{"title":"Improving Health Care Services for Autistic Young Adults: Development and Use of a Self-Reported Health Care Transition Readiness Assessment","authors":"N. C. Cheak-Zamora, L. Boccardi, G. Bertucci","doi":"10.1111/1460-6984.70267","DOIUrl":"10.1111/1460-6984.70267","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Autistic young adults’ preparation for and experiences of transitioning to adult healthcare services is understudied. This transition period is important for Autistic young adults as many have chronic physical and mental health conditions that require regular healthcare utilization.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to examine the experiences of autistic young adults as they transition into the adult healthcare system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>Participants were recruited through social media, word of mouth and advertisements in autism specialty clinics. Autistic young adults (<i>n</i> = 14) completed surveys and individual interviews, via Zoom, about health-related transition skills and experiences. Three researchers used thematic analysis to Bertucci</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>Participants rated all Health-related independence topics as important to the transition process, with knowledge about physical and mental conditions and safety as most important. Qualitative findings centred around what supports helped and hindered autistic young adults from becoming more independent. They used electronic reminders, observation, or training to learn living skills. Barriers included reliance on caregivers and a sense of being unable to achieve independence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>Autistic young adults reported having some strategies but facing many challenges in achieving independence, related to healthcare needs. Participants described barriers related to making medical appointments, taking medications on their own and talking about their ASD and other medical conditions. Interventions and assessments should incorporate their experiences and needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key Points</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>Autistic young adult participants described the need for memory aids and reminders as an important part of being an adult.</li>\u0000 \u0000 <li>Many participants reported learning independent-related skills by observing or mirroring others, asking a support person for guidance, or searching out information often on the internet.</li>\u0000 \u0000 <li>Particip","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70267","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206727","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}
Beth Fitzpatrick, Jane Coad, Debbie Sell, Mike Price, Tanya Rihtman
{"title":"Development and Testing of the West Midlands Assessment of Speech-Preschool (WAS-P) for 3-Year-Olds With Cleft Palate ± Cleft Lip","authors":"Beth Fitzpatrick, Jane Coad, Debbie Sell, Mike Price, Tanya Rihtman","doi":"10.1111/1460-6984.70269","DOIUrl":"10.1111/1460-6984.70269","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In the United Kingdom, cleft care is provided across 14 regional NHS cleft units. Although all units assess speech at age 3, no speech assessments have been designed specifically for 3-year-old children with cleft palate ± cleft lip (CP ± L). Existing speech samples for older children are often too complex for this age group, while generalised samples may contain an excessive number of nasal consonants, influencing listener judgements of resonance and nasal airflow. The lack of a standardised assessment for 3-year-olds prevents meaningful comparisons of speech outcomes across UK cleft units before age5.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This paper describes the first stage in developing a valid and reliable speech assessment protocol for 3-year-old children with non-syndromic CP±L. This stage involved creating and piloting the West Midlands Assessment of Speech–Preschool (WAS-P) speech samples with 3-year-olds both with and without CP±L. The study aimed to: (1) design age-appropriate speech samples that assess speech parameters associated with CP±L, suitable for both routine clinical assessment and the evaluation of speech outcomes. (2) evaluate the completion rates and clinical usability of these speech samples, including the views of speech and language therapists (SLTs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>Two English-language speech samples were developed, considering linguistic, lexical, and practical factors. Sample A combined spontaneous speech with single-word picture naming (59 words, including a cross-linguistic sample), while Sample B involved the repetition of 24 short sentences. The speech samples were piloted with 20 children with non-syndromic CP±L and five children without CP±L. Completion rates and completion times were recorded. Seven cleft-specialist SLTs analysed video recordings of the sessions and provided feedback on acceptability and usability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>All children without CP±L completed both speech samples, compared to a 70% completion rate among children with CP±L. More children with CP±L attempted the single-word picture-naming task than the sentence-repetition task, even if they did not complete it fully. The duration of the sentence-repetition sample was completed in significantly less time than the spontaneous speech and single-word naming sample. SLTs reported that the 3-year-olds were generally well engaged and indicated that both samples would be suitable for clinical practice.</p>\u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70269","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151817","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}
Claudia Olivares-Matus, Anna Volkmer, Suzanne Beeke
{"title":"Communication Partner Training Practices for People With Aphasia Among Latin American Speech and Language Therapists: A Survey of Implementation Barriers and Facilitators","authors":"Claudia Olivares-Matus, Anna Volkmer, Suzanne Beeke","doi":"10.1111/1460-6984.70272","DOIUrl":"10.1111/1460-6984.70272","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Communication Partner Training (CPT) is an evidence-based approach that enhances conversation and participation for people with aphasia (PwA) by involving their communication partners (CPs) in therapy. Although CPT is endorsed in international guidelines, little is known about its application in Latin American contexts, where linguistic and cultural diversity and limited resources may influence clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study explored the current CPT practices of Latin American Spanish-speaking speech and language therapists (SLTs), identifying barriers, facilitators, and needs to inform the future cultural adaptation of the Better Conversations with Aphasia program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An existing CPT practice survey was adapted and distributed to SLTs in six Latin American countries (Chile, Argentina, Colombia, Peru, Mexico, and Costa Rica). The survey included demographic questions, closed-response items analysed with descriptive statistics, and open-ended items analysed thematically using a codebook approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Although many respondents reported training families to use strategies such as gestures and simplified speech with PwA, many of these practices appear to involve elements of communication support rather than the structured components typically associated with formal CPT programmes. These practices were mainly implemented informally and without structured training principles, goal setting, or outcome evaluation—key components of evidence-based CPT—largely due to barriers such as limited time, training, and resources. Facilitators included strong professional motivation and willingness to involve family members in therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings underscore the need for culturally adapted CPT interventions in Latin America. Developing accessible training and institutional support will be crucial to strengthening CPT implementation and enhancing communicative participation for PwA and their CPs across the region.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on the subject</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>Communication Partner Training (CPT) is an evidence-bas","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70272","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145192","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}
Petria Winter, Juan Bornman, Marien Alet Graham, Jeannie van der Linde
{"title":"From Theory to Therapy: How South African Speech-Language Pathologists Use Language Sample Analysis for Multilingual Children","authors":"Petria Winter, Juan Bornman, Marien Alet Graham, Jeannie van der Linde","doi":"10.1111/1460-6984.70268","DOIUrl":"10.1111/1460-6984.70268","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aim</h3>\u0000 \u0000 <p>Given the globally increasing multilingual population and technological advances in language sample analysis, the study investigated the clinical utilisation of language sample analysis by speech-language pathologists practicing in South Africa.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The current study explored South African speech-language pathologists’ perspectives on language sample analysis (LSA) to offer further directions for research and clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method and Procedures</h3>\u0000 \u0000 <p>Sixty-eight South African speech-language pathologists participated in this mixed-method survey design study. This study explored the perspectives on the use, barriers and enablers of LSA among users, as well as perspectives on LSA and alternative language assessment practices among non-users.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>Most participants used LSA as part of child language assessment protocols. The most notable barriers were time constraints and limited knowledge and expertise in using LSA as an assessment measure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>Research and clinical practice should continue to explore the potential of technological advances to bridge barriers posed by the time-consuming nature of transcription and the analysis of language samples. Graduate training and curricula should continue to encourage the use of LSA and enable speech-language pathologists to use it as a clinical tool for the fair assessment and intervention of multilingual children.</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>Language sample analysis is a widely recognised adjunct to the language assessment protocols for children; however, its clinical utilisation is low.</li>\u0000 </ul>\u0000 <i>What this paper adds to the existing knowledge</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>The current study reports interesting findings indicating an upward trend in the clinical use of language sample analysis.</li>\u0000 </ul>\u0000 <i>What are the clinical implications of this study?</i>\u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70268","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057831","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":"‘Don't say “fis” say “fish” ’, ‘I said “fis”’: Ethical Considerations in Therapy to Change Child Speech","authors":"Anne Harding-Bell","doi":"10.1111/1460-6984.70255","DOIUrl":"10.1111/1460-6984.70255","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Historically, assessment of child speech has focused on transcription and analysis of speech sound production with no exploration of the child's own perception of his or her speech. This article explores the possibility that whilst children with speech ‘difficulties’ may be aware that ‘talking to people’ is problematic, they may <i>not</i> be aware that the reason for their communication difficulty is that their speech is unclear. Similarly, in a therapy context, the child's own appreciation of the purpose and progress of therapy has not been explored. Given the current concern for child well-being, particularly in educational settings, it is timely to examine the premise that all children with speech difficulties are <i>consciously aware</i> that their speech is different, that they want to change the way they talk <i>and</i> that they welcome help to improve their speech.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This overview of a child's own perception of his or her ‘disordered’ speech aims to bring the child's perspective clearly into focus. Long-held assumptions that children are aware of their speech differences and seek to change them are revisited, and consideration is given to the possibility that young children with speech disorders don't perceive the difference between adult pronunciations and their own. An ethical perspective of engaging young children in activities to change the way they talk before they have developed an appreciation that their pronunciation is different from an adult model is presented and considered. Readers will gain new insights into a child's perspective of not being understood and of being confused by efforts to help them to speak more clearly when their own perception is that their speech already matches the adult pronunciation. Clinicians will come to appreciate that strategies to ‘help’ children with their speech may feel confusing and even distressing to the child. Given the likelihood that children with SSD/D have little or no awareness of their mispronunciations, a case is made for a less corrective, directive style of therapy and for more facilitative, non-corrective therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Childhood experiences of growing up with speech sound difficulties are considered through child-focused interpretation of clinical video data and relevant literature. Review of a small selection of parent-consented videos originally collected for clinical or audit purposes prompted reflection on the child's perspective of assessment and therapy. In addition, adult reflections on their childhood experiences of speech problems in different contexts a","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70255","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044395","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}
Nur Amira Said Udin, Nik Aisyah Najwa Nik Mustaffa Shapri, Mohammad Suhaidi Sha'ari, Muhammad 'Izzuddin Zamery, Abdul Azim Al-Abrar Ahmad Kailani, Ammar Kamar, Mohd Shahezwan Abd Wahab
{"title":"Prevalence and Factors Associated With Pill-Swallowing Difficulties Among Outpatient Pharmacy Attendees at a Malaysian Teaching Hospital: A Cross-Sectional Study.","authors":"Nur Amira Said Udin, Nik Aisyah Najwa Nik Mustaffa Shapri, Mohammad Suhaidi Sha'ari, Muhammad 'Izzuddin Zamery, Abdul Azim Al-Abrar Ahmad Kailani, Ammar Kamar, Mohd Shahezwan Abd Wahab","doi":"10.1111/1460-6984.70258","DOIUrl":"10.1111/1460-6984.70258","url":null,"abstract":"<p><strong>Background: </strong>Pill-swallowing difficulty is a common yet under-recognised barrier to effective pharmacotherapy, with potential consequences for adherence, therapeutic efficacy, and patient safety. Malaysian evidence is scarce, particularly in outpatient populations where long-term oral medication use predominates.</p><p><strong>Objective: </strong>To determine the prevalence, identify associated factors, and examine the consequences of pill-swallowing difficulties among outpatient pharmacy attendees in a Malaysian teaching hospital.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted at the outpatient pharmacy of Hospital Al-Sultan Abdullah (HASA), Universiti Teknologi MARA (UiTM), over six weeks in 2025. Adults who received at least one pill (e.g., tablets, capsules or caplets) were invited to complete an electronic questionnaire. Ethical approval was obtained from the UiTM research ethics committee. Binary logistic regression was used to identify associated factors, and descriptive analyses summarised reported problems, coping strategies, medication adherence, psychosocial and behavioural consequences, and consultations with healthcare professionals.</p><p><strong>Results: </strong>Among 446 respondents, 185 (41.5%) reported difficulty swallowing pills. Compared with participants aged 18-29 years, those aged 30-49 years (aOR = 0.351, 95% CI: 0.177-0.695, p = 0.003) and ≥50 years (aOR = 0.208, 95% CI: 0.094-0.458, p < 0.001) were significantly less likely to report swallowing difficulties. Tertiary-educated individuals had higher odds of reporting difficulties (aOR = 1.878, 95% CI: 1.060-3.328, p = 0.031). A self-reported behavioural pattern of taking pills one by one rather than together was independently associated with difficulty (aOR = 1.636, 95% CI: 1.086-2.462). The most frequent complaints were the sensation of a pill being 'stuck in the throat' (87.0%) and difficulty with caplet shapes (78.9%). Reported consequences included medication non-adherence (36.8%) and psychosocial or behavioural consequences (67.0%). Only 9.7% had sought professional advice.</p><p><strong>Conclusion: </strong>Pill-swallowing difficulty is prevalent among Malaysian outpatients, with important behavioural and clinical implications. Systematic screening, counselling, and patient-centred formulation strategies are warranted to improve adherence and safety.</p><p><strong>What this paper adds: </strong>What is already known on this subject Pill-swallowing difficulty, or pill dysphagia, is a common yet under-recognised problem that may compromise medication adherence and treatment outcomes. International studies report that approximately 29%-55% of adults experience difficulty swallowing solid oral dosage forms, sometimes resulting in medication modification, delayed dosing, or non-adherence. Both formulation characteristics and psychological factors influence swallowability. However, most available evidence derives from Wes","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 3","pages":"e70258"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845134","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":"Correction to 'Risk Factors Associated With Swallowing Complaints and Oral Sensory Problems in Children With a History of Preterm Birth'.","authors":"","doi":"10.1111/1460-6984.70259","DOIUrl":"10.1111/1460-6984.70259","url":null,"abstract":"","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 3","pages":"e70259"},"PeriodicalIF":2.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786831","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}
Müge Baykan, Özge Baykan Çopuroğlu, Yasin Yıldız, Nancy C Brady
{"title":"Cross-Cultural Adaptation and Psychometric Validation of the Communication Complexity Scale (CCS) in Minimally Verbal Turkish Children.","authors":"Müge Baykan, Özge Baykan Çopuroğlu, Yasin Yıldız, Nancy C Brady","doi":"10.1111/1460-6984.70250","DOIUrl":"10.1111/1460-6984.70250","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to translate, culturally adapt, and psychometrically validate the Turkish version of the Communication Complexity Scale (CCS) for minimally verbal children with autism spectrum disorder (ASD) and developmental delay (DD).</p><p><strong>Methods: </strong>A total of 130 children aged 24-60 months (diagnosed according to DSM-5 criteria and recruited from developmental podiatric clinics) with fewer than 20 functional words (as verified through caregiver report and direct clinical observation) completed CCS sessions that were video-recorded and independently coded. Reliability was assessed using intraclass correlation coefficients (ICC), Cohen's kappa, and test-retest correlations. Concurrent validity was examined through correlations with the Turkish versions of the Communicative Development Inventory (CDI) and the Test of Early Language Development (TELD). Construct validity was tested with exploratory and confirmatory factor analyses (CFA). Known-groups validity compared Behaviour Regulation (BR) and Joint Attention (JA) scores between ASD and DD groups.</p><p><strong>Results: </strong>Most children demonstrated intentional non-symbolic communication, confirming the scale's sensitivity to minimally verbal behaviours. Inter-rater reliability was excellent (ICC = 0.86-0.91), and test-retest stability was strong (r = 0.88-0.93). CCS scores showed moderate correlations with standardized language measures (r = 0.39-0.42). CFA supported a one-factor model (RMSEA = 0.06; CFI = 0.93). Children with ASD had higher BR scores, whereas children with DD showed higher JA scores.</p><p><strong>Conclusion: </strong>The Turkish CCS is a reliable, valid, and culturally appropriate tool for assessing communication complexity in minimally verbal children. Its sensitivity to non-symbolic and emerging symbolic behaviours support its use in clinical evaluation, individualized intervention planning, and cross-cultural research.</p><p><strong>What this paper adds: </strong>What is already known on this subject Minimally verbal children with autism spectrum disorder and developmental delay often communicate through non-symbolic behaviours such as gestures, eye gaze, and coordinated actions rather than spoken language. Conventional language assessments primarily target verbal output and therefore underestimate early communicative competence in this population. The Communication Complexity Scale (CCS) is an observational measure designed to capture hierarchical communicative behaviours from pre-intentional to emerging symbolic levels and has demonstrated strong reliability, validity, and sensitivity to change in English- and Mandarin-speaking populations. What this study adds to the existing knowledge This study provides the first culturally adapted and psychometrically validated Turkish version of the Communication Complexity Scale. The Turkish CCS demonstrated excellent inter-rater and test-retest reliability, strong construct","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 3","pages":"e70250"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730575","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}
Kim Coutts, Michelle Manus, Sharné Rheeder, Skye Adams, Alida Be Beer
{"title":"A Rapid Review of Paediatric Dysphagia Research in 2024.","authors":"Kim Coutts, Michelle Manus, Sharné Rheeder, Skye Adams, Alida Be Beer","doi":"10.1111/1460-6984.70264","DOIUrl":"10.1111/1460-6984.70264","url":null,"abstract":"<p><strong>Background: </strong>Paediatric dysphagia, or feeding and swallowing difficulties in children, is a growing area of clinical and research interest due to its complex aetiology and significant impact on nutrition, development and caregiver well-being. As new technologies emerge and culturally responsive care gains traction, it is critical to understand current research on paediatric dysphagia.</p><p><strong>Aim: </strong>The aim of this rapid review was to examine the extent, range and nature of paediatric dysphagia published in 2024 in order to highlight gaps that may inform future research, clinical practice and policy development.</p><p><strong>Methodology: </strong>A rapid review literature review search was conducted to explore paediatric dysphagia research published in 2024. Eligible studies included all research designs focusing on children (0-18 years) with paediatric dysphagia. Data were extracted on study characteristics, methodologies, populations and outcomes, and synthesised using descriptive and content thematic analysis. The methodological quality assessment used the Mixed Methods Appraisal Tool (MMAT).</p><p><strong>Main contribution: </strong>Of the 88 studies were included, the majority of studies were from the global North with only 6% of studies coming from Africa. Clinical populations focused on children with cerebral palsy, autism and NICU graduates. Research predominantly focused on intervention efficacy, assessment tool development and validation, and caregiver experiences. Few studies explored implementation or health systems approaches.</p><p><strong>Conclusion and implications: </strong>Paediatric dysphagia research in 2024 demonstrates a growing focus on intervention development, caregiver-centred approaches and cross-cultural tool adaptation. However, findings also highlight a Western-dominated evidence base, with limited contributions from low- and middle-income countries. This underscores the urgent need for regionally relevant, culturally informed research to ensure equitable access to care and the contextual applicability of interventions worldwide.</p><p><strong>What this paper adds: </strong>What is already known on this subject Paediatric dysphagia is a complex and multifactorial condition affecting feeding and swallowing in children, with substantial implications for nutrition, health and development. Research has typically focused on instrumental assessments, neurodevelopmental populations and intervention development. It is well established that prevalence is higher among children with neurological impairments, congenital anomalies and medically fragile populations. Over the past decade, research has highlighted the importance of early identification and multidisciplinary management, with speech-language pathologists playing a central role in assessment and intervention. Advances in instrumental measures, such as videofluoroscopic swallow studies and fibreoptic endoscopic evaluation of swallowing, ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 3","pages":"e70264"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018562","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}
J H R Maes, A R Scheper, D Hermans, C T W M Vissers
{"title":"Exploring the Potential of Matching-to-Sample-Based Training Protocols to Enhance Language Abilities in Individuals with Language Impairments: A Scoping Review.","authors":"J H R Maes, A R Scheper, D Hermans, C T W M Vissers","doi":"10.1111/1460-6984.70260","DOIUrl":"10.1111/1460-6984.70260","url":null,"abstract":"<p><strong>Background: </strong>Interventions for Developmental Language Disorder (DLD) span explicit and implicit approaches, yet Matching-to-Sample (MTS) protocols, a well-established method for fostering equivalence-based learning, remain unexamined in this population. The partly incidental and implicit nature of these protocols may align more closely with the way language skills are acquired in everyday contexts.</p><p><strong>Aims: </strong>To assess their potential for use in individuals with DLD, we conducted a scoping review of MTS-based language interventions in individuals with language impairments.</p><p><strong>Methods: </strong>Following the PRISMA-ScR guidelines and using Web of Science and PsycINFO, sixteen studies (N = 81, primarily children and adolescents) met inclusion criteria, the key requirement being evidence of language difficulties. In most studies, these difficulties co-occurred with diagnoses of autism spectrum disorder or intellectual disability.</p><p><strong>Main contribution: </strong>The review revealed that most interventions targeted foundational receptive and expressive skills and reliably produced untrained (derived) stimulus relations, underscoring the efficacy of implicit learning mechanisms. However, small sample sizes, varied MTS formats, and a dearth of long-term follow-up constrain generalizability.</p><p><strong>Conclusions: </strong>Our findings position MTS as a promising framework for DLD but highlight the need for controlled trials with standardized protocols, larger and DLD-specific cohorts, and measures of sustained, functional language gains.</p><p><strong>What this paper adds: </strong>What is already known on the subject Matching-to-sample (MTS) training protocols have been successfully applied to teach a wide range of skills across diverse populations. However, systematic reviews specifically evaluating the potential of MTS-based language interventions for individuals with language impairments, and for Developmental Language Disorder (DLD) in particular, are lacking. What this study adds to existing knowledge This scoping review identified a relatively small number of studies involving individuals with language difficulties, most of whom also presented with co-occurring neurocognitive conditions. No studies were found that focused specifically on individuals with DLD. Across the available studies, outcomes were generally positive, with evidence not only for gains in explicitly trained language skills but also for the emergence of untrained foundational language skills. What are the potential or actual clinical implications of this study? If positive findings are replicated in larger, well-controlled trials that also address more advanced language abilities, MTS-based language interventions may represent a promising approach for the sustained improvement of language skills in individuals with DLD.</p>","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"61 3","pages":"e70260"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845067","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}