Ben A M Maassen, Toivo Glatz, Elisabeth Borleffs, Camila Martínez, Barry J A de Groot
{"title":"Digital game-based learning for dynamic assessment and early intervention targeting reading difficulties: Cross-linguistic studies of GraphoLearn.","authors":"Ben A M Maassen, Toivo Glatz, Elisabeth Borleffs, Camila Martínez, Barry J A de Groot","doi":"10.1080/02699206.2025.2452979","DOIUrl":"https://doi.org/10.1080/02699206.2025.2452979","url":null,"abstract":"<p><p>Early detection of reading acquisition failure is crucial since intervention is most effective if started early. This presentation gives a cross-linguistic overview of studies, conducted at our department, making use of GraphoLearn (GL), a serious gaming environment, in three languages with relatively transparent orthographies. Aim of the studies is to evaluate the effectiveness as well as screening value of playing GL. GraphoLearn was used to develop early reading acquisition games in three languages: Spanish, Standard Indonesian (both highly transparent orthographies) and Dutch (intermediate transparency). In all four studies typically developing children, and in some studies, children with developmental language disorder (DLD) and/or reading difficulties participated in a research protocol consisting of a pre-test at the start of reading education, followed by a period of playing GL, and concluded with a post-test and follow-up. The pre- and post-tests comprised standard sets of preliteracy tests. The post-tests also included word decoding tests. Playing consisted of matching (strings of) graphemes on a computer screen with spoken fragments. Results show a mainstream learning trajectory (strong regression) from preliteracy skills, via accuracy and speed of letter-sound association during playing, to early (post-test) and later (follow-up) word and pseudoword decoding. Patterns of qualitative (e.g. errors) and quantitative (e.g. learning rate) in-game data predicting and influencing later reading fluency were found for different subgroups of children. We conclude that GL is an effective tool for early dynamic diagnostic screening, and supporting early reading acquisition. Future perspectives targeting integrated, multi-factorial and cross-modal digital game-based learning (DGBL) are discussed.</p>","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"1-26"},"PeriodicalIF":0.8,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"International perspectives and attitudes towards speech and language therapy and multilingualism.","authors":"Maren Eikerling, Theresa Bloder, Sofía Castro, Tanja Rinker, Maria Luisa Lorusso","doi":"10.1080/02699206.2024.2447533","DOIUrl":"https://doi.org/10.1080/02699206.2024.2447533","url":null,"abstract":"<p><p>For decades, survey studies have shown that adequately assessing and treating multilingual children is a challenge for Speech & Language Therapists (SLTs), due to the scarcity of clinical tools and procedures that take into account the influence that atypical linguistic exposure and the L1 exert on L2 performance. However, the exact reasons why such tools and procedures are not available to SLTs were not fully clarified in previous studies. In a new online survey, 297 SLTs from 17 different countries were asked about their perspectives on SLT service provision for multilingual children with regard to their practical applicability and relevance. Participants were asked to rate their degree of agreement with 17 statements about multilingualism on a scale from 1 to 5. The results show that working with multilingual children is effortful for SLTs. SLTs indicated that assessment tools in languages beyond the societal language are not easily accessible, and that they are not content with the currently available tools. Similarly, SLTs find it difficult to access interpreters to help in the service provision for multilingual children. Participants also agreed that foreign language speakers should be recruited for the profession to increase the linguistic diversity among SLTs. Mandatory internships are considered useful to increase concrete experience in working with multilingual patients. Pointing to a lack of resources, SLTs consider easy access to useful materials and concrete experiences with multilingualism important to promote the development of multilingual and multicultural attitudes and appropriate approaches to linguistic diversity in clinical practice.</p>","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"1-24"},"PeriodicalIF":0.8,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The encoding of speech modes in motor speech disorders: whispered versus normal speech in apraxia of speech and hypokinetic dysarthria.","authors":"M Bourqui, M Lancheros, F Assal, M Laganaro","doi":"10.1080/02699206.2024.2345353","DOIUrl":"10.1080/02699206.2024.2345353","url":null,"abstract":"<p><p>Speakers with motor speech disorders (MSD) present challenges in speech production, one of them being the difficulty to adapt their speech to different modes. However, it is unclear whether different types of MSD are similarly affected when it comes to adapting their speech to various communication contexts. This study investigates the encoding of speech modes in individuals with AoS following focal brain damage and in individuals with hypokinetic dysarthria (HD) secondary to Parkinson's disease. Participants with mild-to-moderate MSD and their age-matched controls performed a delayed production task of pseudo-words in two speech modes: normal and whispered speech. While overall accuracy did not differ significantly across speech modes, participants with AoS exhibited longer response latencies for whispered speech, reflecting difficulties in the initiation of utterances requiring an unvoiced production. In contrast, participants with HD showed faster response latencies for whispered speech, indicating that this speech mode is easier to encode/control for this population. Acoustic durations followed these same trends, with participants with AoS showing greater lengthening for whispered speech as compared to controls and to participants with HD, while participants with HD exhibited milder lengthening. Contrary to the predictions of speech production models, suggesting that speech mode changes might be particularly difficult in dysarthria, the present results suggest that speech mode adaptation rather seems particularly costly for participants with AoS.</p>","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"99-120"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sofia Strömbergsson, Molly Fröjdh, Magdalena Pettersson, Tamás Grósz, Yaroslav Getman, Mikko Kurimo
{"title":"Listening like a speech-training app: Expert and non-expert listeners' goodness ratings of children's speech.","authors":"Sofia Strömbergsson, Molly Fröjdh, Magdalena Pettersson, Tamás Grósz, Yaroslav Getman, Mikko Kurimo","doi":"10.1080/02699206.2024.2355470","DOIUrl":"10.1080/02699206.2024.2355470","url":null,"abstract":"<p><p>Speech training apps are being developed that provide automatic feedback concerning children's production of known target words, as a score on a 1-5 scale. However, this 'goodness' scale is still poorly understood. We investigated listeners' ratings of 'how many stars the app should provide as feedback' on children's utterances, and whether listener agreement is affected by clinical experience and/or access to anchor stimuli. In addition, we explored the association between goodness ratings and clinical measures of speech accuracy; the Percentage of Consonants Correct (PCC) and the Percentage of Phonemes Correct (PPC). Twenty speech-language pathologists and 20 non-expert listeners participated; half of the listeners in each group had access to anchor stimuli. The listeners rated 120 words, collected from children with and without speech sound disorder. Concerning reliability, intra-rater agreement was generally high, whereas inter-rater agreement was moderate. Access to anchor stimuli was associated with higher agreement, but only for non-expert listeners. Concerning the association between goodness ratings and the PCC/PPC, correlations were moderate for both listener groups, under both conditions. The results indicate that the task of rating goodness is difficult, regardless of clinical experience, and that access to anchor stimuli is insufficient for achieving reliable ratings. This raises concerns regarding the 1-5 rating scale as the means of feedback in speech training apps. More specific listener instructions, particularly regarding the intended context for the app, are suggested in collection of human ratings underlying the development of speech training apps. Until then, alternative means of feedback should be preferred.</p>","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"144-165"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Raquel Balboa-Castells, Nadia Ahufinger, Laura Ferinu, Anny Castilla-Earls, Llorenç Andreu, Mònica Sanz-Torrent
{"title":"Grammatical correction and morphological productivity tasks as potential identifiers of developmental language disorder in Spanish-Catalan bilingual children: a pilot study.","authors":"Raquel Balboa-Castells, Nadia Ahufinger, Laura Ferinu, Anny Castilla-Earls, Llorenç Andreu, Mònica Sanz-Torrent","doi":"10.1080/02699206.2024.2350492","DOIUrl":"10.1080/02699206.2024.2350492","url":null,"abstract":"<p><p>A critical problem for Catalan-Spanish bilinguals is the lack of assessment tools to conduct valid and accurate oral language evaluations. The purpose of this preliminary study was to provide pilot data for a new potential assessment tool in Catalan. We examined the possibility that two novel tasks, a grammatical correction (GramCorr) and morphological productivity (MP; nonword and word subtasks), could differentiate between Catalan-speaking children with and without developmental language disorder (DLD) with good diagnostic accuracy. Twenty-seven school-aged children with DLD (<i>M</i><sub>age</sub> = 9;1 years) and twenty-seven age/sex-matched typically developing (TD) children (<i>M</i><sub>age</sub> = 9;0 years) participated in the study. Group differences and diagnostic accuracy analyses (sensitivity and specificity and likelihood ratios) were conducted. Results showed that the overall accuracy of children with DLD was significantly poorer than that of the TD controls in the two tasks. The preliminary diagnostic accuracy results suggested that the overall test (GramCorr+MP) could be useful in identifying children with DLD (cut-off point 62.1%; sensitivity (.929)/specificity (.893); +LH (8.67)/-LH (0.80). Moreover, the overall MP task (nonword + word subtasks; cut-off point 60%; sensitivity (.897)/specificity (.931), +LH (13.00)/-LH (0.111)) appears to provide adequate information to help in detecting DLD. The nature of both tasks, their usefulness for practitioners and future steps in the design of valid tools for the identification of Catalan speaking children with DLD are discussed.</p>","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"121-143"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kathryn Patrick, Joanne Cleland, Ben Rutter, Silke Fricke
{"title":"Gradient speech change during intervention for school-aged children and adults with cleft palate ± lip.","authors":"Kathryn Patrick, Joanne Cleland, Ben Rutter, Silke Fricke","doi":"10.1080/02699206.2024.2355472","DOIUrl":"10.1080/02699206.2024.2355472","url":null,"abstract":"<p><p>Gradient speech change, where speech sound production develops in a broadly step-wise fashion towards the standard adult form, is a well-recognised phenomenon in children developing typical speech, but is much less studied in speakers with developmental speech sound disorders. Instrumental techniques, such as electropalatography (EPG), may be useful for identifying gradient speech change and may supplement phonetic transcription in important ways. This study investigated whether gradient speech change occurred in six participants with cleft palate ± lip undergoing intervention within a usage-based phonology framework (2/6 participants with speech distortions; 4/6 with pattern-based speech substitutions; combined total of 25 speech sounds targeted for intervention). Participants received weekly therapy in a hospital setting and were aged 10-27 years. Gradient speech change with target speech sounds was examined using EPG analysis, which was undertaken after every fifth session of therapy. The presence of gradient change was determined by visually examining EPG palatograms and EPG indices for target speech sounds across successive EPG test points. This study found gradient speech change occurred in 22/25 target sounds over the course of intervention. This gradient change occurred for both speech distortions and pattern-based speech substitutions. The remaining 3/25 target sounds showed categorical change. Usage-based phonology was suggested as a theory with potential for explaining gradient speech change, with both typical and atypical speech, and with speech distortions and pattern-based speech substitutions. This finding adds to other research showing that the objective data provided by instrumental techniques, such as EPG, may be a valuable complement to phonetic transcription.</p>","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"166-197"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yu Hui Chen, Mary Lay Choo Lee, Susan J Rickard Liow, Selena Ee-Li Young
{"title":"Exploring the relationship between cleft type and speech outcome in 4-to-6-year-olds with non-syndromic cleft palate using different measures: A preliminary report.","authors":"Yu Hui Chen, Mary Lay Choo Lee, Susan J Rickard Liow, Selena Ee-Li Young","doi":"10.1080/02699206.2024.2356035","DOIUrl":"10.1080/02699206.2024.2356035","url":null,"abstract":"<p><p>Cleft type affects speech outcomes, but exact relationships remain unclear as outcome measures vary. The primary aim was to investigate the relationship between cleft type and speech outcome using different measures in 4-to-6-year-olds with non-syndromic clefts. Secondary aims were to explore the relationships between (i) speech measures used; and (ii) parent perception of speech intelligibility and listener familiarity. Twenty-two pre-schoolers with clefts, plus one parent for each child, were recruited through a hospital outpatient clinic. Children with cleft lip and palate (CLP; <i>n</i> = 11) and those with cleft palate only (CP; <i>n</i> = 11), matched on age and time of palate repair, were compared on Percentage Consonants Correct (PCC), clinician-reported speech intelligibility, and parent rating on the Intelligibility-in-Context Scale (ICS). Children with CLP had significantly lower PCC scores than children with CP (<i>p</i> = .020), but had no significant differences in their clinician- or parent-reported speech intelligibility. Clinician-reported speech intelligibility correlated significantly with both PCC (<i>τ</i> = .594, <i>p</i> < 0.01) and ICS (<i>τ</i> = .424, <i>p </i> = 0.009). No significant correlation was found between PCC and ICS (<i>τ</i> =.197, <i>p</i> = 0.113). Overall, parents rated their child's intelligibility higher for familiar compared to unfamiliar communication partners (<i>τ</i> = 2.325, <i>p</i> = 0.001, <i>r </i> = .76). Cleft type is crucial for intervention planning when objective measures are employed. Speech outcomes should be evaluated at impairment, activity, and participation levels, and by different communication partners, to comprehensively evaluate communicative effectiveness.</p>","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"198-213"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From practice to protocol: The CAPE-V<sub>FQ</sub> by and for Quebec French SLPs.","authors":"Timothy Pommée, Lyne Defoy, Ingrid Verduyckt","doi":"10.1080/02699206.2025.2456214","DOIUrl":"10.1080/02699206.2025.2456214","url":null,"abstract":"<p><p>This article presents the Quebec French adaptation of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V<sub>FQ</sub>), a standardised protocol for evaluating voice quality. Developed through collaboration within the Quebec Voice Speech-Language Pathologist (SLP) Community of Practice, the adapted tool addresses linguistic and cultural nuances specific to Quebec French. This adaptation ensures standardised assessments and harmonises clinical and research practices across the province. The article outlines the iterative development process, including clinician feedback, and describes ongoing efforts to validate and support the use of the Quebec French CAPE-V in clinical settings. The adapted protocol serves as both a clinical tool and a reference point for future research, promoting reliable and culturally relevant voice assessments.</p>","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"1-12"},"PeriodicalIF":0.8,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Narratives of Chinese kindergarteners with Autism spectrum disorder: Comparison with typically developing children.","authors":"Chengqi He, Shoko Miyamoto, Yu Lin","doi":"10.1080/02699206.2025.2451968","DOIUrl":"https://doi.org/10.1080/02699206.2025.2451968","url":null,"abstract":"<p><p>Autism spectrum disorder (ASD) is an early-onset neurodevelopmental disorder characterised by highly heterogeneous language abilities. These variations necessitate sensitive and comprehensive assessments, with narrative analysis being an effective method. This study aimed to examine the micro- and macrostructural aspects of narratives of Mandarin-speaking children with ASD. 19 children with ASD (mean age = 5.57 years; standard deviation [SD] = 1.09) and 19 age-matched typically developing (TD) children (mean age = 5.14 years; SD = 0.09) were enrolled in this study. The Narrative Assessment Protocol (NAP-2) was used to obtain the children's narrative samples. Children's wordless picture book-based narrations were analysed for story length (total number of words and utterances), linguistic abilities (mean length of utterances, mean length of the five longest utterances, number of different words, and vocabulary diversity), and NAP-2 scores (total scores, story grammar, storytelling convention, simple sentence structure, complex sentence structure, word and phrase). After applying Bonferroni's adjustment (α = 0.0042), no significant differences were observed in linguistic performance or story length between the two groups. However, children with ASD showed significantly lower total scores (<i>t</i> = 3.25, <i>p</i> = 0.002), story grammar scores (<i>t</i> = 3.17, <i>p</i> = 0.003), and storytelling convention scores (<i>t</i> = 3.04, <i>p</i> = 0.004). These findings suggest that young Chinese children with ASD may exhibit comparable microstructural narrative abilities but face significant challenges in macrostructural narrative skills, such as organising episodic structures. This underscores the need for targeted interventions to enhance the macro-narrative skills in this population.</p>","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"1-25"},"PeriodicalIF":0.8,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring linguistic and narrative competence in Italian children with developmental language disorder: A comparative study with typically developing peers.","authors":"Paola Zanchi, Alessandra Provera, Laura Zampini","doi":"10.1080/02699206.2025.2456216","DOIUrl":"https://doi.org/10.1080/02699206.2025.2456216","url":null,"abstract":"<p><p>Developmental Language Disorder (DLD) is a clinical condition characterised by language difficulties without cognitive or neurological impairments, leading to communication and learning challenges. The study explores the narrative and linguistic abilities of children with DLD and Typically Developing (TD) peers by analysing both macrostructural and microstructural aspects of their narrative production elicited during a storytelling task and describing the types of grammatical and lexical errors. Participants included 19 children with expressive DLD aged 4-8 years and 19 TD children matched by age and gender. Narrative competence was assessed using the Narrative Competence Task (NCT), a storytelling task which evaluates narratives at both the macrostructure and microstructure levels. The grammatical and lexical errors were coded using an <i>ad hoc</i> coding scheme based on the existing literature. The results showed no significant differences in macrostructural aspects of narratives between the two groups. However, at the microstructural level, children with DLD produced shorter utterances. Considering the type of errors produced in narratives, overall, children in the two groups made a small amount of errors (with an average of 2 errors in 100 words). The study contributes to deepening our understanding of the linguistic profile of Italian children with expressive DLD, emphasising the importance of tailored interventions and personalised training programs.</p>","PeriodicalId":49219,"journal":{"name":"Clinical Linguistics & Phonetics","volume":" ","pages":"1-15"},"PeriodicalIF":0.8,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}