American Journal of Speech-Language Pathology最新文献

{"title":"Defining Goals of Transfeminine Individuals Seeking Gender-Affirming Voice Therapy: A Qualitative Study.","authors":"Felicia François, Jeremy Wolfberg, Caitlin Croegaert-Koch, Robert Brinton Fujiki, Susan L Thibeault","doi":"10.1044/2025_AJSLP-24-00369","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00369","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to examine transfeminine individuals' goals for gender-affirming voice care and what they consider success in gender-affirming voice therapy.</p><p><strong>Method: </strong>Fifteen transfeminine individuals completed semistructured interviews prior to commencement of gender-affirming voice care. Interviews explored individuals' voice goals, expectations for treatment, and desired treatment outcomes. Interviews were transcribed and analyzed by four speech-language pathologists with experience in gender-affirming voice using a grounded theory approach. Line-by-line, open, and axial coding were conducted to identify themes and subthemes.</p><p><strong>Results: </strong>Four dominant themes and 12 subthemes were identified from the interviews. Dominant themes included the following: (a) Individuals hope that voice therapy will reduce adverse voice-related experiences, (b) individuals expect successful voice therapy to facilitate specific voice goals, (c) individuals expect successful voice therapy to facilitate communication across varying contexts, and (d) individuals want specific guidance in voice therapy. Past adverse experiences included being misgendered or feeling isolated due to vocal function. Specific voice goals included having a voice that was perceived as more feminine, higher in pitch, and produced with less mental and phonatory effort. Participants hoped that success in voice therapy would facilitate occupational voice use, phone use, and interactions with strangers. They also expressed a desire for specific strategies or exercises to achieve desired voice changes.</p><p><strong>Conclusions: </strong>Transfeminine individuals seeking gender-affirming voice training have specific goals and expectations for voice therapy, which are driven by past experiences, interactional partners, and communicative context. Future study should continue to clarify the manner in which patient experiences drive voice outcomes in this population.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-10"},"PeriodicalIF":2.3,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993450","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":"Does Executive Function Performance Predict Treatment Response in Preschoolers With Developmental Language Disorder?","authors":"Leah L Kapa","doi":"10.1044/2025_AJSLP-24-00396","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00396","url":null,"abstract":"<p><strong>Purpose: </strong>The goal of the current study was to examine whether executive function scores predicted response to conversational recast treatment among preschoolers with developmental language disorder (DLD).</p><p><strong>Method: </strong>Forty-nine preschoolers with DLD who received Enhanced Conversational Recast treatment were included in the analyses. Their response to treatment was indexed by the effect size of their accurate production of a targeted morpheme following treatment relative to their production of the morpheme prior to treatment. Stepwise regression analyses determined whether treatment response was predicted by their standardized language scores and/or by their scores on four executive function tasks that measured selective sustained attention, working memory, inhibition, and attention shifting.</p><p><strong>Results: </strong>Among the potential predictors included in the model, only Dimensional Change Card Sort (DCCS), which is a measure of attention shifting, was a significant predictor. DCCS scores were positively predictive of treatment outcomes and accounted for 20% of variance in treatment effect among participants.</p><p><strong>Conclusions: </strong>In addition to considering a child's language abilities when selecting language treatments, clinicians may also take into account their executive function abilities, as children with DLD who had higher DCCS scores tended to have larger positive treatment responses to Enhanced Conversational Recasting. These findings highlight the multifaceted nature of the skills needed for children to succeed in language treatments and provide guidance for selecting treatments that are most appropriate for individual children given their profile of strengths and limitations.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-13"},"PeriodicalIF":2.3,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046967","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":"What About Dissemination Science? Practical Recommendations for the Clinical Researcher in Communication Sciences and Disorders.","authors":"Michelle K Hart, Jacqueline Laures-Gore, Sara Peele","doi":"10.1044/2025_AJSLP-24-00458","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00458","url":null,"abstract":"<p><strong>Purpose: </strong>This article presents a viewpoint highlighting the importance of dissemination science in communication sciences and disorders (CSD), with special emphasis on the beneficial application of a dissemination model, Everett Rogers's diffusion of innovation (DoI). Additionally, we provide the clinical researcher with practical recommendations to promote dissemination.</p><p><strong>Method: </strong>We begin with a discussion on dissemination and implementation science specific to the CSD literature. Next, we introduce the reader to Rogers's DoI and describe the five characteristics of an innovation. Using the key tenets offered in his model, we provide recommendations on the development, production, and dissemination of research for the clinical researcher, with important input from a clinician's perspective.</p><p><strong>Results: </strong>Clinical researchers should consider the characteristics of an innovation at the start of their research to help improve dissemination of research and ultimately reduce the research-to-practice gap.</p><p><strong>Conclusions: </strong>Dissemination science, although often forgotten about, is an important piece of the research-to-practice gap puzzle. Rogers's DoI is an appropriate model to apply to research in CSD given its application in several related fields. Broadly, additional applications of dissemination science in CSD are warranted as well as investigations into the various communication channels that successfully reach speech-language pathologists.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-8"},"PeriodicalIF":2.3,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018609","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":"Cough Suppression Therapy in Patients With Chronic Refractory Cough and Oropharyngeal Dysphagia.","authors":"ShengYing A Chen, Jessica F Kim, Priya Krishna, Ethan Simmons, Brianna K Crawley, Thomas Murry","doi":"10.1044/2024_AJSLP-24-00345","DOIUrl":"10.1044/2024_AJSLP-24-00345","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic refractory cough (CRC), defined as cough lasting over 8 weeks despite medical intervention, is a prevalent condition with a number of associated comorbidities. Cough suppression therapy (CST) has been demonstrated to be a promising avenue for treating CRC by improving airway control and coordination. However, little is known about the effects of CST in CRC patients diagnosed with comorbid oropharyngeal dysphagia (DYS) despite a large subset of patients with both conditions. The purpose of this study was to determine if CST affects self-assessment of DYS severity in patients diagnosed with both CRC and oropharyngeal DYS.</p><p><strong>Method: </strong>The charts of 106 patients with a primary diagnosis of CRC who completed CST were reviewed. A total of 30 age- and gender-matched individuals, 15 with CRC and oropharyngeal DYS (CRC + DYS) and 15 with CRC only, were identified. All patients underwent stroboscopic examinations by an otolaryngologist and completed the Cough Severity Index and Eating Assessment Tool-10 surveys. Statistical analyses were conducted to compare pre- and posttreatment symptom severity, gender, age, race/ethnicity, and comorbidities.</p><p><strong>Results: </strong>Self-reported severity of DYS decreased in all 15 CRC + DYS patients, and their average post-treatment score was statistically similar to that of patients with only CRC. Both groups had comparable reductions in their self-assessment of cough severity. The two groups presented no statistically significant difference in pretreatment cough severity, treatment duration, number of treatment sessions, comorbidities, age, and gender.</p><p><strong>Conclusion: </strong>These findings suggest that CRC patients with oropharyngeal DYS and no evidence of aspiration had statistically significant improved self-assessment of swallowing disorder severity when treated with CST.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1058-1064"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517262","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":"Promoting Augmentative and Alternative Communication-Induced Language Recovery in Chronic Aphasia (PAIL-RcA): Theoretical Construct, Method, Protocol, and Treatment Resources.","authors":"Aimee Dietz, Chitrali R Mamlekar, Michelle K Hart, Cassy White","doi":"10.1044/2025_AJSLP-24-00429","DOIUrl":"10.1044/2025_AJSLP-24-00429","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this tutorial is to provide a how-to so that clinicians can successfully implement augmentative and alternative communication (AAC) as a dual-purpose tool, one that successfully and simultaneously compensates for communication breakdowns and facilitates language recovery. Moreover, readers will understand two key principles of neuroplasticity as they apply to AAC implementation for people with aphasia (PWA), as well as the theory of intersystemic reorganization, by way of a novel treatment, Promoting AAC-Induced Language-Recovery in Chronic Aphasia (PAIL-RcA).</p><p><strong>Method and procedure: </strong>Readers are provided a step-by-step overview of PAIL-RcA, as well as data sheets, cueing hierarchy, a family handout and prompt guides detailing how to successfully implement PAIL-RcA.</p><p><strong>Conclusions: </strong>PAIL-RcA is a novel AAC treatment for PWA that is theoretically driven, manualized, and proven feasible with freely available resources for clinical implementation. Although PAIL-RcA was developed for storytelling and is highlighted for use on an iPad, we encourage adaptation for implementation across a variety of AAC systems and communication purposes.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"989-1004"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784624","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":"Babble Boot Camp for Infants With Down Syndrome: Piloting a Proactive, Caregiver-Led Intervention Designed to Boost Earliest Speech and Language Skills.","authors":"Beate Peter, Lizbeth Finestack, Susan Loveall, Lauren Thompson, Laurel Bruce, Nancy Scherer, Carol Stoel-Gammon, Jennifer Davis, Nancy Potter, Mark VanDam, Linda Eng, Sue Buckley","doi":"10.1044/2024_AJSLP-24-00271","DOIUrl":"10.1044/2024_AJSLP-24-00271","url":null,"abstract":"<p><strong>Purpose: </strong>Down syndrome (DS) is associated with lifelong difficulties with verbal communication, beginning in infancy when vocalizations are sparse and first words emerge late. Because DS is diagnosed at or even before birth, these difficulties can be anticipated, yet there have been limited developments of systematic, proactive interventions. The purpose of the pilot study described here was to investigate feasibility and potential benefits of such an intervention toward a fully powered clinical trial.</p><p><strong>Method: </strong>We piloted Babble Boot Camp (BBC), a proactive, parent-led speech and language intervention, with 10 children with DS ages 4-16 months. Each family participated in weekly sessions via telehealth for 10 months. A pediatric speech-language pathologist coached parents to implement daily routines and activities at home, designed to foster child target behaviors and skills (e.g., increased vocalization rates, babble complexity, word productions) toward building resilience against anticipated challenges. Parents provided daylong audio recordings and questionnaire data at regular intervals.</p><p><strong>Results: </strong>Parent participation and compliance metrics in the intervention were high. All rated the intervention as acceptable, convenient, and helpful, whereas three sets of parents found aspects of the data collection time consuming. Children's linguistic environments resembled those of typical controls in terms of child utterance rates, adult word counts, and conversational turns. Babble complexity and receptive and expressive vocabularies increased over time. First words emerged earlier than expected.</p><p><strong>Conclusion: </strong>High feasibility metrics and suggestive benefits motivate a larger study to determine more specifically how the various BBC components can improve long-term outcomes for children with DS.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28655222.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1041-1057"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736235","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":"Practice Patterns in Speech-Language Pathologist Treatment of Induced Laryngeal Obstruction.","authors":"Robert Brinton Fujiki, Anumitha Venkatraman, Susan L Thibeault","doi":"10.1044/2025_AJSLP-24-00430","DOIUrl":"10.1044/2025_AJSLP-24-00430","url":null,"abstract":"<p><strong>Purpose: </strong>The goal of this study was to examine current speech-language pathologist (SLP) practice patterns in the diagnosis and treatment of induced laryngeal obstruction (ILO; both exercise- and irritant-induced variants: exercise-induced laryngeal obstruction [EILO]/ILO).</p><p><strong>Method: </strong>One hundred ninety-one SLPs from throughout the United States were surveyed regarding practice patterns for diagnosing and treating EILO/ILO. SLPs were queried regarding diagnostic procedures, treatment practices, outcome measures, rescue breathing strategies utilized, and discharge criteria employed within their clinical practice. SLPs rated their confidence in treating EILO/ILO using a visual analog scale. Clinician confidence was compared across SLPs working in different settings, with different populations, and with varying access to diagnostic equipment/collaborators. Median income of facility neighborhood and clinician experience were also considered.</p><p><strong>Results: </strong>Most SLPs reported that patients with EILO/ILO were diagnosed using laryngoscopy (with or without videostroboscopy) either at rest or following exercise. Only 4.7% of respondents indicated that their patients had access to continuous laryngoscopy during exercise (CLE) for diagnosing EILO. The Dyspnea Index was the most common patient-reported outcome measure for both EILO and ILO. SLPs reported high confidence levels in rescue breathing techniques, and informal patient report was the most common method of tracking therapeutic progress. Forty-one percent of SLPs voiced the need for increased access to diagnostic equipment (CLE or laryngoscopy), and 51.8% expressed the need for exercise facilities (i.e., treadmills or places to have patients run). Clinicians reported significantly higher levels of confidence treating EILO as opposed to ILO (<i>p</i> < .001). Collaborating with a laryngologist (<i>p</i> < .001), more years of experience (<i>p</i> = .025), and wealthier median income of practice setting (<i>p</i> = .014) predicted increased confidence in treating EILO/ILO.</p><p><strong>Conclusions: </strong>SLPs may have limited access to the most effective facilities and diagnostic equipment designed to identify EILO/ILO. Continuing research is needed to provide SLPs with evidence-based diagnostic procedures, treatment strategies, and outcome measures to enhance EILO/ILO intervention for all patients.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":"34 3","pages":"1269-1288"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004396","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":"How Caregivers of Children in Early Intervention Feel About Simplified Language Input.","authors":"Julia Andary, Megan Nylund-Hackbarth, Emily Lorang, Bridget Walsh, Sarah N Douglas, Courtney E Venker","doi":"10.1044/2024_AJSLP-24-00380","DOIUrl":"10.1044/2024_AJSLP-24-00380","url":null,"abstract":"<p><strong>Purpose: </strong>Caregivers of children in early intervention (EI) are commonly taught to simplify their speech, yet there is little research on caregivers' perspectives on recommended simplification strategies. We explored caregivers' opinions about using shortened and telegraphic speech and examined what caregiver and child characteristics are associated with caregiver views on simplified linguistic input.</p><p><strong>Method: </strong>Seventy-seven caregivers of children in EI completed an online survey on caregivers' perspectives on the language input provided to children with language delays. Using Likert scales, caregivers indicated their beliefs regarding speaking in shortened utterances (i.e., utterances with very few words) and telegraphic input (i.e., utterances that include content words such as nouns and verbs but remove function words and grammatical markings). In addition, caregivers were asked to rate the importance of a number of different factors (i.e., receptive language, expressive language, age, cognitive abilities, and diagnosis) when deciding how to speak to their children.</p><p><strong>Results: </strong>Caregivers reported a range of views, with few feeling neutral about shortened utterances or telegraphic input. Overall, caregivers perceived telegraphic utterances as less beneficial than shortened utterances. Caregivers with less formal education had a more positive view of telegraphic utterances compared to those with more formal education. Caregivers rated receptive language as the most important factor when deciding how to speak to a child.</p><p><strong>Conclusions: </strong>Caregivers of children in EI have differing views about simplified language input. Practitioners should provide a clear rationale and discuss caregivers' views about simplification approaches to better tailor their recommendations.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28452668.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1390-1397"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606127","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":"Perspectives on Airway Protection: A Mixed Methods Investigation in People With Parkinson's Disease.","authors":"Jordanna S Sevitz, Nicole Rogus-Pulia, Michelle S Troche","doi":"10.1044/2024_AJSLP-24-00353","DOIUrl":"10.1044/2024_AJSLP-24-00353","url":null,"abstract":"<p><strong>Purpose: </strong>Disordered airway protection, including both disordered swallowing (dysphagia) and disordered cough (dystussia), is highly prevalent among persons with Parkinson's disease (pwPD). A comprehensive understanding of the perspectives of pwPD as it relates to airway protection is currently lacking and is necessary to provide relevant, person-centered care. Therefore, this study used a parallel-convergent mixed methods design to quantitatively and qualitatively investigate pwPD's perspectives on airway protection.</p><p><strong>Method: </strong>Thirteen pwPD were consecutively recruited from a cough training trial. Quantitative data (obtained from the Swallowing Quality of Life questionnaire [SWAL-QOL] and the modified Canadian Occupational Performance Measure [mCOPM]) and qualitative data (obtained from semistructured interviews) were integrated to define participant knowledge, perceived importance, perceived performance, and psychosocial implications of airway protective deficits.</p><p><strong>Results: </strong>All participants reported basic knowledge about airway protection, which centered around four themes-physiology, the interconnectedness between bulbar functions, danger, and impaired airway protection as a consequence of PD. All participants believed that airway protection was important (median mCOPM score = 10), with three primary themes related to importance-survival, anticipated future decline, and maintaining oral intake. We identified a split between participants who perceived themselves to have \"a swallowing problem\" and those who did not, with three themes relating to perceived impairment-use of eating strategies, unpredictable and inconsistent symptom experience, and vigilance required to mitigate symptoms. Psychosocial ramifications centered on three key themes that aligned with three SWAL-QOL domains-overall burden, fear of future decline, and social embarrassment.</p><p><strong>Conclusion: </strong>The integration of quantitative and qualitative data in this study highlights the importance of considering unique patient perspectives to develop personalized and relevant management plans for each unique pwPD that integrate objective and clinical findings with patient priorities and needs.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28489280.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1065-1085"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568591","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":"Nasopharyngoscopic Velopharyngeal Port Function Assessment: A Randomized Comparative Trial of 3D-Printed Versus Ready-Made Models.","authors":"Namık Yücel Birol, Özlem Ünal Logacev, Esra Yaşar Gündüz","doi":"10.1044/2025_AJSLP-24-00432","DOIUrl":"10.1044/2025_AJSLP-24-00432","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine the feasibility and effectiveness of nasopharyngoscopic velopharyngeal port assessment training given to speech-language pathology undergraduate students using a high-cost, ready-made endoscopy training model versus a low-cost, 3D-printed model.</p><p><strong>Method: </strong>A randomized comparison trial was conducted with 36 final-year undergraduate students from nine different speech-language pathology programs in Türkiye. Participants were randomly assigned to two groups and received training either with ready-made endoscopy model or the 3D-printed model. The training included theoretical and practical components, followed by self-confidence, procedural proficiency, and satisfaction assessments.</p><p><strong>Results: </strong>Both groups significantly improved in self-confidence and procedural proficiency from the pretest to posttest. There was no statistically significant difference between the two groups regarding performance, indicating that the 3D-printed model was as effective as the ready-made model. Satisfaction levels were high across both groups, with no significant differences noted.</p><p><strong>Conclusions: </strong>The low-cost, 3D-printed endoscopy training model was found to be as effective as the high-cost, ready-made model in improving students' self-confidence and proficiency in nasopharyngoscopic velopharyngeal port assessment. This finding suggests that 3D-printed models can be a viable and cost-effective alternative for simulation-based education in speech-language pathology programs, particularly in resource-limited settings.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1435-1453"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671465","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}