American Journal of Speech-Language Pathology最新文献

{"title":"Mandarin Chinese Translation and Cultural Adaptation of the Caregiver Analysis of Reported Experiences With Swallowing Disorders Screening Tool.","authors":"Lancai Zhao, Sihan Li, Yufeng Qiu, Xueqiong Zhu, Jing Shao, Huafang Zhang","doi":"10.1044/2024_AJSLP-23-00492","DOIUrl":"10.1044/2024_AJSLP-23-00492","url":null,"abstract":"<p><strong>Purpose: </strong>The caregiver burden of individuals with dysphagia is a major concern. Currently, assessment tools specifically designed for this population are lacking. The present study aimed to translate the Caregiver Analysis of Reported Experiences with Swallowing Disorders (CARES) Questionnaire into Mandarin Chinese and evaluate its psychometric properties.</p><p><strong>Method: </strong>This study analyzed the psychometric properties of the Mandarin Chinese version of the CARES questionnaire using classical measurement theory and Rasch model analysis.</p><p><strong>Results: </strong>Classical measurement theory: The item-level content validity index of the Mandarin Chinese version of the CARES questionnaire ranged from .83 to 1.00, and the scale-level content validity index ranged from .93 to .95. The correlation coefficient between the total scores, subscale scores of the CARES questionnaire, and Zarit Caregiver Burden Interview scores was between .82 and .87 (<i>p</i> < .01). There were significant relationships between dysphagia-specific burden (CARES) and perceived swallowing impairment (Eating Assessment Tool-10) and diet restrictiveness (International Dysphagia Diet Standardisation Initiative Functional Diet Scale). The overall Cronbach's α coefficient of the Mandarin Chinese version of the CARES questionnaire was .81. Item response theory: The Mandarin Chinese version of the CARES questionnaire was unidimensional. The item difficulty and individual ability were evenly distributed. The total item reliability was .96, the person reliability was .79, the item separation index was 4.95, and the person separation index was 1.93.</p><p><strong>Conclusion: </strong>The Mandarin Chinese version of the CARES questionnaire demonstrates satisfactory reliability and validity and can be utilized as a specific assessment tool for evaluating the informal caregiver burden of individuals with dysphagia.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":"34 2","pages":"505-519"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587695","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":"Exploring the Stability of Communicative Participation and Level of Daily Speech Usage Among Individuals With Hypophonia and Parkinson's Disease.","authors":"Allyson D Page, Cynthia Mancinelli, Julie Theurer, Mandar Jog, Scott G Adams","doi":"10.1044/2024_AJSLP-24-00192","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00192","url":null,"abstract":"<p><strong>Purpose: </strong>This exploratory study evaluated the test-retest stability of three participation-based patient-reported outcome measures (PROMs) rated by individuals with Parkinson's disease (IWPD), primary communication partners (PCPs) serving as proxy raters, and control participants over three study visits spanning approximately 1 month.</p><p><strong>Method: </strong>Twenty-three IWPD and hypophonia, 23 PCPs, and 30 control participants attended three non-intervention experimental visits. During each visit, all participants completed three participation-based PROMs: Communicative Participation Item Bank (CPIB), Voice Activity and Participation Profile (VAPP), and Levels of Speech Usage Scale (LSUS). Proxy ratings for each PROM were completed by PCPs.</p><p><strong>Results: </strong>Results indicated significant differences between IWPD and control participants on all PROMs. IWPD exhibited lower scores on the CPIB and LSUS and higher scores on the VAPP compared to control participants. There was relative agreement in ratings between IWPD and their PCPs on all PROMs. Finally, there were relatively stable test-retest scores on all three PROMs over the three study visits, both within and between IWPD and PCPs. An exception was a statistically, but not clinically significant, decrease in CPIB scores between Visit 1 and Visit 3 for IWPD.</p><p><strong>Conclusions: </strong>This study has contributed to our understanding of the measurement properties of the CPIB, VAPP, and LSUS related to the test-retest stability of these measures over three time points in IWPD, proxy raters, and control participants. These findings provide additional context in the interpretation of participation-based PROMs in this clinical population and may prove to be useful in interpreting changes to participation-based PROM scores.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-15"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Speech-Language Pathologists' Experiences Working With Culturally and Linguistically Diverse Families: A Scoping Review.","authors":"Rachel L Sinclair, Erinn H Finke, Lin Wu","doi":"10.1044/2024_AJSLP-24-00185","DOIUrl":"10.1044/2024_AJSLP-24-00185","url":null,"abstract":"<p><strong>Introduction: </strong>Evidence-based practices (EBPs) use evidence (external and internal), clinician expertise, and client/caregiver perspectives to deliver effective, individualized care. Each component of EBP is highly relevant and most effective when implemented together. Families with cultural or linguistic backgrounds different from the mainstream experience inequitable treatment across all disciplines. As the United States' population becomes increasingly diverse, it is paramount for speech-language pathologists (SLPs) to obtain education and support to provide evidence-based, culturally responsive care.</p><p><strong>Method: </strong>This study conducted a scoping review to determine what is known regarding SLPs' perspectives and experiences working with families or children with different cultural or linguistic backgrounds. Articles were included if they (a) contained empirical novel data, were available in English, were peer-reviewed, and were published; (b) included experiences of SLPs who self-reported that they work with children and/or families with cultural and/or linguistic backgrounds different from themselves or the regional mainstream; and (c) reported effects of cultural or linguistic difference on SLP service provision.</p><p><strong>Results: </strong>Results indicated that SLPs encounter many barriers but often exhibit culturally responsive clinical decision making through the consideration of evidence (external and internal) and their clinical expertise and opinion. Multiple strategies for increasing culturally responsive care and areas that would benefit from further research and systemic change were identified.</p><p><strong>Discussion: </strong>Barriers and solutions to culturally responsive care represented two areas of needed change: personal and within system. Though not all change may occur immediately, the present study offers suggested solutions for SLPs to implement in their clinical practice for increased culturally responsive care.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28119836.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"908-930"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980143","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":"Gender Imbalance in Citation Practices in Communication Sciences and Disorders Before and During the COVID-19 Pandemic.","authors":"Erin L Meier, Sophie Kajfez, Camille Zaman, Grace Haskell, Leanna Ugent, Gengchen Wei, Shannon M Sheppard","doi":"10.1044/2024_AJSLP-24-00321","DOIUrl":"10.1044/2024_AJSLP-24-00321","url":null,"abstract":"<p><strong>Purpose: </strong>Despite recent advances, gender inequality remains a major concern within the workforce. One manifestation of gender inequality in academia is the undercitation of women-authored compared to men-authored papers that is thought to reflect implicit biases and has important implications for the academic advancement for research-intensive female faculty. These studies largely stem from male-dominant professions. Thus, in this study, we investigated gendered citation practices within communication sciences and disorders (CSD), a female-dominant discipline. We also examined the impacts of the COVID-19 pandemic as an exogenous driver of short-term change in publication and citation practices in CSD.</p><p><strong>Method: </strong>Using methods from Dworkin et al. (2020), we characterized expected versus actual man first/man last-authored (MM), man first/woman last-authored (MW), woman first/man last-authored (WM), and woman first/woman last-authored (WW) articles published within a 24-year time span in the four American Speech-Language-Hearing Association journals. We compared gendered publication and citation practices in the 10 years before (2010-2019) to during (August 2020-November 2022) the COVID-19 pandemic.</p><p><strong>Results: </strong>Across journals, we found WW publications increased while MM publications decreased from 1998 to 2022. We found a pattern of overcitation of WW papers and undercitation of MM papers, which was driven primarily by the citation practices of WM and WW teams. These citation trends were found for the years before and during the pandemic and remained when controlling for relevant paper characteristics and author and paper network variables.</p><p><strong>Conclusions: </strong>Consistent with our predictions, we found gender-based citation imbalances that aligned with the gender distributions of CSD, like other fields. The findings align with the notion of homophily (i.e., like attracts like). We review the findings within the context of citation research from other fields as well as discuss the larger implications of these patterns for professional practices in CSD.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"571-591"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985192","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":"Teletraining to Teach Communication Partners to Support Students With Multiple Disabilities Including Cortical Visual Impairment and Emerging Symbolic Communication in Communicating Choices.","authors":"Tara V McCarty, Janice C Light","doi":"10.1044/2024_AJSLP-24-00146","DOIUrl":"10.1044/2024_AJSLP-24-00146","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the current study was to investigate the impact of a teletraining to teach adult communication partners the \"Communicating Choices-Cortical Visual Impairment (CVI)\" strategy to support participation for students with multiple disabilities.</p><p><strong>Method: </strong>A nonconcurrent, multiple-probe, across-participants design was implemented with four adult communication partner (i.e., speech-language pathologist, paraeducators, and parent) and student dyads to determine the effects of a teletraining administered over a video-calling platform on the partner's implementation of the substeps from the Communicating Choice-CVI strategy. Dyads completed a randomly predetermined number of baseline sessions, two teletraining sessions to instruct the partners in the strategy, and five intervention probes.</p><p><strong>Results: </strong>Results of the study indicated that communication partners successfully implemented an increased number of the strategy substeps following two short teletraining sessions and that all students communicated choices in every opportunity when they were provided with a structured opportunity. Communication partners reported that the strategy was successful for the students and that the strategy could be applied to other contexts or students.</p><p><strong>Conclusions: </strong>This study provides evidence for the importance of communication partner training for students with complex needs in domains such as vision and communication. Furthermore, the Communicating Choices-CVI strategy may lead to increased opportunities for academic participation, social engagement, and self-determination for students whose opportunities to take on active roles in educational settings are often severely restricted.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28108139.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"487-504"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957567","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":"Socioecological Determinants of Speech Evaluation and Treatment Among Children Who Stutter.","authors":"Patrick M Briley, Molly M Jacobs","doi":"10.1044/2024_AJSLP-24-00483","DOIUrl":"https://doi.org/10.1044/2024_AJSLP-24-00483","url":null,"abstract":"<p><strong>Purpose: </strong>While there is no cure for stuttering, therapy can help children who stutter (CWS) reduce the adverse effects imposed by stuttering. The Individuals with Disabilities Education Act (IDEA) guarantees \"special education and related services\" at no cost to all children with disabilities. However, a potential interplay of variables may influence service provision for CWS. Therefore, the purpose of this study was to identify some of the determinants of receiving (a) an evaluation and (b) speech-language therapy (SLT) among a nationally representative sample of CWS.</p><p><strong>Method: </strong>This analysis utilized five waves of the Early Childhood Longitudinal Study, Kindergarten Class of 2010-11-a nationally representative sample of children in the United States attending both full-day and part-day kindergarten in 2010-2011, who were followed through the fifth grade. Over 800 parents reported that their child had a problem with stuttering at least once in the panel. Using a socioecological framework, this study sought to identify the individual-, interpersonal-, and community-level determinants of receiving (a) a communication evaluation and (b) SLT among CWS.</p><p><strong>Results: </strong>Determinants at all three levels were significantly associated with both the likelihood of evaluation and receipt of SLT.</p><p><strong>Conclusions: </strong>Despite the passage of IDEA over 20 years ago, many CWS are not receiving necessary evaluation and therapy services in school. These shortfalls result from determinants at multiple levels making mitigation more challenging. Identification is the first step in resolving such problems, and it is hoped that this project contributes to this discourse.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":"34 2","pages":"520-534"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598313","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 Autistic Traits on Joint Attention in Young Children With Down Syndrome During Mother-Child and Father-Child Interactions.","authors":"Audra Sterling, Emily Lorang, Kelsey Reis, Marianne Elmquist","doi":"10.1044/2024_AJSLP-24-00041","DOIUrl":"10.1044/2024_AJSLP-24-00041","url":null,"abstract":"<p><strong>Purpose: </strong>Joint attention predicts later language in Down syndrome (DS) and autism. The co-occurrence of autism in children with DS is 6%-19%, which is higher than in the general population. However, little is known about how co-occurring autism in DS impacts the development of joint attention. This study compared mother-child and father-child interactions in families of children with DS. Our purpose was to investigate differences in caregiver joint-attention bids and whether caregiver and child joint attention were associated with autistic traits and receptive language in children with DS.</p><p><strong>Method: </strong>Fifteen children with DS (<i>M</i>_age = 39.67 months) and their biological caregivers participated in the current study. We collected mother-child and father-child interactions in participant's homes. Using Wilcoxon signed-ranks tests, we examined if there were differences in mothers' and fathers' joint attention bids and if children responded differently to their bids. We used Spearman correlations to examine the associations between child autistic traits, receptive language, and caregiver and child joint attention.</p><p><strong>Results: </strong>We found that mothers initiated more joint-attention bids than fathers but did not find differences in child responsiveness or initiations based on communication partner. Mothers used more bids when children had more autistic traits. Child autistic traits were negatively correlated with child responsiveness to father joint-attention bids. Children with more autistic traits produced fewer joint-attention bids with both caregivers.</p><p><strong>Conclusions: </strong>Findings suggest mothers and fathers may use differing approaches to support their child's language development. Regardless of communication partner, children with more autistic traits engaged in fewer instances of joint attention.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"834-844"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11902994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957569","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":"Computer-Delivered Morphology-Focused Vocabulary Instruction: A Pilot Study.","authors":"Carla Wood, Michelle Torres-Chavarro, Sana Tibi, Christopher Schatschneider, Fengfeng Ke","doi":"10.1044/2024_AJSLP-24-00319","DOIUrl":"10.1044/2024_AJSLP-24-00319","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine the effects of a computer-delivered morphology instruction on morphological knowledge (MK) of students in third grade and test whether the treatment had similar effects across students who differed in their initial MK performance.</p><p><strong>Method: </strong>We employed a randomized trial with randomization blocked within classrooms. Students (<i>N</i> = 263) in 14 third-grade classrooms in three schools were randomly assigned to a 6-week treatment or a wait-list comparison group that received business-as-usual instruction. The modules provided explicit instruction on derivational morphemes, roots and bases, and the meanings of derived words. Students assigned to treatment received individual log-ins to access the online program within their classrooms at least 3 times a week for 15-20 min per session. MK outcomes based on the Morphological Awareness Test for Reading and Spelling were assessed at the student level, using a gain score multilevel model approach to examine treatment effects.</p><p><strong>Results: </strong>The treatment had significant positive effects on MK skills for students in the treatment condition with an effect size of 0.33 for affix identification and 0.24 for suffix choice. Students with low MK performance at pretest demonstrated similar gains from the treatment as students who were high performing at the onset of the study.</p><p><strong>Conclusions: </strong>Computer-delivered supplemental instruction that includes explicit instruction on derivational morphology is associated with positive effects on students' MK. This finding has practical implications for minimizing the burden on teachers for implementation and enhancing language and literacy outcomes of students.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28439768.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"818-833"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493750","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":"Validation of the Caregiver Analysis of Reported Experiences with Swallowing Disorders (CARES) Screening Tool for Neurodegenerative Disease.","authors":"Samantha Shune, Lauren Tabor Gray, Sarah Perry, Derek Kosty, Ashwini Namasivayam-MacDonald","doi":"10.1044/2024_AJSLP-24-00253","DOIUrl":"10.1044/2024_AJSLP-24-00253","url":null,"abstract":"<p><strong>Purpose: </strong>Swallowing difficulties have a substantial impact on the burden experienced by care partners of individuals with neurodegenerative disease. Given this, there is a clear need to easily identify and quantify the unique aspects of swallowing-related burden. The purpose of this study was to establish the validity and reliability of the Caregiver Analysis of Reported Experiences with Swallowing Disorders (CARES) screening tool in care partners of individuals with neurodegenerative disease.</p><p><strong>Method: </strong>Survey data were collected from an international sample of 212 individuals caring for family members with amyotrophic lateral sclerosis (<i>n =</i> 49), dementia (<i>n =</i> 110), or Parkinson's disease (<i>n =</i> 53). Respondents completed the CARES, Eating Assessment Tool-10, International Dysphagia Diet Standardisation Initiative-Functional Diet Scale, and Zarit Burden Interview. Reliability and validity of the CARES were evaluated via internal consistency alpha coefficients, Spearman's rho correlations, and logistic regression analyses with receiver operating characteristic (ROC) curves.</p><p><strong>Results: </strong>CARES scores demonstrated excellent internal consistency (α = .90-.95) and high test-retest reliability (<i>r</i> = .86-.91). The CARES was found to be valid, as increased swallowing-related burden was associated with increased severity of swallowing difficulties (<i>r</i> = .79 to .84), diet restrictiveness (<i>r</i> = -.50 to -.54), and general caregiver burden (<i>r</i> = .36 to .40). The CARES had excellent discrimination between care partners with and without self-reported swallowing-related burden, with a score of ≥ 4 suggesting a heightened risk of experiencing this burden.</p><p><strong>Conclusions: </strong>Results establish the CARES as a valid and reliable screening tool that can detect burden related to swallowing difficulties among care partners of individuals living with neurodegenerative disease (score ≥ 4). Clinical implementation of the CARES requires the concerted efforts of the larger multidisciplinary team who can collaboratively identify the presence of burden and target the multifaceted sources of burden that a care partner may be experiencing.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"633-645"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034645","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":"Can We Trust Our Ears? How Accurate and Reliable Are Speech-Language Pathologists' Estimates of Children's Speech Intelligibility?","authors":"Kristen M Allison, Marnie Millington, Alanna Grimm","doi":"10.1044/2024_AJSLP-24-00247","DOIUrl":"10.1044/2024_AJSLP-24-00247","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the accuracy and reliability of subjective intelligibility estimates of young children's speech made by speech-language pathologists (SLPs) compared to naive listeners, and to examine how the severity of the child's speech impairment influences SLPs' intelligibility estimates.</p><p><strong>Method: </strong>Eighteen certified SLPs and 18 naive listeners provided intelligibility ratings of single-word speech samples produced by six preschoolers with speech disorders. All listeners rated intelligibility using two different methods: orthographic transcription and subjective estimation of the percentage of words understood. Absolute differences between estimated and transcription intelligibility scores were used to examine accuracy of intelligibility estimates in both listener groups, and intraclass correlations were used to evaluate interrater reliability.</p><p><strong>Results: </strong>Subjective intelligibility estimates differed from orthographic transcription-based intelligibility scores by 12.4% in the SLP listener group and 18.9% in the naive listener group. Interrater reliability of estimated intelligibility was substantially lower than transcription intelligibility in both listener groups.</p><p><strong>Conclusion: </strong>Results of this preliminary study suggest that subjective intelligibility estimates by SLPs are not adequately accurate or reliable for measurement of children's speech intelligibility.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"853-867"},"PeriodicalIF":2.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494437","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}