American Journal of Speech-Language Pathology最新文献

{"title":"Side-Lying Position Is Associated With Improved Swallow Outcomes When Compared to Semi-Upright Position in Infants With Dysphagia.","authors":"Robert Brinton Fujiki, Abigail Nimtz, Susan L Thibeault","doi":"10.1044/2025_AJSLP-24-00473","DOIUrl":"10.1044/2025_AJSLP-24-00473","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to examine the effects of side-lying and semi-upright positions on videofluoroscopic swallow study (VFSS) outcomes in infants with dysphagia.</p><p><strong>Method: </strong>A cross-sectional, within-subject design was employed. Infants diagnosed with dysphagia and undergoing VFSS as part of standard of care were prospectively identified at a tertiary care academic children's hospital. Both semi-upright and side-lying positions were assessed with thin liquids using identical bottles/nipples across positions. Severity and frequency of penetration/aspiration and pharyngeal swallow timeliness were rated by three speech-language pathologists specialized in the evaluation and management of pediatric dysphagia. Severity of airway invasion was assessed using the Penetration-Aspiration Scale (PAS) and swallow timeliness using a 3-point ordinal scale. Mixed-level modeling was used to compare swallow outcomes across positions to determine if side-lying was associated with decreased severity and frequency of airway invasion and timelier pharyngeal swallow initiation.</p><p><strong>Results: </strong>Twenty-one infants diagnosed with oropharyngeal dysphagia were included (<i>M</i>_age = 4.3 months, <i>SD</i> = 2.2). Side-lying position was associated with a significant decrease in severity and frequency of penetration/aspiration when compared with semi-upright position (<i>p</i> < .001). Side-lying position was associated with a 91% decrease in the odds of presenting with a more severe PAS rating when compared with semi-upright position (odds ratio = .09, 95% confidence interval = [.03, .21]). Improvements in airway protection in side-lying position were most common in infants with deep penetration/aspiration in semi-upright position. Significantly fewer pharyngeal swallows were initiated at the level of the pyriform sinuses in side-lying position when compared with semi-upright position (<i>p</i> < .001); however, the lowest level of swallow initiation was similar across positions.</p><p><strong>Conclusions: </strong>Side-lying position in infants with dysphagia was associated with less severe and less frequent penetration/aspiration when compared with semi-upright position. Future research should identify predictors of which infants benefit most from side-lying position, as well as the physiological mechanisms underlying these findings.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":"34 3","pages":"1366-1379"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022197","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":"A Single-Case Design Study of Collaborative Interpersonal Strategy Building With Audio Reflection for Improving Social Communication Following Acquired Brain Injury.","authors":"Heidi Iwashita, McKay Moore Sohlberg, Wendy Machalicek, Samantha Shune, Deanna Linville","doi":"10.1044/2024_AJSLP-24-00361","DOIUrl":"10.1044/2024_AJSLP-24-00361","url":null,"abstract":"<p><strong>Purpose: </strong>This article reports the results of a single-case experimental multiple-baseline study across participants aiming to evaluate treatment effects of a metacognitive, joint reflection intervention package for social communication after acquired brain injury (ABI).</p><p><strong>Method: </strong>Four adults with a history of ABI and their everyday communication partners (ECPs) participated in a novel intervention, the Collaborative Interpersonal Strategy Building with Audio Reflection (CISBAR), incorporating collaborative goal setting, metacognitive strategy instruction, and joint audio reflection. Primary participants and ECPs engaged in 6- to 7-min conversations on opinion topics during the baseline, intervention, and follow-up phases. Raters scored turn-taking behavior (interruption, length of speaking turn) in each videorecorded conversation sample in random order without knowing study phase. Pre-/post-intervention questionnaires captured client and partner perspectives of communication changes.</p><p><strong>Results: </strong>All four participants achieved personal communication goals. Visual analysis of specific communication targets supported a treatment effect in the two participants targeting interruption, but not in the two participants targeting verbosity. Design-comparable effect size analysis showed a medium effect size for decreasing interruption. Communication skills of all participants improved following CISBAR according to self- and partner-report questionnaires. Improvements in communication target behaviors maintained at 1-month follow-up.</p><p><strong>Conclusions: </strong>Results suggest that CISBAR shows promise as a treatment package for improving social communication post-ABI. The discussion considers the complexities of measuring changes in social communication, the treatment ingredients and candidacy considerations for CISBAR, and the emphasis on shared decision making in the therapy process.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1086-1099"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671458","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":"Usability of Two Ultrasound Tongue Imaging Devices in Speech-Language Pathology.","authors":"Isabelle Marcoux, Lucie Ménard, Catherine Laporte","doi":"10.1044/2025_AJSLP-24-00293","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00293","url":null,"abstract":"<p><strong>Purpose: </strong>Ultrasound tongue imaging is a promising tool in speech-language pathology; however, little is known about the usability of ultrasound scanners for speech-language pathologists (SLPs), who typically have low familiarity with ultrasound imaging. This study looks at the usability of two ultrasound scanner models for SLPs: a Sonosite all-in-one scanner with a wired probe, and a Clarius wireless probe scanner, used with a tablet app.</p><p><strong>Method: </strong>Twelve SLPs and phonetics experts (all female) participated in two filmed sessions in our lab where they learned to use the two models of scanners with custom-written manuals. Each scanner was used in each session to complete a simple task including recording videos of their or the experimenter's tongue. After each use of a scanner, participants completed a modified and translated version of the System Usability Scale. The time required to complete the task was measured. Two expert judges rated the quality of the video recordings.</p><p><strong>Results: </strong>Participants took less time to complete the task and improved their choice of settings from the first to the second session, regardless of the scanner being used. In the usability scale, SLPs showed a higher satisfaction with the wireless tablet interface than with the all-in-one ultrasound interface. The tablet interface with the wireless scanner also allowed better choices of settings. However, in the second session, positioning of the probe was better with the all-in-one scanner, which has a smaller and lighter probe.</p><p><strong>Conclusions: </strong>For SLPs, the usability of a wireless ultrasound scanner with a mobile application seems better than that of an all-in-one scanner. However, its cumbersome probe seems to hamper probe positioning. Future studies should include a lightweight ultrasound scanner that connects via USB to a laptop or tablet and provide image interpretation training for the SLPs.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":"34 3","pages":"1407-1424"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024290","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 You Need to Know If You Want to Run an Aphasia Camp.","authors":"Cara Heggie, Megan Trebilcock, Lauryn Stewart","doi":"10.1044/2025_AJSLP-24-00348","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00348","url":null,"abstract":"<p><strong>Background: </strong>Aphasia camps are an emerging psychosocial approach focusing on re-engaging people with aphasia in recreational and social activities. Current research highlights the positive impacts of aphasia camps on both attendees (people with aphasia and their loved ones) and facilitators (student and professional volunteers). However, the characteristics and facilitation of camps remain unknown due to a paucity of published research.</p><p><strong>Purpose: </strong>The aim of this study was to explore the current scope of aphasia camps including their distribution, structure, and preparation requirements.</p><p><strong>Method: </strong>A mixed-method, cross-sectional exploratory survey was employed to facilitate collection of various camp characteristics. Quantitative data were analyzed via descriptive statistics, and qualitative data were analyzed via inductive content analysis.</p><p><strong>Results: </strong><i>Who:</i> The respondents (<i>N</i> = 14) predominantly identified as allied health professionals (<i>n</i> = 12) and were representative of 10 camps. Camps were commonly affiliated with a university or association. <i>Where:</i> Camps were located in the United States (<i>n</i> = 5), Canada (<i>n</i> = 3), Australia (<i>n</i> = 1), and one cruise ship. All camps were held annually, with most having been operating between 10 and 15 years. <i>How:</i> Camp preparations tended to commence 10-12 months before the event. The camps were predominantly funded by the attendees, with half utilizing community grants, and no camps received government support. The typical camp ran over 3 days/two nights and had over 20 people with aphasia attend; however, the schedule was highly varied in structure and types of activities.</p><p><strong>Conclusions: </strong>Aphasia camps are highly diverse in structure, operation, and activities. Further research is needed to investigate stakeholder experiences and sustainable implementation practices to continue promoting the development of aphasia camps around the world.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28764962.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":"34 3","pages":"1308-1323"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027973","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 of the Evidence on Disability Accommodations Targeting Equitable Communication Access in Health Care.","authors":"Jennifer Y Oshita, Megan E Schliep, Natalie F Douglas, Liliane B Savard, Julie L Feuerstein, Charles D MacLean, Megan A Morris","doi":"10.1044/2024_AJSLP-24-00234","DOIUrl":"10.1044/2024_AJSLP-24-00234","url":null,"abstract":"<p><strong>Purpose: </strong>The Americans with Disabilities Act (ADA) of 1990 protects the civil rights of people with disabilities, including their right to effective communication and equitable health care access through accommodations. The ADA website lists examples of accommodations (e.g., qualified notetaker, hearing amplifiers, cued speech interpreters), but no literature is cited to support this list. Scientific evidence is critical to advancing both the effectiveness and widespread implementation of accommodations. We scoped the literature on interventions supporting equitable communication access (accommodations) for adults with communication disabilities (CDs) in health care settings. We asked what accommodations have been studied, for what CD populations, and how they have been studied.</p><p><strong>Method: </strong>We used a scoping review approach and conducted searches using MEDLINE, CINAHL, and Embase databases. Two reviewers independently screened abstracts and full texts indexed between January 1, 2003, and August 1, 2024. Data on accommodation type, CD-related health condition, setting, health care workers involved, evidence type, study design, and outcome were collected.</p><p><strong>Results: </strong>Screening of 1,614 articles identified 58 investigations of 10 communication accommodations in health care settings. The range in number of publications rose from 0-2 to 2-9 over the 11-year period. The three most studied accommodations were <i>customized plan</i>, <i>communication strategies</i>, and <i>augmentative and alternative communication aids</i> (each 21%-22% of studies). Most investigations addressed populations with single CD-related conditions (e.g., aphasia), were descriptive (52%), and had sample sizes ≤ 50 participants. Speech-language pathologists infrequently provided or implemented accommodations (12% of all health care workers involved, by type of worker). Findings were typically positive, but outcome measures were heterogeneous.</p><p><strong>Conclusions: </strong>The 10 researched accommodations addressed a wider range of CD populations as compared to accommodations found in policy documents, highlighting an opportunity to align policy and evidence. While accommodation studies generally yielded positive results, their small sample sizes, descriptive focus, and limited quantity suggest this research is early in its development. We outline potential strategies to advance knowledge on the implementation and effectiveness of communication accommodations in health care settings.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":"34 3","pages":"1493-1527"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054546","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":"Word Reading and Attention-Deficit/Hyperactivity Disorder in Children With Developmental Language Disorder.","authors":"Norma Hancock, Sean M Redmond, Annie B Fox, Andrea C Ash, Tiffany P Hogan","doi":"10.1044/2025_AJSLP-24-00052","DOIUrl":"10.1044/2025_AJSLP-24-00052","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluated the relationship between word reading and symptoms of attention-deficit/hyperactivity disorder (ADHD) in school-age children with and without developmental language disorder (DLD), considering the influence of cognitive-linguistic mechanisms associated with dyslexia (phonological memory) and ADHD (working memory).</p><p><strong>Method: </strong>Community ascertainment and blinded assessments identified 46 confirmed DLD and 76 cases of typical language development from a screening sample of 420 second and third graders. Language, word reading, ADHD symptoms, nonverbal intelligence, working memory, and phonological memory were assessed.</p><p><strong>Results: </strong>In all models, phonological memory was associated with word reading, and working memory was associated with ADHD symptoms. Additionally, in the new model of association that accounted for comorbidity with cognitive-linguistic indices, named the \"Reading, ADHD, and Language (RE.A.L.) Comorbidity Model,\" word reading was uniquely mediated by phonological memory.</p><p><strong>Conclusions: </strong>Findings highlight the unique role cognitive-linguistic indices associated with dyslexia and ADHD play in explaining the relationship between DLD, word reading, and ADHD symptoms. Results indicate that ADHD symptoms did not predict poor word reading; only phonological memory mediated the relationship between DLD and word reading difficulties associated with dyslexia. Similarly, working memory was associated with ADHD symptoms only. Findings underline the importance of including cognitive-linguistic indices associated with dyslexia and ADHD in evaluating word reading and ADHD symptoms in children with DLD.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":"34 3","pages":"1324-1340"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056332","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":"Development of the Fatigue Interference and Severity Scale for Aphasia.","authors":"Ellyn A Riley, Jennifer Fortin, Hannah Rembrandt, Nicole Vieyto","doi":"10.1044/2024_AJSLP-24-00328","DOIUrl":"10.1044/2024_AJSLP-24-00328","url":null,"abstract":"<p><strong>Purpose: </strong>Poststroke fatigue, which is characterized by an overwhelming feeling of exhaustion that affects daily life, is prevalent among stroke survivors and can negatively affect cognition, motor function, employment, life participation, and quality of life. However, individuals with aphasia are often excluded from fatigue studies because of communication barriers, leading to underdiagnosis and an inaccurate picture of the occurrence and impact of poststroke fatigue in persons with aphasia.</p><p><strong>Method: </strong>This study aimed to develop a more aphasia-accessible tool that would be similar to the Fatigue Severity Scale (FSS), a self-reported fatigue measure commonly used to identify significant poststroke fatigue. The Fatigue Interference and Severity Scale for Aphasia (FISS-A) was developed using a modified nominal group technique involving two focus groups: individuals with aphasia and speech-language pathologists. The groups provided feedback on the format, wording, administration, and response methods of the FSS. Focus group feedback led to several key recommendations, including simplifying language, increasing text spacing and font size, incorporating images, and enabling nonverbal responses.</p><p><strong>Results: </strong>The FISS-A retains the original nine items of the FSS but presents them with lexical and syntactic modifications to enhance clarity and comprehensibility for individuals with aphasia. Visual aids and explicit instructions for providers were added to ensure an accurate administration and response collection. An additional open-ended item was included to capture any fatigue-related symptoms that were not covered by the standard items, and two visual analog scales were added to collect additional ratings of general fatigue severity and its impact on language ability.</p><p><strong>Conclusions: </strong>This study highlights the importance of creating accessible assessment tools for clinical and research purposes. Future research will focus on validating the FISS-A across diverse populations and exploring its integration into clinical practice.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1121-1134"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736236","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":"Intervention Techniques Targeting Echolalia: A Scoping Review.","authors":"Adriana Dinello, Allison Gladfelter","doi":"10.1044/2025_AJSLP-24-00211","DOIUrl":"10.1044/2025_AJSLP-24-00211","url":null,"abstract":"<p><strong>Purpose: </strong>Although echolalic speech is found in typical development, echolalia is most commonly associated with autism. As such, echolalia has frequently been the focus of various interventions aimed at autistic children. Recent research and the voices of autistic self-advocates indicate that echolalia serves as a meaningful form of communication or functionally supports self-regulation. As a result, the literature on how, or whether, to target echolalia in therapy is full of philosophically diverse approaches. To support evidence-based practice, the purpose of this scoping review was to inform speech-language clinicians about current research on interventions targeting echolalia and how disagreement on this topic may be affecting the autistic individuals we serve.</p><p><strong>Method: </strong>Search terms were entered into seven databases utilizing a key word search, and 74 total articles were included in this scoping review. Data on the intervention approach, outcomes, and participant demographics were then extracted for analysis.</p><p><strong>Results: </strong>Most interventions utilized principles of applied behavior analysis. Nearly all studies reported decreased echolalia; very few reported increased speech output or communicative attempts. Demographically, most participants were male and White/Caucasian, if sex, race, or ethnic data were reported at all.</p><p><strong>Conclusions: </strong>Overwhelmingly, the literature on interventions focused on echolalia had the explicit aim of reducing echolalic speech, a functional form of communication. Autistic self-advocates have made it clear that they are opposed to interventions that seek to eliminate autistic traits, including echolalia. When implementing evidence-based practice that considers scientific evidence alongside client values, speech-language clinicians should avoid interventions aimed at reducing echolalia.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28536404.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1528-1543"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617809","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":"Optimizing Detection of Very Mild Aphasia With Letter Fluency Tests.","authors":"Alycia B Laks, Andrew T DeMarco, Peter E Turkeltaub","doi":"10.1044/2025_AJSLP-24-00471","DOIUrl":"10.1044/2025_AJSLP-24-00471","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to find an efficient measure for clinicians to diagnose very mild aphasia.</p><p><strong>Method: </strong>Twenty-seven individuals with very mild aphasia who tested as not aphasic by the Western Aphasia Battery-Revised (WAB-R; NABW) were compared to 68 matched controls on 28 tests. Group-level differences were determined with independent-samples <i>t</i> tests. A univariate receiver operator characteristic (ROC) curve analysis was constructed to determine optimal cutoff points for each test. Sensitivity and specificity were calculated for the optimal cutoffs. Boolean operators of two or more tests were used to determine if combinations of tests were more sensitive and specific than single tests in classifying the NABW participants versus neurotypical controls.</p><p><strong>Results: </strong>Twenty out of 28 behavioral tests and subtests had group-level differences, with 18 surviving Bonferroni correction. Only scores derived from letter fluency and a two-letter fluency test had sensitivity and specificity ≥ .70. The Boolean combination of letter fluency and two-letter fluency tests gave a sensitivity of .89 and specificity of .81.</p><p><strong>Conclusions: </strong>The combined letter fluency and two-letter fluency tests were sensitive in detecting very mild aphasia beyond what is captured in the WAB-R. Administration takes an estimated 11 min, making it accessible to clinicians in various settings. While letter fluency tests rely on phonological and orthographic knowledge, they are also frequently used to measure executive control. Thus, this combined letter fluency test should be used in conjunction with other language and cognitive assessments to determine treatment targets.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1193-1202"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736239","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 Video-Based Instruction With Additional Components to Improve Conversational Skills in Autistic Children: A Systematic Review.","authors":"Reshmi Mohanan, Kadiyali D Veena, Shradha S Parsekar, Monica L Bellon-Harn, Venkataraja U Aithal","doi":"10.1044/2025_AJSLP-24-00301","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00301","url":null,"abstract":"<p><strong>Purpose: </strong>This systematic review assessed the impact of video-based instruction with additional intervention components on autistic children's conversational skills.</p><p><strong>Method: </strong>Single-subject multiple-baseline design studies from 2000 to 2022 were included. Studies were identified through searches of six databases, other sources, and forward and backward citation tracking. Two authors, independently, conducted screening, quality assessment, and data extraction using the What Works Clearinghouse standards. Results were analyzed using percentage of nonoverlapping data (PND), percentage of data exceeding the median (PEM), and percentage of all nonoverlapping data (PAND) and compared with baseline and intervention phase means.</p><p><strong>Results: </strong>Seventeen studies were included, all conducted in a Western context, involving 47 autistic children. Interventions varied in type and additional components, duration, frequency, and number of sessions. PEM measures (0.7-1) and phase means were more sensitive in determining intervention effectiveness, while PND and PAND (0.3-0.5) suggested underestimation.</p><p><strong>Conclusion: </strong>Despite positive outcomes, research gaps remain in examining treatment effects across diverse cultural contexts and determining optimal intervention intensity.</p><p><strong>Registration: </strong>The review has been registered with PROSPERO (CRD42020212580).</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28789424.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":"34 3","pages":"1567-1584"},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051657","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}