International Journal of Language & Communication Disorders最新文献

Exploring vowel errors produced in nonword repetition in children with speech and language disorders. 探索有言语和语言障碍的儿童在非单词重复中产生的元音错误。

IF 1.5 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

International Journal of Language & Communication Disorders

Pub Date : 2024-10-04 DOI: 10.1111/1460-6984.13120

Janet Vuolo, Taylor L Gifford

Background: Accurate nonword repetition (NWR) is contingent on many underlying skills, including encoding, memory and motor planning and programming. Though vowel errors are frequently associated with childhood apraxia of speech (CAS), several recent studies have found that children with developmental language disorder (DLD) produce high rates of vowel errors in NWR tasks.Aims: This retrospective analysis explored whether the overall frequency and types of vowel errors produced in NWR distinguish children with DLD, children with CAS, children with speech sound disorder (SSD) and children with typical development (TD).Methods and procedure: We present data for 24 children (six per DLD, CAS, SSD and TD groups), ranging in age from 50-92 months. Children with DLD, CAS and SSD showed similar articulation scores and children with DLD and children with CAS showed similar expressive language scores. Total vowel errors, total monophthong errors, monophthong substitutions, diphthongization errors, total diphthong errors, diphthong substitutions and diphthong reduction errors were calculated by syllable length and group. Repeated measures analyses of variance were used to examine group differences.Outcomes and results: Children with DLD and children with CAS produced a higher frequency of total vowel errors compared to children with TD. Children with DLD produced more total monophthong errors than children with TD. Children with DLD and children with CAS produced more total diphthong errors than children with TD. For children with DLD, these were characterised by diphthong substitutions. For children with CAS, these were characterised by diphthong substitutions and diphthong reduction errors. For all measures, error rates in children with SSD did not significantly differ from any of the other three groups.Conclusion: Preliminary evidence indicates that children with DLD and children with CAS both show high rates of vowel errors in NWR tasks and weaknesses in encoding and memory. For children with CAS, additional motor planning difficulties are associated with an increased likelihood to reduce diphthongs. Children with SSD show more mild processing difficulties than children with DLD and children with CAS, though they do not perform as well as TD peers. Future work should replicate and further specify the processing weaknesses that affect vowel accuracy in NWR tasks in a larger sample.What this paper adds: What is already known on the subject Nonword repetition (NWR) tasks are often included in diagnostic batteries to identify children with developmental language disorder (DLD). Poor performance on these tasks have historically been attributed to phonological working memory deficits in children with DLD. However, repeating nonwords relies on a number of underlying processing skills and many of these skills are affected

背景：准确的非词重复（NWR）取决于许多基本技能，包括编码、记忆以及运动规划和编程。尽管元音错误经常与儿童语言障碍（CAS）有关，但最近的几项研究发现，发育性语言障碍（DLD）儿童在非词重复任务中产生元音错误的比率很高。目的：本回顾性分析探讨了在非词重复中产生元音错误的总体频率和类型是否区分了DLD儿童、CAS儿童、言语发声障碍（SSD）儿童和典型发育（TD）儿童：我们提供了 24 名儿童（DLD、CAS、SSD 和 TD 组各六人）的数据，他们的年龄在 50-92 个月之间。DLD 儿童、CAS 儿童和 SSD 儿童的发音得分相似，DLD 儿童和 CAS 儿童的语言表达得分相似。按音节长度和组别计算元音错误总数、单音错误总数、单音替换错误、双音化错误、双音错误总数、双音替换错误和双音减少错误。采用重复测量方差分析来检验组间差异：与 TD 儿童相比，DLD 儿童和 CAS 儿童出现总元音错误的频率更高。与 TD 儿童相比，DLD 儿童出现单音错误的频率更高。与 TD 儿童相比，DLD 儿童和 CAS 儿童出现双元音错误的频率更高。对于 DLD 儿童，这些错误的特点是双元音替换。对于 CAS 儿童来说，这些错误主要表现为双元音替换和双元音缩减错误。在所有测量中，SSD 儿童的错误率与其他三组儿童没有显著差异：初步证据表明，DLD 儿童和 CAS 儿童在 NWR 任务中的元音错误率都很高，而且在编码和记忆方面都存在缺陷。对于 CAS 儿童来说，额外的运动规划困难与减少双元音的可能性增加有关。与 DLD 儿童和 CAS 儿童相比，SSD 儿童表现出更轻微的处理困难，尽管他们的表现不如 TD 儿童。未来的工作应在更大的样本中复制并进一步明确影响元音准确性的处理缺陷：关于该主题的已知知识非词重复（NWR）任务经常被纳入诊断电池中，用于识别患有发育性语言障碍（DLD）的儿童。在这些任务中表现不佳，历来被归因于发育性语言障碍儿童的语音工作记忆缺陷。然而，重复非单词依赖于许多基本的处理技能，而这些技能中有许多在患有言语和语言障碍的儿童身上都受到不同程度的影响。对元音错误的深入分析有可能揭示出 DLD 儿童、儿童语言障碍（CAS）儿童和言语发音障碍（SSD）儿童共同的以及特定的潜在处理弱点。本文对现有知识的补充我们发现，与发育正常的儿童相比，DLD 儿童和 CAS 儿童的元音能力较低。对元音错误类型的细致研究进一步表明，DLD 儿童和 CAS 儿童在编码和记忆方面存在缺陷。运动规划和编程方面的缺陷是 CAS 儿童所特有的。患有 SSD 的儿童则表现出更轻微的处理缺陷，他们的表现与其他三组儿童没有显著差异。这项研究的临床意义是什么？通过研究 DLD 儿童、CAS 儿童和 SSD 儿童在 NWR 中产生的元音错误类型，我们可以进一步明确区分这三类儿童的潜在处理缺陷。这项研究为不同类型的言语和语言障碍儿童的语言处理提供了理论依据，并有可能提高 NWR 任务的诊断效用。

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引用次数: 0

Animal-assisted services for adults with acquired neurogenic communication disorders: A scoping review. 为患有后天性神经源性交流障碍的成年人提供动物辅助服务：范围综述。

IF 1.5 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

International Journal of Language & Communication Disorders

Pub Date : 2024-10-03 DOI: 10.1111/1460-6984.13119

Marie-Pier McSween, Tasman Day, Jessica Hill, Sarah J Wallace

Background: There is increasing interest in the incorporation of animal-assisted services (AAS) in therapy for adults with acquired neurogenic communication disorders. AAS have the potential to enhance speech and language therapy engagement and outcomes. However, a greater understanding of the nature and potential benefits of these interventions is needed.Aims: To describe the existing evidence for the incorporation of AAS in therapy with adults with acquired neurogenic communication disorders and to identify areas for future research.Methods & procedures: A scoping review was conducted and reported in alignment with the Preferred Reporting Items for Systematic Reviews and Meta-analyses checklist extension for scoping reviews (PRISMA-ScR). Seven databases (PubMed, Embase, CINAHL, PsycINFO, Cochrane, Scopus, Web of Science) and grey literature (Google) were searched. Two reviewers independently screened titles, abstracts and full texts against eligibility criteria using Covidence software. The Template for Intervention Description and Replication (TIDieR) checklist guided extraction of intervention data.Main contributions: A total of 17 studies with adults with aphasia, apraxia of speech and cognitive-communication disorders were included. While terminology varied, most interventions met the definition of animal-assisted therapy or animal-assisted activity and used therapy dogs. Across studies, a range of outcomes were targeted, and positive benefits were reported for participant mood, emotions, motivation and satisfaction. There were mixed, but mostly positive, benefits on social behaviour, communication and participation.Conclusions & implications: AAS has been incorporated in therapy for adults with acquired neurogenic communication disorders, predominately with people with dementia. Across studies, communication impairments and AAS interventions were insufficiently or inconsistently described. Improved reporting would assist understanding of the potential benefits of AAS as an adjunct therapy. A quality appraisal of existing studies, and meta-analysis of findings, is needed to draw conclusions about the effectiveness of AAS as a complementary therapy for people with acquired neurogenic communication disorders.What this paper adds: What is already known on this subject There is increasing interest and research in AAS as an adjunct to traditional speech and language therapy. Several clinical populations have been shown to benefit from the incorporation of AAS as a complementary therapy approach, including adults with acquired neurogenic communication disorders. To date there has not been a comprehensive review of literature in the area. What this paper adds to the existing knowledge This review aimed to describe what is known about AAS as an adjunct intervention for adults with acquired neurogenic communicat

背景：人们对将动物辅助服务（AAS）纳入后天性神经源性交流障碍成人治疗的兴趣与日俱增。动物辅助服务具有提高言语治疗参与度和治疗效果的潜力。目的：描述将动物辅助服务纳入后天性神经源性交流障碍成人治疗的现有证据，并确定未来研究的领域：根据《系统综述和荟萃分析首选报告项目》（Preferred Reporting Items for Systematic Reviews and Meta-analyses checklist extension for scoping reviews，PRISMA-ScR）进行了范围界定综述的报告。检索了七个数据库（PubMed、Embase、CINAHL、PsycINFO、Cochrane、Scopus、Web of Science）和灰色文献（Google）。两名审稿人使用 Covidence 软件根据资格标准独立筛选标题、摘要和全文。干预描述和复制模板（TIDieR）检查表指导干预数据的提取：共纳入了 17 项针对成人失语症、语言障碍和认知交流障碍患者的研究。虽然术语不尽相同，但大多数干预措施都符合动物辅助治疗或动物辅助活动的定义，并使用了治疗犬。所有研究都针对一系列结果，并报告了对参与者情绪、情感、动机和满意度的积极影响。在社会行为、沟通和参与方面的益处参差不齐，但大多是积极的：AAS已被纳入后天性神经源性交流障碍成人的治疗中，主要针对痴呆症患者。在各项研究中，对交流障碍和 AAS 干预措施的描述不够充分或不一致。改进报告将有助于了解 AAS 作为辅助疗法的潜在益处。需要对现有研究进行质量评估，并对研究结果进行荟萃分析，才能得出结论，说明AAS作为一种辅助疗法对获得性神经源性交流障碍患者的有效性：关于该主题的已知信息人们对 AAS 作为传统言语和语言疗法的辅助疗法越来越感兴趣，相关研究也越来越多。一些临床研究表明，将 AAS 作为一种辅助治疗方法可使一些人群受益，其中包括患有后天性神经源性交流障碍的成年人。迄今为止，该领域尚未有全面的文献综述。本文对现有知识的补充本综述旨在描述有关 AAS 作为后天性神经源性交流障碍成人辅助干预措施的已知信息。共确定了 17 项研究，其中大部分是针对痴呆症患者进行的。总体而言，AAS 对参与者的情绪、积极情绪、动机和满意度都有积极的影响。AAS对社交行为（包括语言和非语言交流结果）和参与的益处不一，但大多是积极的。这项研究的实际和临床意义是什么？这些结果表明，将 AAS 纳入言语-语言治疗师治疗后天性神经源性交流障碍患者的传统模式中可能会带来治疗效果。然而，临床医生应谨慎看待这些研究结果。研究报告往往不够充分或不一致，因此需要对现有研究进行质量评估和荟萃分析，才能就 AAS 作为后天性神经源性交流障碍患者辅助治疗方法的有效性得出明确结论。

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引用次数: 0

Gender and age biases in the assessment of speech accuracy: A study of speech-language clinicians' ratings of /s/ accuracy. 语言准确性评估中的性别和年龄偏差：语言临床医生对 /s/ 准确性评分的研究。

IF 1.5 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

International Journal of Language & Communication Disorders

Pub Date : 2024-10-03 DOI: 10.1111/1460-6984.13122

Benjamin Munson, Chloe Wruck, Nina R Benway, Jonathan L Preston

Purpose: Typically developing children assigned male at birth (AMAB) and children assigned female at birth (AFAB) produce the fricative /s/ differently: AFAB children produce /s/ with a higher spectral peak frequency. This study examined whether implicit knowledge of these differences affects speech-language pathologists'/speech and language therapists' (SLPs'/SLTs') ratings of /s/ accuracy, by comparing ratings made in conditions where SLPs/SLTs were blind to children's sex assigned at birth (SAB) to conditions in which they were told this information.Methods: SLPs (n = 95) varying in clinical experience rated the accuracy of word-initial /s/ productions (n = 87) of eight children with speech sound disorder in one of four conditions: one in which no information about the children was revealed, one in which children's SAB was revealed, one in which children's age was revealed, and one in which both were revealed.Results: Despite there being no statistically significant differences between AFAB and AMAB children's /s/ production in researcher-determined accuracy or in one acoustic characteristic, spectral centroid, SLPs in all four conditions judged the /s/ productions of AFAB children as more accurate than AMAB children. Listeners were significantly less likely to judge the productions of AMAB children to be inaccurate in the conditions in which age or age and SAB were revealed. These effects were consistent across SLPs with greatly varying levels of clinical experience.Conclusion: Knowing or imputing children's age and SAB can affect ratings of /s/ accuracy. Clinicians should be mindful of these potential effects. Future research should understand how expectations about sociolinguistic variation in speech affect appraisals of their speech and language.What this paper adds: What is already known on the subject Adult men and women produce /s/ differently. A consensus is that these differences reflect sociolinguistic gender marking, rather than being the passive consequence of vocal-tract differences. Recent studies have shown that children assigned female at birth (AFAB) and those assigned male at birth (AMAB) produce /s/ differently in ways that mirror the differences between adult men and women, and which presumably reflect gender marking. What this paper adds to existing knowledge We asked whether US-based speech-language pathologists' (SLPs) ratings of the accuracy of /s/ differ depending on whether they are rating an AFAB or an AMAB child, and whether these differences are greater in conditions in which people are told the sex assigned at birth of the child being rated. We found that SLPs were more likely to judge AFAB children's /s/ productions to be more accurate than AMAB children's, even though the productions from the AMAB and AFAB children that were used as stimuli were matched for accuracy as determined by trained researc

目的：出生时被指定为男性（AMAB）和出生时被指定为女性（AFAB）的发育典型儿童发出的摩擦音/s/不同：AFAB儿童发出的/s/的频谱峰值频率更高。本研究通过比较语言病理学家/语言治疗师（SLPs'/SLTs'）在对儿童出生时的性别分配（SAB）视而不见的情况下和被告知这一信息的情况下对/s/准确性的评分，考察了对这些差异的内隐知识是否会影响语言病理学家/语言治疗师（SLPs'/SLTs'）对/s/准确性的评分：临床经验不同的语言矫正师（n = 95）在以下四种情况之一下对八名言语发声障碍儿童的单词首字母/s/发音（n = 87）的准确性进行评分：未透露儿童信息的情况、透露儿童出生时性别分配（SAB）的情况、透露儿童年龄的情况以及两者均透露的情况：尽管在研究者确定的准确度或一种声学特征（频谱中心）方面，AFAB 儿童和 AMAB 儿童的 /s/ 发音没有显著的统计学差异，但在所有四种情况下，SLPs 都认为 AFAB 儿童的 /s/ 发音比 AMAB 儿童更准确。在显示年龄或年龄和 SAB 的条件下，听者判断 AMAB 儿童发音不准确的可能性要小得多。这些效果在临床经验水平相差很大的 SLPs 中是一致的：结论：了解或推测儿童的年龄和 SAB 会影响对 /s/ 准确性的评分。临床医生应注意这些潜在的影响。未来的研究应了解对言语中社会语言差异的预期如何影响对其言语和语言的评价：有关该主题的已知信息成人男性和女性产生 /s/ 的方式不同。一种共识是，这些差异反映了社会语言的性别标记，而不是声带差异的被动结果。最近的研究表明，出生时被指定为女性的儿童（AFAB）和出生时被指定为男性的儿童（AMAB）发出 /s/ 的方式不同，这与成年男女之间的差异如出一辙，并可能反映了性别标记。本文对现有知识的补充我们询问了美国的语言病理学家（SLPs）对/s/的准确性的评价是否会因他们评价的是AFAB还是AMAB儿童而有所不同，以及在人们被告知被评价儿童出生时的性别时，这些差异是否会更大。我们发现，SLPs 更倾向于判断 AFAB 儿童的 /s/ 发音比 AMAB 儿童的更准确，尽管根据训练有素的研究人员的判断，AMAB 儿童和 AFAB 儿童的发音在准确性上是匹配的。这项研究的临床意义是什么？语言康复师/言语语言治疗师在评估 /s/ 时应注意社会变量的影响。语言康复师/言语语言治疗师可能会对儿童的发音做出不同的评定，这取决于他们认为自己评定的是 AFAB 儿童还是 AMAB 儿童。

{"title":"Gender and age biases in the assessment of speech accuracy: A study of speech-language clinicians' ratings of /s/ accuracy.","authors":"Benjamin Munson, Chloe Wruck, Nina R Benway, Jonathan L Preston","doi":"10.1111/1460-6984.13122","DOIUrl":"https://doi.org/10.1111/1460-6984.13122","url":null,"abstract":"Purpose: Typically developing children assigned male at birth (AMAB) and children assigned female at birth (AFAB) produce the fricative /s/ differently: AFAB children produce /s/ with a higher spectral peak frequency. This study examined whether implicit knowledge of these differences affects speech-language pathologists'/speech and language therapists' (SLPs'/SLTs') ratings of /s/ accuracy, by comparing ratings made in conditions where SLPs/SLTs were blind to children's sex assigned at birth (SAB) to conditions in which they were told this information.Methods: SLPs (n = 95) varying in clinical experience rated the accuracy of word-initial /s/ productions (n = 87) of eight children with speech sound disorder in one of four conditions: one in which no information about the children was revealed, one in which children's SAB was revealed, one in which children's age was revealed, and one in which both were revealed.Results: Despite there being no statistically significant differences between AFAB and AMAB children's /s/ production in researcher-determined accuracy or in one acoustic characteristic, spectral centroid, SLPs in all four conditions judged the /s/ productions of AFAB children as more accurate than AMAB children. Listeners were significantly less likely to judge the productions of AMAB children to be inaccurate in the conditions in which age or age and SAB were revealed. These effects were consistent across SLPs with greatly varying levels of clinical experience.Conclusion: Knowing or imputing children's age and SAB can affect ratings of /s/ accuracy. Clinicians should be mindful of these potential effects. Future research should understand how expectations about sociolinguistic variation in speech affect appraisals of their speech and language.What this paper adds: What is already known on the subject Adult men and women produce /s/ differently. A consensus is that these differences reflect sociolinguistic gender marking, rather than being the passive consequence of vocal-tract differences. Recent studies have shown that children assigned female at birth (AFAB) and those assigned male at birth (AMAB) produce /s/ differently in ways that mirror the differences between adult men and women, and which presumably reflect gender marking. What this paper adds to existing knowledge We asked whether US-based speech-language pathologists' (SLPs) ratings of the accuracy of /s/ differ depending on whether they are rating an AFAB or an AMAB child, and whether these differences are greater in conditions in which people are told the sex assigned at birth of the child being rated. We found that SLPs were more likely to judge AFAB children's /s/ productions to be more accurate than AMAB children's, even though the productions from the AMAB and AFAB children that were used as stimuli were matched for accuracy as determined by trained researc","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lexical retrieval difficulties in post-COVID-19 syndrome: Insights from verbal fluency and naming tasks. 后 COVID-19 综合征的词汇检索困难：从言语流畅性和命名任务中获得的启示。

IF 1.5 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

International Journal of Language & Communication Disorders

Pub Date : 2024-10-01 DOI: 10.1111/1460-6984.13118

María González-Nosti, Arrate Barrenechea, Romina San Miguel-Abella, María Del Carmen Pérez-Sánchez, Lucía Fernández-Manzano, Ainhoa Ramírez-Arjona, Noelia Rodríguez-Pérez, Elena Herrera

Background: Although considerable research has been conducted on post-COVID-19 syndrome (PCS), cognitive symptoms, particularly those related to language, are still not well understood.Aims: To provide a detailed quantitative and qualitative analysis of language performance in PCS patients using a comprehensive set of semantic and verbal production tasks.Methods & procedures: The study involved 195 PCS patients aged 26-64 years and 50 healthy controls aged 25-61 years. Participants were assessed using two semantic tasks, three naming tasks and four types of verbal fluency tasks, designed to evaluate different aspects of language processing.Outcomes & results: PCS patients demonstrated significantly poorer performance compared with controls across all verbal fluency tasks. This was evident in both the total number of words generated and their types, with patients tending to choose more easily accessible words. In naming tasks, the pattern of errors was similar in both groups, although patients showed a higher number of non-responses and made more errors, reflecting difficulties in word retrieval. The analysis highlighted the impact of factors such as stimulus availability, educational level and cognitive reserve on performance. Notably, younger patients performed worse than older, a paradoxical trend also observed in previous research.Conclusions & implications: These findings reveal significant word retrieval difficulties in PCS patients, suggesting that cognitive impairment related to language may be more pronounced than previously understood. The results underscore the need for a thorough evaluation of language functions in PCS patients and the development of more targeted and individualized language rehabilitation strategies to address these specific challenges.What this paper adds: What is already known on the subject Studies on the cognitive characteristics of CPS have focused mainly on broad-spectrum neuropsychological assessments covering all cognitive functions. However, there are very few studies analysing oral production with specific lexical and semantic system tasks. Furthermore, no work has specifically included tasks assessing semantic processing or conducted qualitative analyses of the psycholinguistic variables affecting performance. Such analyses could undoubtedly help clarify the nature of the language impairments in patients with PCS. What this paper adds to the existing knowledge This study explores in depth the evaluation and analysis of the oral production of patients with PCS using several lexical and semantic tasks. In addition, psycholinguistic variables are analysed that could undoubtedly help clarify the nature of the language impairments in patients with PCS. What are the potential or actual clinical implications of this work? The study allows the identification of specific lexical

背景：目的：使用一套全面的语义和语言生成任务，对 PCS 患者的语言表现进行详细的定量和定性分析：研究对象包括 195 名年龄在 26-64 岁之间的 PCS 患者和 50 名年龄在 25-61 岁之间的健康对照者。研究人员使用两项语义任务、三项命名任务和四种语言流畅性任务对参与者进行评估，这些任务旨在评估语言处理的不同方面：与对照组相比，PCS 患者在所有言语流畅性任务中的表现都明显较差。这一点在产生的单词总数和单词类型上都很明显，患者倾向于选择更容易理解的单词。在命名任务中，两组患者的错误模式相似，但患者的无应答次数更多，错误也更多，这反映出他们在单词检索方面存在困难。分析强调了刺激可用性、教育水平和认知储备等因素对成绩的影响。值得注意的是，年轻患者的表现比年长者差，这在之前的研究中也发现了矛盾的趋势：这些研究结果表明，PCS 患者在单词检索方面存在严重困难，这表明与语言有关的认知障碍可能比以前所理解的更为明显。这些结果突出表明，有必要对 PCS 患者的语言功能进行全面评估，并制定更有针对性和个性化的语言康复策略，以应对这些特殊挑战：关于该主题的已知研究关于 CPS 认知特征的研究主要集中于涵盖所有认知功能的广谱神经心理学评估。然而，很少有研究通过特定的词汇和语义系统任务来分析口语表达。此外，也没有任何研究专门包括评估语义处理的任务，或对影响表现的心理语言学变量进行定性分析。这些分析无疑有助于澄清 PCS 患者语言障碍的本质。本文对现有知识的补充本研究利用多项词汇和语义任务，深入探讨了对 PCS 患者口语表达的评估和分析。此外，还分析了心理语言学变量，这些变量无疑有助于澄清 PCS 患者语言障碍的性质。这项研究的潜在或实际临床意义是什么？这项研究有助于确定 PCS 患者口语中存在的特定词汇-语义缺陷。对这些患者的口语进行更详细的评估，同时考虑到可能影响其表现的心理语言学变量，将有助于设计更有效和个性化的康复计划。

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引用次数: 0

Cultural adaptation and psychometric analysis of Communication Activities of Daily Living third edition in Spanish and Catalan for people with aphasia. 针对失语症患者的西班牙语和加泰罗尼亚语日常生活交流活动第三版的文化适应性和心理测量分析。

IF 1.5 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

International Journal of Language & Communication Disorders

Pub Date : 2024-10-01 DOI: 10.1111/1460-6984.13124

Clàudia Roca, Ignasi Ivern, Ignacio Cifre, Olga Bruna

Background: In the Spanish and Catalan context, there is currently a lack of standardized, linguistically adapted tools to assess people with communication disorders. This lack is especially evident when it comes to instruments designed to assess functional communication.

Aims: The main objective of this study is to adapt the instrument entitled Communication Activities of Daily Living 3rd edition (CADL-3) into European Spanish (CADL-3VE) and Catalan (CADL-3VC), thus providing a new tool to assess the functional communication of patients with aphasia in the Spanish and Catalan populations.

Methods & procedures: A total of 152 people, all residents of Catalonia, took part in the study. The CADL-3VE test was administered to 125 Spanish-speaking participants, who were divided into two groups, one consisting of patients with aphasia and the other a control group. The CADL-3VC test was administered to 27 Catalan-speaking patients with aphasia. Other tests and assessment scales were used for the external validation of the test.

Outcomes & results: Reliability scores were recorded for both new versions of the test. There was a very strong correlation between the CADL-3VE test and external criteria. The scores for both of the new versions showed significant differences in terms of performance between the aphasia and control groups. Both versions displayed similarities with the original test with respect to most of the psychometric analyses carried out.

Conclusion & implications: The test makes it possible to assess everyday communicative functioning and participation in real-world contexts. As such, it helps inform the creation of personalized, interdisciplinary treatment plans aimed at functional objectives that consider the patient's context.

What this paper adds: What is already known on the subject In order to effectively assess aphasia based on a bio-psycho-social perspective, it is necessary to examine functional communication. In other words, there is a need to explore the kinds of communication difficulties that people face in their everyday lives. Communication Activities of Daily Living (CADL-3) is an English-language test that was developed to assess functional communication by simulating certain everyday activities. What this study adds This paper offers an analysis of the items, reliability and validity of the Spanish and Catalan versions of the CADL-3 test. What are the clinical implications of this work? This new instrument has the potential to play an essential role in assessing the everyday functional communication of people with aphasia in Spain.

背景：在西班牙和加泰罗尼亚地区，目前缺乏标准化的、适合语言的工具来评估交流障碍患者。目的：本研究的主要目的是将名为《日常生活交流活动第三版》（CADL-3）的工具改编为欧洲西班牙语（CADL-3VE）和加泰罗尼亚语（CADL-3VC），从而为评估西班牙和加泰罗尼亚地区失语症患者的功能性交流提供一种新工具：共有 152 人参加了这项研究，他们都是加泰罗尼亚地区的居民。研究人员将 125 名讲西班牙语的参与者分为两组，一组为失语症患者，另一组为对照组。对 27 名说加泰罗尼亚语的失语症患者进行了 CADL-3VC 测试。测试的外部验证还使用了其他测试和评估量表：两个新版本测试的信度评分均有记录。CADL-3VE 测试与外部标准之间存在很强的相关性。两个新版本的得分显示，失语症组和对照组的成绩差异显著。在进行的大多数心理测量分析中，两个版本都显示出与原始测试的相似性：该测试可以评估日常交际功能和在现实世界中的参与情况。因此，它有助于制定个性化的跨学科治疗计划，以实现考虑患者背景的功能目标：相关知识为了从生物-心理-社会的角度对失语症进行有效评估，有必要对功能性交流进行研究。换言之，有必要探讨人们在日常生活中所面临的各种交流困难。日常生活交流活动（CADL-3）是一项英语测试，通过模拟某些日常活动来评估功能性交流。本研究有何新意本文对西班牙语和加泰罗尼亚语版本的 CADL-3 测试的项目、可靠性和有效性进行了分析。这项工作的临床意义是什么？这一新工具有可能在评估西班牙失语症患者的日常功能性交流方面发挥重要作用。

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引用次数: 0

Validation of the abbreviated version of the Token Test in Latin American Spanish stroke patients. 在拉美西班牙籍中风患者中验证缩略版代币测验。

IF 1.5 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

International Journal of Language & Communication Disorders

Pub Date : 2024-09-24 DOI: 10.1111/1460-6984.13117

Teresa Julio-Ramos, Valentina Mora-Castelletto, José Conejeros-Pavez, Josette Saez-Martínez, Pía Solinas-Ivys, Pamela Donoso, Bernardita Soler-León, Silvia Martínez-Ferreiro, Camilo Quezada, Carolina Méndez-Orellana

Background: The abbreviated version of the Token Test (aTT) is widely used to assess language comprehension deficits in stroke patients (SPs). However, aTT has not been validated for Latin American Spanish speakers, so clinicians tend to use cut-off scores for aTT validated in developed countries.Aims: To provide normative data for the Spanish aTT (Sp-aTT) in healthy Chilean Spanish-speaking and SP, determining the influence of sociodemographic variables such as gender, age and education on Sp-aTT performance.Methods & procedures: A total of 210 healthy volunteers (age range = 18-88 years) and 197 SPs (age range = 23-94 years), all native speakers of Chilean Spanish, were recruited. The association of age, gender and years of education on the Sp-aTT performance was analysed. Specificity and sensibility analyses of the Sp-aTT to diagnose language comprehension deficits were completed.Outcomes & results: Only age (p < 0.001) and years of education (p < 0.001) impacted the total score of Sp-aTT. Gender did not show an association with Sp-aTT performance (p = 0.181). For SPs, the Sp-aTT score showed a significant positive correlation (rho = 0.4, p < 0.001) with the aphasia severity rating scale (ASRS) score. For Sp-aTT, the area under the curve was 0.97, and the optimal cut-off score for the Sp-aTT was 30 (0.73 of sensitivity, 0.92 of specificity and a Youden index of 0.644).Conclusions & implications: Age and years of education are two key factors to be controlled for when determining the optimal cut-off points for the Sp-aTT. Our results also highlight the need for language-specific norms in stroke and aphasia research.What this paper adds: What is already known on the subject The aTT has been validated and adapted in several countries. Its properties in screening and detecting comprehensive deficits in SPs highlight its potential as a screening tool in clinical practice. Moreover, considering that stroke is the third largest cause of death worldwide, research and clinical practice have focused on how to improve early detection of deficits in these people, especially those related to cognition, language and functionality in SPs. Therefore, counting with validated and adapted tools is essential for clinicians because it could contribute to accurate intervention and classification of language disorders. What this paper adds to the existing knowledge The main contribution of this study is to provide normative data for the aTT in Latin American Spanish speakers. No previous studies have focused on validating this test and analysing the influence of three critical variables (age, gender and years of education) on its performance in SPs from Latin America. In addition, we propose a classification of the severity of comprehension deficits in SPs. Finally, we found comprehension deficits in patients with right and left

背景：代币测验（aTT）的缩略版被广泛用于评估中风患者（SPs）的语言理解能力缺陷。目的：为健康的智利西班牙语患者和中风患者提供西班牙语代币测验（Sp-aTT）的标准数据，确定性别、年龄和教育程度等社会人口变量对 Sp-aTT 表现的影响：共招募了 210 名健康志愿者（年龄在 18-88 岁之间）和 197 名 SPs（年龄在 23-94 岁之间），他们的母语都是智利西班牙语。分析了年龄、性别和受教育年限与 Sp-aTT 表现的关系。此外，还对 Sp-aTT 诊断语言理解能力缺陷的特异性和敏感性进行了分析：只有年龄（p < 0.001）和受教育年限（p < 0.001）会影响 Sp-aTT 的总分。性别与 Sp-aTT 的成绩没有关系（p = 0.181）。就 SPs 而言，Sp-aTT 分数与失语症严重程度评定量表（ASRS）分数呈显著正相关（rho = 0.4，p < 0.001）。Sp-aTT 的曲线下面积为 0.97，Sp-aTT 的最佳临界值为 30（灵敏度为 0.73，特异度为 0.92，尤登指数为 0.644）：在确定 Sp-aTT 的最佳临界点时，年龄和受教育年限是需要控制的两个关键因素。我们的研究结果还强调了在脑卒中和失语症研究中制定特定语言标准的必要性：有关该主题的已知信息 aTT 已在多个国家得到验证和调整。它在筛查和检测 SPs 综合缺陷方面的特性凸显了其作为临床实践中筛查工具的潜力。此外，考虑到中风是全球第三大死因，研究和临床实践的重点是如何改善对这些人群缺陷的早期检测，尤其是与 SPs 认知、语言和功能相关的缺陷。因此，使用经过验证和调整的工具进行计数对临床医生来说至关重要，因为这有助于对语言障碍进行准确的干预和分类。本文对现有知识的补充本研究的主要贡献在于为拉丁美洲西班牙语使用者的 aTT 提供了标准数据。以前的研究都没有关注过验证该测试，以及分析三个关键变量（年龄、性别和受教育年限）对拉丁美洲 SPs 测试成绩的影响。此外，我们还对 SPs 理解缺陷的严重程度进行了分类。最后，我们发现左右半球中风患者均存在理解缺陷，这意味着这些缺陷并非左半球中风所独有。这项工作的潜在或实际临床意义是什么？通过对语言理解工具（如 aTT）的验证，可以改善对语言障碍患者的早期诊断。该验证提供了一种基于拉美讲者社会人口特征的测试，而拉美讲者的社会人口特征尚未确定。因此，考虑到目标人群社会人口特征的常模数据对于准确划分脑损伤后的理解缺陷至关重要。

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引用次数: 0

Developing a care bundle for children who are eating and drinking with acknowledged risk: A Delphi study with speech and language therapists. 为进食和饮水有公认风险的儿童制定护理包：与言语和语言治疗师共同开展的德尔菲研究。

IF 1.5 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

International Journal of Language & Communication Disorders

Pub Date : 2024-09-24 DOI: 10.1111/1460-6984.13114

Heideh Langeroudi, Georgina Feint, Christina H Smith

Background: There is minimal research and no formal written guidance for speech and language therapists (SLTs) managing children eating and drinking with acknowledged risks (EDAR). Many SLTs lack confidence due to the complexity of these cases medically, ethically and emotionally. Guidance is recommended to aid paediatric EDAR management.

Aims: To establish consensus amongst expert paediatric SLTs regarding core components of a care bundle guiding the management of children who are EDAR.

Methods & procedures: A two-round online modified Delphi technique was used. An expert panel of UK SLTs working across paediatric settings (education, hospital, community) were recruited using snowball sampling. Both rounds comprised 36 statements related to potential components of a care bundle, which participants rated on a 7-point scale (strongly agree to strongly disagree), and one open-box question. Consensus was calculated using predetermined criteria (percentage, median and interquartile range) and the final list was ranked by level of importance (mean).

Outcomes & results: A total of 35 participants completed round 1, with 31 completing round 2 (88.6% response rate). Thirty out of 36 statements achieved high to very high consensus. The nine statements reaching very high consensus covered topics such as documentation, capacity, safeguarding and person-centred care.

Conclusion & implications: There is a high level of consensus amongst SLTs about core components for a paediatric EDAR care bundle. This study provides a useful starting point for the future development of a care bundle to manage children who are EDAR.

What this paper adds: What is already known on the subject There is limited research and guidance for SLTs managing children who are EDAR. In adult populations, care bundles have been introduced with positive effects (e.g., better patient outcomes, increased standardisation of care and clinician confidence) and are seen as a promising avenue for paediatrics. What this study adds to the existing knowledge To the research team's knowledge, this is the first published Delphi study on SLT opinion around a care bundle for paediatric EDAR. There were high levels of consensus amongst UK SLTs and the results highlighted documentation, capacity, safeguarding and person-centred care as key areas in practice. Finally, the results provide a ranked list of components UK SLTs felt are important for developing a care bundle. What are the practical and clinical implications of this work? This study could be a useful starting point for creating a care bundle to support the management of children who are EDAR.

背景：对于言语和语言治疗师（SLTs）如何处理有公认风险的儿童饮食问题（EDAR），目前研究极少，也没有正式的书面指导。由于这些病例在医学、伦理和情感方面的复杂性，许多言语和语言治疗师缺乏信心。目的：在儿科 SLT 专家中就指导 EDAR 儿童管理的护理包的核心内容达成共识：采用两轮在线改良德尔菲技术。采用滚雪球抽样法招募了英国儿科（教育、医院、社区）SLT 专家组成专家小组。两轮调查包括 36 个与护理捆绑包潜在组成部分相关的陈述，参与者按 7 分制（非常同意到非常不同意）对陈述进行评分，还有一个开放式问题。使用预先确定的标准（百分比、中位数和四分位数之间的范围）计算共识，并按照重要程度（平均值）对最终列表进行排序：共有 35 名参与者完成了第一轮，31 人完成了第二轮（回复率为 88.6%）。在 36 项陈述中，有 30 项达成了较高或非常高的共识。达成高度共识的 9 项陈述涉及文件、能力、保障和以人为本的护理等主题：SLT 对儿科 EDAR 护理包的核心内容达成了高度共识。本研究为今后制定管理 EDAR 儿童的护理包提供了一个有用的起点：对管理 EDAR 儿童的 SLT 的研究和指导有限。在成人群体中，护理包的引入产生了积极的效果（例如，更好的患者治疗效果、护理标准化程度的提高以及临床医生的信心），并被认为是儿科治疗的一个很有前景的途径。本研究对现有知识的补充据研究小组所知，这是第一项发表的德尔菲研究，研究内容是 SLT 对儿科 EDAR 护理包的看法。英国的 SLT 达成了高度共识，研究结果强调文件、能力、保障和以人为本的护理是实践中的关键领域。最后，研究结果提供了一份英国康复治疗师认为对制定护理包非常重要的组成部分排名表。这项工作有哪些实际和临床意义？这项研究可以作为一个有用的起点，用于创建护理包，以支持对 EDAR 儿童的管理。

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引用次数: 0

Editorial for special issue on terminology in speech sound disorder. 为 "语音障碍术语 "特刊撰写社论。

IF 1.5 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

International Journal of Language & Communication Disorders

Pub Date : 2024-09-23 DOI: 10.1111/1460-6984.13090

Yvonne Wren

引用次数: 0

Investigating current clinical practice in assessment and diagnosis of voice disorders: A cross-sectional multidisciplinary global web survey. 调查当前评估和诊断嗓音疾病的临床实践：一项跨学科全球网络调查。

IF 1.5 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

International Journal of Language & Communication Disorders

Pub Date : 2024-09-20 DOI: 10.1111/1460-6984.13116

Christopher L Payten, Kelly A Weir, Catherine J Madill

Background: Published best-practice guidelines and standardized protocols for voice assessment recommend multidisciplinary evaluation utilizing a comprehensive range of clinical measures. Previous studies report variations in assessment practices when compared with these guidelines.Aims: To provide an up-to-date evaluation of current global multidisciplinary practice patterns and the opinions of otolaryngologist, ear, nose and throat (ENT) and speech-language pathology (SLP) clinicians on initial assessment and differential diagnosis of adults with voice disorders (VDs).Methods & procedures: ENTs and SLPs worldwide who had worked with VDs within the last 10 years completed an anonymous online survey. Themes explored demographic information about the clinical practice, information about diagnostic assessment pathways, clinical assessments routinely used for initial voice evaluation and clinician perceived value of clinical assessments important for diagnosis.Outcomes & results: Patterns in the clinical practice of 88 SLPs and 21 ENTs from 18 countries with 1 to more than 25 years' experience were analysed. Clinicians provided services across a range of locations, and a range of assessment pathways was available for initial evaluation. Case history, laryngoscopy and auditory-perceptual measures were the most frequently selected assessments. Most clinicians favoured formal assessment measures for auditory-perceptual evaluation. Clinicians placed equal weighting on ENT and SLP assessment to aid diagnosis for muscle tension VDs and functional neurological voice disorders (FVDs).Conclusions & implications: Practice patterns for initial diagnostic voice assessment are largely consistent with the currently published guidelines. Decisions for the selection of assessment tools vary according to VD classification, and assessment decisions appear to be guided by case history. Clinicians are not always following established protocols for obtaining reliable standardized measures. Further research is needed to understand the barriers to adhering to standardized protocols and to develop evidence for the use of case history in the process of VD diagnosis.What this paper adds: What is already known on the subject Best-practice guidelines recommend a multidisciplinary and multidimensional assessment of adults with vocal symptoms. Prior uni-disciplinary survey studies have reported a divergence in clinical practice with the recommended guidelines. No previous studies have examined otolaryngologists and SLPs concurrently to investigate the multidisciplinary approach clinicians' use in a diagnostic voice assessment. What this paper adds to the existing knowledge This study highlights new insights into multidisciplinary voice evaluation practice patterns with an emphasis on diagnostic assessment from a global perspective. The findi

背景：已发布的嗓音评估最佳实践指南和标准化方案建议利用一系列综合临床措施进行多学科评估。目的：对当前全球多学科实践模式以及耳鼻喉科（ENT）和语言病理学（SLP）临床医生对成人嗓音障碍（VD）的初步评估和鉴别诊断的意见进行最新评估：方法与程序：全球在过去 10 年内从事过嗓音疾病工作的耳鼻喉科医生和语言病理医生完成了一项匿名在线调查。调查主题包括临床实践的人口统计学信息、诊断评估途径的相关信息、用于初步嗓音评估的常规临床评估以及临床医师对诊断重要临床评估价值的认知：分析了来自 18 个国家、拥有 1 至 25 年以上工作经验的 88 名语言康复师和 21 名耳鼻喉科医师的临床实践模式。临床医生在不同的地点提供服务，并为初步评估提供了一系列评估途径。病史、喉镜检查和听觉感知测量是最常选择的评估方法。大多数临床医生倾向于采用正规的评估方法进行听觉感知评估。临床医生同等重视耳鼻喉科和嗓音语言康复科的评估，以帮助诊断肌肉紧张性嗓音疾病和功能性神经性嗓音疾病（FVD）：初步诊断性嗓音评估的实践模式与目前发布的指南基本一致。选择评估工具的决定因 VD 分类而异，评估决定似乎以病史为指导。临床医生并不总是按照既定方案获取可靠的标准化测量结果。需要进一步开展研究，以了解遵守标准化规程的障碍，并为在 VD 诊断过程中使用病例史提供证据：最佳实践指南建议对有发声症状的成年人进行多学科、多维度的评估。之前的单学科调查研究显示，临床实践与推荐指南存在差异。以前的研究没有同时对耳鼻喉科医生和语言康复师进行调查，以了解临床医生在诊断性嗓音评估中使用的多学科方法。本文对现有知识的补充本研究强调了对多学科嗓音评估实践模式的新见解，重点是从全球视角进行诊断评估。研究结果建立在之前对临床评估途径、服务利用率以及临床医生在选择临床工具进行鉴别诊断时的偏好等方面的研究基础之上。这项工作有哪些潜在或实际的临床意义？本文为未来的服务和资源规划提供了启示，以确保提供以证据为基础的诊断评估途径。本研究还对未来的研究领域提出了建议，以了解临床医生在遵循推荐的最佳实践指南时遇到的障碍。

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Development and validation of MyCommunication-Adults, a self-report communicative participation measure. 开发并验证了 "我的交流-成人"--一种自我报告的交流参与测量方法。

IF 1.5 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

International Journal of Language & Communication Disorders

Pub Date : 2024-09-19 DOI: 10.1111/1460-6984.13115

Nicole Ter Wal, Caroline B Terwee, Johanna M A Visser-Meily, Eline Alons, Lotti Dijkhuis, Ellen Gerrits, Lizet van Ewijk

Background: People with communication problems experience challenges in participation. Optimizing communicative participation for this population is an important outcome of speech and language therapy. Participation experiences are best assessed from the patient's perspective, using a patient-reported outcome measure (PROM). The Communicative Participation Item Bank (CPIB) has been developed to identify perceived problems in communicative participation. However, previous research has shown that the item bank does not cover all domains and concepts of communicative participation, contains general communication items, and is not suitable for all people with communication problems.Aims: To develop a comprehensive PROM aimed at measuring communicative participation for all adults with communication problems and test its content validity.Methods & procedures: An initial pool of 242 items was based on three sources: relevant content from an earlier literature review and concept elicitation study, and the translation of the items of the CPIB. This item pool was pilot-tested for comprehensibility and comprehensiveness using cognitive debriefing interviews in adults with different communication problems (speech, language, voice, hearing and cognitive communication disorders). This resulted in a second version of the item bank. The content validity of this version was tested in a group of professionals. The last (third) version of 133 items was tested for content validity in a second, new group of adults with various communication problems.Outcomes & results: The initial pool of 242 items was developed and pilot-tested in 27 adults with different communication problems. After modifications, 161 items remained, which were tested in a content validity study with 25 people with different communication problems and five professionals (in the field of speech and language therapy and speech and language research). The professionals considered 91.9% of the item bank relevant and comprehensible, and comprehensive by adding two items. The item bank was then considered relevant, comprehensible and comprehensive by the group of adults with communication problems. A total of 133 items remained in the item bank, related to the International Classification of Functioning, Disability and Health (ICF) Activities and Participation domains 'mobility', 'self-care', 'domestic life', 'interpersonal interactions and relationships', 'major life areas' and 'community, social and civic life'.Conclusions & implications: MyCommunication-Adults is an item bank for measuring communicative participation in adults with communication difficulties. The next step is to test the psychometric properties of the item bank, in order to establish a final item bank. The refined description of the construct of communicative participation can already be used for participation-focused

背景有交流障碍的人在参与方面面临挑战。优化这类人群的交流参与是言语和语言治疗的一项重要成果。最好从患者的角度出发，使用患者报告的结果测量（PROM）来评估参与体验。交际参与项目库 (CPIB) 是为识别交际参与中的感知问题而开发的。然而，以往的研究表明，该项目库并没有涵盖交流参与的所有领域和概念，包含了一般性的交流项目，并不适合所有有交流障碍的人。目的：开发一个全面的 PROM，旨在测量所有有交流障碍的成年人的交流参与情况，并测试其内容的有效性：最初的 242 个项目库基于三个来源：早期文献综述和概念激发研究中的相关内容，以及 CPIB 项目的翻译。通过对有不同沟通问题（言语、语言、语音、听力和认知沟通障碍）的成年人进行认知汇报访谈，对项目库的可理解性和全面性进行了试点测试。由此产生了第二版项目库。该版本的内容有效性在一组专业人员中进行了测试。最后（第三版）的 133 个项目在第二组新的有各种交流问题的成年人中进行了内容有效性测试：最初编制了 242 个项目，并在 27 名有不同沟通问题的成年人中进行了试点测试。经过修改后，剩下的 161 个项目在内容有效性研究中进行了测试，测试对象包括 25 名有不同沟通问题的人和 5 名专业人士（言语和语言治疗以及言语和语言研究领域）。专业人士认为，91.9%的项目库是相关和可理解的，并通过增加两个项目使之更加全面。然后，有沟通问题的成人群体也认为项目库是相关、可理解和全面的。项目库共保留了 133 个项目，分别与《国际功能、残疾和健康分类》（ICF）的活动和参与领域 "行动"、"自理"、"家庭生活"、"人际交往和关系"、"主要生活领域 "以及 "社区、社会和公民生活 "有关：我的沟通-成人 "是一个用于测量有沟通障碍的成人的沟通参与情况的项目库。下一步是对项目库的心理测量特性进行测试，以建立最终的项目库。本文的补充内容：有关该主题的已知信息 CPIB 的开发旨在测量有交流障碍的社区成人的交流参与情况。该项目库并不涵盖交流参与的所有领域和概念，包含一般性的交流项目，而且并非所有问题似乎都与特定目标群体（如听力人群）相关。本文对现有知识的补充本研究对交流参与的概念进行了细化描述，并开发了新的综合性 PROM，旨在测量所有有交流障碍的成年人的交流参与情况。PROM 的开发基于之前进行的文献综述和概念激发研究。本研究介绍了这款名为 "我的沟通-成人 "的新 PROM 的开发过程及其内容效度评估。这项工作有哪些潜在或实际的临床意义？对交流参与这一概念的细化描述可用于有交流问题的个人与言语和语言治疗师之间以参与为重点的目标设定。

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