Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)最新文献

{"title":"Navigating Support Pathways for Children with Developmental Language Disorder in Chile: Caregivers' Perspectives across Health and Education Services.","authors":"Nelson Muñoz-Lizana, Daniela Iturra-Osorio, Andrea Helo, Carolina Valdés, Carmen Julia Coloma","doi":"10.1159/000553368","DOIUrl":"10.1159/000553368","url":null,"abstract":"<p><strong>Introduction: </strong>Developmental language disorder (DLD) is a prevalent neurodevelopmental condition with long-term consequences for children's learning, participation, and well-being. Although evidence from high-income settings shows that families often report navigating fragmented and poorly coordinated support systems, little is known about how these systems operate in Latin America from caregivers' perspectives. This study describes support pathways for children with DLD in Santiago, Chile, focusing on how families access, experience, and sustain support across health and education services.</p><p><strong>Methods: </strong>We conducted an interpretive qualitative study using semi-structured narrative interviews with nine primary caregivers of children aged 6-9 years with a formal diagnosis registered as Specific Language Impairment (SLI) in the Chilean system (administratively aligned with DLD). Interviews were analyzed using reflexive thematic analysis, guided by key concepts from care pathways and therapeutic itineraries that informed the interpretation of transitions, institutional interactions, and meaning-making.</p><p><strong>Results: </strong>Caregivers' narratives described support pathways as dynamic and nonlinear, shaped by interactions between family interpretations, institutional gatekeeping, and structural constraints. Three interconnected stages were identified: (1) initial suspicion and early help-seeking, marked by uncertainty, uneven professional guidance, and trial-and-error navigation; (2) diagnosis and entry into specialized services, in which Special Language Schools functioned as key gateways to diagnostic confirmation and sustained support; and (3) primary education, characterized by discontinuities in intensity, communication, and coordination when support shifted to School Integration Programs (PIE). Across stages, weak intersectoral coordination, socioeconomic barriers to complementary private therapy, and COVID-19-related disruptions accumulated over time, positioning caregivers as informal coordinators of care. Diagnosis also operated as a sociocultural and administrative credential for access to services.</p><p><strong>Conclusion: </strong>In Santiago, DLD support pathways rely heavily on education-sector gateways and caregiver-mediated coordination within a mixed and weakly articulated system. Policies should strengthen early guidance and referral mechanisms, institutionalize coordination between primary care, Special Language Schools, and primary education, and reduce inequities by ensuring continuity and adequate intensity of supports without dependence on families' resources.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-17"},"PeriodicalIF":0.7,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Topography of Disfluency in Spoken Language: A Scoping Review.","authors":"Yangfan Xu, Yunyi Hu, Michael C-F Tong, Thomas Law","doi":"10.1159/000553182","DOIUrl":"10.1159/000553182","url":null,"abstract":"<p><strong>Background: </strong>Speech disfluencies have been widely studied across speech-language pathology (SLP), linguistics, and engineering. However, the parameters used to describe disfluencies vary considerably across studies, partly because disfluencies are conceptualized differently across disciplines - either as observable speech features or as indicators of underlying speech production processes. As a result, the full range of documented disfluency types remains unclear, and cross-study comparisons are often limited. This scoping review systematically synthesizes existing research to map all documented disfluency types, clarify cross-disciplinary and cross-linguistic inconsistencies, and provide an overview of existing classification frameworks.</p><p><strong>Summary: </strong>Following the PRISMA-ScR guidelines for scoping reviews, online databases (PubMed, Ovid Medline, APA PsycInfo, Linguistics & Language Behavior Abstracts: LLBA, Alexander Street Literature, IEEE Xplore, ACM Digital Library) were searched for papers published from 2000 to 2023, with relevant pre-2000 references included if cited in eligible studies. A total of 69 studies met the inclusion criteria, including 30 from SLP, 16 from linguistics, and 23 from engineering. Disfluency types were grouped into seven broad categories: repetition, prolongation, revision, pause, filler, incomplete production, and nonverbal behaviors. Inconsistencies in terminology and definitions were prevalent across fields, and most frameworks were English-centric, with limited adaptation to other languages. Only 29% of studies applied classification systems to non-English languages, including Mandarin, Cantonese, Spanish, and Turkish.</p><p><strong>Key messages: </strong>Terminology and definitions of disfluency types lack consistency across SLP, linguistics, and engineering. Developing a unified, cross-disciplinary, and cross-linguistic classification framework may facilitate more consistent research practices and improve the comparability of findings across studies. Such efforts may also support future clinical and technological applications involving speech disfluency analysis.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-14"},"PeriodicalIF":0.7,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13446882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148335379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum.","authors":"","doi":"10.1159/000552796","DOIUrl":"10.1159/000552796","url":null,"abstract":"<p><p>In the article \"A Phenomenological Study Exploring the Perceptions of Parents and Children Participating in the Lidcombe Program for Early Stuttering in Turkiye\" [Folia Phoniatr Logop. 2025; https://doi.org/10.1159/000548660] by Subasi et al., the copyright license has been changed to a CC BY-NC 4.0 license.The original online article has been updated to reflect this.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1"},"PeriodicalIF":0.7,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation and Reliability of Arabic Brief Version of the Unhelpful Thoughts and Beliefs about Stuttering (UTBAS-6) Scales.","authors":"Sondos A M Yakout, Khalid H Malki, Tamer Mesallam, Yomna Hassan Elfiky, Zofia Korim, Mohamed Farahat","doi":"10.1159/000553207","DOIUrl":"10.1159/000553207","url":null,"abstract":"<p><strong>Introduction: </strong>The Brief Version of the Unhelpful Thoughts and Beliefs about Stuttering Scales (UTBAS-6) is an efficient and reliable way to screen for unhelpful and negative thoughts, as well as negative beliefs and anxiety among people who stutter. It makes it easier to provide information about people who stutter by saving time for speech-language pathologists in clinics. The aim of this study was to construct an Arabic version of the Brief Version of the Unhelpful Thoughts and Beliefs about Stuttering Scales (A-UTBAS-6) and to evaluate its clinical validity, reliability, and internal consistency.</p><p><strong>Methods: </strong>The developed A-UTBAS-6 was administered to 53 adults who stuttered and 112 adults who did not stutter. Both test-retest reliability and internal consistency were tested. The results for both groups were compared.</p><p><strong>Results: </strong>The internal consistency of the A-UTBAS-6 total score was excellent (Cronbach's α = 0.957), and test-retest reliability was statistically significant (p < 0.001). The scores for the two groups in the A-UTBAS-6 were significantly different (p < 0.001).</p><p><strong>Conclusion: </strong>A-UTBAS-6 is a valid tool for the early detection of thoughts and beliefs that are unhelpful and which may accompany speech disorders among Arabic patients who stutter.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-10"},"PeriodicalIF":0.7,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148298784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contemporary Clinical Conversations about Stuttering: What Does Childhood Bilingualism Mean to Clinicians?","authors":"David Kinnane, Valerie P C Lim, Rosalee C Shenker, Liesbeth Zoontjens, Mark Onslow","doi":"10.1159/000552154","DOIUrl":"10.1159/000552154","url":null,"abstract":"","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-6"},"PeriodicalIF":0.7,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contemporary Clinical Conversations about Stuttering: What Does Genetics Research Mean to Clinicians?","authors":"Georgina Johnson, Corinne Moffatt, Maria Paphiti, Dillon Pruett, Mark Onslow","doi":"10.1159/000552868","DOIUrl":"10.1159/000552868","url":null,"abstract":"","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-6"},"PeriodicalIF":0.7,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing Speech Therapy Service Delivery Models in Iranian Primary Schools: A Double-Blind Randomized Controlled Study.","authors":"Masoomeh Salmani, Masume Zareei, Marziyeh Maddah, Fatemeh Paknazar, Atefeh Safi, Farnaz Mohseni Khalaji, Asefeh Nasiri, Kosar Salehi-Niya","doi":"10.1159/000552858","DOIUrl":"10.1159/000552858","url":null,"abstract":"<p><strong>Introduction: </strong>Delivering speech and language therapy (SLT) services within mainstream schools remains a global challenge, particularly in contexts with limited professional resources. While multiple service delivery models have been proposed, evidence regarding their feasibility and effectiveness in low-resource educational systems is limited. This study investigated the feasibility and outcomes of selected SLT service delivery models in Iranian regular schools.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted in six primary schools in Semnan, Iran, involving 340 children in preschool-grade 2. Classes were randomly assigned to one of two service delivery models: (a) self-contained classroom (n = 45), (b) collaborative-consultative teacher-based (n = 42), and control group (n = 195). Interventions lasted 10 weeks and targeted curriculum-based vocabulary, syntax, and narrative skills. Children's language abilities were assessed using the Persian version of the Test of Language Development-Primary, 3rd Edition (TOLD-P3) at baseline, immediately post-intervention, and at 6-month follow-up. Analyses were conducted using repeated-measures ANOVA with Bonferroni adjustments.</p><p><strong>Results: </strong>Both models demonstrated significant improvements in overall language abilities compared with baseline (p < 0.05). The self-contained classroom model produced broader and more consistent gains across semantic, grammatical, and narrative domains. In contrast, the collaborative-consultative teacher-based model showed selective improvements, particularly in grammar and expressive skills.</p><p><strong>Conclusions: </strong>Findings highlight the feasibility and relative effectiveness of self-contained classroom and teacher-based collaborative-consultative models for supporting children at risk of language difficulties in Iranian mainstream schools. Results underscore the importance of adapting service delivery frameworks to local educational contexts and resource constraints. Future large-scale trials are warranted to confirm these findings and guide national policy on inclusive educational practices.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-12"},"PeriodicalIF":0.7,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Peer-Mediated Instruction for Children with Extensive Support Needs.","authors":"Sheida K Raley, Elizabeth R Lorah, Christine Holyfield, Grace Booth, Madison Maddox","doi":"10.1159/000552891","DOIUrl":"10.1159/000552891","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this study was to evaluate the use of peer-mediated instruction for requesting during a snack time routine for children with extensive support needs who were also beginning communicators.</p><p><strong>Method: </strong>Participants included three children aged 5 with extensive support needs who used a tablet-based augmentative and alternative communication (AAC) to communicate. Using a nonconcurrent multiple baseline design, participants were taught by peers without extensive support needs, to request for a preferred snack using modeling and a 3-second time delay until responding reached a mastery criterion of 80-100% across three consecutive sessions.</p><p><strong>Results: </strong>Results indicated that all three participants acquired the ability to request from a peer using AAC.</p><p><strong>Conclusion: </strong>Limitations and considerations for future research and practice are discussed.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-10"},"PeriodicalIF":0.7,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148207568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is a Picture Worth a Thousand Words? Preliminary Image Preferences of Persons Living with Aphasia to Support Their Communication.","authors":"Bhavani Sarveshvari Pillay, Jeannie van der Linde, Marien Alet Graham, Shakila Dada","doi":"10.1159/000552766","DOIUrl":"10.1159/000552766","url":null,"abstract":"<p><strong>Introduction: </strong>Existing research has explored how images can support persons living with aphasia's (PWA) communication modalities and the information they may derive from specific images. However, there is a gap in understanding how PWA select and use various image types to support their communication.</p><p><strong>Aim: </strong>This study aimed to (i) explore a sample of PWA's views on image types and preferences; and (ii) describe image selection and use considerations to support their communication.</p><p><strong>Methods: </strong>A custom-designed, adapted 30-item verbal survey was completed individually with 12 participants with mild to moderate chronic aphasia using pictorial supports and aided conversation techniques over a videoconferencing platform. Descriptive and inferential statistics were employed.</p><p><strong>Results: </strong>Participants preferred using coloured photographs (n = 11) and picture scenes (n = 10) obtained from personal photographs, the internet, and social media. Key considerations for image selection included clarity, transparency, and meaningfulness. Image preferences also varied based on message type (i.e., naming vs. action messages). Notably, participants were more confident using images (n = 10) than selecting them (n = 8).</p><p><strong>Conclusion: </strong>This study provides preliminary insights into image selection and use among a small sample of persons with mild to moderate aphasia. The findings suggest that collaborative efforts with PWA to support their image selection process could optimise image use as communication support. However, further research with larger and more diverse samples of persons with varying aphasia severity is warranted to expand on these findings.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-12"},"PeriodicalIF":0.7,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148153177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thin Liquid Sip Sizes in Outpatient Adults with Normal and Disordered Swallowing: Modifying Factors and Relationships with Swallowing Safety and Efficiency.","authors":"James A Curtis, Leyla E Jimenez, Isabel M Aberin-Angulo, Christine M Clark, Valentina Mocchetti","doi":"10.1159/000552746","DOIUrl":"10.1159/000552746","url":null,"abstract":"<p><strong>Introduction: </strong>Thin liquids are an important part of many swallowing assessment protocols, yet little is known about self-selected sip sizes in outpatient adults nor their relationship with functional swallowing outcomes. Therefore, this quality improvement study aimed to: (1) assess the influence of testing-specific factors on the size of self-selected sips in outpatient adults; (2) examine the relationships between self-selected sip sizes, patient characteristics, and degree of swallowing impairment; and (3) evaluate the relationship between the self-selected sip sizes, swallowing safety, and swallowing efficiency.</p><p><strong>Methods: </strong>Consecutive outpatient adults being evaluated for known or suspected swallowing impairments completed randomized self-selected sips of thin liquids varying by cup size, fill level, liquid color, liquid type, bolus delivery method, swallowing instruction, and endoscope presence. Self-selected sip sizes were measured for each trial. Multilevel statistical models were used to assess the relationships between self-selected sip size, testing conditions, patient characteristics, and pharyngeal residue, penetration, and aspiration as seen during flexible endoscopic evaluation of swallowing (FEES) and modified barium swallow studies (MBS).</p><p><strong>Results: </strong>Seventy-four outpatient adults were recruited, yielding an analysis of 595 self-selected sip sizes. The median self-selected sip size was 24.0 mL during the most natural drinking condition. Colored liquids, smaller amount of liquid filling a cup, and straw use significantly decreased sip size, whereas transnasal endoscopy and barium significantly increased sip size (p < 0.05). Sex and height were the only patient characteristics significantly associated with sip size (p < 0.05). The size of self-selected sips of thin liquid was not associated with measures of pharyngeal residue, penetration, and aspiration (p > 0.05).</p><p><strong>Conclusion: </strong>Outpatient adults typically select thin liquid sips of ∼24 mL under natural conditions, similar to what is reported in healthy community dwelling adults and far exceeding sip sizes frequently used during routine clinical assessments. Testing-induced alterations significantly alter natural sip size, suggesting that \"natural\" self-selected sips during clinical assessments, FEES, and MBS rarely reflect real-world drinking. Because sip size is not predictable from patient characteristics and is altered when being testing, clinicians should consider testing a range of fixed volumes to comprehensively assess swallowing function across patients.</p>","PeriodicalId":520626,"journal":{"name":"Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)","volume":" ","pages":"1-15"},"PeriodicalIF":0.7,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13379208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}