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A multicultural perspective of stuttering in the workplace 工作场所口吃的多元文化视角。
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2026-01-18 DOI: 10.1016/j.jcomdis.2026.106628
Angela M. Medina , Monica L. Johnson , Kristina E. Bonfield , Madison O. Irvine , Maria K. Nadal

Purpose

It is well-documented that people who stutter face inequities and discrimination in the workplace; however, there exists a gap in the literature regarding what the workplace is like for people who stutter with intersecting, marginalized identities. The purpose of this qualitative study was to describe the workplace experiences of culturally diverse people who stutter (CDPWS) through the lens of the intersectional ecological framework.

Methods

Qualitative methods were adopted for the collection and analysis of data. The seven participants in this study completed an online questionnaire and participated in a semi-structured focus group. Transcripts generated from the focus group were investigated using thematic analysis procedures.

Results

The data gave rise to five major themes as well as multiple subthemes: (1) Disclosure at work, (2) Career-specific challenges, (3) Motivations for choosing career, (4) Intersectionality, and (5) Roles of others in the workplace.

Conclusion

This study offers a novel view of the workplace experiences of CDPWS by adopting qualitative methods and using the intersectional ecological framework to enhance thematic analysis findings. While the workplace-based concerns revealed in this study are similar to those described in previous literature, a major difference was the sentiment that CDPWS bring two types of “baggage” to their jobs, their stuttering and their race/ethnicity. The findings of this study have clinical implications for the imperativeness of having open conversations with clients about the identities that intersect with their stuttering and how this impacts them in different aspects of their lives, including the workplace.
目的:有充分的证据表明,口吃者在工作场所面临不平等和歧视;然而,对于那些因交叉的、边缘化的身份而口吃的人来说,工作场所是什么样的,文献中存在着空白。本定性研究的目的是通过交叉生态框架的镜头来描述文化多样性口吃者(CDPWS)的工作经历。方法:采用定性方法进行资料收集和分析。本研究的七名参与者完成了一份在线问卷,并参加了一个半结构化的焦点小组。使用专题分析程序对焦点小组产生的笔录进行了调查。结果:这些数据引出了五个主要主题以及多个副主题:(1)工作中的披露,(2)职业特定挑战,(3)选择职业的动机,(4)交叉性,(5)他人在工作场所的角色。结论:本研究采用定性方法,并利用交叉生态框架来加强专题分析结果,提供了一种新的视角来研究残疾人的工作场所体验。虽然这项研究中揭示的基于工作场所的担忧与之前文献中描述的相似,但一个主要的区别是,CDPWS给他们的工作带来了两种“包袱”,他们的口吃和他们的种族/民族。这项研究的发现具有临床意义,说明与患者进行公开对话的必要性,讨论与他们口吃相关的身份,以及这对他们生活的不同方面(包括工作场所)的影响。
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引用次数: 0
“Leave the thorn, enjoy the rose” identity formation of people with aphasia in the early rehabilitation phase 失语症患者在康复初期形成“留刺,赏玫瑰”的身份认同。
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2026-01-14 DOI: 10.1016/j.jcomdis.2026.106627
Rianne Brinkman , Mieke Cardol , Karin Neijenhuis , Margreet Luinge , Carlo Leget

Background and purpose

Aphasia can profoundly affect an individual’s identity. Yet studying identity in people with aphasia presents methodological challenges, as language, our primary medium for self-expression, is disrupted. This study explored how people with aphasia experience and reshape identity during early rehabilitation, using narrative inquiry and visual ethnography. This approach aims to deepen understanding of identity formation and change, and the potential value of creative arts in supporting meaningful research participation.

Methods

Twenty-two people with post-stroke aphasia (aged 34–62) were recruited from Dutch rehabilitation centers six to eight weeks post-admission. Each participant took part in two sessions: one individual session and one follow-up session attended by proxies. In the individual sessions, arts-based visual participatory methods were used to elicit narratives. Data analysis integrated the listening guide, embodiment, and the production of the image and the image itself.

Results

Findings reveal that identity formation after aphasia is complex and ongoing, characterized by multiple, complementary, and sometimes conflicting voices. Affirming, coping, and challenging voices interact within key tensions: connection versus disconnection, agency versus disempowerment, and personal growth versus living loss. Visual participatory methods were valued by participants. The creative process provided an alternative way to express experiences when verbal communication was limited.

Conclusions

Combining narrative inquiry and visual ethnography, supported by skilled facilitation, offers a promising way to reveal identity changes and support people with aphasia in sharing their experiences. This study shows that using integrated approaches is not only methodologically necessary but also ethically important for enabling meaningful participation.
背景和目的:失语症可以深刻地影响一个人的身份。然而,研究失语症患者的身份认同带来了方法论上的挑战,因为语言——我们自我表达的主要媒介——被破坏了。本研究运用叙事探究和视觉人种学的方法,探讨失语症患者在早期康复过程中如何体验和重塑身份。这种方法旨在加深对身份形成和变化的理解,以及创造性艺术在支持有意义的研究参与方面的潜在价值。方法:从荷兰康复中心招募22例中风后失语症患者(年龄34-62岁),入院后6 - 8周。每位与会者参加了两次会议:一次个人会议和一次由代理人参加的后续会议。在个别会议中,使用基于艺术的视觉参与方法来引出叙述。数据分析将听导、体现、图像的产生和图像本身结合在一起。结果:研究结果表明,失语后的身份形成是一个复杂而持续的过程,具有多重、互补、有时相互冲突的特征。肯定,应对和挑战的声音在关键的紧张关系中相互作用:连接与断开,代理与剥夺权力,个人成长与生活损失。视觉参与式方法受到参与者的重视。在语言交流有限的情况下,创造性的过程提供了另一种表达体验的方式。结论:将叙事探究与视觉人种志相结合,辅以熟练的引导,为揭示身份变化、支持失语症患者分享经验提供了一条有希望的途径。这项研究表明,使用综合方法不仅在方法上是必要的,而且在伦理上对实现有意义的参与也很重要。
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引用次数: 0
Predictors of communication ability in Angelman syndrome: evidence from Polish individuals 天使综合症沟通能力的预测因素:来自波兰个体的证据
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2026-01-07 DOI: 10.1016/j.jcomdis.2026.106624
Marcin Opacki , Agata Suleja , Robert Śmigiel , Dominik Cysewski , Kacper Łukasiewicz

Background

Angelman syndrome (AS) is a neurodevelopmental disorder that affects cognitive and executive functioning, as well as emotional, expressive, sensory, and physical behavior. Children with AS demonstrate a distinct lack of expressive speech, with recognizable words appearing only seldom. No data regarding the prevalence of AS in the Polish population is available to date, resulting in a diagnostic gap.

Methods

The current work reports on the results of applying the Observer Reported Communication Ability (ORCA) questionnaire to provide new data on the linguistic abilities of Polish individuals affected by AS. 73 individuals were included in the analysis with a median age of 111.02 months, 39 of them female.

Results

Based on our analyses, we conclude that individuals without deletions have a greater communication ability relative to individuals with deletions. We found no correlation between age and language ability in AS, which corroborates previous claims that language skills in AS become stunted at some point. We did not find any significant predictors of communication ability tied to socio-economic status or gender.

Conclusion

Our results suggest that – as far as communication abilities are concerned – an awareness of an individual’s genetic diagnosis when choosing therapy can increase the likelihood of optimized care being given.
elman综合征(AS)是一种神经发育障碍,影响认知和执行功能,以及情绪、表达、感觉和身体行为。患有阿斯伯格综合症的儿童明显缺乏表达性语言,很少出现可识别的单词。迄今为止,没有关于波兰人口中AS患病率的数据,导致诊断差距。方法采用观察员报告沟通能力(ORCA)问卷,为波兰AS患者的语言能力提供新的数据。73例个体纳入分析,中位年龄为111.02个月,其中39例为女性。结果根据我们的分析,我们得出结论,没有缺失的个体相对于缺失的个体具有更强的沟通能力。我们没有发现年龄和阿斯伯格症患者的语言能力之间的相关性,这证实了之前的说法,即阿斯伯格症患者的语言技能在某些时候会受到阻碍。我们没有发现任何与社会经济地位或性别相关的显著预测因素。结论:我们的研究结果表明,就沟通能力而言,在选择治疗时了解个体的基因诊断可以增加提供最佳护理的可能性。
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引用次数: 0
Tracking aural (Re)habilitation outcomes with the mandarin auditory skills checklist: Normative data and clinical insights 用普通话听觉技能检查表跟踪听觉(再)康复结果:规范性数据和临床见解。
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2026-01-02 DOI: 10.1016/j.jcomdis.2026.106616
Yi-ping Chang , Hsuan-Mei Hong , Shu-Ting Chang , Pei-Hua Chen

Objectives

This study aimed to establish a clinically robust and time-efficient tool for tracking auditory development in young children undergoing early intervention. By building upon the Auditory Skills Checklist (ASC), the study introduced a validated short form (ASC-SF), developed age-based norms, and demonstrated its real-world applicability using large-scale data from Mandarin-speaking children. While adapted for a specific linguistic context, the tool’s design and methodology are broadly transferable and relevant to pediatric audiology across diverse populations.

Methods

The Mandarin ASC and ASC-SF were respectively administered to 520 children with normal hearing (NH) aged 0–78 months, and 357 children with hearing loss (HL) aged 8–78 months receiving auditory-verbal (AV) therapy. Psychometric evaluation included internal consistency, test-retest reliability, and criterion-related validity with the Parent’s Evaluation of Aural/Oral Performance of Children (PEACH) scale. Normative curves were derived using a logistic function fitted to parent-reported ASC scores from NH children. Large-scale cross-sectional data using the ASC-SF were analyzed to track developmental outcomes in children with HL by both chronological age and duration of intervention. Case studies were also included to demonstrate how ASC results can guide individualized goal setting and intervention adjustment.

Results

The Mandarin ASC demonstrated excellent internal consistency (Cronbach’s α = 0.97) and test-retest reliability (r = 0.97, p < 0.00001). Criterion validity was strong with PEACH scores (r = 0.94, p < 0.00001). Normative data showed age-related increases in auditory skills, with median scores reaching 93% by age four. Among children with HL, approximately 70% achieved comparable auditory skills to their NH peers by age two, 80% by age four, and 90% by age six. Based on AV intervention duration, over 80% reached age-appropriate auditory skills after two years, and over 90% after four years. Subscale analyses and case studies further demonstrated how the ASC framework supports individualized progress monitoring and clinical decision-making.

Conclusion

The Mandarin ASC is a valid, reliable, and clinically valuable tool for tracking auditory development in Mandarin-speaking children. The ASC-SF extends its practicality by enabling efficient routine follow-up in large clinical populations. With age-specific norms, case-based interpretation, and flexible formats, the ASC provides a robust framework for evaluating intervention outcomes, setting personalized goals, and communicating progress with families in pediatric audiology and aural (re)habilitation.
目的:本研究旨在建立一种临床可靠且时间高效的工具,用于跟踪早期干预幼儿的听觉发展。在听觉技能清单(ASC)的基础上,本研究引入了一种经过验证的简短形式(ASC- sf),开发了基于年龄的规范,并通过使用普通话儿童的大规模数据证明了其在现实世界中的适用性。虽然针对特定的语言环境进行了调整,但该工具的设计和方法具有广泛的可转移性,并与不同人群的儿科听力学相关。方法:对520例0 ~ 78月龄听力正常儿童(NH)和357例8 ~ 78月龄听力损失儿童(HL)分别进行普通话ASC和ASC- sf治疗。心理测量学评价包括内部一致性、重测信度和标准相关效度与家长对儿童听觉/口语表现的评价(PEACH)量表。使用逻辑函数拟合NH儿童父母报告的ASC分数得出规范曲线。使用ASC-SF分析大规模横断面数据,以按实足年龄和干预时间跟踪HL儿童的发育结局。个案研究也被纳入,以证明ASC结果如何指导个体化目标设定和干预调整。结果:普通话ASC具有良好的内部一致性(Cronbach’s α = 0.97)和重测信度(r = 0.97, p < 0.00001)。PEACH评分的标准效度较强(r = 0.94, p < 0.00001)。标准数据显示,听力技能的增长与年龄有关,四岁时的中位数得分达到93%。在患有HL的儿童中,大约70%的儿童在2岁时达到了与非HL同龄人相当的听觉技能,在4岁时达到80%,在6岁时达到90%。根据AV干预时间,2年后超过80%的儿童达到了与年龄相适应的听觉技能,4年后超过90%。子量表分析和案例研究进一步证明了ASC框架如何支持个体化进展监测和临床决策。结论:普通话ASC是一种有效、可靠和有临床价值的追踪普通话儿童听觉发展的工具。ASC-SF通过在大量临床人群中进行有效的常规随访,扩展了其实用性。ASC具有针对特定年龄的规范、基于病例的解释和灵活的格式,为评估干预结果、设定个性化目标以及与儿童听力学和听力(再)康复的家庭沟通进展提供了强有力的框架。
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引用次数: 0
Voice changes during dual task walking in Parkinson’s disease 帕金森病患者双任务行走时的声音变化。
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcomdis.2025.106615
Yi-Fang Chiu , Jason K. Longhurst , Annalise R. Fletcher , Travis Loux

Purpose

Concurrent talking and walking are integral to everyday life. This study aimed to examine how dual task walking involving spontaneous speech affects phonatory and gait parameters in individuals with Parkinson’s disease (PD).

Method

Thirty-six individuals with PD and 11 healthy older adults (HOA) participated in the study. Participants completed dual tasks which consisted of producing monologues along with a simple gait (i.e., straight-line walking) and a complex gait (i.e., walking with turning and obstacle avoidance). Sound pressure level (SPL) and fundamental frequency (F0) were analyzed from the monologues. Gait variables included velocity, stride length, and enhanced gait variability index (eGVI). Multilevel linear models were performed to determine the effects of group and conditions on phonatory and gait measures.

Results

Both groups exhibited similar patterns of increased mean SPL and F0 in dual task conditions compared to single task speaking. The PD group, however, showed greater declines in gait velocity and stride length during dual tasking particularly in the complex gait condition.

Conclusion

Individuals with PD demonstrated comparable dual task intensity increase to HOA, albeit at the expense of gait metrics of slower walking and smaller steps. This suggests a task prioritization pattern of favoring vocal output in PD during concurrent walking tasks. Individual factors of motor symptoms and balance control appear to moderate the positive voice dual task effects.
目的:同时说话和走路是日常生活中不可或缺的一部分。本研究旨在探讨涉及自发言语的双重任务行走如何影响帕金森病(PD)患者的发音和步态参数。方法:36例PD患者和11例健康老年人(HOA)参与研究。参与者完成了双重任务,其中包括用简单的步态(即直线行走)和复杂的步态(即转弯和避障行走)进行独白。从独白中分析声压级(SPL)和基频(F0)。步态变量包括速度、步长和增强步态变异性指数(eGVI)。采用多水平线性模型来确定组和条件对语音和步态测量的影响。结果:与单任务说话相比,两组在双任务条件下表现出相似的平均SPL和F0增加模式。然而,PD组在双重任务中表现出更大的步态速度和步长下降,特别是在复杂的步态条件下。结论:PD患者表现出与HOA相当的双重任务强度增加,尽管是以慢速行走和小步行走为代价的。这表明在PD并发行走任务中存在有利于声音输出的任务优先级模式。运动症状和平衡控制的个体因素似乎可以调节积极的声音双重任务效应。
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引用次数: 0
Comparing the performance of bilingual children with developmental language disorder and typical development on sentence repetition: A systematic review 发展性语言障碍儿童与典型发展性双语儿童句子重复能力的比较研究
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-12-23 DOI: 10.1016/j.jcomdis.2025.106614
Seow Li Ang , Alicia Yue Hwa Lee , Mary Lay Choo Lee , Wei Ping Sze

Purpose

Over the past decade, researchers have compared the performance of bilingual children with developmental language disorder (DLD) to those with typical development (TD), using the Sentence Repetition Task (SRT) to assess language abilities. Understanding the differences in their performance on the SRT is crucial for future assessment, intervention and research. This systematic review compares the performance of bilingual children with DLD against those with TD on their first (L1) and second (L2) language SRT results. It also investigates the impact of participant-related variables (e.g., scores on receptive vocabulary tasks) on the results.

Method

A systematic search of eight electronic databases (PubMed, Scopus, PsycINFO, CINAHL, LLBA, ERIC, Embase and Dissertations and Theses) yielded 3204 records. Studies assessing bilingual children with TD and DLD on the SRT were included. Risk of bias was assessed using the modified Cochrane Risk Of Bias Assessment Tool for Non-Randomized Studies of Interventions.

Results

After screening, 15 studies met the eligibility criteria. Eight studies reported on L1 performance and 13 studies reported on L2 performance. All eight L1 studies and 12 of the L2 studies showed that the performance of bilingual children with DLD was significantly weaker than that of TD children on the SRTs. Data suggested that working memory (represented by nonword repetition scores) and receptive vocabulary might influence participants’ performance.

Conclusions

This review suggests that the performance of bilingual children with DLD is significantly weaker than those with TD on both L1 and L2 SRTs. There is preliminary evidence from a small number of studies examining participant-related variables that weaker working memory and receptive vocabulary may underlie poorer SRT performance in bilingual children with DLD.
在过去的十年里,研究者们用句子重复任务(SRT)来评估患有发展性语言障碍(DLD)和典型发展性语言障碍(TD)的双语儿童的语言能力。了解他们在SRT上的表现差异对未来的评估、干预和研究至关重要。本系统回顾比较了DLD双语儿童和TD儿童在第一(L1)和第二(L2)语言SRT成绩上的表现。它还调查了参与者相关变量(例如,接受性词汇任务的分数)对结果的影响。方法系统检索PubMed、Scopus、PsycINFO、CINAHL、LLBA、ERIC、Embase、dissertation and Theses等8个电子数据库共3204条。在SRT上评估双语儿童TD和DLD的研究被纳入。使用改进的Cochrane非随机干预研究偏倚风险评估工具评估偏倚风险。结果经筛选,15项研究符合入选标准。8项研究报告了第一语言表现,13项研究报告了第二语言表现。所有8项L1研究和12项L2研究均表明,DLD双语儿童在srt上的表现明显弱于TD儿童。数据表明,工作记忆(以非单词重复得分为代表)和接受性词汇可能会影响参与者的表现。结论本研究表明,双语儿童DLD在L1和L2语言测试中的表现明显弱于双语儿童TD。从少数研究参与者相关变量的初步证据表明,较弱的工作记忆和接受性词汇可能是患有DLD的双语儿童较差的SRT表现的基础。
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引用次数: 0
Storytelling and retelling in students with hearing loss–A comparison between tasks with special consideration of referential elements 听力损失学生的讲故事和复述——特别考虑参考因素的任务比较
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-12-22 DOI: 10.1016/j.jcomdis.2025.106613
Lara Hardebeck , Ulla Licandro , Paula Bartsch , Esther Ruigendijk

Purpose

Narratives are a fundamental aspect of human communication and they play a critical role in academic success for school-aged children. This study aims to examine the oral narrative skills of German-speaking students with hearing loss who attend inclusive schools, with a particular focus on comparing their abilities in a storytelling and retelling task. Additionally, the study investigates the use of referential elements and functions, and explores the relationship between spoken narrative skills, receptive vocabulary, and phonological working memory to identify factors associated with oral narrative performance.

Methods

The sample consisted of 25 students with hearing loss (M = 11;0 years), who completed a standardized storytelling and retelling task, alongside assessments of receptive vocabulary and phonological working memory. Data were analyzed for both macro- and microstructure, as well as referential elements and functions. Correlational analyses were conducted to examine the relationships between narrative skills, receptive vocabulary, and phonological working memory.

Results

Students performed better on the retelling task compared the storytelling task in both macro- and microstructural elements. In their narratives, students predominantly used indefinite and definite noun phrases for character introductions, pronouns for maintaining references, and definite noun phrases for reintroductions. Receptive vocabulary correlated with comprehension questions in storytelling, but not with other narrative parameters.

Conclusion

Different narrative tasks place distinct linguistic demands on students with hearing loss. Retelling tasks provide a more structured method for assessing narrative skills, while storytelling tasks offer a deeper insight into more complex narrative construction. In addition, receptive vocabulary appears to be relevant for macrostructural skills in the storytelling task.
叙述是人类交流的一个基本方面,对学龄儿童的学业成功起着至关重要的作用。本研究旨在考察参加包容性学校的德语听力损失学生的口头叙事技能,特别关注他们在讲故事和复述任务中的能力比较。此外,本研究还调查了参考元素和功能的使用,并探讨了口头叙事技能、接受性词汇和语音工作记忆之间的关系,以确定口头叙事表现的相关因素。方法25名听力损失的学生(M = 11;0岁)完成了标准化的讲故事和复述任务,同时对接受性词汇和语音工作记忆进行了评估。对数据进行了宏观和微观分析,并对参考元素和功能进行了分析。通过相关分析,研究了叙事技巧、接受性词汇和语音工作记忆之间的关系。结果与讲故事任务相比,学生在复述任务的宏观和微观结构方面都表现得更好。在他们的叙述中,学生主要使用不定和确定名词短语来介绍人物,代词来维持参考,确定名词短语来重新介绍。接受性词汇与讲故事中的理解问题相关,但与其他叙事参数无关。结论不同的叙事任务对听力损失学生的语言要求不同。复述任务提供了一种更有条理的方法来评估叙述技能,而讲故事任务则提供了对更复杂的叙述结构的更深入的了解。此外,接受性词汇似乎与讲故事任务中的宏观结构技能有关。
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引用次数: 0
Translation and validation of the persian version of the acceptance and action questionnaire-managing child hearing loss (AAQ-MCHL) 波斯语版《儿童听力损失管理接受与行动问卷》的翻译与验证
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-12-11 DOI: 10.1016/j.jcomdis.2025.106612
Sadegh Jafarzadeh , Jamshid Jamali

Background

Psychological acceptance plays a critical role in how parents cope with their child's hearing loss, influencing their emotional well-being and management strategies. The Acceptance and Action Questionnaire-Managing Child Hearing Loss (AAQ-MCHL) is a psychometric scale designed to assess this construct.

Purpose

This study aimed to translate, culturally adapt, and validate the Persian version of the AAQ-MCHL for use among Iranian parents.

Method

This psychometric validation study comprised two main phases: Translation and Cultural Adaptation, followed by Psychometric Evaluation. The AAQ-MCHL underwent standard forward–backward translation by bilingual experts, followed by synthesis and review by an expert panel to ensure linguistic and cultural relevance. For psychometric evaluation, parents of children with hearing loss in Mashhad, Iran, were recruited. Validity was assessed via face validity (impact scores) with 10 parents, content validity (Content Validity Ratio [CVR], Content Validity Index [CVI]) with 10 experts, and construct validity through Confirmatory Factor Analysis (CFA) with 200 parents (response rate: 96.5 %). Reliability was evaluated via internal consistency (Cronbach’s alpha) and test–retest reliability (Intraclass Correlation Coefficient [ICC]) with 30 parents. Items with low factor loadings (<0.40) were removed during refinement. Statistical analyses were conducted using SPSS and AMOS.

Results

The final six-item version demonstrated good internal consistency (α=0.767) and excellent test-retest reliability (ICC=0.914). CFA confirmed acceptable model fit after removing items 3 and 6, which had low factor loadings. Impact scores and content validity indices supported the face and content validity of the remaining items.

Conclusions

The Persian version of the AAQ-MCHL is a valid and reliable questionnaire for assessing parental acceptance of childhood hearing loss in Iran. The item deletion underscores the influence of cultural factors on measurement; hence, future studies should focus on refining culturally sensitive items. This tool provides a foundation for supporting psychological interventions aimed at enhancing parental coping mechanisms.
心理接纳在父母如何应对孩子的听力损失中起着至关重要的作用,影响着他们的情绪健康和管理策略。接受和行动问卷-管理儿童听力损失(AAQ-MCHL)是一种心理测量量表,旨在评估这种结构。目的:本研究旨在翻译、文化适应和验证波斯语版本的AAQ-MCHL,以便在伊朗父母中使用。方法心理测量验证研究包括翻译和文化适应两个主要阶段,然后是心理测量评估。AAQ-MCHL由双语专家进行标准的前后翻译,然后由专家小组进行综合和审查,以确保语言和文化的相关性。为了进行心理测量评估,在伊朗马什哈德招募了听力损失儿童的父母。10位家长采用面效度(影响评分)评估效度,10位专家采用内容效度(内容效度比[CVR]、内容效度指数[CVI])评估效度,200位家长采用验证性因子分析(CFA)评估效度(回复率:96.5%)。信度通过内部一致性(Cronbach’s alpha)和重测信度(class内相关系数[ICC])对30位家长进行评估。在细化过程中,剔除了低因子负荷(<0.40)的项目。采用SPSS和AMOS进行统计分析。结果最终的六项版本具有良好的内部一致性(α=0.767)和良好的重测信度(ICC=0.914)。在剔除因子负荷较低的第3项和第6项后,CFA确认了可接受的模型拟合。影响评分和内容效度指标支持其余项目的表面效度和内容效度。结论波斯语版AAQ-MCHL问卷是评估伊朗儿童听力损失父母接受程度的有效、可靠的问卷。项目删除强调了文化因素对测量的影响;因此,未来的研究应侧重于提炼文化敏感项目。该工具为支持旨在加强父母应对机制的心理干预提供了基础。
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引用次数: 0
The impact of exposure to additional languages and cognitive factors on narrative macrostructure in autistic and neurotypical children 接触额外语言和认知因素对自闭症和神经正常儿童叙事宏观结构的影响。
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-12-11 DOI: 10.1016/j.jcomdis.2025.106611
Pauline Wolfer , Freideriki Tselekidou , Franziska Baumeister , Natalia Gagarina , Stephanie Durrleman
This study adopts a twofold approach to examine how bilingual exposure and (socio-)cognitive factors influence narrative macrostructure in children. First, it investigated the impact of Exposure to Additional Languages (EtAL) on the narrative macrostructure of 90 autistic and 168 neurotypical children (ages 5–12), tested in their most proficient language, either English, French, (Swiss-)German, Italian or Spanish. Macrostructure was assessed through story structure, story complexity, and the production of Internal State Terms (IST), using a series of generalized mixed effects models controlling for age, sex, language skills, and non-verbal IQ. Among neurotypical children, greater EtAL predicted better story structure compared to peers with lower EtAL. No such effect was found in autistic children, suggesting that the potential benefits of EtAL may not extend equally across populations. Additionally, EtAL did not predict story complexity or IST-use in either group. Second, the study investigated the impact of Theory of Mind (ToM), working memory (WM), and metalinguistic awareness (MA) on macrostructure. While ToM and WM showed no significant effects, MA positively predicted story structure across groups. Findings indicate that dimensions of narrative macrostructure may benefit from exposure to multiple languages and MA, especially in neurotypical children. Results further support that, despite advice being provided to families of children with autism to abandon bilingualism, bilingual exposure is not detrimental to the communicative development of autistic children. Leveraging a large, neurodiverse sample and a continuous, hypothesis-driven measure of bilingualism, this study provides generalizable insights into how bilingualism and (socio-)cognitive factors influence narrative development across neurodiverse populations.
本研究采用两种方法来研究双语接触和(社会)认知因素对儿童叙事宏观结构的影响。首先,它调查了接触额外语言(EtAL)对90名自闭症儿童和168名神经正常儿童(5-12岁)叙事宏观结构的影响,用他们最熟练的语言(英语、法语、(瑞士)德语、意大利语或西班牙语)进行测试。宏观结构通过故事结构、故事复杂性和内部状态术语(IST)的产生来评估,使用一系列广义混合效应模型控制年龄、性别、语言技能和非言语智商。在神经正常的儿童中,与EtAL较低的同龄人相比,较高的EtAL预示着更好的故事结构。在自闭症儿童中没有发现这样的效果,这表明EtAL的潜在益处可能不会在人群中平等地延伸。此外,EtAL没有预测两组的故事复杂性或ist使用情况。其次,研究心理理论(ToM)、工作记忆(WM)和元语言意识(MA)对宏观结构的影响。ToM和WM对故事结构无显著影响,而MA对故事结构有正向预测作用。研究结果表明,叙事宏观结构的维度可能受益于暴露于多种语言和MA,特别是在神经正常的儿童中。结果进一步支持,尽管建议自闭症儿童的家庭放弃双语,但双语接触对自闭症儿童的交际发展并不有害。利用一个大的、神经多样性的样本和一个连续的、假设驱动的双语测量,本研究为双语和(社会)认知因素如何影响神经多样性人群的叙事发展提供了一般性的见解。
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引用次数: 0
Listener perceptions of word-final /l/: Effects of listener dialect 听者对词尾/l/的感知:听者方言的影响
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-12-09 DOI: 10.1016/j.jcomdis.2025.106610
Hyunju Chung , Sarah K. Schellinger

Purpose

This study examines the effect of listener dialect on perception of the /l/ sound. In some varieties of English, word-final /l/ is more vocalized than in others. The current study follows up on our previous study, which investigated Southern White English (SWE)-speaking listeners’ perception of word-final /l/ produced by SWE speakers. The aim of the current study is to examine perception of listeners who are speakers Upper Midwest English (UME), a dialect that shows less word-final /l/ vocalization than SWE.

Methods

Listeners included 32 monolingual speakers of UME who judged the /l/-likeness of single words containing word-final /l/ produced by adult and child speakers of SWE using a multiple-choice task and a visual analog scale. Ratings were also compared with those of SWE listeners.

Results

Like the SWE listeners, UME listeners judged SWE adult speakers’ word-final /l/ predominantly as accurate, while those of children were judged as more vowel-like. Vowel context also influenced both UME and SWE listeners’ judgments, with productions of /l/ following low back vowels generally judged as less accurate than those following high front vowels. Despite these similarities, there were subtle differences across the two dialect groups, particularly in terms of the effect of vowel context.

Conclusions

This demonstrates that despite subtle differences in perceptual ratings across dialect groups, speaker age and vowel context more substantially influence perceptual judgments. This suggests that it is important to consider the potential impact of vowel context and to include word-final /l/ in both high front and low back vowel contexts to prevent overidentification of errors in clinical settings.
目的研究听者方言对/l/音感知的影响。在一些英语变体中,词尾/l/的发音比其他变体更明显。本研究是在我们之前研究的基础上进行的,该研究调查了南方白人英语(SWE)听众对SWE说话者发出的单词final /l/的感知。当前研究的目的是检验中西部上英语(UME)的听众的感知,UME是一种比SWE更少单词尾/l/发声的方言。方法选取32名UME单语说话者,通过选择题和视觉模拟量表对成人和儿童UME单语说话者产生的含有词尾/l/的单字/l/-相似度进行判断。收视率也与SWE听众的收视率进行了比较。结果与SWE组的听者一样,UME组的听者认为SWE成人说话者的词尾/l/主要是准确的,而儿童的听者则认为SWE成人说话者的词尾/l/更像元音。元音语境也影响了UME和SWE听者的判断,低后元音后的/l/发音通常比高前元音后的发音更不准确。尽管有这些相似之处,但两种方言群体之间也存在细微的差异,尤其是在元音语境的影响方面。这表明,尽管不同方言群体的感知评分存在细微差异,但说话者的年龄和元音语境对感知判断的影响更大。这表明,重要的是要考虑元音上下文的潜在影响,并在高前元音和低后元音上下文中包括词尾/l/,以防止在临床环境中过度识别错误。
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引用次数: 0
期刊
Journal of Communication Disorders
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