing theoretical learning from the program and supporting application to clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The interact-ABI-lity program w","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70277","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302992","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":"Implementing a Neonatal and Paediatric Flexible Endoscopic Evaluation of Swallowing (FEES) Service in a Tertiary Children's Hospital in the United Kingdom: A Retrospective Clinical Audit","authors":"Alanna Thompson (nee Wagher), Jessica De Bolfo, Nicoll Bell, Louisa Ritchie, Stefano Di Gioia","doi":"10.1111/1460-6984.70278","DOIUrl":"10.1111/1460-6984.70278","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Flexible endoscopic evaluation of swallowing (FEES) is internationally recognised as an important instrumental assessment for paediatric dysphagia. Evidence supports its feasibility and safety in infants and children, but UK specific data remain limited. No published UK report describes a jointly delivered speech and language therapist (SLT) and paediatric otolaryngologist (ENT) FEES model applied across both neonatal and paediatric cohorts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To describe the implementation of a neonatal and paediatric FEES service delivered jointly by SLTs and ENT surgeons, and to evaluate clinical characteristics, FEES findings and subsequent changes to management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective audit included all children undergoing FEES between January 2024 and January 2025. Extracted data included demographics, comorbidities, referral indications, secretion management, penetration and aspiration events, swallow physiology, procedural tolerance and pre and post FEES feeding plans. Descriptive statistics were used to describe results. Governance approval was obtained through the hospital's information governance office. (IG 2024-890).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-three children aged 4 days to 8 years underwent FEES. Comorbidities associated with dysphagia were present in 31/33 participants. Penetration or aspiration occurred in 21/33 participants, and secretion management difficulties occurred in 14/33 participants. Following FEES, 30/33 participants had a change to their feeding management plan compared with the plan developed based on a clinical feeding evaluation. No major adverse events occurred. One brief episode of mild epistaxis resolved spontaneously. The joint SLT and ENT model supported efficient scope passage and likely contributed to high procedural tolerance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A neonatal and paediatric FEES service can be safely implemented in a UK tertiary hospital using a joint SLT and ENT model. Simultaneous upper airway examination alongside FEES provided clinically meaningful information that frequently changed management. Findings support further multicentre work to establish national paediatric FEES pathways.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <p><i>What is already known on this subject</i></p>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297016","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":"Labelling, Defining and Classifying the Active Ingredients in Oral Language Interventions for Children With or at Risk of Developmental Language Disorder: A Systematic Review and Qualitative Synthesis","authors":"Pauline Frizelle, Doris Murphy, Lenora Murphy, Leonard Fletcher, Norma O'Leary, Norma Kerrisk, Imogen Lyons, Ana Buckley, Patricia Eadie, Susan Ebbels, Melanie Ferk-Dornstauder, Johanna Jessenitschnig, Silke Fricke, Maja Kelic, Sari Kunnari, Suze Leitão, Cristina McKean, Karla McGregor, Natalie Munro, Carol-Anne Murphy, Amanda Owen Van Horne","doi":"10.1111/1460-6984.70271","DOIUrl":"10.1111/1460-6984.70271","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In recent years, there has been an increase in studies reporting on effective child language interventions for people with or at risk for (Developmental) Language Disorder ((D)LD). However, the translation of this evidence into practice has been impeded by under-specified intervention reporting, specifically on what the active ingredients of therapy are and how they are defined. This systematic review forms part of a larger research programme conducted by the Intervention Consensus for Language Disorder group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To identify, summarise, and synthesize how the active ingredients of oral language interventions for children with or at risk for (D)LD have been labelled, defined, described, and classified in empirical and clinical literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This registered review (PROSPERO ID CRD42024541407) adhered to PRISMA guidelines. Search terms were included in seven electronic databases. Included literature comprised peer-reviewed oral language intervention studies (published in English, German, Portuguese, Croatian, Italian, or Finnish; between January 2019 and May 2024; and reporting on participants who were ≤ 18 years, with/at risk for (D)LD); intervention-focused taxonomies; intervention manuals (published in the last 10 years); and textbooks used to teach child language interventions in pre-registration Speech and Language Therapy/Pathology courses (identified through the Whatworks database and a social media survey, respectively). Data extraction was guided by the TIDieR checklist with additional items deemed relevant for this review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>9576 articles were identified and screened; 619 were included for full text screening; and 243 articles were included in the review. Significant reporting inconsistencies were evident, including identical labels masking different mechanisms, as well as similar mechanisms operating under different labels; conflation of discrete techniques and procedures; the application of common labels in multiple ways; the use of unfamiliar terminology to refer to familiar techniques; and the use of broad terms masking multiple active ingredients. These inconsistencies do not align with what is considered well-specified active ingredients and consequently, significantly impede intervention replication and cross study comparisons.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70271","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279352","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":"‘We Needed a Hell of a Lot More Support, the Emotional Side of It, the Physical Side of It. Every Side of It, We Just Didn't get It.’ A Qualitative Study Exploring the Lived Experiences of Healthcare Services Following Discharge for People With a Total Laryngectomy and Their Families","authors":"Laura-Jayne Watson, Linda Sharp, David W. Hamilton, Vicky Thornton, Joanne M. Patterson","doi":"10.1111/1460-6984.70275","DOIUrl":"10.1111/1460-6984.70275","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>People with a laryngectomy (PwL) and their families commonly require sustained support from healthcare professionals. But the needs of PwL and their families once they return home following hospital discharge are not well understood. Moreover, community healthcare professionals are not specialists in laryngectomy; they work in pressurised environments and lack time and access to education and training. This could impact safety of care and overall adjustment to life after laryngectomy. To better support healthcare professionals in the community to offer a more tailored approach, we first need to understand the needs of PwL and their families.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to understand the lived experience of healthcare services following discharge, including how services could improve, from the perspective of PwL and their families.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured dyadic and individual qualitative interviews were conducted with PwL±family members. Participants were recruited purposively by clinicians from three head and neck centres in the UK. Interviews were audio-recorded, transcribed verbatim and analysed using Braun and Clarke's approach to reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nineteen interviews were conducted with seventeen PwL and thirteen family members. Three inter-related themes were established: ‘Immediate Practical and Emotional Demands of Post-Discharge Life, ‘I had no idea what to do…you don't know anything. What do I do?’; ‘Learning to Cope and Find Acceptance in Everyday Home Life, ‘It was just a matter of coming to terms with the fact that socially and physically I was not the same person I was… I cannot change this, so I don't worry about it, I just accept it.’; and Navigating Healthcare Services in the Post-Laryngectomy Journey, ‘I understand it's, you know, it's exceptionally difficult to put it all together because there are so many different things…so many different departments all involved in everything.’</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study has highlighted a greater need for better support and intervention for PwL, and their families once discharged home after laryngectomy. Improved collaboration between healthcare professionals and services is needed, as well as better laryngectomy education and training for community healthcare professionals. Future research shoul","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70275","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279419","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":"Speech Intelligibility and Perceived Listening Effort in Children With Cleft Palate: A Comparison Between Non-Syndromic and Selected Syndromic Conditions","authors":"Hedieh Hashemi Hosseinabad, Yixun Xing","doi":"10.1111/1460-6984.70279","DOIUrl":"10.1111/1460-6984.70279","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children with syndromic cleft lip and/or palate (SCL/P) often experience more severe speech impairments than those with non-syndromic clefts, yet most research has focused on velopharyngeal function rather than overall communication burden. Speech intelligibility alone may not fully capture listener difficulty, making perceived listening effort (PLE) a potentially valuable complementary metric. This study compares intelligibility and PLE between children with SCL/P and NSCL/P to better understand how syndromic features impact communicative effectiveness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Examine the differences in speech intelligibility and PLE between children with non-syndromic cleft lip and/or palate (NSCL/P) and those with SCL/P.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>Speech recordings of 21 speakers with cleft palate, with/without cleft lip (10 in the NSCLP group and 11 in the SCLP), aged 4–12 years, were used. Fifty-two naïve speakers of American English served as listeners to judge intelligibility and PLE ratings. Each speaker produced 10 sentences from the HINT list, and the listeners used a VAS scale to rate intelligibility and PLE. Mean intelligibility scores and PLE scores across two groups of speakers with SCLP and NSCLP were compared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>The estimated correlation between the two responses, PLE and intelligibility, was −0.88 across observations. The comparison between the SCLP and NSCLP groups showed that the former was significantly higher in PLE for 21.23 units (<i>Z =</i> −11.07<i>, p <</i> 0.001) and lower in VAS for 23.95 units (<i>Z =</i> 12.78<i>, p <</i> 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>This study revealed significant differences in speech intelligibility and PLE between children with syndromic and NSCL/P. Children in the SCLP group were perceived as significantly less intelligible and required substantially greater listening effort compared to their peers in the NSCLP group. These findings underscore the need for targeted clinical approaches in considering speech intelligibility as a diagnostic marker for identifying undiagnosed syndromic cases of cleft palate, like individuals with submucous cleft palate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known about the subject</i>\u0000 \u0000 <ul>\u0000 \u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260259","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":"Childhood Speech Impairment and Dementia Risks Among U.S. Older Adults","authors":"Haowei Wang, Shu Xu, Yalian Pei","doi":"10.1111/1460-6984.70274","DOIUrl":"https://doi.org/10.1111/1460-6984.70274","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Speech problems in childhood have profound implications for learning, communication, as well as the development of social and cognitive skills in adulthood. However, research has yet examined how early life speech problems may be associated with subsequent dementia risks in later life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Using nationally representative data from the longitudinal Health and Retirement Study, this study aimed to investigate how the experience of speech problems before age 16 was associated with the risk of dementia among older adults aged 50 and older.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>The analysis pooled the full life history information about childhood speech problems for <i>N</i> = 17,863 participants who had one to eleven observations for cognitive and sociodemographic information from 2000 to 2020. We constructed person-interval data and estimated discrete-time event history models to examine risks for developing dementia, which was measured using a validated Langa-Weir classification of cognitive function.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results showed that older adults with childhood speech problems had a higher risk of developing dementia in later life, compared to those who never had speech problems in childhood. The effect of childhood speech problems on cognitive function was partially explained by economic status and health conditions in midlife.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>Findings highlight the long-arm implications of early life health adversity and suggest needs for screening and early intervention programs for childhood speech impairment.</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>Literature had documented various developmental and health outcomes of childhood speech impairment. This research addresses the gap in the literature by examining the long-term implications of childhood speech impairment on dementia risk in later life.</li>\u0000 </ul>\u0000 <i>What this paper adds to existing knowledge</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>Using longitudinal data from ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70274","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148238175","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":"Knowledge, Attitude and Practices of Swallowing and Dysphagia: A Cross-Sectional Survey Among the Community Dwelling Adults of South India","authors":"Thejaswi Dodderi, Snezan Wayne Dsouza, Viola Maryann Dsouza, Radish Kumar Balasubramanium, Mohit Kothari","doi":"10.1111/1460-6984.70273","DOIUrl":"https://doi.org/10.1111/1460-6984.70273","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Community awareness of swallowing and dysphagia plays a significant role in improving early-referral behavior. Literature reports that community awareness of swallowing and dysphagia in the Western countries to be low. Conversely, India has a diverse cultural, linguistic and healthcare-related factors which may influence the health-seeking behavior and early-referral of dysphagia. Hence, it becomes difficult to generalize the findings of existing literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The primary objective of this study was to analyze the knowledge, attitudes and practices (KAP) related to swallowing and dysphagia among the community dwelling adults of South India. The secondary objective was to evaluate if age, sex and education levels were associated with these factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>Community dwelling adults were recruited from Mangalore city, India for a cross-sectional survey using a convenience sampling design. A purposive built content validated 27-item questionnaire was distributed using Google Form and/or hard copies to the participants for data collection. Participant's responses were independently analyzed by two Speech Language Pathologists using open content analysis. The responses were summarized as percentages and categories and chi square test was administered to examine the association between age, sex and education levels and KAP enquiries at 0.05 level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>A total of 372 participants aged 20–79 years (mean age = 46.26; SD = 15.63) participated in the study. Participants demonstrated limited knowledge of signs, causes, complications and professional management of dysphagia. Aspiration was widely recognized as unsafe, yet only one-tenth correctly identified pneumonia as a complication of dysphagia. Less than one-fifth knew the treatment options for dysphagia. Attitudes reflected fear of choking, discomfort towards nasogastric-tube feeding and moderate willingness to seek help from healthcare professionals. Practices suggested low awareness of Heimlich maneuver, inconsistent food-texture modification and reliance on water to manage dry mouth. Age, sex and education levels were significantly associated with knowledge (saliva is important for chewing, avoid eating in public space to overcome stigma, early intervention helps regain swallowing abilities, age range frequently associated with dysphagia), attitude (fear of choking, preference to non-oral feeds), practices (using inter","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70273","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148237772","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":"Assessing Cognitive Communication Disorders for Return to Work Following Acquired Brain Injury: A Mixed Methods Investigation of Clinical Experiences and Perspectives","authors":"Kate Cameron, Petrea Cornwell, Kerrin Watter, Vanette McLennan, Nina Wegener, Ronelle Hewetson","doi":"10.1111/1460-6984.70265","DOIUrl":"https://doi.org/10.1111/1460-6984.70265","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cognitive communication changes are common after acquired brain injury (ABI) and can impact a person's ability to return to and sustain work.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To understand the practices and experiences of speech-language pathologists (SLPs) involved in assessing cognitive communication skills for return to work (RTW) after ABI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>An explanatory sequential mixed methods design was used, involving sequential data collection points of a benchmarking survey followed by expert opinion focus groups. Descriptive statistics and content analysis were used to analyse the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-four SLPs completed an online survey. Six participants took part in focus groups. Findings suggest SLPs are currently involved in assessing the communication skills of individuals aiming to RTW after an ABI, and that they use a variety of approaches, including standardised and informal or dynamic assessments. They may benefit from training resources, and support to integrate into interprofessional teams.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion & implications</h3>\u0000 \u0000 <p>This study emphasises the need to prioritise assessing cognitive communication skills for individuals aiming to RTW post injury. While SLPs provide assessment for this population, improving their integration in interprofessional teams, training and detailed clinical resources will be valuable.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Practitioner Points</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>SLPs have specialised expertise that can be applied to assessing cognitive communication skills for return to work (RTW).</li>\u0000 \u0000 <li>Practice guidelines that are specific to cognitive-communication assessment for RTW are needed to support decision-making and ensure greater practice consistency and confidence.</li>\u0000 \u0000 <li>Interdisciplinary collaboration and involvement of SLPs in the RTW process can ensure communication skills are appropriately assessed.</li>\u0000 </ul>\u0000 </div>\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>It is known that cognitive and soc","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148237774","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}