American Journal of Speech-Language Pathology最新文献

{"title":"\"It Is No Solution to Sit and Keep Quiet\": Experiences of Communicative Function in People With Parkinson's Disease Following Participation in a Group Intervention for Speech and Communication.","authors":"Joakim Körner Gustafsson, Ellika Schalling","doi":"10.1044/2024_AJSLP-24-00222","DOIUrl":"10.1044/2024_AJSLP-24-00222","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore and describe subjective experiences and feelings related to speech and communicative function for a group of individuals with Parkinson's disease (PD) and whether these changed after participation in HiCommunication, an intensive group intervention program focusing on speech and communication for individuals with PD.</p><p><strong>Method: </strong>Seven individuals who had completed the 10-week program participated in individual semistructured interviews that were transcribed and analyzed with content analysis.</p><p><strong>Results: </strong>Eight subthemes grouped into three main themes emerged during the analysis, including <i>communication challenges</i>, <i>insights from treatment</i>, and <i>practical considerations</i>.</p><p><strong>Conclusion: </strong>The overarching theme, <i>speech and communication training as a tool to respond to communication difficulties</i>, describes that a group speech and communication treatment program, HiCommunication, may help individuals with PD form and implement strategies to maneuver negative emotional stress related to communication and decrease the risk of social isolation.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28556273.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2440-2451"},"PeriodicalIF":2.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659388","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":"Aging-Related Changes in Switching and Cluster Diversity in the Action Verbal Fluency Task Using Hierarchical Clustering Analysis.","authors":"Yae Rin Yoo, Yoonseob Lim, Eun Jin Paek, Jee Eun Sung","doi":"10.1044/2025_AJSLP-24-00399","DOIUrl":"https://doi.org/10.1044/2025_AJSLP-24-00399","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to establish objective verb clustering criteria in action verbal fluency (VF) using hierarchical clustering analysis (HCA) based on the Lancaster sensorimotor norms. We explored age-related differences in switching and cluster diversity (word retrieval strategies) between younger and older adults and correlations among age, education, working memory (WM) capacity, action VF performance, and word retrieval strategies for each group.</p><p><strong>Method: </strong>Sixty-two native Korean speakers participated in the study, with 31 young adults (<i>M</i>_age = 27.39) and 31 older adults (<i>M</i>_age = 70.45). Participants completed a 1-min action VF task, and generated verbs were classified into 15 clusters based on the Lancaster sensorimotor ratings using HCA. We analyzed switching (shifts between clusters) and cluster diversity (number of unique verb clusters) to assess word retrieval strategies. WM capacity was measured through word-forward and word-backward (WB) tasks.</p><p><strong>Results: </strong>Older adults demonstrated significantly fewer switchings and lower cluster diversity compared to younger adults, indicating restricted word retrieval strategies. WB task scores in older adults positively correlated with word retrieval strategies and action VF performance. Older individuals with younger age and higher education employed more word retrieval strategies. Both groups exhibited positive correlations between word retrieval strategies and action VF performance.</p><p><strong>Conclusions: </strong>The novel HCA approach, based on the Lancaster sensorimotor norms, successfully classified verb clusters that revealed aging-related differences in word retrieval strategies and the relationship between WM and these strategies. These results highlight the potential of using the HCA method for verb clustering analyses, particularly in providing qualitative insights into action VF tasks.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29396300.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660815","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' Perspectives On Virtual Reality for Childhood Traumatic Brain Injury.","authors":"Jessica Salley Riccardi, Paul D S Fink, Justin R Brown, Helen Murray-James","doi":"10.1044/2025_AJSLP-24-00416","DOIUrl":"10.1044/2025_AJSLP-24-00416","url":null,"abstract":"<p><strong>Purpose: </strong>Although evidence supports virtual reality (VR) applications in rehabilitation and education, investigations into VR technology for children with traumatic brain injury (TBI) are still evolving and lack robust evidence related to design or effectiveness. The purpose of the present study was to understand the perspectives of speech-language pathologists (SLPs) for designing VR tools that are acceptable and feasible for clinical practice.</p><p><strong>Method: </strong>Thirty-one SLPs completed a self-administered online survey related to their awareness and opinions on VR and its potential application to childhood TBI broadly and within a case study of a child with TBI. Data were analyzed descriptively and using a modified version of systematic text condensation.</p><p><strong>Results: </strong>Participants, on average, reported being \"somewhat aware\" of VR and \"neither not aware or unaware\" of the idea of VR as a clinical tool. Participants generally had positive ratings for the potential use of VR to childhood TBI generally and in response to a case study centered on cognitive-communication skills. Through open-ended questions, participants identified various (a) benefits (e.g., ability for VR to simulate functional tasks or contexts) or (b) hesitations or challenges (e.g., limitations related to client ability, lack of equipment access) for using VR with children with brain injury related to design and implementation.</p><p><strong>Conclusion: </strong>Although further development and translation research is needed, the perspectives of SLPs included in the present study can be utilized to inform future development and implementation efforts to ensure VR design that is inclusive, participatory, and best fit to future SLP practice with children with TBI.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2010-2024"},"PeriodicalIF":2.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044976","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":"Qualitative Analysis of Speech-Language Pathologists' Voice Evaluation Practices and Perspectives.","authors":"Michael D Madoule, Katherine L Marks, Kathleen F Nagle, Eric Kirchgessner, Aideen Gill, Joshua C Kline, Jenny M Vojtech, Cara E Stepp","doi":"10.1044/2025_AJSLP-24-00417","DOIUrl":"10.1044/2025_AJSLP-24-00417","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this qualitative study was to examine the structure of voice evaluations and gather clinicians' opinions on the barriers to and benefits of using acoustic measures in these evaluations. A secondary goal was to investigate how clinicians assess strain and vocal effort.</p><p><strong>Method: </strong>Fifteen voice-specialized speech-language pathologists from voice centers around the United States were interviewed to query their current voice evaluation practice patterns and opinions on acoustic measures. They were also asked how they evaluate strain and vocal effort. Thematic analysis was performed by two researchers based on the recorded interviews.</p><p><strong>Results: </strong>Differences among practitioners were found in almost every component of the evaluation. Four themes related to barriers to and benefits of implementing acoustic measures in a voice evaluation were identified: Collecting and analyzing acoustic measures (a) take time, (b) do not inform therapy patterns, (c) allow for the most accurate comparison, and (d) supplement patient-centered care. Three themes emerged related to evaluating vocal effort and strain: Clinicians (a) lack consensus on objective measures of strain, (b) use more than just auditory perception to evaluate strain, and (c) assess vocal effort in different ways.</p><p><strong>Conclusions: </strong>Although some speech-language pathologists view acoustic assessment as the gold standard for guiding therapeutic decisions, others believe it may not be strictly necessary for delivering effective voice therapy. Variations in the assessment of strain and vocal effort across voice clinics suggest a need for additional research in this area.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29391725.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2244-2259"},"PeriodicalIF":2.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12270841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530677","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":"Trait Mindfulness and the Experience of Stuttering.","authors":"Megan Arney, Jason Moser, Bridget Walsh, J Scott Yaruss","doi":"10.1044/2025_AJSLP-24-00295","DOIUrl":"10.1044/2025_AJSLP-24-00295","url":null,"abstract":"<p><strong>Purpose: </strong>There is minimal literature describing trait mindfulness in people who stutter and how aspects of trait mindfulness might relate to treatment outcomes and the experience of stuttering. The primary aim of this study was to determine whether there are differences in trait mindfulness in people who stutter compared to people who do not stutter to better inform the appropriateness of including mindfulness strategies in a comprehensive stuttering treatment plan.</p><p><strong>Method: </strong>Seventeen adults who stutter and 17 adults who do not stutter completed the Five Facet Mindfulness Questionnaire to measure trait mindfulness as well as either the Overall Assessment of the Speaker's Experience of Stuttering or the Overall Assessment of the Speaker's Experience of Speaking Ability to measure the impact of stuttering or speaking experiences on their lives. A subset of 16 adults who stutter completed a battery of assessments on personal characteristics associated with the experience of stuttering (experiential avoidance, repetitive negative thinking, and inattention characteristics). This allowed for comparisons of trait mindfulness between people who stutter and people who do not stutter as well as for analyses of the potential relationships between trait mindfulness and speaking experience within each population and of various personal characteristics in people who stutter.</p><p><strong>Results: </strong>No significant differences in trait mindfulness were found between people who stutter and people who do not stutter. A strong negative correlation was found between the trait mindfulness facet of nonjudging of inner experiences and experiential avoidance.</p><p><strong>Conclusion: </strong>Findings highlight the necessity of a comprehensive understanding of the specific characteristics of individual speakers when incorporating aspects of mindfulness into stuttering treatment.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1978-1991"},"PeriodicalIF":2.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12270843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062907","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":"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":"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":"2324-2333"},"PeriodicalIF":2.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12270836/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dysphagia Symptoms Contribute to Greater Care Partner Burden in Neurodegenerative Disease.","authors":"Lauren Tabor Gray, Samantha Shune, Sarah Perry, Derek Kosty, Ashwini Namasivayam-MacDonald","doi":"10.1044/2025_AJSLP-24-00529","DOIUrl":"10.1044/2025_AJSLP-24-00529","url":null,"abstract":"<p><strong>Purpose: </strong>Providing care for family members with neurodegenerative diseases entails significant physical and psychosocial costs, increasing caregiver burden. Limited research exists on the factors contributing to dysphagia-related burden, particularly across disease trajectories. This study aimed to (a) determine if dysphagia-related burden predicts general caregiver burden, (b) identify predictors of dysphagia-related burden, and (c) examine relationships between dysphagia severity, disease severity, and dysphagia-related burden.</p><p><strong>Method: </strong>Care partners (<i>N</i> = 211; 80% female; <i>M</i>_age = 60 ± 14 years) from clinics in Canada, New Zealand, and the United States participated. Care recipients included those with amyotrophic lateral sclerosis (ALS; <i>n</i> = 48), dementia (<i>n</i> = 110), and Parkinson's disease (PD; <i>n</i> = 53). General burden was measured using the Zarit Burden Interview, while dysphagia-related burden was assessed via the Caregiver Assessment of Reported Experiences with Swallowing Difficulties. Multiple regression analyses examined predictors of general and dysphagia-related burden and their relationships to dysphagia and disease severity.</p><p><strong>Results: </strong>Higher general burden was associated with female caregivers (β = -.19, <i>p</i> = .05), higher education (β = .16, <i>p</i> = .03), caring for someone with dementia (β = .36, <i>p</i> = .01), and greater dysphagia-related burden (β = .33, <i>p</i> = .01). Predictors of dysphagia-related burden included working caregivers (β = .15, <i>p</i> = .01), increased dysphagia symptoms (β = .77, <i>p</i> < .01), and caring for individuals with ALS or dementia (vs. PD; β = -.16, <i>p</i> = .02). Dysphagia burden varied by disease severity and diet tolerance (<i>p</i> < .01).</p><p><strong>Conclusions: </strong>Managing dysphagia independently contributes to caregiver burden, potentially increasing burnout and nonadherence to clinical recommendations. Early, proactive inquiry about dysphagia-related care partner burden and provision of support to minimize burden should be considered early in disease management.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28843055.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2053-2061"},"PeriodicalIF":2.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004382","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":"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":"2351-2358"},"PeriodicalIF":2.3,"publicationDate":"2025-07-10","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":"Using an Iterative Process to Deliver and Culturally Adapt a Caregiver-Mediated Early Language Intervention Within a Latino-Serving Community Nonprofit.","authors":"Katherine Pickard, Karen Guerra, Selena Valladares Ortiz, Adriana Mendez, Alexa Gonzalez Laca, Jocelyn Kuhn","doi":"10.1044/2025_AJSLP-24-00485","DOIUrl":"10.1044/2025_AJSLP-24-00485","url":null,"abstract":"<p><strong>Purpose: </strong>There is significant need for culturally responsive interventions that support Latino toddlers' early communication development. However, very few early language programs have been culturally adapted both prior to and during community implementation using best practice frameworks. In response, the overarching goal of this project was to use a qualitative approach grounded in the Ecological Validity Framework to characterize the cultural adaptation of an empirically supported caregiver-mediated early language intervention, It Takes Two to Talk (ITTT), when delivered in Spanish within a community nonprofit providing wrap-around support to underserved Latino children and caregivers.</p><p><strong>Method: </strong>The current study involved the delivery of ITTT in an iterative process in which information from a needs assessment and pre-implementation planning was used to inform a first and then second cohort of ITTT groups. In total, 37 Latino caregivers participated in ITTT groups. Detailed field notes during ITTT delivery were qualitatively coded using directed content analysis and used to inform the completion of the Cultural Adaptation Checklist (CAC).</p><p><strong>Results: </strong>Findings indicated that cultural adaptations were made in nearly all sessions. Adaptation themes centered on adjusting the ITTT delivery methods in response to contextual constraints and content adaptations to supplement language facilitation strategies with information on developmental milestones, bilingual language development, and advocacy skills.</p><p><strong>Conclusion: </strong>Using the CAC to systematically track cultural adaptation helped to highlight the critical role of social context in shaping cultural adaptations and to plan for future implementation efforts within settings serving Latino caregivers and children.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2291-2308"},"PeriodicalIF":2.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477584","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":"Comparing Two Connected Speech Tasks in Greek Speakers With the Logopenic Variant of Primary Progressive Aphasia and Alzheimer's Disease.","authors":"Nomiki Karpathiou, Maria Kambanaros","doi":"10.1044/2025_AJSLP-23-00474","DOIUrl":"10.1044/2025_AJSLP-23-00474","url":null,"abstract":"<p><strong>Purpose: </strong>Different tasks have been used to elicit connected speech samples and analyze speech and language production in dementia. In this study, we explored whether there was a differential performance for individuals with Alzheimer's disease (AD) and the logopenic variant of primary progressive aphasia (lvPPA) on two elicitation tasks, picture description and story retell. Moreover, we investigated the relationship between connected speech measures and formal neuropsychological tests.</p><p><strong>Method: </strong>A total of 18 individuals participated in this study: six with lvPPA, six with AD, and six neurotypical adults matched for gender, age, and education. Connected speech analysis was based on a quantitative production analysis.</p><p><strong>Results: </strong>Differences between the two tasks were found for mean logarithmic frequency of open-class words, number of sentences, and mean utterance length. Individuals with lvPPA differed from individuals with AD and neurotypical adults on type-token ratio square root, mean utterance length, and sentence elaboration index. Significant intercorrelations between connected speech measures in the two tasks were found for speech rate and total dysfluencies. Finally, significant associations were detected between connected speech measures and formal neuropsychological tests.</p><p><strong>Conclusions: </strong>Connected speech analysis can assist in diagnosing lvPPA and distinguishing it from AD. While dysfluencies and speech rate remain consistent across connected speech tasks, other variables vary. Story retell demands greater executive resources and encourages richer vocabulary and morphosyntactic production, more accurately reflecting real-life communication compared to traditional picture description tasks. The study highlights the value of using connected speech assessment in clinical evaluations and carefully selecting appropriate tasks.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.29114060.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"2141-2155"},"PeriodicalIF":2.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210050","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}