Pub Date : 2021-09-15DOI: 10.1080/2050571X.2021.1976550
Banafshe Mansuri, Seyed Abolfazl Tohidast, M. Mokhlesin, Mehran Choubineh, Masumeh Zarei, Rasool Bagheri, Ronald Callaway Scherer
ABSTRACT The COVID-19 pandemic has required speech-language pathologists (SLPs) to use telepractice to deliver services. The present study aimed to investigate the knowledge, attitude, and practice (KAP) of SLPs relative to telepractice during the COVID-19 pandemic. This cross-sectional study was carried out during the coronavirus outbreak from July to December 2020. A valid and reliable self-administrated online questionnaire was sent to 600 SLPs who are members of the Iranian Speech Therapy Association. A total of 465 SLPs completed the questionnaire. SLPs who participated in the study had good attitudes toward telepractice (mean 3.99 ± 0.53 on a scale of 1–5). The mean of the knowledge score of the SLPs was 2.66 (±0.73), a value that is considered to be moderate. The mean for the practice score was 2.42 (±0.89), a score that is considered to be seldom to sometimes. Policymakers should take appropriate action in the field of effective telepractice for training SLPs especially during or prior to situations such as the COVID-19 pandemic.
{"title":"Telepractice among speech and language pathologists: a KAP study during COVID-19 pandemic","authors":"Banafshe Mansuri, Seyed Abolfazl Tohidast, M. Mokhlesin, Mehran Choubineh, Masumeh Zarei, Rasool Bagheri, Ronald Callaway Scherer","doi":"10.1080/2050571X.2021.1976550","DOIUrl":"https://doi.org/10.1080/2050571X.2021.1976550","url":null,"abstract":"ABSTRACT The COVID-19 pandemic has required speech-language pathologists (SLPs) to use telepractice to deliver services. The present study aimed to investigate the knowledge, attitude, and practice (KAP) of SLPs relative to telepractice during the COVID-19 pandemic. This cross-sectional study was carried out during the coronavirus outbreak from July to December 2020. A valid and reliable self-administrated online questionnaire was sent to 600 SLPs who are members of the Iranian Speech Therapy Association. A total of 465 SLPs completed the questionnaire. SLPs who participated in the study had good attitudes toward telepractice (mean 3.99 ± 0.53 on a scale of 1–5). The mean of the knowledge score of the SLPs was 2.66 (±0.73), a value that is considered to be moderate. The mean for the practice score was 2.42 (±0.89), a score that is considered to be seldom to sometimes. Policymakers should take appropriate action in the field of effective telepractice for training SLPs especially during or prior to situations such as the COVID-19 pandemic.","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83397770","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 : 2021-09-08DOI: 10.1080/2050571X.2021.1975227
Madeleine St. Peter, Suraj Shankar, Jennifer A. Villwock
ABSTRACT Up to 75% of patients who have undergone a total laryngectomy (TL) suffer from hyposmia or anosmia. The only intervention currently available is the Nasal Airflow-Inducing Maneuver (NAIM), which has been shown to restore smell in about half of TL patients with olfactory deficiencies. Although the NAIM can intermittently provide some mechanical compensation for olfactory loss, there are no therapeutic tools available that consistently provide olfactory stimulation and sensitization after TL. Olfactory training (OT) is a structured smell regimen that has been shown to recover smell in other patient populations with olfactory dysfunction such as post-viral and traumatic brain injury-induced anosmia. Our objective was to propose a low-cost, simple olfactory regimen for TL patients that combines OT and NAIM. In addition, we evaluate for changes in olfactory acuity using Sniffin’ Sticks 12 (SST12) and QOL following training. Seven TL patients underwent NAIM training, baseline olfactory testing, and QOL assessments. Five participants completed the 12–14 week training regimen and had repeat olfactory and QOL testing. Two of the five participants had improved SST12 scores, however, QOL scores remained similar to baseline.
{"title":"Use of Nasal Airflow-Inducing Maneuver with olfactory training in patients with post-laryngectomy anosmia: a pilot study","authors":"Madeleine St. Peter, Suraj Shankar, Jennifer A. Villwock","doi":"10.1080/2050571X.2021.1975227","DOIUrl":"https://doi.org/10.1080/2050571X.2021.1975227","url":null,"abstract":"ABSTRACT Up to 75% of patients who have undergone a total laryngectomy (TL) suffer from hyposmia or anosmia. The only intervention currently available is the Nasal Airflow-Inducing Maneuver (NAIM), which has been shown to restore smell in about half of TL patients with olfactory deficiencies. Although the NAIM can intermittently provide some mechanical compensation for olfactory loss, there are no therapeutic tools available that consistently provide olfactory stimulation and sensitization after TL. Olfactory training (OT) is a structured smell regimen that has been shown to recover smell in other patient populations with olfactory dysfunction such as post-viral and traumatic brain injury-induced anosmia. Our objective was to propose a low-cost, simple olfactory regimen for TL patients that combines OT and NAIM. In addition, we evaluate for changes in olfactory acuity using Sniffin’ Sticks 12 (SST12) and QOL following training. Seven TL patients underwent NAIM training, baseline olfactory testing, and QOL assessments. Five participants completed the 12–14 week training regimen and had repeat olfactory and QOL testing. Two of the five participants had improved SST12 scores, however, QOL scores remained similar to baseline.","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78871331","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 : 2021-08-31DOI: 10.1080/2050571X.2021.1965820
Ç. Onen, Guven Mengu, S. Altinyay, Y. Kemaloğlu
ABSTRACT The Ling Six-Sound Test has been determined to be both valid and reliable in relation to the evaluation of hearing using speech sounds. However, prior studies in this regard have principally been conducted in English, and it must be acknowledged that Turkish and English acoustic properties differ from one another. In this study, we sought to determine the acoustic properties of the phonemes that correspond to the Turkish letters [a, u, i, m, s, ş] used in speech tests when evaluating children’s hearing. The children are more sensitive to their mother’s voice and to their mother tongue. Further, audiology is a female-dominated field in Turkey. Thus, this study was conducted among 51 Contemporary-Turkey-Turkish (CTT)-speaking female subjects who were aged between 18 and 45 years and who were considered normal with regard to their hearing, voice and speech abilities. The participants’ acoustic sound analyses were performed using sound analysis software. The frequency ranges within which the Ling sounds were found to have energy at the hearing level were 250–1500 Hz for , 250–1000 Hz for , 250–3000 Hz for, 4000–15,000 Hz for , 2000–13,000 Hz for , and 250–2000 Hz for . When using the Ling sounds to perform hearing assessments and hearing aid/cochlear implant fitting, it is essential to consider the frequency ranges that are specific to each language. In addition, special software and devices need to be developed if the Ling Six-Sound Test is to be applied more quickly and efficiently in the future.
凌六声测验在用语音评价听力方面是有效和可靠的。然而，之前在这方面的研究主要是用英语进行的，必须承认土耳其语和英语的声学特性彼此不同。在这项研究中，我们试图确定在评估儿童听力的语音测试中使用的与土耳其字母[a, u, i, m, s, ei]对应的音素的声学特性。孩子们对母亲的声音和母语更加敏感。此外，听力学在土耳其是一个以女性为主的领域。因此，这项研究是在51名说当代土耳其-土耳其语(CTT)的女性受试者中进行的，她们年龄在18至45岁之间，听力、声音和语言能力被认为是正常的。使用声音分析软件对参与者的声音进行分析。凌音在听力水平上具有能量的频率范围为250-1500赫兹、250-1000赫兹、250-3000赫兹、4000 - 15000赫兹、2000 - 13000赫兹和250-2000赫兹。当使用凌音进行听力评估和助听器/人工耳蜗安装时，必须考虑每种语言特定的频率范围。此外，要使灵六声测试在未来更快、更有效地应用，还需要开发专门的软件和设备。
{"title":"Determination of the acoustic properties of Turkish ling six sounds used in speech tests","authors":"Ç. Onen, Guven Mengu, S. Altinyay, Y. Kemaloğlu","doi":"10.1080/2050571X.2021.1965820","DOIUrl":"https://doi.org/10.1080/2050571X.2021.1965820","url":null,"abstract":"ABSTRACT The Ling Six-Sound Test has been determined to be both valid and reliable in relation to the evaluation of hearing using speech sounds. However, prior studies in this regard have principally been conducted in English, and it must be acknowledged that Turkish and English acoustic properties differ from one another. In this study, we sought to determine the acoustic properties of the phonemes that correspond to the Turkish letters [a, u, i, m, s, ş] used in speech tests when evaluating children’s hearing. The children are more sensitive to their mother’s voice and to their mother tongue. Further, audiology is a female-dominated field in Turkey. Thus, this study was conducted among 51 Contemporary-Turkey-Turkish (CTT)-speaking female subjects who were aged between 18 and 45 years and who were considered normal with regard to their hearing, voice and speech abilities. The participants’ acoustic sound analyses were performed using sound analysis software. The frequency ranges within which the Ling sounds were found to have energy at the hearing level were 250–1500 Hz for , 250–1000 Hz for , 250–3000 Hz for, 4000–15,000 Hz for , 2000–13,000 Hz for , and 250–2000 Hz for . When using the Ling sounds to perform hearing assessments and hearing aid/cochlear implant fitting, it is essential to consider the frequency ranges that are specific to each language. In addition, special software and devices need to be developed if the Ling Six-Sound Test is to be applied more quickly and efficiently in the future.","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88785052","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 : 2021-08-17DOI: 10.1080/2050571X.2021.1964229
H. Lim, Adriana Chee Jing Chieng
ABSTRACT Speech acquisition by Indian children is under-explored. This study investigates English-Malay speech acquisition by forty children (2;06-4; 05) of the third largest ethnic group (Indian) in Malaysia, a multi-ethnic multilingual country. The multilingual model and multilingual phonological test proposed by (Lim, Wells, & Howard, [2015] Rate of multilingual phonological acquisition: Evidence from a cross-sectional study of English-mandarin-malay. Clinical Linguistics and Phonetics, 29(11), 793–811; Lim [2018] Multilingual English-Mandarin-Malay phonological error patterns: The multilingual model and multilingual phonological test proposed in the initial cross-sectional study of 2 to 4 years old Malaysian Chinese children. Clinical Linguistics and Phonetics, 32(10), 889–912.) were used in the present assessment and analysis of child speech data. Two versions of the multilingual phonological test (English and Malay) were administered to the children. The age of phoneme acquisition and phonological patterns were analysed. The children showed comparable phonological milestones with children of other ethnic heritages acquiring the same languages. All singleton consonants were acquired by 4;06. All except one consonant cluster (/dɹ/) were acquired by 4; 06, indicating earlier acquisition than the local Chinese children in the past study. All vowels were acquired by 2; 11 and vowel phonological patterns were rare. There was a decrease with age in the use of consonant phonological patterns. Some consonant phonological patterns were shared by both languages (e.g., fronting), others were used in one language only (e.g., English cluster reduction) implicating the influences of language universalities and ambient language characteristics. Only age and language dominance factors, but not sex factor were found to have influenced the English-Malay speech acquisition. The extra exposure to Tamil by some children (38%) might have accelerated the acquisition of English clusters since Tamil shares clusters with English. The present findings contribute both clinical information to speech-language therapists and theoretical knowledge to the current literature of child phonology.
印度儿童的语言习得尚未得到充分的研究。本研究调查了40名儿童的英语-马来语语言习得(2;06-4;05)的第三大民族(印度)在马来西亚，一个多民族多语言的国家。Lim, Wells， & Howard[2015]提出的多语言模型和多语言语音测试。多语言语音习得率:来自英语-普通话-马来语横断面研究的证据。临床语言学与语音学，29(11)，793-811;Lim[2018]多语英语-普通话-马来语语音错误模式:对2 - 4岁马来西亚华人儿童的初步横断面研究中提出的多语模型和多语语音测试。临床语言学与语音学，32(10)，889-912 .)用于评估和分析儿童言语数据。两种版本的多语言语音测试(英语和马来语)被给予儿童。分析了音素习得年龄和音位模式。这些孩子与其他民族的孩子在学习同样的语言时表现出了相似的语音里程碑。所有单子音都是在2006年获得的。除一个辅音簇(/d / r /)外，其余辅音簇均获得;6，表明在过去的学习中，习得比当地中国儿童早。所有的元音都在2岁前习得;11和元音语音模式是罕见的。随着年龄的增长，辅音语音模式的使用有所减少。一些辅音语音模式在两种语言中共享(例如，前读音)，另一些仅在一种语言中使用(例如，英语聚类缩减)，这暗示了语言普遍性和环境语言特征的影响。只有年龄和语言优势因素对英语马来语习得有影响，而性别因素对英语马来语习得没有影响。一些儿童(38%)额外接触泰米尔语可能加速了英语集群的习得，因为泰米尔语与英语共享集群。本研究结果为言语语言治疗师提供了临床信息，也为目前的儿童音韵学文献提供了理论知识。
{"title":"English-Malay speech acquisition by children with Indian (Tamil) heritage","authors":"H. Lim, Adriana Chee Jing Chieng","doi":"10.1080/2050571X.2021.1964229","DOIUrl":"https://doi.org/10.1080/2050571X.2021.1964229","url":null,"abstract":"ABSTRACT Speech acquisition by Indian children is under-explored. This study investigates English-Malay speech acquisition by forty children (2;06-4; 05) of the third largest ethnic group (Indian) in Malaysia, a multi-ethnic multilingual country. The multilingual model and multilingual phonological test proposed by (Lim, Wells, & Howard, [2015] Rate of multilingual phonological acquisition: Evidence from a cross-sectional study of English-mandarin-malay. Clinical Linguistics and Phonetics, 29(11), 793–811; Lim [2018] Multilingual English-Mandarin-Malay phonological error patterns: The multilingual model and multilingual phonological test proposed in the initial cross-sectional study of 2 to 4 years old Malaysian Chinese children. Clinical Linguistics and Phonetics, 32(10), 889–912.) were used in the present assessment and analysis of child speech data. Two versions of the multilingual phonological test (English and Malay) were administered to the children. The age of phoneme acquisition and phonological patterns were analysed. The children showed comparable phonological milestones with children of other ethnic heritages acquiring the same languages. All singleton consonants were acquired by 4;06. All except one consonant cluster (/dɹ/) were acquired by 4; 06, indicating earlier acquisition than the local Chinese children in the past study. All vowels were acquired by 2; 11 and vowel phonological patterns were rare. There was a decrease with age in the use of consonant phonological patterns. Some consonant phonological patterns were shared by both languages (e.g., fronting), others were used in one language only (e.g., English cluster reduction) implicating the influences of language universalities and ambient language characteristics. Only age and language dominance factors, but not sex factor were found to have influenced the English-Malay speech acquisition. The extra exposure to Tamil by some children (38%) might have accelerated the acquisition of English clusters since Tamil shares clusters with English. The present findings contribute both clinical information to speech-language therapists and theoretical knowledge to the current literature of child phonology.","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78091772","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 : 2021-07-23DOI: 10.1080/2050571X.2021.1954836
Ryan J. H. Meechan, K. Brewer
ABSTRACT The aim of this scoping review was to document all Māori speech-language therapy research undertaken in New Zealand in the past 20 years and identify gaps in the literature, to establish an evidence base for speech-language therapy services for Māori. Eligible literature included all original research published in peer-reviewed journals, and all honours, Masters and PhD theses. Electronic databases Scopus, PubMed, ProQuest and Medline were searched in February 2020. We also hand-searched thesis repositories and The New Zealand Journal of Speech Language Therapy. The initial search resulted in 338 publications. After duplicates were removed, the remaining 153 publications underwent screening of title and abstract and a further 124 publications were excluded. Thirty-one publications were screened at full text level, with 11 excluded, leaving a total of 20 (11 articles, 9 theses) which were included in the review. A repeat search revealed one further publication, bringing the total to 21 (12 articles, 9 theses) included in the review. Most of the research was produced in the past 10 years. Over half of the theses had a te reo Māori (Māori language) focus, in comparison to only one article. Seven of the 9 theses employed kaupapa Māori research methodologies, whereas only 3 of the 11 articles did so. With such a small number of articles and theses across the entire field of speech-language therapy, there is no aspect of speech-language therapy for Māori that is researched to a level sufficient to inform evidence-based practice.
{"title":"Māori speech-language therapy research in Aotearoa New Zealand: a scoping review","authors":"Ryan J. H. Meechan, K. Brewer","doi":"10.1080/2050571X.2021.1954836","DOIUrl":"https://doi.org/10.1080/2050571X.2021.1954836","url":null,"abstract":"ABSTRACT\u0000 The aim of this scoping review was to document all Māori speech-language therapy research undertaken in New Zealand in the past 20 years and identify gaps in the literature, to establish an evidence base for speech-language therapy services for Māori. Eligible literature included all original research published in peer-reviewed journals, and all honours, Masters and PhD theses. Electronic databases Scopus, PubMed, ProQuest and Medline were searched in February 2020. We also hand-searched thesis repositories and The New Zealand Journal of Speech Language Therapy. The initial search resulted in 338 publications. After duplicates were removed, the remaining 153 publications underwent screening of title and abstract and a further 124 publications were excluded. Thirty-one publications were screened at full text level, with 11 excluded, leaving a total of 20 (11 articles, 9 theses) which were included in the review. A repeat search revealed one further publication, bringing the total to 21 (12 articles, 9 theses) included in the review. Most of the research was produced in the past 10 years. Over half of the theses had a te reo Māori (Māori language) focus, in comparison to only one article. Seven of the 9 theses employed kaupapa Māori research methodologies, whereas only 3 of the 11 articles did so. With such a small number of articles and theses across the entire field of speech-language therapy, there is no aspect of speech-language therapy for Māori that is researched to a level sufficient to inform evidence-based practice.","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89080578","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 : 2021-07-15DOI: 10.1080/2050571X.2021.1947649
Nilgoun Bahar, A. Namasivayam, P. van Lieshout
ABSTRACT Background In the wake of the COVID-19 outbreak, many speech-language pathologists have transitioned from in-person service delivery to online environments. As such, there is an urgent need to inform clinicians on the availability of efficacious and effective telehealth interventions for childhood apraxia of speech (CAS). Objectives This review was informed by the following clinical question: Is providing intervention remotely through telehealth as efficacious and effective as in-person therapy for treating CAS? Methods, eligibility criteria, and sources of evidence Eight databases and seven search engines were searched for articles to identify intervention studies that have investigated the efficacy and/or effectiveness of treating CAS remotely. Search criteria was restricted to papers with children under 18 years of age, published in the English language between 1993 and 2020. Results Two studies were found to meet our inclusion criteria. A phase I study employed a multiple baseline across participants design to investigate the efficacy of the Rapid Syllable Transition treatment via telehealth. The second study assessed the feasibility of adopting a novel system for the remote administration of the Nuffield Dyspraxia Program-Third Edition. Based on the Oxford hierarchy Centre for Evidence-Based Medicine, both studies are level IV (case-series/case-control), and therefore deemed low level evidence. Results showed limited but promising outcomes when CAS therapy is conducted remotely. Conclusion There is limited, low-level evidence indicating positive outcomes for the remote treatment of CAS via telehealth. The scarcity of data available warrants a need for large-scale randomized control trials and controlled clinical trials.
{"title":"Telehealth intervention and childhood apraxia of speech: a scoping review","authors":"Nilgoun Bahar, A. Namasivayam, P. van Lieshout","doi":"10.1080/2050571X.2021.1947649","DOIUrl":"https://doi.org/10.1080/2050571X.2021.1947649","url":null,"abstract":"ABSTRACT Background In the wake of the COVID-19 outbreak, many speech-language pathologists have transitioned from in-person service delivery to online environments. As such, there is an urgent need to inform clinicians on the availability of efficacious and effective telehealth interventions for childhood apraxia of speech (CAS). Objectives This review was informed by the following clinical question: Is providing intervention remotely through telehealth as efficacious and effective as in-person therapy for treating CAS? Methods, eligibility criteria, and sources of evidence Eight databases and seven search engines were searched for articles to identify intervention studies that have investigated the efficacy and/or effectiveness of treating CAS remotely. Search criteria was restricted to papers with children under 18 years of age, published in the English language between 1993 and 2020. Results Two studies were found to meet our inclusion criteria. A phase I study employed a multiple baseline across participants design to investigate the efficacy of the Rapid Syllable Transition treatment via telehealth. The second study assessed the feasibility of adopting a novel system for the remote administration of the Nuffield Dyspraxia Program-Third Edition. Based on the Oxford hierarchy Centre for Evidence-Based Medicine, both studies are level IV (case-series/case-control), and therefore deemed low level evidence. Results showed limited but promising outcomes when CAS therapy is conducted remotely. Conclusion There is limited, low-level evidence indicating positive outcomes for the remote treatment of CAS via telehealth. The scarcity of data available warrants a need for large-scale randomized control trials and controlled clinical trials.","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85288230","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 : 2021-07-09DOI: 10.1080/2050571X.2021.1940789
Ed M. Bice, Kristine E. Galek, A. Vose
ABSTRACT Introduction: Diet modification in dysphagia management can significantly impact patient nutrition and hydration status. Since speech-language pathologists (SLPs) do not receive formal training in nutrition, consulting Registered Dieticians (RDs) to assist in diet recommendations is important for patient wellness. The study aimed to better understand current SLP practice patterns for consulting RDs and investigate how work setting, years of experience, education, and patient diagnosis may influence decisions. Methods: A six-item survey was provided to practicing SLPs via a web-based format. Descriptive statistics were used to describe trends in the frequency of RD consultation. Logistic regression was used to identify demographics or educational factors that showed statistically significant higher odds for consulting an RD. Results: 359 SLPs completed the entire survey. Thirty-nine percent of all SLPs and 40% of acute care SLPs indicated they have never or rarely (< 10% of the time) consult an RD prior to making a diet recommendation. Work setting and years of experience did not significantly impact the frequency of RD consults. However, those who had previously taken a course on the impact of diet modifications were 2.4 times more likely to consult an RD (p < 0.001). Conclusion: Since the majority (82%) of participants reported working in an inpatient setting and regulations require, at a minimum, access to an RD in a consultative capacity, the low percentage of consultations indicates an underutilization of a valuable resource. Increased educational opportunities that emphasize the impact of modiying diets may increase RD consultations and team-based decision-making to positively impact overall patient health.
{"title":"A survey of speech pathologist practice patterns for consulting registered dieticians when recommending diet alterations","authors":"Ed M. Bice, Kristine E. Galek, A. Vose","doi":"10.1080/2050571X.2021.1940789","DOIUrl":"https://doi.org/10.1080/2050571X.2021.1940789","url":null,"abstract":"ABSTRACT Introduction: Diet modification in dysphagia management can significantly impact patient nutrition and hydration status. Since speech-language pathologists (SLPs) do not receive formal training in nutrition, consulting Registered Dieticians (RDs) to assist in diet recommendations is important for patient wellness. The study aimed to better understand current SLP practice patterns for consulting RDs and investigate how work setting, years of experience, education, and patient diagnosis may influence decisions. Methods: A six-item survey was provided to practicing SLPs via a web-based format. Descriptive statistics were used to describe trends in the frequency of RD consultation. Logistic regression was used to identify demographics or educational factors that showed statistically significant higher odds for consulting an RD. Results: 359 SLPs completed the entire survey. Thirty-nine percent of all SLPs and 40% of acute care SLPs indicated they have never or rarely (< 10% of the time) consult an RD prior to making a diet recommendation. Work setting and years of experience did not significantly impact the frequency of RD consults. However, those who had previously taken a course on the impact of diet modifications were 2.4 times more likely to consult an RD (p < 0.001). Conclusion: Since the majority (82%) of participants reported working in an inpatient setting and regulations require, at a minimum, access to an RD in a consultative capacity, the low percentage of consultations indicates an underutilization of a valuable resource. Increased educational opportunities that emphasize the impact of modiying diets may increase RD consultations and team-based decision-making to positively impact overall patient health.","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82566635","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 : 2021-06-28DOI: 10.1080/2050571X.2021.1936914
Rachel Wright Karem, K. Washington, K. Crowe
ABSTRACT Knowledge of typical cross-linguistic interactions in bilingual speakers is important for informing clinical practice and avoiding misdiagnosis of typically developing bilingual children as disordered. The present study investigated cross-linguistic interactions in the spontaneous productions of Jamaican Creole (JC)-English speaking preschoolers. Participants in this study were 61 JC-English bilingual preschoolers (aged 4;2-5;10). The Index of Productive Syntax (IPSyn) and token-based analyses were used to quantify and characterize preschoolers’ cross-linguistic interactions. Within-utterance cross-linguistic interactions identified using the IPSyn framework (Noun Phrases, Verb Phrases, Questions/Negation, Sentence Structures) were present for 49.6% and 41.7% of linguistic structures, in JC and English respectively. Token-based analysis revealed cross-linguistic interactions, with syntax being the most often involved in the JC context and phonology in the English context, for both within- and across-utterance analyses. Children used cross-linguistic interactions more often in the JC context, at an average rate of 44.9%, compared to an average rate of 27.8% in the English context. Most cross-linguistic interactions occurred towards the end of the language sample for both languages. The results of this study provide specific knowledge regarding JC-English preschoolers’ cross-linguistic interactions in spontaneous speech. This knowledge is critical to increasing speech-language pathologists’ cultural competence and responsivity for interpreting dynamic language use in this bilingual population.
{"title":"Cross-linguistic interactions in the spontaneous productions of preschoolers who speak Jamaican-Creole and English","authors":"Rachel Wright Karem, K. Washington, K. Crowe","doi":"10.1080/2050571X.2021.1936914","DOIUrl":"https://doi.org/10.1080/2050571X.2021.1936914","url":null,"abstract":"ABSTRACT Knowledge of typical cross-linguistic interactions in bilingual speakers is important for informing clinical practice and avoiding misdiagnosis of typically developing bilingual children as disordered. The present study investigated cross-linguistic interactions in the spontaneous productions of Jamaican Creole (JC)-English speaking preschoolers. Participants in this study were 61 JC-English bilingual preschoolers (aged 4;2-5;10). The Index of Productive Syntax (IPSyn) and token-based analyses were used to quantify and characterize preschoolers’ cross-linguistic interactions. Within-utterance cross-linguistic interactions identified using the IPSyn framework (Noun Phrases, Verb Phrases, Questions/Negation, Sentence Structures) were present for 49.6% and 41.7% of linguistic structures, in JC and English respectively. Token-based analysis revealed cross-linguistic interactions, with syntax being the most often involved in the JC context and phonology in the English context, for both within- and across-utterance analyses. Children used cross-linguistic interactions more often in the JC context, at an average rate of 44.9%, compared to an average rate of 27.8% in the English context. Most cross-linguistic interactions occurred towards the end of the language sample for both languages. The results of this study provide specific knowledge regarding JC-English preschoolers’ cross-linguistic interactions in spontaneous speech. This knowledge is critical to increasing speech-language pathologists’ cultural competence and responsivity for interpreting dynamic language use in this bilingual population.","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86845994","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 : 2021-06-25DOI: 10.1080/2050571X.2021.1944963
C. Vanaja, P. Sone
ABSTRACT The objective of this study was to investigate perception of affective prosody in a group of children diagnosed as having auditory processing disorders (APDs) and compare their performance with those of typically developing children. Auditory Linguistic Integration test in Marathi, which assesses affective prosody, was administered on 159 children in the age range of 5–7 years. Among them, 53 children had APD, and 106 children did not have APD. The results of the study revealed that the perception of affective prosody was significantly poor in children with APD when compared to typically developing children. The results of the study suggested that a subset of children with APD may show difficulty in the perception of affective prosody. Further studies need to be carried out to explore the factors that can affect the perception of affective prosody in children with APD.
{"title":"Perception of prosody in children with auditory processing disorders","authors":"C. Vanaja, P. Sone","doi":"10.1080/2050571X.2021.1944963","DOIUrl":"https://doi.org/10.1080/2050571X.2021.1944963","url":null,"abstract":"ABSTRACT The objective of this study was to investigate perception of affective prosody in a group of children diagnosed as having auditory processing disorders (APDs) and compare their performance with those of typically developing children. Auditory Linguistic Integration test in Marathi, which assesses affective prosody, was administered on 159 children in the age range of 5–7 years. Among them, 53 children had APD, and 106 children did not have APD. The results of the study revealed that the perception of affective prosody was significantly poor in children with APD when compared to typically developing children. The results of the study suggested that a subset of children with APD may show difficulty in the perception of affective prosody. Further studies need to be carried out to explore the factors that can affect the perception of affective prosody in children with APD.","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89829160","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 : 2021-06-08DOI: 10.1080/2050571X.2021.1917216
Carlee Wilson, Allyson Jones, K. Schick-Makaroff, Esther S. Kim
ABSTRACT Aphasia is a communication disorder, resulting in difficulty with speaking, understanding, reading, and writing. Aphasia has been linked to decreased social networks, depression, and low health-related quality of life (HRQL). Speech-language pathologists provide therapy through various models for adults with aphasia, including group speech and language therapy. This scoping review aimed to identify, summarize, and appraise peer-reviewed texts that consider HRQL in adults with aphasia who are receiving group speech and language therapy. The research questions that guided the review were: What measures were used to capture HRQL outcomes? Does HRQL change as a result of participation in group language treatment? A systematic literature search developed and implemented by a health sciences librarian identified full-text journal articles via electronic searches of five databases. To be included, studies had to explore adults with aphasia, participating in group language therapy, with a HRQL outcome measure. Relevant studies were assessed for methodological quality and level of evidence. Thirteen articles met inclusion criteria, including two randomized control trials, eight case studies, and three qualitative studies. HRQL measures used and type of intervention varied across studies. HRQL measures showed generally positive outcomes of group language therapy, and participants reported improved HRQL after group language therapy. The current evidence is not comprehensive due to the overall lack of high-quality studies and the low level of evidence available. Further well-designed studies would benefit our understanding of how group therapy may improve HRQL for adults with aphasia.
{"title":"Understanding the impact of group therapy on health-related quality of life of people with Aphasia: a scoping review","authors":"Carlee Wilson, Allyson Jones, K. Schick-Makaroff, Esther S. Kim","doi":"10.1080/2050571X.2021.1917216","DOIUrl":"https://doi.org/10.1080/2050571X.2021.1917216","url":null,"abstract":"ABSTRACT Aphasia is a communication disorder, resulting in difficulty with speaking, understanding, reading, and writing. Aphasia has been linked to decreased social networks, depression, and low health-related quality of life (HRQL). Speech-language pathologists provide therapy through various models for adults with aphasia, including group speech and language therapy. This scoping review aimed to identify, summarize, and appraise peer-reviewed texts that consider HRQL in adults with aphasia who are receiving group speech and language therapy. The research questions that guided the review were: What measures were used to capture HRQL outcomes? Does HRQL change as a result of participation in group language treatment? A systematic literature search developed and implemented by a health sciences librarian identified full-text journal articles via electronic searches of five databases. To be included, studies had to explore adults with aphasia, participating in group language therapy, with a HRQL outcome measure. Relevant studies were assessed for methodological quality and level of evidence. Thirteen articles met inclusion criteria, including two randomized control trials, eight case studies, and three qualitative studies. HRQL measures used and type of intervention varied across studies. HRQL measures showed generally positive outcomes of group language therapy, and participants reported improved HRQL after group language therapy. The current evidence is not comprehensive due to the overall lack of high-quality studies and the low level of evidence available. Further well-designed studies would benefit our understanding of how group therapy may improve HRQL for adults with aphasia.","PeriodicalId":43000,"journal":{"name":"Speech Language and Hearing","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2021-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73735031","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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