American Journal of Speech-Language Pathology最新文献

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Reading and Writing Rehabilitation With Individuals With Aphasia: A Survey of Speech-Language Pathologists' Clinical Practice and Perspectives. 失语症患者的读写康复:语言病理学家临床实践与观点的调查。
IF 2.5 3区 医学
American Journal of Speech-Language Pathology Pub Date : 2025-09-18 DOI: 10.1044/2025_AJSLP-24-00418
Elizabeth B Madden, Erin J Bush, Jessica Obermeyer, Jessica Willette
{"title":"Reading and Writing Rehabilitation With Individuals With Aphasia: A Survey of Speech-Language Pathologists' Clinical Practice and Perspectives.","authors":"Elizabeth B Madden, Erin J Bush, Jessica Obermeyer, Jessica Willette","doi":"10.1044/2025_AJSLP-24-00418","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00418","url":null,"abstract":"<p><strong>Purpose: </strong>Most individuals with aphasia want to improve their reading and writing, yet these language skills are not typically prioritized in aphasia therapy. This study aimed to better understand speech-language pathologists' clinical practice regarding rehabilitation of reading and writing with clients with aphasia.</p><p><strong>Method: </strong>Twenty-one speech-language pathologists completed an online survey with questions addressing clinical experience, feelings, and therapy approaches surrounding literacy and aphasia. Descriptive statistics were used to analyze closed-ended responses, and content analysis was performed on open-ended responses. Associations between participant demographics and survey self-ratings were explored.</p><p><strong>Results: </strong>Speech-language pathologists indicated that reading and writing are important to address in aphasia therapy, yet many indicated low satisfaction with available assessments and treatments and low confidence in their abilities to address literacy challenges. Most reported observing reading and writing to be problematic for clients with aphasia; however, there was variability in frequency and type of assessments and treatments used to address these concerns. The number of reported clients with aphasia on caseload was significantly correlated with higher confidence and more frequent treatment for reading and writing.</p><p><strong>Conclusions: </strong>Participants agreed it is important to address literacy skills with clients with aphasia; however, many reported low confidence, time constraints, and other barriers interfering with their ability to do so. Research focused on improving educational training opportunities and access to literacy resources for speech-language pathologists is needed to support their clinical care and meet the literacy needs of individuals with aphasia.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.30080956.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-14"},"PeriodicalIF":2.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087730","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}
引用次数: 0
Maternal Linguistic Input to Infants Born to Mothers With and Without Postpartum Psychosis and Infant Language Skills: A Preliminary Study. 有无产后精神病母亲所生婴儿的母亲语言输入与婴儿语言技能的初步研究。
IF 2.5 3区 医学
American Journal of Speech-Language Pathology Pub Date : 2025-09-18 DOI: 10.1044/2025_AJSLP-25-00104
Reny Raju, Malavi Srikar, Divya Swaminathan, Prabha S Chandra, Prathyusha P Vasuki, Shoba S Meera
{"title":"Maternal Linguistic Input to Infants Born to Mothers With and Without Postpartum Psychosis and Infant Language Skills: A Preliminary Study.","authors":"Reny Raju, Malavi Srikar, Divya Swaminathan, Prabha S Chandra, Prathyusha P Vasuki, Shoba S Meera","doi":"10.1044/2025_AJSLP-25-00104","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-25-00104","url":null,"abstract":"<p><strong>Purpose: </strong>This preliminary study investigated maternal linguistic input (MLI) to infants born to mothers with and without postpartum psychosis (PPP), infant language skills, and the impact of MLI on infant language skills.</p><p><strong>Method: </strong>This is a cross-sectional case-control study from South India. The study included 14 mother-infant dyads, with seven dyads each in the PPP group, <i>M</i><sub>age of infant</sub>(<i>SD</i>) = 8.44 (1.93) months, and the no-PPP group, <i>M</i><sub>age of infant</sub>(<i>SD</i>) = 8.14 (1.8) months. MLI was assessed through video recordings of mother-infant interactions, focusing on both quantity (total number of words) and quality (type of words, type-token ratio, length of utterance, and types of maternal verbal responsiveness to infant vocalizations). Infant language skills were assessed between 6 and 12 months of infants' age using two parent interview measures: (a) Receptive-Expressive Emergent Language Test-Third Edition and (b) MacArthur-Bates Communicative Development Inventories, Words and Gestures. These measures were administered in languages spoken by the families, such as Kannada, Tamil, Malayalam, and Hindi.</p><p><strong>Results: </strong>Findings indicated that mothers with PPP provided significantly fewer total words and word types, shorter length of utterances, fewer verbal responsiveness to infant vocalizations, and a significantly higher number of no verbal responses to infant vocalizations when compared to mothers without PPP. No significant differences were observed in infant receptive and expressive language skills between the groups. Overall, strong positive correlations were observed between maternal responsiveness to infant vocalizations and expressive language skills as well as between no verbal responses to infant vocalizations and receptive vocabulary counts.</p><p><strong>Conclusions: </strong>The study highlights that there exist differences in the patterns of MLI in mothers with and without PPP. However, further research is needed with larger samples and longitudinal designs to explore the long-term impact of PPP on infant language development.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-12"},"PeriodicalIF":2.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088020","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}
引用次数: 0
More Than Six Decades of Growth and Development: Communication Rights and Needs for Children and Adults With Severe Disabilities. 六十多年的成长和发展:严重残疾儿童和成人的沟通权利和需求。
IF 2.5 3区 医学
American Journal of Speech-Language Pathology Pub Date : 2025-09-18 DOI: 10.1044/2025_AJSLP-24-00548
MaryAnn Romski, Rose A Sevcik, Andrea Barton-Hulsey, Diane Paul
{"title":"More Than Six Decades of Growth and Development: Communication Rights and Needs for Children and Adults With Severe Disabilities.","authors":"MaryAnn Romski, Rose A Sevcik, Andrea Barton-Hulsey, Diane Paul","doi":"10.1044/2025_AJSLP-24-00548","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00548","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this article is to provide a brief overview of the more than six-decade historical perspective on the field of intellectual disabilities (IDs), its relationship to the development of communication services and support for children and adults with severe disabilities in the context of the National Joint Committee for the Communication Needs of Persons With Severe Disabilities (NJC).</p><p><strong>Method: </strong>This historical overview briefly reviews the development of the ID field and how it inspired the focused growth of the communication service and support needs of children and adults with severe disabilities. It details the development of the NJC and its activities over time, including current and emerging areas of concern.</p><p><strong>Results: </strong>This article links the broader historical foundation of ID to the later establishment, mission, and ongoing development of the NJC. It describes the emergence and evolution of communication services and supports across these decades. It highlights the advocacy activities and committee products over time.</p><p><strong>Conclusions: </strong>The NJC's work is ever-evolving, building on past advocacy efforts. It aims to positively impact the communication future for children and adults with severe disabilities.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-15"},"PeriodicalIF":2.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087979","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}
引用次数: 0
Derivational Morphology Performance of Children Who Are Deaf and Hard of Hearing Who Use Cochlear Implants or Hearing Aids. 使用人工耳蜗或助听器的聋儿及重听儿童衍生形态表现。
IF 2.5 3区 医学
American Journal of Speech-Language Pathology Pub Date : 2025-09-15 DOI: 10.1044/2025_AJSLP-25-00115
Emily Lund, Brooke Johnson, Krystal L Werfel
{"title":"Derivational Morphology Performance of Children Who Are Deaf and Hard of Hearing Who Use Cochlear Implants or Hearing Aids.","authors":"Emily Lund, Brooke Johnson, Krystal L Werfel","doi":"10.1044/2025_AJSLP-25-00115","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-25-00115","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to evaluate knowledge of derivational morphemes in first-grade children who are deaf and hard of hearing (DHH), use spoken language, and use cochlear implants (CIs) or hearing aids (HAs) as compared to children with typical hearing.</p><p><strong>Method: </strong>One hundred and forty-seven children who had recently completed first grade (<i>n</i> = 55 children with typical hearing, 37 children with HAs, and 51 children with CIs) participated in the spoken administration of the Test of Morphological Structure.</p><p><strong>Results: </strong>Children with CIs and children with HAs had a lower performance than children with typical hearing. All groups performed better on decomposition than derivation tasks, with transparent than shift words, and with words that had an early rather than late age of acquisition. Thus, the performance of DHH children was similar in pattern to that of peers with typical hearing even though their overall performance was lower across all item types.</p><p><strong>Conclusions: </strong>This study extends our understanding of morphological development in children who are DHH and use CIs or HAs: Similar to previous work evaluating inflectional morpheme use, we find children with HAs and CIs also present with delays in derivational morpheme use.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-12"},"PeriodicalIF":2.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066107","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}
引用次数: 0
A Family Systems Approach to Augmentative and Alternative Communication Service Delivery in the Inpatient Setting: Recommendations for Speech-Language Pathologists. 一个家庭系统的方法,以增强和替代通信服务交付在住院设置:建议语言病理学家。
IF 2.5 3区 医学
American Journal of Speech-Language Pathology Pub Date : 2025-09-12 DOI: 10.1044/2025_AJSLP-25-00028
Savanna Brittlebank, Jessica Gormley, Maryjan Fiala, Gregory M Fosco
{"title":"A Family Systems Approach to Augmentative and Alternative Communication Service Delivery in the Inpatient Setting: Recommendations for Speech-Language Pathologists.","authors":"Savanna Brittlebank, Jessica Gormley, Maryjan Fiala, Gregory M Fosco","doi":"10.1044/2025_AJSLP-25-00028","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-25-00028","url":null,"abstract":"<p><strong>Purpose: </strong>Family-centered care is necessary to deliver high-quality health care services. It is especially critical that family members are included in augmentative and alternative communication (AAC) service provision in the inpatient setting. AAC can be overwhelming to families and requires accommodations for it to effectively integrate into daily communicative interactions. Currently, there is minimal guidance for family-centered care by speech-language pathologists (SLPs) working with children with limited functional speech in the inpatient pediatric setting. The purpose of this clinical focus article is to apply principles from family systems theory to the inpatient pediatric setting to guide effective family-centered clinical practice and improve outcomes.</p><p><strong>Method: </strong>This clinical focus article describes a family systems framework to guide the development and use of supports to families during the extended hospitalization of a child with limited speech who may benefit from AAC in the inpatient rehabilitation setting. Two case studies are used to illustrate the application of a family systems approach in the pediatric inpatient setting.</p><p><strong>Results: </strong>Recommendations are provided for the inclusion of primary caregivers in service delivery by SLPs in the inpatient hospital context. Clinical implications and future directions are discussed.</p><p><strong>Conclusions: </strong>The hospitalization of a child who uses AAC can be a stressful experience for the entire family system. By using a family systems framework, SLPs may improve AAC service delivery outcomes by working collaboratively with family members and offering supports for both AAC implementation and general well-being. SLPs may also benefit from this approach to AAC service delivery as families may be more actively engaged in sessions, leading to increased uptake of intervention strategies and AAC.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-16"},"PeriodicalIF":2.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042042","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}
引用次数: 0
Instrumental Voice Evaluation in Children: What Are We Getting? 儿童器乐声音评价:我们得到了什么?
IF 2.5 3区 医学
American Journal of Speech-Language Pathology Pub Date : 2025-09-10 DOI: 10.1044/2025_AJSLP-25-00161
Robert Brinton Fujiki, Anumitha Venkatraman, Rachel A Godbout, Susan L Thibeault
{"title":"Instrumental Voice Evaluation in Children: What Are We Getting?","authors":"Robert Brinton Fujiki, Anumitha Venkatraman, Rachel A Godbout, Susan L Thibeault","doi":"10.1044/2025_AJSLP-25-00161","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-25-00161","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to determine the age at which children with voice disorders can complete videostroboscopy, acoustic, and aerodynamic voice assessments. Factors predicting videostroboscopy tolerance were examined.</p><p><strong>Method: </strong>A retrospective observational cohort design was used. Three hundred twelve children with voice disorders were divided into the following age groups: 3-4, 5-6, 7-9, 10-12, and 13-17 years. Videostroboscopy was considered complete if patients produced enough phonation during the exam to allow for stroboscopic ratings of vocal fold oscillation (i.e., mucosal wave, amplitude) to be performed. Patient demographics, voice-related diagnoses, voice symptoms, vocal fold oscillation ratings, clinician experience level, and acoustic and aerodynamic voice measures were collected from the medical record.</p><p><strong>Results: </strong>All children tolerated laryngeal imaging under steady-state halogen light. Almost 17% of 3- to 4-year-olds tolerated videostroboscopy. This number significantly increased to 55% in 5- to 6-year-olds (<i>p</i> < .01) and to 60% in 7- to 9-year-olds. Success rates again significantly increased to 85% in 10- to 12-year-olds (<i>p</i> < .01) and 93.1% in children ≥ 13 years old. Age (<i>p</i> = .03) and ability to perform the voice range profile (<i>p</i> < .01) and aerodynamic voice assessment (<i>p</i> < .01) tasks significantly predicted which patients could tolerate videostroboscopy. Half of 3- to 4-year-old children produced sustained phonation for acoustic analyses compared to 91.7% of 5- to 6-year-olds (<i>p</i> < .01). The majority of children ≥ 5 years old completed the voice range profile task (63.3%) and aerodynamic voice assessments (66.7%).</p><p><strong>Conclusions: </strong>Videostroboscopy is viable for young children with voice disorders. The ability to complete aerodynamic and voice range profile tasks may serve as a preliminary indicator of how well a patient will tolerate videostroboscopy. Future prospective study may determine the most effective approach to help children tolerate instrumental voice assessments.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-15"},"PeriodicalIF":2.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034324","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}
引用次数: 0
Determining the Social Determinants of Health That Influence Self-Reported Dysphagia: A Cross-Sectional Study. 确定影响自我报告的吞咽困难的健康社会决定因素:一项横断面研究。
IF 2.5 3区 医学
American Journal of Speech-Language Pathology Pub Date : 2025-09-09 DOI: 10.1044/2025_AJSLP-25-00122
Anittha Mappanasingam, Paul Stratford, Ashwini Namasivayam-MacDonald
{"title":"Determining the Social Determinants of Health That Influence Self-Reported Dysphagia: A Cross-Sectional Study.","authors":"Anittha Mappanasingam, Paul Stratford, Ashwini Namasivayam-MacDonald","doi":"10.1044/2025_AJSLP-25-00122","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-25-00122","url":null,"abstract":"<p><strong>Introduction: </strong>The prevalence of dysphagia has been increasing over the years, with some individuals at a greater risk. Social determinants of health (SDOH) can affect some individual's access to care and their health more than others. The objective of this study is to explore the role of SDOH on self-reported dysphagia in older adults (aged 65 years and older) living in the United States.</p><p><strong>Method: </strong>The 2022 National Health Interview Survey (NHIS) is a database that collects health information of over 35,000 individuals across the United States. A secondary cross-sectional data analysis determined the SDOH that influence self-reported dysphagia in older adults. Demographic data were represented as mean and standard deviation for continuous data and as frequency and percentage for categorical data. Two parallel analyses were performed, a stepwise logistic regression analysis to unweighted data and a manual backward elimination to data applying the NHIS sampling weights for both a statistically driven model and a theory-driven model.</p><p><strong>Results: </strong>For stepwise logistic regression analysis, employment, race, food insecurity, and housing were found to influence self-reported dysphagia in the statistically driven model, while all but housing were significant in theory-driven model. For the manual backward elimination analysis, employment and race were significant in both models. Older adults who were unemployed due to health/disability, or retirement, reported sometimes worrying about food affordability, and those who rented a house/apartment were more likely to report swallowing difficulties. Older adults who identified as Black/African American or Asian were less likely to report swallowing difficulties.</p><p><strong>Conclusion: </strong>More research needs to be done to examine the role of SDOH on dysphagia. Identifying these SDOH can allow clinicians to advocate for vulnerable populations to have accessible access to dysphagia screening and care.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-12"},"PeriodicalIF":2.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031148","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}
引用次数: 0
Mobile Training for Peers to Support Students With Multiple Disabilities and Cortical Visual Impairment in Communicating Choices. 支持多重残疾和皮质视觉障碍学生进行交流选择的同伴移动训练。
IF 2.5 3区 医学
American Journal of Speech-Language Pathology Pub Date : 2025-09-08 DOI: 10.1044/2025_AJSLP-25-00051
Tara V McCarty, Janice C Light
{"title":"Mobile Training for Peers to Support Students With Multiple Disabilities and Cortical Visual Impairment in Communicating Choices.","authors":"Tara V McCarty, Janice C Light","doi":"10.1044/2025_AJSLP-25-00051","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-25-00051","url":null,"abstract":"<p><strong>Purpose: </strong>The current study investigated the impact of a short mobile training implemented in peer pairs to teach the Communicating Choices-CVI (Peers) strategy to support interactions with students with multiple disabilities.</p><p><strong>Method: </strong>A pretest-posttest control group design was used to evaluate the effects of the training created on the INSTRUCT app, which used a checklist of steps with video models to teach elementary-age peers a strategy to structure opportunities for students with multiple disabilities to communicate choices. Peers were randomly assigned to the experimental group (<i>n</i> = 10) or control group (<i>n</i> = 10) and then video-recorded while interacting with students with multiple disabilities during one pretest and one posttest interaction in their typical educational settings. Peers in the experimental group completed the training between the pretest and posttest; peers in the control group did not.</p><p><strong>Results: </strong>The training was found to be both efficient and effective with limited adult involvement required. Following the training, which took approximately 23 min, peers in the experimental group demonstrated statistically significant gains in accuracy of strategy substep implementation, which led to increased successful communication by the students with multiple disabilities.</p><p><strong>Conclusions: </strong>This is the first communication partner training study to investigate the impact of the INSTRUCT app and peer pairs to teach a strategy for structuring opportunities to communicate choices to students with multiple disabilities including cortical visual impairment (CVI). By investigating the outcomes of the training in a real-world context (i.e., school environment), the results offer information that is directly transferrable and applicable to clinicians who may be interested in implementation of similar procedures.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29996182.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-16"},"PeriodicalIF":2.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024659","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}
引用次数: 0
Important Outcomes for Children and Adolescents With Cognitive-Communication Disorders After Traumatic Brain Injury: An International Multiperspective Consensus Study. 创伤性脑损伤后儿童和青少年认知沟通障碍的重要结局:一项国际多视角共识研究
IF 2.5 3区 医学
American Journal of Speech-Language Pathology Pub Date : 2025-09-08 DOI: 10.1044/2025_AJSLP-24-00516
Lauren Crumlish, Anthony J Angwin, Bridget Burton, Sarah J Wallace
{"title":"Important Outcomes for Children and Adolescents With Cognitive-Communication Disorders After Traumatic Brain Injury: An International Multiperspective Consensus Study.","authors":"Lauren Crumlish, Anthony J Angwin, Bridget Burton, Sarah J Wallace","doi":"10.1044/2025_AJSLP-24-00516","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00516","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to reach consensus among researchers, clinicians, and service managers on the most important outcomes of cognitive-communication treatments for children and adolescents (ages 5-18 years) with traumatic brain injury, in the postacute stage of rehabilitation and beyond.</p><p><strong>Method: </strong>This is an international three-round e-Delphi study. In Round 1, participants answered three open-ended questions, generating important treatment outcomes at three stages of development (5-11, 12-15, and > 15-18 years). Results were analyzed using qualitative content analysis and combined with outcomes from a previous scoping review. In Rounds 2-3, outcome importance was ranked on a 9-point scale. Consensus was defined a priori with outcomes rated as being \"essential\" (7-9) by at least 70% of respondents and rated 1-3 by less than 15% of respondents. Consensus outcomes were linked to the International Classification of Functioning, Disability and Health (ICF).</p><p><strong>Results: </strong>A total of 360 outcomes met consensus for all age groups. For 5- to 11-year-old children, important outcomes linked almost equally to the Body Functions (<i>n</i> = 52, 13.1%) and Activity/Participation (<i>n</i> = 50, 12.6%) components of the ICF. Outcomes of \"successful start to school,\" \"return to school,\" and \"school functioning\" were uniquely important. For older children and adolescents, outcomes linked to the Activity/Participation component of the ICF most frequently (12-15 years: <i>n</i> = 62, 15.6%; > 15-18 years: <i>n</i> = 73, 18.4%). For older cohorts, unique outcomes of \"emotional safety,\" \"employment,\" and \"life skill development\" met consensus.</p><p><strong>Conclusions: </strong>Participants consider many outcomes, spanning most of the ICF, to be important for children and adolescents with cognitive-communication disorders (CCDs). As children and adolescents age, the importance of ICF components shifts, and distinct outcomes emerge, highlighting the necessity of developmentally relevant rehabilitation. The broad range of outcomes reaching consensus reflects pediatric CCD complexity and the need for holistic, person-centered care. Future research should explore the priorities of children and adolescents with CCDs and their families.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-30"},"PeriodicalIF":2.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024640","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}
引用次数: 0
Current Challenges and Future Directions With Terminology: The Impact of Ableism and Identity. 术语的当前挑战和未来方向:残疾歧视和身份的影响。
IF 2.5 3区 医学
American Journal of Speech-Language Pathology Pub Date : 2025-09-08 DOI: 10.1044/2025_AJSLP-24-00536
Andrea Barton-Hulsey, Karen Erickson, Rose A Sevcik, MaryAnn Romski, Diane Paul
{"title":"Current Challenges and Future Directions With Terminology: The Impact of Ableism and Identity.","authors":"Andrea Barton-Hulsey, Karen Erickson, Rose A Sevcik, MaryAnn Romski, Diane Paul","doi":"10.1044/2025_AJSLP-24-00536","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00536","url":null,"abstract":"<p><strong>Purpose: </strong>Since its inception, the National Joint Committee for the Communication Needs of Persons with Severe Disabilities (NJC) has focused specifically on advocating for individuals with significant communication support needs resulting from intellectual disability. The purpose of this review article is to describe the history of terminology used to describe this group of individuals, share the results of a recent survey completed by 102 members of our NJC Network, and discuss the implications of decisions regarding terminology in the NJC's ongoing advocacy efforts.</p><p><strong>Method: </strong>History of terminology used to describe people with intellectual disability is documented by reviewing the literature, policies, professional organizations, and self-advocacy groups that used various terms from the early 20th century to present day. The NJC distributed a survey to the NJC Network of practitioners, researchers, augmentative and alternative communication users, and family members to gain insights on terminology that should be used moving forward.</p><p><strong>Results: </strong>Slightly more than half of the respondents to the survey endorsed the term \"extensive support needs\"; however, support for this term was outweighed by the written comments of the respondents who highlighted the need to move away from descriptions that focus on an individual's needs, and explicitly identify a historically marginalized group of individuals that need a clear direction for advocacy efforts.</p><p><strong>Conclusion: </strong>As a group, current members of the NJC continue to acknowledge the importance of the language we use to identify an often overlooked group of individuals with severe disabilities when supporting and advocating for access to supports that promote growth and development in communication and participation in society.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-11"},"PeriodicalIF":2.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024692","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}
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