American Journal of Speech-Language Pathology最新文献

{"title":"Differential Impacts of Anticipated Success on Employment Outcomes Among Adults Who Stutter.","authors":"Molly Jacobs, Hope Gerlach-Houck, Patrick Briley","doi":"10.1044/2024_AJSLP-24-00202","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00202","url":null,"abstract":"<p><strong>Purpose: </strong>Stuttering is associated with disparities in labor market outcomes among young adults, but little is known about how labor market outcomes associated with stuttering change over time. Therefore, this study characterized longitudinal associations between stuttering and early life expectations, job satisfaction, receipt of employer-provided insurance benefits, and income.</p><p><strong>Method: </strong>The analysis used data from three waves of the National Longitudinal Study of Adolescent to Adult Health, which contained 16,653 individuals aged 18-43 years interviewed over 18 years. First, regression models evaluated the likelihood of employment between people who stutter (PWS) and people who do not stutter (PWNS). Second, conditional on employment, two-stage likelihood models quantified differences in their job satisfaction, receipt of employer-provided insurance benefits, and earned income, controlling for age, sex, race, and household characteristics. Finally, the relationship between their reported education and income expectations and these employment outcomes was evaluated.</p><p><strong>Results: </strong>Although stuttering was not related to the likelihood of working or receiving employer-provided benefits, PWS were 20%-22% (<i>SE</i> = 0.06-0.07) less likely to be satisfied with their jobs than PWNS, and dissatisfaction increased with age. Additionally, the odds of earning a higher income were significantly lower for PWS than for PWNS. PWS who anticipated attending college and earning a middle-class income were more likely to be satisfied with their jobs and earn a higher income. However, PWS were less likely to expect that they would earn a middle-class income (PWNS: 46.4%, PWS: 36.3%) or graduate from college (PWNS: 70.9%, PWS: 58.4%) compared to PWNS.</p><p><strong>Conclusions: </strong>Labor market inequities associated with stuttering persist and increase with age. PWS have significantly lower expectations for their likelihood of future success, and these expectations predict their future occupational outcomes.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-15"},"PeriodicalIF":2.3,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640091","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":"Diagnostic Features of Childhood Apraxia of Speech: A Survey Study of Estonian, Finnish, and Lithuanian Speech-Language Pathologists.","authors":"Marju Lahtein-Kürsa, Marika Padrik, Simona Daniutė, Daiva Kairienė, Anna-Leena Martikainen, Minna Vanhala-Haukijärvi, Marja-Liisa Mailend","doi":"10.1044/2024_AJSLP-24-00035","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00035","url":null,"abstract":"<p><strong>Purpose: </strong>The primary aim of this study was to investigate how speech-language pathologists (SLPs) from Estonia, Finland, and Lithuania rate the significance of different features for diagnosing childhood apraxia of speech (CAS) in their languages.</p><p><strong>Method: </strong>An online survey was conducted among 197 Estonian, Finnish, and Lithuanian SLPs who have worked with children with CAS. The SLPs were asked to rate the significance of 63 features for CAS diagnosis in their respective language. Cross-linguistic patterns in diagnostic features were examined with simple correspondence analysis (SCA) and via descriptive statistics.</p><p><strong>Results: </strong>The ratings revealed six to seven diagnostic features that were considered very significant for CAS diagnosis by the majority of respondents in each country. The SCA highlighted differences between Lithuanian SLPs and Estonian and Finnish SLPs. Some possible language-specific associations were noted, such as palatalization errors for Lithuanian and Estonian and diphthong distortions for Estonian. The respondents from all countries rated highly those features that can easily be applied to most languages (e.g., groping) and gave lower ratings to features that may be influenced by the linguistic structure of different languages (e.g., word stress errors).</p><p><strong>Conclusions: </strong>Overall, SLPs provided high ratings to CAS features that occur universally across languages, whereas features specific to languages, such as prosody-related errors, were not as highly rated. Several language-specific features were highlighted, providing direction for future research and emphasizing the importance of language-specific considerations in CAS research and diagnosis.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-21"},"PeriodicalIF":2.3,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631254","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":"Pilot Trial of a Speech-Language Pathology Telehealth Service to Enhance Postdischarge Dysphagia Care in Singapore.","authors":"Flora M M Poon, Elizabeth C Ward, Clare L Burns","doi":"10.1044/2024_AJSLP-24-00203","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00203","url":null,"abstract":"<p><strong>Purpose: </strong>Patients and caregivers in Singapore experience issues managing dysphagia care at home following hospital discharge, and they prioritized improving access to postdischarge dysphagia care and support. Hence, a postdischarge dysphagia telehealth service was developed. This study aimed to evaluate the feasibility of this service by examining patient and service outcomes, preliminary costs, and consumer satisfaction.</p><p><strong>Method: </strong>Patients with dysphagia and their caregivers attended one or more telehealth sessions over the initial month post-hospital discharge. Reviews of dietary adherence and preparation, swallowing function, and therapy progress were conducted. If needed, clinical support and intervention were provided. Data related to patient and service outcomes, preliminary costs, and consumer satisfaction were collected and analyzed using descriptive statistics and content analysis.</p><p><strong>Results: </strong>Twenty patients attended 42 telehealth sessions. No support was provided during 10 sessions, minor support was provided during 13 sessions, and major support and intervention were provided to address patient and swallowing safety during 19 sessions. Out of 20 patients, 19 required support and intervention during the first week postdischarge, but they experienced fewer issues with each subsequent session. They were highly satisfied with the service. The average session duration was 29.6 min. No sessions were cancelled. This service can be delivered with minimal additional health service resources and at a low cost to consumers.</p><p><strong>Conclusions: </strong>This service is feasible, cost-effective, and well accepted by consumers. It facilitates early identification and management of swallowing and patient safety during the initial month post-hospital discharge. Wider implementation of this service model should be considered.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.27327345.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-15"},"PeriodicalIF":2.3,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607014","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":"Oral Reading Prosody and Comprehension in Persons With Aphasia: A Preliminary Investigation.","authors":"Jordan S Lins, Kimberly G Smith","doi":"10.1044/2024_AJSLP-23-00345","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-23-00345","url":null,"abstract":"<p><strong>Purpose: </strong>This study acoustically characterized the oral reading prosody of persons with aphasia (PWA) and neurotypical controls for a connected text and aimed to determine which prosodic features were most associated with performance on a reading comprehension task.</p><p><strong>Method: </strong>Six PWA and six neurotypical, age- and education-matched controls participated in this preliminary study. Participants read Paragraph 3 of the Gray Oral Reading Tests-Fifth Edition aloud and subsequently answered five comprehension questions. A total of 11 measures related to phrasing, intonation, and expressivity were extracted using Praat for each participant in order for comparisons to be made across participant groups and associations examined with reading comprehension scores.</p><p><strong>Results: </strong>The Mann-Whitney <i>U</i> test suggested a significant difference between PWA and control participants for intersentential pause durations, pausal intrusion frequency, and duration of pausal-pausal syllables. Although statistically nonsignificant, intersentential pause duration, pausal intrusion frequency, pausal intrusion duration, duration of prepausal syllables, and intensity amplitude following a syntactic juncture were all moderately correlated (all <i>r</i>s > .58) with comprehension of Paragraph 3 of the Gray Oral Reading Tests-Fifth Edition in PWA. All measures were weakly correlated with comprehension for the control participants.</p><p><strong>Conclusions: </strong>PWA demonstrated statistically significant longer durations for intersentential pauses and prepausal syllables, and a greater number of pausal intrusions. Interestingly, three of the five measures moderately correlated to comprehension were those that were statistically different between the two participant groups. As such, preliminary findings of this study warrant further investigation in a larger sample of PWA.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-12"},"PeriodicalIF":2.3,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606911","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":"Increasing Motivation Increases Intelligibility Benefits of Perceptual Training in Dysarthria.","authors":"Stephanie A Borrie, Katerina A Tetzloff, Tyson S Barrett, Kaitlin L Lansford","doi":"10.1044/2024_AJSLP-24-00196","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00196","url":null,"abstract":"<p><strong>Purpose: </strong>Perceptual training offers a promising, listener-targeted option for improving intelligibility of dysarthric speech. Cognitive resources are required for learning, and theoretical models of listening effort and engagement account for a role of listener motivation in allocation of such resources. Here, we manipulate training instructions to enhance motivation to test the hypothesis that increased motivation increases the intelligibility benefits of perceptual training.</p><p><strong>Method: </strong>Across two data collection sites, which differed with respect to many elements of study design including age of speaker with dysarthria, dysarthria type and severity, type of testing and training stimuli, and participant compensation, 84 neurotypical adults were randomly assigned to one of two training instruction conditions: enhanced instructions or standard instructions. Intelligibility, quantified as percent words correct, was measured before and after training.</p><p><strong>Results: </strong>Listeners who received the enhanced instructions achieved greater intelligibility improvements from training relative to listeners who received the standard instructions. This result was robust across data collection sites and the many differences in methodology.</p><p><strong>Conclusions: </strong>This study provides evidence for the role of motivation in improved understanding of dysarthric speech-increasing motivation increases allocation of cognitive resources to the learning process, resulting in improved mapping of the degraded speech signal. This provides empirical support for theoretical models of listening effort and engagement. Clinically, the results show that a simple addition to the training instructions can elevate learning outcomes.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-12"},"PeriodicalIF":2.3,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591960","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":"Features of Swallowing Function in Sporadic Inclusion Body Myositis: Preliminary Evidence Using Well-Tested Assessment Frameworks.","authors":"Kevin Renz Ambrocio, Rohit Aggarwal, David Lacomis, Xingyu Zhang, Kendrea L Focht Garand","doi":"10.1044/2024_AJSLP-24-00061","DOIUrl":"10.1044/2024_AJSLP-24-00061","url":null,"abstract":"<p><strong>Purpose: </strong>Evidence surrounding swallowing impairment in sporadic inclusion body myositis (IBM) is based on nonstandardized and nonvalidated assessment methods. We investigated (a) IBM's impact on swallowing function and oral intake status using well-tested assessment frameworks; (b) changes in swallowing over time; and (c) age, sex, and swallowing impairment severity's influence on oral intake status.</p><p><strong>Method: </strong>We conducted a secondary analysis of Modified Barium Swallow Impairment Profile (MBSImP) and Functional Oral Intake Scale (FOIS) data from 13 patients with IBM (seven females; <i>M</i>_age = 60.2 [±13.6] years) and 13 age- and sex-matched healthy controls. We compared MBSImP Overall Impression (OI), Oral Total (OT), Pharyngeal Total (PT), and FOIS scores between groups. Specific to the IBM cohort, we analyzed repeated OT and PT scores and calculated whether age, sex, and OT and PT scores predicted FOIS scores.</p><p><strong>Results: </strong>The IBM cohort demonstrated poorer OI scores across six swallowing components than healthy controls (each <i>p</i> < .05). Unlike OT scores (<i>p</i> = .84), PT (<i>p</i> = .033) and FOIS (<i>p</i> < .001) scores were worse in the IBM cohort. Repeated OI scores revealed changes in three swallowing components (each <i>p</i> < .05), but repeated OT (<i>p</i> = .16) and PT (<i>p</i> = .30) scores did not significantly change. Age, sex, and OT and PT scores did not influence FOIS scores (each <i>p</i> > .05).</p><p><strong>Conclusions: </strong>Pharyngeal impairments were most prominent in the IBM cohort, and their oral intake status was adversely affected. Our preliminary data showcase the application of robust assessment methods to investigate swallowing function in IBM, enhancing standardization and comparability across studies.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.27165450.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2793-2804"},"PeriodicalIF":2.3,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407014","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":"Effectiveness of the Kaufman Speech to Language Protocol for Children With Childhood Apraxia of Speech and Comorbidities When Delivered in a Dyadic and Group Format.","authors":"Aravind K Namasivayam, Karina Cheung, Bavika Atputhajeyam, Julia Petrosov, Miriam Branham, Vikas Grover, Pascal van Lieshout","doi":"10.1044/2024_AJSLP-24-00098","DOIUrl":"10.1044/2024_AJSLP-24-00098","url":null,"abstract":"<p><strong>Purpose: </strong>The current study is a Phase I clinical study with the goal of determining feasibility and the effectiveness of the Kaufman Speech to Language Protocol (K-SLP) for children with childhood apraxia of speech (CAS) and comorbidities. We hypothesized that K-SLP intervention would result in improved outcomes and maintenance of treatment effect at 3-4 months postintervention.</p><p><strong>Method: </strong>Single-subject experimental design with multiple baselines across behaviors was replicated across a group of six children. Five out of six participants completed the study. The K-SLP intervention was administered in dyads four times a week for three consecutive weeks. Outcomes included assessment of word/syllable shapes, articulation accuracy, speech intelligibility, and functional communication. Treatment progress was measured through: (a) the administration of custom probe word lists and (b) assessments carried out at pretreatment, immediately following intervention and approximately 3-4 months after the study period.</p><p><strong>Results: </strong>Four out of five participants demonstrated significant improvements to words targeted in treatment and three out of five generalized these to untreated words. Furthermore, three out of five participants showed immediate and clinically significant posttreatment improvements in speech intelligibility and functional outcomes, and this increased to four out of five participants at 3-4 months follow-up.</p><p><strong>Conclusions: </strong>The study provides preliminary support for the effectiveness of the K-SLP program when delivered in dyads to children with CAS with comorbidities. The study replicates earlier findings and reaffirms the positive outcomes of K-SLP for children with CAS.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2904-2920"},"PeriodicalIF":2.3,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367175","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 Scoping Review on the Intersection Between Voice and Swallowing Measures in Healthy and Disordered Populations.","authors":"Amna S Mira, Lindsey J Goldsberry, Melissa J Previtera, Amanda K Simmons, Victoria S McKenna","doi":"10.1044/2024_AJSLP-24-00025","DOIUrl":"10.1044/2024_AJSLP-24-00025","url":null,"abstract":"<p><strong>Purpose: </strong>Voice and swallowing are distinct functions that share anatomical and physiological properties; however, research investigating their intersection is limited. The purpose of this scoping review was to explore the literature surrounding the relationship between voice and swallowing measures in healthy adults and those with non-degenerative disorders. Specifically, we aimed to elucidate whether objective voice measures could be used as correlates of swallowing function.</p><p><strong>Method: </strong>We systematically searched four databases (Embase, PubMed, CINAHL, and Web of Science) for relevant literature using a combination of key words and controlled vocabulary generated from the Yale Mesh Analyzer. The inclusion criteria consisted of peer-reviewed studies in the English language that reported on healthy adults and/or patients with non-degenerative neurological disorders and pulmonary diseases and contained instrumental and/or objective voice and swallowing measures. Two raters completed the abstract screening process followed by independent full-text reviews. Case studies, review studies, gray literature, or abstract-only studies were excluded.</p><p><strong>Results: </strong>Among 5,485 screened studies, 182 were fully reviewed, with only 11 studies meeting the inclusion criteria. Eight studies found an association between voice and swallowing objective measures, whereas the other three did not. Significant voice measures that were related to swallowing safety and/or physiology included maximum fundamental frequency (<i>F</i>0), <i>F</i>0 range, maximum phonation time, biomechanics of effortful pitch glides, and voice onset time.</p><p><strong>Conclusions: </strong>Although there was heterogeneity in the measures used, specific objective voice measures showed promise in clinical practice as a screening tool for dysphagia. Further investigations are needed to validate the clinical utility of these measures across diverse patient populations.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"3082-3099"},"PeriodicalIF":2.3,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086389","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":"Dynamic Changes Toward Reflective Practice: Documented Shifts in Speech-Language Pathologists' Evaluation Practices.","authors":"Giselle Núñez, Molly Buren, Tara Bailey, Catherine Crowley","doi":"10.1044/2024_AJSLP-23-00172","DOIUrl":"10.1044/2024_AJSLP-23-00172","url":null,"abstract":"<p><strong>Purpose: </strong>This qualitative study explored the experiences of speech-language pathologists (SLPs) in professional learning communities (PLCs) during a year-long virtual professional development (PD) opportunity using an implementation science (IS) framework in an urban public school district for dynamic assessment (DA) training. The DA presented in the PD was modified based on ongoing discussions with key stakeholders in the district, so that it could be reasonably implemented in clinical practice while preserving the integrity of the DA's purpose.</p><p><strong>Method: </strong>SLPs in an urban district were trained virtually using DA over the course of the school year. PD topics focused on decreasing bias and incorporating evidence-based practice into SLP approaches to speech-language evaluations. The SLPs underwent three training sessions and three separate PLC sessions. The SLPs were assigned a series of case studies to complement PLC sessions. An IS framework informed each step of the PD and PLCs to ensure applicability and integration of the content. Of the 366 SLPs working in the district, 209 consented and filled out two questionnaires and three exit slips to gather information on their experiences with the DAs and PLC models.</p><p><strong>Results: </strong>SLPs reported new insights into their practice, including changes in assessment practices, awareness of bias in assessment practices, and increased confidence in working with families during the evaluation process. Two additional themes emerged: increased collaboration and enhanced group problem-solving skills when working with peers in PLC groups, and expanded proficiencies and heightened skills when applying DA practices to evaluations. The two challenges faced by SLPs included time constraints and confidence in the mastery of DA.</p><p><strong>Conclusion: </strong>This study offers an approach to shifting evaluation practices in large districts to incorporate more evidence-based approaches.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2921-2938"},"PeriodicalIF":2.3,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299456","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":"Maximizing the \"Functional\" in the Functional External Memory Aid Tool for Patient-Centered Treatment Planning in Mild Cognitive Impairment.","authors":"Alyssa M Lanzi, Julia L Mendez, Megan Tobin, Melissa A Johnson","doi":"10.1044/2024_AJSLP-24-00110","DOIUrl":"10.1044/2024_AJSLP-24-00110","url":null,"abstract":"<p><strong>Purpose: </strong>The Functional External Memory Aid Tool (FEMAT) is an 11-item performance-based measure that simulates everyday tasks (e.g., medication management) to measure one's use of compensation (e.g., pill organizer). The FEMAT is not a norm-referenced diagnostic tool; rather, it is designed to provide clinicians with information about a patient's function and compensation in a standardized format. To provide further evidence for validity of the FEMAT, the purpose of this study was to conduct a mixed-methods analysis of FEMAT responses to operationalize the types of behaviors elicited during test administration.</p><p><strong>Method: </strong>We adopted an embedded single-case study design to analyze the FEMAT administrations of 12 community-dwelling female participants, ages 73-90 years, who met criteria for mild cognitive impairment. These participants were part of the original validation sample during which they completed the FEMAT (Version 1.0) in a single session with an assessor. Sessions were video-recorded and transcribed. We analyzed the data qualitatively in two phases using theme and subtheme codes and then quantitatively analyzed the data for response trends.</p><p><strong>Results: </strong>Our thematic analysis revealed four themes to operationalize participants' verbal and behavioral FEMAT responses: (a) used an external memory aid (EMA), (b) described using a strategy, (c) discussed memory and comprehension, and (d) discussed functional information. While completing the FEMAT, most participants described using a strategy (85%) and discussed their self-perceived memory and comprehension (33%). Several subthemes also emerged within each theme (e.g., self-perceived memory strengths and barrier).</p><p><strong>Conclusions: </strong>Our analysis suggests that beyond a 4-point item score, the FEMAT elicits behavioral (e.g., used an EMA) and verbal (e.g., discussion of health information) content that may be useful for person-centered treatment planning. This study is part of a comprehensive research agenda establishing the evidence for the validity of the FEMAT to support its use to inform person-centered treatment approaches.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"3026-3039"},"PeriodicalIF":2.3,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478853","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}