American Journal of Speech-Language Pathology最新文献

{"title":"Closing the Research-to-Practice Gap in Autism: A Professional Practice Intervention Pilot Study for Increasing Use of Evidence-Based Practice.","authors":"Victoria Sandham, A E Hill, R Armstrong, F Hinchliffe","doi":"10.1044/2025_AJSLP-25-00018","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-25-00018","url":null,"abstract":"<p><strong>Purpose: </strong>Implementation science is a field aimed at improving uptake of research into practice. Behavior change techniques are procedures aimed at changing behavior. Clinical speech-language pathologists (SLPs) have reported barriers to translating research into pediatric autism communication services. This study piloted an intervention that integrated implementation science and behavior change techniques to improve evidence-based practice (EBP) use in SLP pediatric autism communication services. The aim was to design and evaluate a professional practice intervention to improve EBP use by pediatric autism SLPs working in Australia.</p><p><strong>Method: </strong>This pilot study used participatory action research methods. It recruited participants (<i>N</i> = 27) to small online communities of practice (CoPs), where participants chose an individualized EBP professional practice goal, developed an action plan, and presented the outcome of their learning to their CoP. Convergent mixed-methods analysis was used to analyze the effectiveness of the intervention, and explanatory qualitative methods were used to analyze the mechanism for its effectiveness.</p><p><strong>Results: </strong>Participants' opportunity and capability for EBP use were significantly improved as a result of the intervention. Quantitative results indicated sustainment but not further improvements in EBP in the 3 months following intervention. Building participant research capacity through experiential learning positively influenced sustainability and scalability of EBP use. The intervention was scaled to a novel context, without direct researcher involvement, and was shown to be effective in this new workplace setting.</p><p><strong>Conclusion: </strong>A coproduced online CoP is a model that was shown to improve SLP EBP use and should be considered for future EBP research translation projects.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29613596.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-22"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765716","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":"Interprofessional Cognitive-Communication Rehabilitation Patterns for Children and Adolescents With Acquired Brain Injuries: A Retrospective Medical Chart Review.","authors":"Marie-France Perrier, Elena Gamm, Anna McCormick, Lyn S Turkstra, Heather Leslie Flowers","doi":"10.1044/2025_AJSLP-24-00143","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00143","url":null,"abstract":"<p><strong>Purpose: </strong>Health care professionals' management and service provision for cognitive-communication disorders following pediatric acquired brain injury (ABI) are poorly understood. This retrospective medical chart review explored interprofessional cognitive-communication rehabilitation practices for children and adolescents with ABI. The aim was to describe current assessment and treatment patterns given practice overlap and the need for collaborative care among diverse health care professionals in pediatric rehabilitation. This will serve as a step toward developing practice guidelines for rehabilitation while reinforcing the critical role of speech-language pathologists (SLPs) in managing cognitive-communication disorders.</p><p><strong>Method: </strong>The retrospective review involved 30 consecutive admissions from a pediatric health care and research center in Ontario, Canada. The cohort comprised all eligible children and adolescents aged 2-17 years with ABI. Extracted variables included patient demographics, cognitive and communication assessment and treatment practices, and interprofessional collaboration.</p><p><strong>Results: </strong>Patients varied widely in age, injury mechanism, and severity. Health care professionals such as physicians, nurses, and neuropsychologists were extensively involved in managing cognitive and communication challenges, but involvement of SLPs was limited. Interprofessional collaboration was infrequent, particularly with SLPs, even though they were members of the interdisciplinary team.</p><p><strong>Conclusions: </strong>Results revealed a lack of SLP involvement in inpatient rehabilitation of children with cognitive-communication disorders, underscoring the need for enhanced interdisciplinary collaboration. These findings suggest that the impact of cognitive impairment on communication might not be well recognized in pediatric inpatient rehabilitation, highlighting the need for not only interdisciplinary collaboration but also education regarding cognitive-communication disorders and advocacy for the role of SLPs. Future research should investigate barriers and facilitators to interprofessional practice to optimize collaboration and improve patient outcomes. Ongoing dialogue and development of shared definitions for cognitive-communication disorder, alongside targeted educational initiatives and advocacy, will promote a culture of collaborative practice and ensure comprehensive care for pediatric patients with cognitive-communication disorders.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29575172.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-12"},"PeriodicalIF":2.5,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754988","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":"Practice Patterns Related to Dysphagia After Anterior Cervical Spine Surgery: A Single-Center Retrospective Review.","authors":"Jeffrey Wessell, Erin L Reedy, Janet Horn, Emily Lynn Schommer, Heather Shaw Bonilha","doi":"10.1044/2025_AJSLP-24-00407","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00407","url":null,"abstract":"<p><strong>Purpose: </strong>Dysphagia is a possible complication after anterior cervical spine surgery (ACSS). Studies indicate specific risk factors for dysphagia and that in a subset of patients, dysphagia post-ACSS is not transient. This study aimed to evaluate the impact of dysphagia after ACSS, investigate potential risk factors for its occurrence, assess modalities utilized to diagnose dysphagia, examine pertinent referral patterns, and explore the utilization of speech-language pathology services post-ACSS.</p><p><strong>Method: </strong>This retrospective study was performed using data from a tertiary academic medical center from patients post-ACSS over a 6-month period. Patient sociodemographic, surgical, and clinical information and diagnosis of dysphagia were recorded. Evaluation of risk factors for post-ACSS dysphagia, diagnostic modality utilized, complications, and referral patterns were assessed.</p><p><strong>Results: </strong>Among 106 patients post-ACSS, 17 (16%) were diagnosed with dysphagia. Preoperative dysphagia was the only significant risk factor for post-ACSS dysphagia (<i>OR</i> = 8.705). Patients with postoperative dysphagia had significantly higher rates of complications, including gastrostomy tube placement (<i>p</i> < .001), respiratory infection (<i>p</i> < .001), 30-day readmission rates (<i>p</i> < .001), and mortality (<i>p</i> = .004). Symptomatic patients were referred for evaluation 100% as inpatients but only 50% of the time as outpatients. Furthermore, swallowing was evaluated with an objective assessment in only 31.4% of patients with symptomatic dysphagia.</p><p><strong>Conclusions: </strong>In our post-ACSS cohort, we identified a relatively low incidence (16%) of patients diagnosed with dysphagia when compared with the literature. We also identified gaps between scientific knowledge and clinical practice, which was evidenced by the lack of pre- and postoperative screening for dysphagia, the relatively low use of instrumental swallowing exams, and the low referral rate for outpatient clinical swallowing assessments post-ACSS. We hope that the findings from this work prompt others to evaluate clinical practice patterns related to patients undergoing ACSS and inform focused quality improvement projects.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-15"},"PeriodicalIF":2.5,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754989","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":"Speech Sound Production in Australian English-Dutch Bilingual Children.","authors":"Hayo Terband, Bhavana Bhat, Anniek van Doornik","doi":"10.1044/2024_AJSLP-24-00261","DOIUrl":"10.1044/2024_AJSLP-24-00261","url":null,"abstract":"<p><strong>Purpose: </strong>Determining if suspected speech errors in bilingual children are due to bilingual language acquisition or a speech sound disorder is challenging for speech-language pathologists (SLPs). This study investigates how the productions of nonword imitation (NWI) tasks of English-Dutch bilingual children differ from other speech tasks, both in direct comparison and relative to norm data.</p><p><strong>Method: </strong>Seventy-seven typically developing Australian English-Dutch bilingual children aged 4-12 years participated in this study. All children completed the Dutch test battery called the Computer Articulation Instrument. Data on language exposure were collected through parent/caregiver questionnaires.</p><p><strong>Results: </strong>The English-Dutch bilingual children scored lower than the norm data on the picture-naming and consistency task but not on NWI and diadochokinesis tasks. Specific phonological processes were more evident in bilingual children, and these patterns differed according to the task. The consistency task revealed a unique pattern of production in bilingual children.</p><p><strong>Conclusions: </strong>The results confirm that the NWI task may be the most language neutral. Detailed phonological error analysis indicates that SLPs assessing English-Dutch bilingual children should pay attention to voice onset time, fricatives, and vowels.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2452-2463"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732736","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":"Automated Scoring of the Speech Intelligibility Test Using Autoscore.","authors":"Kaila L Stipancic, Tyson S Barrett, Kris Tjaden, Stephanie A Borrie","doi":"10.1044/2024_AJSLP-24-00276","DOIUrl":"10.1044/2024_AJSLP-24-00276","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the current study was to develop and test extensions to Autoscore, an automated approach for scoring listener transcriptions against target stimuli, for scoring the Speech Intelligibility Test (SIT), a widely used test for quantifying intelligibility in individuals with dysarthria.</p><p><strong>Method: </strong>Three main extensions to Autoscore were created including a compound rule, a contractions rule, and a numbers rule. We used two sets of previously collected listener SIT transcripts (<i>N</i> = 4,642) from databases of dysarthric speakers to evaluate the accuracy of the Autoscore SIT extensions. A human scorer and SIT-extended Autoscore were used to score sentence transcripts in both data sets. Scoring performance was determined by (a) comparing Autoscore and human scores using intraclass correlations (ICCs) at individual sentence and speaker levels and (b) comparing SIT-extended Autoscore performance to the original Autoscore with ICCs.</p><p><strong>Results: </strong>At both the individual sentence and speaker levels, Autoscore and the human scorer were nearly identical for both Data Set 1 (ICC = .9922 and ICC = .9767, respectively) and Data Set 2 (ICC = .9934 and ICC = .9946, respectively). Where disagreements between Autoscore and a human scorer occurred, the differences were often small (i.e., within 1 or 2 points). Across the two data sets (<i>N</i> = 4,642 sentences), SIT-extended Autoscore rendered 510 disagreements with the human scorer (vs. 571 disagreements for the original Autoscore).</p><p><strong>Discussion: </strong>Overall, SIT-extended Autoscore performed as well as human scorers and substantially improved scoring accuracy relative to the original version of Autoscore. Coupled with the substantial time and effort saving provided by Autoscore, its utility has been strengthened by the extensions developed and tested here.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2397-2408"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819993","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":"Clinician and Caregiver Perspectives on a Community-Based Dynamic Temporal and Tactile Cueing Treatment Trial for Childhood Apraxia of Speech: Exploring Perceptions of Research and Routine Clinical Practice.","authors":"Donna C Thomas, Geraldine Bricker-Katz, Elizabeth Murray, Shelley L Velleman, Jenya Iuzzini-Seigel","doi":"10.1044/2024_AJSLP-24-00228","DOIUrl":"10.1044/2024_AJSLP-24-00228","url":null,"abstract":"<p><strong>Purpose: </strong>Dynamic Temporal and Tactile Cueing (DTTC) is an evidence-based treatment for children with childhood apraxia of speech. In clinical practice, speech-language pathologists (SLPs) frequently use an eclectic approach incorporating aspects of DTTC, for reasons that are not well understood. This research note describes a qualitative investigation of the experiences of SLPs and caregivers who participated in protocolized research DTTC for a 24-session treatment efficacy study. Specifically, we sought to understand the perspectives of these SLPs and caregivers regarding (a) DTTC treatment, as provided during the study, and (b) participating in a treatment research study.</p><p><strong>Method: </strong>Four SLPs and three caregivers participated in semistructured interviews, via Zoom, 4 weeks after the treatment study. Questions explored perceptions of research DTTC treatment and experiences of participating in a research study. Data were analyzed with inductive thematic analysis using an iterative and reflective process.</p><p><strong>Results: </strong>One overarching main theme was identified: \"Research and clinical practice: Different priorities and processes,\" with five subthemes. The subthemes were (a) research DTTC is more challenging, (b) research DTTC is surprisingly effective, (c) clinical practice is preferable to research, (d) research participation leads to new learning, and (e) power differential exists between researchers and clinicians.</p><p><strong>Conclusions: </strong>Aspects of the research DTTC were uncomfortable for SLPs and families, despite its efficacy and what they learned from participating. SLPs perceived a schism between researchers and clinicians. More needs to be done to decrease the perceived gap between researchers and clinicians to facilitate implementation of evidence-based practice in nonresearch contexts.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28299764.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2509-2518"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392332","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":"Training on Childhood Apraxia of Speech: Experiences of Speech-Language Pathologists.","authors":"Sydney Keller, Hannah Valentine, Daphna Harel, Maria I Grigos","doi":"10.1044/2025_AJSLP-24-00224","DOIUrl":"10.1044/2025_AJSLP-24-00224","url":null,"abstract":"<p><strong>Purpose: </strong>The diagnosis and treatment of childhood apraxia of speech (CAS) remains a clinical challenge for many speech-language pathologists (SLPs). Given this, it is imperative to understand how SLPs learn about CAS during graduate school and throughout their careers.</p><p><strong>Method: </strong>In the current study, American Speech-Language-Hearing Association-certified SLPs who practice in the United States and work with young children completed a 32-item online survey. Survey items aimed to understand SLPs' experiences learning about CAS during graduate school and through continuing education (CE). Respondents were evaluated on their knowledge of diagnosing and treating CAS (against an expert consensus). Finally, the survey sought to investigate how respondents' learning experiences related to their knowledge of diagnosing and treating CAS.</p><p><strong>Results: </strong>In total, 346 clinicians completed the survey. Reliance on CE (<i>p</i> < .001) and scientific literature in SLP (<i>p</i> < .01) were found to be the only positive significant predictors of CAS knowledge. No graduate school experiences positively predicted CAS knowledge. The majority of clinicians indicated being unprepared to diagnose and treat CAS based on their graduate-level education but reported high levels of satisfaction for CE resources for CAS.</p><p><strong>Conclusions: </strong>Results of this study highlight challenges in graduate program models for training on CAS. Implications for graduate program models are discussed.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2464-2484"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210052","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":"Acoustic Measures of Word-Level Prosody in Childhood Apraxia of Speech: An Initial Validation Study.","authors":"Meghan Littlejohn, Edwin Maas","doi":"10.1044/2025_AJSLP-24-00260","DOIUrl":"10.1044/2025_AJSLP-24-00260","url":null,"abstract":"<p><strong>Background: </strong>The \"gold standard\" of childhood apraxia of speech (CAS) diagnosis is expert clinical judgment based on perception of core features: inconsistent errors, impaired transitions, and impaired prosody. However, this standard has several limitations, which may be addressed with acoustic measures.</p><p><strong>Purpose: </strong>This retrospective study aims to provide initial validity evidence for nine acoustic measures of prosody and examine lexical stress production in CAS.</p><p><strong>Method: </strong>The study involves 33 children with CAS (4-8 years) imitating six bisyllabic words (three strong-weak, three weak-strong). For each word, nine acoustic measures of prosody were obtained: three pairwise variability index measures, two lexical stress ratio measures and their three component ratios, and word syllable duration. To address construct validity, we examined effects of stress pattern, age, and severity. To address convergent validity, we correlated acoustic measures with each other and with clinical-perceptual judgments of prosody. Finally, we examined the degree to which children with CAS differentiated stressed and unstressed syllables.</p><p><strong>Results: </strong>Findings revealed that acoustic measures differed between stress patterns. Six of the measures had moderate and significant correlations with CAS severity for strong-weak words but not weak-strong words, and none of the measures correlated with age. All acoustic measures showed moderate or strong correlations with each other for strong-weak words but only some did for weak-strong words. None of the measures correlated significantly with clinical-perceptual measures of prosody. Children demonstrated equal stress on most measures for strong-weak words but clear evidence of stress differentiation for weak-strong words.</p><p><strong>Conclusions: </strong>This study provides qualified initial support for the validity of all acoustic measures. Findings replicate and extend prior research to show that children with CAS may have difficulty with production of lexical stress. Prospective research is needed to control for stimulus features with a larger sample that includes a range of diagnoses.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29289032.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2485-2508"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643988","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":"A Pathway to Research-Reliable Dynamic Temporal and Tactile Cueing for Children With Childhood Apraxia of Speech: A Multiphase Process for Training Community Clinicians.","authors":"Julie Case, Maria I Grigos, Shelley L Velleman, Elizabeth Murray, Donna C Thomas, Shelby Anumandla, Jenya Iuzzini-Seigel","doi":"10.1044/2025_AJSLP-24-00239","DOIUrl":"10.1044/2025_AJSLP-24-00239","url":null,"abstract":"<p><strong>Purpose: </strong>Mounting research supports the use of motor-based intervention (e.g., Dynamic Temporal and Tactile Cueing [DTTC]) for children with childhood apraxia of speech (CAS), but large randomized controlled trials (RCTs) are needed to better understand optimal treatment conditions. Partnering with community clinicians may help support recruitment and data collection for large groups of participants with CAS. However, to achieve this, rigorous training is needed to ensure high-fidelity treatment and adherence to research protocols. This work presents a multiphase process for training community clinicians to implement high-fidelity DTTC. We then examined whether clinician factors predicted their performance on assessment tasks used to determine eligibility to be hired as research clinicians and DTTC treatment fidelity.</p><p><strong>Method: </strong>Community clinicians underwent a multiphase process of application, training, and assessment tasks to determine their eligibility as research clinicians for an RCT on DTTC dose frequency. Throughout the RCT, DTTC treatment fidelity was monitored across 20% of all treatment sessions. Linear regressions were performed to determine if clinician factors predicted performance on (a) eligibility assessment tasks and (b) DTTC fidelity with the first RCT participant.</p><p><strong>Results: </strong>DTTC fidelity during the eligibility assessment phase was predicted by clinicians' prior DTTC experience, but not years of overall clinician experience or CAS-specific experience. No clinician factors predicted DTTC fidelity within the RCT.</p><p><strong>Conclusions: </strong>Results suggest that this multiphase process was successful in preparing community clinicians to provide research-reliable DTTC treatment, even when prior clinical experience varied. We posit that multiple and varied learning opportunities, combined with individualized feedback, mentorship, and self-reflection, contributed to these results.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2359-2382"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676294","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":"A Pilot Study of Listening Fatigue: Impacts of Pediatric Dysarthria on Adult Listeners.","authors":"Jennifer U Soriano, Tristan J Mahr, Paul J Rathouz, Katherine C Hustad","doi":"10.1044/2024_AJSLP-24-00259","DOIUrl":"10.1044/2024_AJSLP-24-00259","url":null,"abstract":"<p><strong>Purpose: </strong>We sought to characterize fatigue of adults when listening to speech of children with cerebral palsy (CP).</p><p><strong>Method: </strong>Fifty-seven children with CP (19 without dysarthria and 38 with dysarthria) produced single-word and multiword speech samples. One hundred fourteen adult listeners completed transcription intelligibility tasks and provided listening fatigue ratings. Multiword utterances were analyzed in terms of speech rate and communication efficiency.</p><p><strong>Results: </strong>Intraclass correlations showed large individual differences for listening fatigue ratings. Pearson correlations showed negative relationships between listening fatigue and intelligibility; however, the magnitude varied depending upon utterance length and dysarthria status of child speakers. Pearson correlations between listening fatigue and speech rate and between listening fatigue and communication efficiency varied depending upon dysarthria status of child speakers. Welch's <i>t</i> test showed that listeners of children with dysarthria had higher fatigue ratings than listeners of children without dysarthria. Listeners of children with dysarthria were more fatigued following multiword utterances than single-word utterances. Best subset regression showed that the combined effect of dysarthria status, intelligibility, and speech rate best explained listening fatigue of adult listeners.</p><p><strong>Conclusions: </strong>Listeners had increased levels of fatigue when they heard dysarthric speech relative to nondysarthric speech. The needs of both speaker and listener should be considered when supporting children with CP and dysarthria to achieve successful communication.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2409-2424"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784616","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}