Pub Date : 2023-11-06DOI: 10.1080/2050571x.2023.2275852
Marie Jardine
Dysphagia services are embedded in a colonial health system that was not designed for Māori (Indigenous peoples of Aotearoa New Zealand). Despite the obligations of Te Tiriti o Waitangi and the United Nations Declaration on the Rights of Indigenous Peoples, dysphagia research that benefits Māori remains to be established. A paradigm shift in the dysphagia literature warrants critical analysis and reflection on different ways of knowing, doing, and thinking. In Aotearoa New Zealand, the effects of colonization, racism, systems, and power dynamics on Māori with swallowing problems should be further examined. Relationships must be meaningful between dysphagia research teams and Māori (patients, whānau (family), hapū (sub-tribe), iwi (tribe), communities, health professionals, researchers) and support Māori leadership. Future dysphagia research should encompass Te Tiriti obligations, Māori rights to health, cultural safety, and Māori ethical considerations, such as Māori data sovereignty. This paper considers how an equity-based approach in dysphagia research can better support Māori with swallowing problems and their whānau, and achieve equitable outcomes.
{"title":"Responsiveness to Māori in dysphagia research: beyond ‘kai’ (nutrition), ‘inu’ (hydration), and ‘te reo’ (Māori translation)","authors":"Marie Jardine","doi":"10.1080/2050571x.2023.2275852","DOIUrl":"https://doi.org/10.1080/2050571x.2023.2275852","url":null,"abstract":"Dysphagia services are embedded in a colonial health system that was not designed for Māori (Indigenous peoples of Aotearoa New Zealand). Despite the obligations of Te Tiriti o Waitangi and the United Nations Declaration on the Rights of Indigenous Peoples, dysphagia research that benefits Māori remains to be established. A paradigm shift in the dysphagia literature warrants critical analysis and reflection on different ways of knowing, doing, and thinking. In Aotearoa New Zealand, the effects of colonization, racism, systems, and power dynamics on Māori with swallowing problems should be further examined. Relationships must be meaningful between dysphagia research teams and Māori (patients, whānau (family), hapū (sub-tribe), iwi (tribe), communities, health professionals, researchers) and support Māori leadership. Future dysphagia research should encompass Te Tiriti obligations, Māori rights to health, cultural safety, and Māori ethical considerations, such as Māori data sovereignty. This paper considers how an equity-based approach in dysphagia research can better support Māori with swallowing problems and their whānau, and achieve equitable outcomes.","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":"20 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135679173","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}
Pub Date : 2023-10-29DOI: 10.1080/2050571x.2023.2273598
Hari Prakash Palaniswamy, Gopika Nair, Mayur Bhat
{"title":"A systematic review and meta-analysis of dichotic deficits in individuals with learning disability","authors":"Hari Prakash Palaniswamy, Gopika Nair, Mayur Bhat","doi":"10.1080/2050571x.2023.2273598","DOIUrl":"https://doi.org/10.1080/2050571x.2023.2273598","url":null,"abstract":"","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":"58 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136136365","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}
Pub Date : 2023-10-29DOI: 10.1080/2050571x.2023.2267242
Kate J. Cook, Cheryl Messick, Megan J. McAuliffe
{"title":"Examination of depth of written reflective practice for speech-language therapy students; the impact of time and clinical competency","authors":"Kate J. Cook, Cheryl Messick, Megan J. McAuliffe","doi":"10.1080/2050571x.2023.2267242","DOIUrl":"https://doi.org/10.1080/2050571x.2023.2267242","url":null,"abstract":"","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136157489","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}
Pub Date : 2023-10-19DOI: 10.1080/2050571x.2023.2268442
Nathan D. Maxfield
ABSTRACTQuality of life among adults who stutter (AWS) is well-studied but little is known about health-related quality of life, an index of successful aging. The study’s aim was to begin documenting perceptions and predictors of physical and mental health quality of life (PH-, MH-QoL) among aging AWS. Forty AWS (50-84 years old) in the United States completed the SF-36 survey of PH- and MH-QoL, and were surveyed on potential explanatory variables including resilience, social resources, health-promoting behavior, socioeconomic status, perceptions of aging, social risk, identity management, neuroticism, stuttering severity, and difficulty communicating. The prevalence of very low PH- and MH-QoL scores was compared against age- and gender-graded population norms. Finally, PH- and MH-QoL scores were regressed onto explanatory variables. Relatively few aging AWS had very low PH-QoL scores. A non-trivial subset of aging AWS had very low MH-QoL scores. Greater awareness of aging-related loss predicted lower PH- and MH-QoL. Greater neuroticism also predicted lower MH-QoL. Greater resilience predicted better MH-QoL. If replicable, results would suggest few aging AWS are at-risk for very low PH-QoL while more aging AWS are at-risk for very low MH-QoL. Predictors of PH- and MH-QoL may inform strategies for successful aging among AWS.KEYWORDS: Stutteringagingphysical healthmental healthquality of life AcknowledgementsAmanda Kelly contributed to the study concept and design. The study survey was advertised by the National Stuttering Association, the Stuttering Community page on Facebook, the r/Stutter group on Reddit, and several Osher Lifelong Learning Institutes across the United States. I appreciate the participation of all adults who stutter who responded to the survey.Disclosure statementNo potential conflict of interest was reported by the author(s).Notes1 Adults in the U.S. reach full retirement age between 66 and 67 years old. Physical limitations impacting the ability to live independently, and perceived quality of life, tend not appear until this age in more advantaged adults (Kramarow, Lubitz, Lentzner, & Gorina, Citation2007; Manton, Gu, & Lowrimore, Citation2008). However, the prevalence of such physical limitations is greater in less advantaged groups as young as age 50 (Holmes, Powell-Griner, Lethbridge-Cejku, & Heyman, Citation2009). Thus, this study focused on AWS age 50 years or older.2 Due to unbalanced data, some explanatory variables were excluded including household income (28 participants had a household income >200%FPL), education level (35 participants had at least some college education), relationship status (31 participants were partnered/married), substance non-use (32 participants were substance non-users), and participation in speech therapy (only 2 participants reported attending speech therapy in the past year).3 One reviewer questioned whether the sample size (n = 40) was adequate for the conducted regression analyses. Publis
{"title":"Perceptions and predictors of health-related quality of life among aging adults who stutter: a first glimpse","authors":"Nathan D. Maxfield","doi":"10.1080/2050571x.2023.2268442","DOIUrl":"https://doi.org/10.1080/2050571x.2023.2268442","url":null,"abstract":"ABSTRACTQuality of life among adults who stutter (AWS) is well-studied but little is known about health-related quality of life, an index of successful aging. The study’s aim was to begin documenting perceptions and predictors of physical and mental health quality of life (PH-, MH-QoL) among aging AWS. Forty AWS (50-84 years old) in the United States completed the SF-36 survey of PH- and MH-QoL, and were surveyed on potential explanatory variables including resilience, social resources, health-promoting behavior, socioeconomic status, perceptions of aging, social risk, identity management, neuroticism, stuttering severity, and difficulty communicating. The prevalence of very low PH- and MH-QoL scores was compared against age- and gender-graded population norms. Finally, PH- and MH-QoL scores were regressed onto explanatory variables. Relatively few aging AWS had very low PH-QoL scores. A non-trivial subset of aging AWS had very low MH-QoL scores. Greater awareness of aging-related loss predicted lower PH- and MH-QoL. Greater neuroticism also predicted lower MH-QoL. Greater resilience predicted better MH-QoL. If replicable, results would suggest few aging AWS are at-risk for very low PH-QoL while more aging AWS are at-risk for very low MH-QoL. Predictors of PH- and MH-QoL may inform strategies for successful aging among AWS.KEYWORDS: Stutteringagingphysical healthmental healthquality of life AcknowledgementsAmanda Kelly contributed to the study concept and design. The study survey was advertised by the National Stuttering Association, the Stuttering Community page on Facebook, the r/Stutter group on Reddit, and several Osher Lifelong Learning Institutes across the United States. I appreciate the participation of all adults who stutter who responded to the survey.Disclosure statementNo potential conflict of interest was reported by the author(s).Notes1 Adults in the U.S. reach full retirement age between 66 and 67 years old. Physical limitations impacting the ability to live independently, and perceived quality of life, tend not appear until this age in more advantaged adults (Kramarow, Lubitz, Lentzner, & Gorina, Citation2007; Manton, Gu, & Lowrimore, Citation2008). However, the prevalence of such physical limitations is greater in less advantaged groups as young as age 50 (Holmes, Powell-Griner, Lethbridge-Cejku, & Heyman, Citation2009). Thus, this study focused on AWS age 50 years or older.2 Due to unbalanced data, some explanatory variables were excluded including household income (28 participants had a household income >200%FPL), education level (35 participants had at least some college education), relationship status (31 participants were partnered/married), substance non-use (32 participants were substance non-users), and participation in speech therapy (only 2 participants reported attending speech therapy in the past year).3 One reviewer questioned whether the sample size (n = 40) was adequate for the conducted regression analyses. Publis","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135667517","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}
Pub Date : 2023-09-18DOI: 10.1080/2050571x.2023.2259145
M. K. Niharika, H. N. Gurkar Harshitha, S. Y. Aishwarya, Suresh Suman
ABSTRACTWith the rapid rise in the cultural and linguistic landscape of India, it is essential to evaluate the perspectives of speech-language pathologists (SLPs) on bilingual service delivery, as they are the primary service providers for individuals with communication disorders. The current study aimed to describe the perspectives and practices of SLPs on bilingual service delivery in India. A survey questionnaire was developed and disseminated online to speech-language pathologists practicing in India. A questionnaire was framed to evaluate the demographic characteristics, linguistic background, and practice of bilingual service delivery and the challenges faced. The demographic data, linguistic background data, and responses to different aspects of bilingual service delivery were analyzed using descriptive statistics. Seventy-five speech-language pathologists responded to the survey and their perspectives on different aspects of bilingual service delivery were variable. Most of the respondents had a positive outlook and reported having good competency concerning bilingual service delivery. The survey further revealed barriers to bilingual service delivery that need to be addressed and future implications for stakeholders are discussed.KEYWORDS: Bilingualismspeech-language pathologists (SLPs)surveyservice deliverycompetencychallengeslinguistic diversityIndia Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.
{"title":"Speech-language pathologists’ perspectives on bilingual service delivery in India: a preliminary survey","authors":"M. K. Niharika, H. N. Gurkar Harshitha, S. Y. Aishwarya, Suresh Suman","doi":"10.1080/2050571x.2023.2259145","DOIUrl":"https://doi.org/10.1080/2050571x.2023.2259145","url":null,"abstract":"ABSTRACTWith the rapid rise in the cultural and linguistic landscape of India, it is essential to evaluate the perspectives of speech-language pathologists (SLPs) on bilingual service delivery, as they are the primary service providers for individuals with communication disorders. The current study aimed to describe the perspectives and practices of SLPs on bilingual service delivery in India. A survey questionnaire was developed and disseminated online to speech-language pathologists practicing in India. A questionnaire was framed to evaluate the demographic characteristics, linguistic background, and practice of bilingual service delivery and the challenges faced. The demographic data, linguistic background data, and responses to different aspects of bilingual service delivery were analyzed using descriptive statistics. Seventy-five speech-language pathologists responded to the survey and their perspectives on different aspects of bilingual service delivery were variable. Most of the respondents had a positive outlook and reported having good competency concerning bilingual service delivery. The survey further revealed barriers to bilingual service delivery that need to be addressed and future implications for stakeholders are discussed.KEYWORDS: Bilingualismspeech-language pathologists (SLPs)surveyservice deliverycompetencychallengeslinguistic diversityIndia Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135148684","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}
Pub Date : 2023-09-11DOI: 10.1080/2050571x.2023.2240988
Flora M. M. Poon, Elizabeth C. Ward, Clare L. Burns
International studies examining dysphagia management have identified that a degree of practice variability exists globally, with multiple factors within the local health service context influencing the nature of services. Understanding current practices and service inefficiencies is a foundational step for service optimization. Thus, this study aimed to understand service characteristics and issues associated with adult dysphagia service provision within acute and subacute settings in Singapore. Two online anonymous surveys were conducted with: (a) managers to explore practice documents used to guide dysphagia services, and (b) speech-language pathologists (SLPs) to understand dysphagia practices and service issues. Data were analyzed using descriptive statistics and content analysis. Responses from 12 managers and 68 SLPs working in acute and subacute settings were analyzed. There was a lack of national practice documents to guide dysphagia clinical training and service provision, and services were generally guided by internal documents. Despite this, dysphagia services were similar across acute and subacute settings. However, differences between settings were identified in screening and instrumental assessments services, perceived rehabilitation intensity, perceived rehabilitation adherence among patients, and extent of challenges with onward referrals. Whilst Singapore’s dysphagia services were largely aligned with other countries, challenges unique to the Singapore context was found relating to enteral feeding management, language barrier, financing framework, and care transitions. These findings build on the knowledge of dysphagia practices internationally, and provide direction for service optimization in Singapore.
{"title":"Adult dysphagia services in acute and subacute settings in Singapore","authors":"Flora M. M. Poon, Elizabeth C. Ward, Clare L. Burns","doi":"10.1080/2050571x.2023.2240988","DOIUrl":"https://doi.org/10.1080/2050571x.2023.2240988","url":null,"abstract":"International studies examining dysphagia management have identified that a degree of practice variability exists globally, with multiple factors within the local health service context influencing the nature of services. Understanding current practices and service inefficiencies is a foundational step for service optimization. Thus, this study aimed to understand service characteristics and issues associated with adult dysphagia service provision within acute and subacute settings in Singapore. Two online anonymous surveys were conducted with: (a) managers to explore practice documents used to guide dysphagia services, and (b) speech-language pathologists (SLPs) to understand dysphagia practices and service issues. Data were analyzed using descriptive statistics and content analysis. Responses from 12 managers and 68 SLPs working in acute and subacute settings were analyzed. There was a lack of national practice documents to guide dysphagia clinical training and service provision, and services were generally guided by internal documents. Despite this, dysphagia services were similar across acute and subacute settings. However, differences between settings were identified in screening and instrumental assessments services, perceived rehabilitation intensity, perceived rehabilitation adherence among patients, and extent of challenges with onward referrals. Whilst Singapore’s dysphagia services were largely aligned with other countries, challenges unique to the Singapore context was found relating to enteral feeding management, language barrier, financing framework, and care transitions. These findings build on the knowledge of dysphagia practices internationally, and provide direction for service optimization in Singapore.","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135981513","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}
Pub Date : 2023-09-11DOI: 10.1080/2050571x.2023.2253391
Merve Meral, Özlem Konukseven
{"title":"Effect of noise on speech intelligibility and cognitive skills by ages","authors":"Merve Meral, Özlem Konukseven","doi":"10.1080/2050571x.2023.2253391","DOIUrl":"https://doi.org/10.1080/2050571x.2023.2253391","url":null,"abstract":"","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135981946","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}
Pub Date : 2023-09-06DOI: 10.1080/2050571x.2023.2253394
N. Nagaraj
{"title":"Speech perception in noise: no interaction between working memory and degree of speech degradation","authors":"N. Nagaraj","doi":"10.1080/2050571x.2023.2253394","DOIUrl":"https://doi.org/10.1080/2050571x.2023.2253394","url":null,"abstract":"","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":"73 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74751810","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}
Pub Date : 2023-08-24DOI: 10.1080/2050571x.2023.2248696
R.A. Pitt, Alana R. Hutchison, Amanda Pigott, Bena Brown
{"title":"Safety and acceptability of a modified swallowing impairment screening assessment via nasendoscopy following head and neck cancer treatment: a feasibility study","authors":"R.A. Pitt, Alana R. Hutchison, Amanda Pigott, Bena Brown","doi":"10.1080/2050571x.2023.2248696","DOIUrl":"https://doi.org/10.1080/2050571x.2023.2248696","url":null,"abstract":"","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":"32 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76326107","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}
Pub Date : 2023-08-24DOI: 10.1080/2050571x.2023.2244764
Fateme Rafiei, N. Moradi, M. Soltani, Saeed Hesam, Mandana Nourbakhsh, Y. Maryn
{"title":"Psychometric features of Acoustic Voice Quality Index, version 03.01, in Persian language","authors":"Fateme Rafiei, N. Moradi, M. Soltani, Saeed Hesam, Mandana Nourbakhsh, Y. Maryn","doi":"10.1080/2050571x.2023.2244764","DOIUrl":"https://doi.org/10.1080/2050571x.2023.2244764","url":null,"abstract":"","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":"27 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81430980","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}
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