American Journal of Speech-Language Pathology最新文献

{"title":"Factors Influencing Speech-Language Pathology Referral and Utilization in Mild Traumatic Brain Injury: An Exploratory Analysis.","authors":"Katy H O'Brien, Ansley Messina, Yalian Pei, Amy M Kemp, Rebecca Gartell, Gregory Brown, Russell K Gore, Cheryl Appleberry, Tracey Wallace","doi":"10.1044/2024_AJSLP-24-00116","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00116","url":null,"abstract":"<p><strong>Purpose: </strong>Speech-language pathologists provide important services to people recovering from mild traumatic brain injury (mTBI), also called concussion, although they may be underutilized in outpatient care. Because health care providers face challenges in selecting assessments to efficiently describe patient needs, the purpose of this study was to describe factors related to patients receiving speech-language pathology services after mTBI, as well as how assessments predict amount of services received.</p><p><strong>Method: </strong>In this retrospective chart review study, demographic factors, injury characteristics, and assessment scores were extracted from medical records of patients aged 14-65 years receiving services for recent (within 6 months) mTBI at an outpatient specialty clinic. The Post-Concussion Symptom Scale (PCSS), Montreal Cognitive Assessment, Standardized Assessment of Concussion, and a newly developed self-report measure of cognitive-communication function-the Cognitive-Communication Referral Indicator for Concussion (CCoRI-C)-were used as dependent variables to predict speech-language pathology service referral. For those referred, Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) and Behavior Rating Inventory of Executive Function (BRIEF) scores were added as dependent variables predicting speech-language pathology dosage.</p><p><strong>Results: </strong>A total of 132 patient charts met inclusion and exclusion criteria. In addition to CCoRI-C and PCSS symptoms, receiving imaging, being injured in a motor vehicle crash, experiencing loss of consciousness, and being of female sex were related to speech-language pathology referrals. Of the 77 patients referred for speech-language pathology care, higher CCoRI-C, PCSS, BRIEF, RBANS total, and RBANS visuospatial scores were associated with recommended speech-language pathology dosage. Only the CCoRI-C, BRIEF-Adult Version (BRIEF-A) Behavioral Regulation, and BRIEF-A Metacognition were associated with actual number of speech-language pathology sessions attended.</p><p><strong>Conclusions: </strong>Cognitive-communication symptoms and executive function may be important to planning speech-language pathology rehabilitative episodes of care for people with mTBI. Future work should continue to evaluate how assessments augment demographic and injury characteristics in decision making for both referral to and use of speech-language pathology services after mTBI.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-21"},"PeriodicalIF":2.3,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755662","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":"Prenatal to Adulthood: The Responsibility of the Speech-Language Pathologist on the Comprehensive Cleft Palate and Craniofacial Team.","authors":"Chelsea L Sommer, Natalie R Wombacher","doi":"10.1044/2024_AJSLP-24-00230","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00230","url":null,"abstract":"<p><strong>Purpose: </strong>Comprehensive cleft care is an important component when caring for a child with cleft palate with or without cleft lip (CP ± L). Speech-language pathologists (SLPs) serve different capacities on comprehensive cleft palate and craniofacial teams.</p><p><strong>Method: </strong>This tutorial highlights the role of the SLP on the cleft palate and craniofacial team from the prenatal consultation to adulthood. This tutorial emphasizes the importance of collaboration between the cleft team SLP and other professionals on a comprehensive cleft team. Additionally, the tutorial provides education for feeding infants with CP ± L and focuses on assessment and treatment of children with CP ± L before and after the palate repair. Finally, this tutorial underscores the importance of working as part of and collaborating with interdisciplinary team members.</p><p><strong>Results: </strong>SLPs are an essential member of comprehensive cleft teams in addition to other medical providers. SLPs play a critical role on these multidisciplinary teams and are fundamental to the assessment and treatment of feeding, speech, language, and resonance disorders in children with CP ± L.</p><p><strong>Conclusion: </strong>It is critical that SLPs are involved in comprehensive cleft team care from the prenatal consultation through adulthood to monitor resonance, speech, and language development and outcomes.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-20"},"PeriodicalIF":2.3,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717495","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":"The Current State of the Literature on Dual-Task Performance Across Multiple Domains in Individuals With Chronic Poststroke Aphasia: A Scoping Review.","authors":"Nicole Dawson, Lauren Bislick, Lara Suarez","doi":"10.1044/2024_AJSLP-23-00352","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-23-00352","url":null,"abstract":"<p><strong>Background: </strong>Understanding the impact that poststroke aphasia has on dual-task performance across multiple domains of function may inform the development of effective interventions. The purpose of this scoping review is to identify (a) the main theoretical frameworks used to explain dual-task performance deficits in individuals with poststroke aphasia; (b) the domains of function measured and the assessments used; (c) interventions aimed to improve dual-task performance; and, finally, (d) gaps that exist in the current body of literature regarding dual-task in persons with aphasia.</p><p><strong>Method: </strong>A search of Linguistics and Language Behavior Abstracts, PsycINFO, Communication & Mass Media Complete, PubMed, CINAHL Plus, ScienceDirect, and the Cochrane Library was undertaken to identify publications on the topic. Articles were included in the review if they (a) were written in English, (b) included individuals with chronic poststroke aphasia, (c) included measures of dual-task performance, and/or (d) consisted of a theoretical narrative with a focus on dual task in persons with aphasia.</p><p><strong>Results: </strong>Following the full-text screening, a total of 17 studies were in included for synthesis. Fourteen articles focused on dual-task experimental studies; one study consisted of a dual-task intervention; and two papers proposed a theory, framework, or schema to explain dual-task performance.</p><p><strong>Conclusion: </strong>Gaps were identified in the literature, as well as differences in the methodology employed across studies, highlighting the need for consistency across experimental tasks and further examination across domains.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-24"},"PeriodicalIF":2.3,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717496","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 Viewpoint on the Ethics of Pseudostuttering Assignments: Guidelines and Best Practices for Their Use.","authors":"Katie Gore, Seth E Tichenor","doi":"10.1044/2024_AJSLP-24-00139","DOIUrl":"10.1044/2024_AJSLP-24-00139","url":null,"abstract":"<p><strong>Purpose: </strong>Pseudostuttering, or the act of voluntarily stuttering or stuttering on purpose, has been both regularly used by clinicians alongside clients in stuttering therapy and taught to students in stuttering courses for decades. However, in recent years, teaching speech-language pathology students how to pseudostutter in stuttering courses has been increasingly questioned by students on grounds that pseudostuttering may be ableist, a disability simulation, and of questionable clinical value. The purpose of this article is to discuss the value and ethics of pseudostuttering assignments as part of graduate clinical education for speech-language pathologists (SLPs).</p><p><strong>Method: </strong>The history of pseudostuttering and the pseudostuttering assignment within speech-language pathology pedagogy, disability studies literature, and community perspectives are reviewed. In so doing, we incorporate views from the broader disability rights community, the stuttering community, and stuttering research and clinical literature.</p><p><strong>Results: </strong>Stuttering literature and community perspectives not only confirm the value of pseudostuttering assignments but also underscore the critical importance of assignment purpose, framing, structure, and scope.</p><p><strong>Conclusions: </strong>Pseudostuttering continues to be a critical clinical skill for SLPs who work with people who stutter, and pseudostuttering assignments are an invaluable learning experience for speech-language pathology graduate students. However, assignments must be designed and implemented according to a specific set of principles and best practices. Assignment design that does not follow these principles and best practices is likely to perpetuate ableist constructs and inadequately prepare students to work with individuals who stutter. Graduate course instructors should educate themselves on these principles and engage with students who express concerns with the assignment.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-9"},"PeriodicalIF":2.3,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693512","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":"Erratum to \"The Effect of Prosodic Timing Structure on Unison Production in People With Aphasia\".","authors":"","doi":"10.1044/2024_AJSLP-24-00329","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00329","url":null,"abstract":"","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-2"},"PeriodicalIF":2.3,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693567","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":"Using and Modifying Standardized Restorative Treatments in Aphasia: Clinician Perspectives.","authors":"Reva M Zimmerman, Jessica Obermeyer, Julie Schlesinger, JoAnn P Silkes","doi":"10.1044/2024_AJSLP-23-00349","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-23-00349","url":null,"abstract":"<p><strong>Purpose: </strong>Aphasia treatment should be individualized, so clinicians are likely modifying established treatment paradigms to fit client needs. Little extant research describes which treatment protocols clinicians modify, how and why they modify their treatments, and what sources they use to guide their modifications. The purpose of this study was to gain insights into these issues.</p><p><strong>Method: </strong>A Qualtrics survey was distributed through speech-language pathology-related professional and social media networks from January through June 2023. Forty-seven speech-language pathologists provided basic information on assessment and treatment approaches that they use, and 32 respondents provided detailed responses regarding their current treatment practices.</p><p><strong>Results: </strong>The two restitutive aphasia treatments clinicians reported using most often were Semantic Feature Analysis and Verb Network Strengthening Treatment. The reasons for using these two treatments were that they are easy to administer, patients enjoy them, and they are perceived to be effective. Most clinicians reported that they often modify aphasia treatment protocols for a variety of reasons. These included matching patients' linguistic profiles by changing stimuli or the presentation modality as well as meeting time constraints and productivity standards. Respondents reported that they mostly rely on their personal experience, suggestions from colleagues, and linguistic theory to guide their modifications.</p><p><strong>Conclusions: </strong>Clinicians often modify standardized treatments to balance their patients' needs and the demands of their settings and typically rely on personal experience to do so. In the future, more clinician-researcher partnerships and investigations of active treatment ingredients are needed to support clinicians in making efficient and effective treatment modifications.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.27703662.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688715","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":"Barriers and Facilitators in Using Surface Electromyography in Swallowing Management: An Implementation Science Study.","authors":"Mariana M Bahia, Julia Carpenter, Leora R Cherney","doi":"10.1044/2024_AJSLP-24-00215","DOIUrl":"10.1044/2024_AJSLP-24-00215","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to identify clinician-perceived barriers and facilitators before the implementation of surface electromyography (sEMG) for swallowing management, implement sEMG biofeedback in swallowing rehabilitation sessions using implementation strategies, and investigate the perceived benefits and drawbacks after the implementation of the sEMG device from the perspectives of speech-language pathologists (SLPs).</p><p><strong>Method: </strong>An initial pre-implementation survey characterized the SLPs' practices in swallowing management regarding the use of biofeedback modalities as well as facilitators and barriers to the implementation of sEMG. In the implementation phase, six SLPs attended educational and training meetings, tested, and used sEMG with patients during their swallowing sessions. Finally, a postimplementation survey and focus group assessed the six SLPs' perceptions and experiences using sEMG and identified areas for improvement in the implementation process.</p><p><strong>Results: </strong>The majority of the 44 SLPs who answered the pre-implementation survey did not use sEMG in swallowing therapy. The most frequently reported barriers to implementation were reduced sEMG knowledge and lack of training (86.4%), lack of equipment access or availability (68.2%), and patient-related barriers (36.6%). The six SLPs who participated in the implementation phase used sEMG with 30 different patients, conducting a total of 105 sessions. They reported that it was easy to use sEMG during sessions and that sEMG helped them to teach swallowing maneuvers. Additionally, they stated that patients were motivated during sEMG sessions. Ongoing training and mentoring were some of the suggestions for implementation improvements.</p><p><strong>Conclusions: </strong>This study exemplifies the collaborative work between researchers and clinicians to facilitate the translation of technologies into clinical practice. Identifying determinants of sEMG implementation and strategies to address barriers was critical to its acceptability and adoption into clinical practice.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-26"},"PeriodicalIF":2.3,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669487","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":"Comparative Effectiveness of In-Person and Virtual Picture-Naming Treatment for Poststroke Anomia.","authors":"Courtney C Jewell, Victoria A Diedrichs, Deena Schwen Blackett, Alexandra Zezinka Durfee, Stacy M Harnish","doi":"10.1044/2024_AJSLP-24-00172","DOIUrl":"10.1044/2024_AJSLP-24-00172","url":null,"abstract":"<p><strong>Purpose: </strong>In light of COVID-19, telepractice for speech therapy has been increasingly adopted. Telepractice promotes accessibility to therapy services for those in rural environments, lowers the frequency of missed appointments, and reduces the costs of rehabilitation. The efficacy of telepractice has been scarcely explored in the aphasia literature. Preliminary research has demonstrated comparable results of telepractice and in-person therapy for people with aphasia, but the current scope of research is insufficient to guide clinical practice. The present study examined whether the virtual administration of a picture-naming therapy paradigm was as effective as in-person administration.</p><p><strong>Method: </strong>The treatment effects of two similar clinical trials, one completed in-person (<i>n</i> = 13) and one completed virtually (<i>n</i> = 13), are compared. Participants were adults with chronic (> 6 months) poststroke aphasia. Both clinical trials administered Cued Picture-Naming Therapy 4 days a week for 2 weeks (eight treatment sessions). Treatment outcomes were analyzed using Tau-<i>U</i> effect sizes and Mann-Whitney <i>U</i> tests.</p><p><strong>Results: </strong>Weighted Tau-<i>U</i> averages showed an advantage of telepractice over in-person treatment in the acquisition effects of trained words, with participants demonstrating a very large effect (0.84, <i>p</i> < .01) following telepractice and a large effect (0.75, <i>p</i> < .01) following in-person treatment. Both telepractice and in-person rehabilitation demonstrated significant treatment effects and were not significantly different from each other per Mann-Whitney <i>U</i> independent-samples <i>t</i> tests.</p><p><strong>Conclusions: </strong>The present study demonstrated that telepractice of a picture-naming paradigm is as effective as in-person treatment administration. This justifies the use of telepractice to overcome accessibility and cost barriers to speech therapy administration and justifies taking patient preference into account. Future research should explore the efficacy of telepractice for treatments that promote greater generalizability to functional communication.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.27641031.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-13"},"PeriodicalIF":2.3,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649460","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":"The Impact of Clear and Loud Speech Cues on Acoustic and Perceptual Features of Speech Production in Adolescents With Down Syndrome.","authors":"Meghan Darling-White, Allison McHugh","doi":"10.1044/2024_AJSLP-24-00248","DOIUrl":"10.1044/2024_AJSLP-24-00248","url":null,"abstract":"<p><strong>Purpose: </strong>There are few evidence-based speech interventions designed to alter speech production in a way that ultimately results in increased speech intelligibility in adolescents with Down syndrome (DS). The primary purpose of this study was to examine the impact of clear and loud speech cues on acoustic and perceptual features of speech production in adolescents with DS.</p><p><strong>Method: </strong>Eight adolescents diagnosed with DS repeated sentences of varying lengths in three conditions: habitual, big mouth (i.e., clear speech), and strong voice (i.e., loud speech). Four hundred eighty adult listeners (20 listeners per adolescent per condition) provided orthographic transcriptions of adolescent's speech, which were used to calculate intelligibility scores. Acoustic measures of speech rate, articulation rate, proportion of time spent pausing, vocal intensity, and fundamental frequency were calculated for each sentence.</p><p><strong>Results: </strong>The big mouth condition resulted in significantly increased intelligibility, slowed speech and articulation rates, increased pauses, increased vocal intensity, and increased fundamental frequency. The strong voice condition resulted in significantly increased vocal intensity and fundamental frequency, but no other changes. Speech rate was the only variable that explained any of the variance in intelligibility.</p><p><strong>Conclusions: </strong>Adolescents with DS respond differently to clear and loud speech cues. In particular, clear speech cues resulted in significant increases in intelligibility, but loud speech cues did not. Clear speech cues hold promise as an intervention strategy for adolescents with DS.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-17"},"PeriodicalIF":2.3,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649461","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":"Stronger Together: A Qualitative Exploration of Social Connectedness in Parkinson's Disease in the Digital Era.","authors":"Gemma Moya-Galé, Sarah Ahson, Sneha Gyawali, Christina Lee, Claire O'Riordan, Lily Rossi","doi":"10.1044/2024_AJSLP-24-00246","DOIUrl":"10.1044/2024_AJSLP-24-00246","url":null,"abstract":"<p><strong>Purpose: </strong>Social isolation is a common consequence of Parkinson's disease (PD), and social prescribing has become a crucial aspect for fostering well-being in this population. In fact, group work has been shown to improve levels of social connectedness in older adults across different domains. Increased technology use in older adults may also contribute to increased social connections, especially since the COVID-19 pandemic. Still, the impact of digital use on social connectedness remains to be further explored in individuals with PD. Therefore, the purpose of this study was to examine the perceptions of social connectedness in relation with group-based activities and use of digital technologies in this population.</p><p><strong>Method: </strong>Ten individuals with PD participated in focus groups. Transcripts of the video-recorded groups were analyzed qualitatively using thematic analysis.</p><p><strong>Results: </strong>The three constructed themes not only revealed changes and challenges in social connectedness but also underscored the power of family and new relationships established through PD. Results also highlighted the overall positive impact of current digital technologies, although the view on telehealth per se was multifaceted.</p><p><strong>Conclusions: </strong>Referrals for group rehabilitation programs can enhance social connectedness in individuals with PD through fostering new social connections and community building. Hence, group rehabilitation programs should be viewed as a form of social prescribing. The use of digital technologies should be further explored as a means to maximize social engagements in this population.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-16"},"PeriodicalIF":2.3,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640093","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}