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A systematic review of evidence relating to the use of telesupervision for speech-language pathology students on clinical placements. 对言语病理学学生在临床实习中使用远程监督的相关证据进行系统回顾。
IF 1.5 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-11-20 DOI: 10.1111/1460-6984.13133
Joanne Walters, Lucy Bryant, Bronwyn Hemsley
<p><strong>Background: </strong>The use of telepractice in delivering speech-language pathology services is increasing and speech-language pathologists are providing supervision to students on clinical placements through telesupervision. The review examined literature on telesupervision for speech-language pathology students on a clinical placement.</p><p><strong>Aims: </strong>To systematically review the literature on how, when, and why telesupervision is used by speech-language pathologists supervising students; and the views and experiences of students, practice educators, and clients on telesupervision.</p><p><strong>Methods: </strong>A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines through searches in six databases (CINAHL, EMBASE, MEDLINE, PsycINFO, Web of Science and Educational Resources Information Center). Quality of the studies was examined using the Quality Assessment Tool for Studies with Diverse Designs.</p><p><strong>Main contribution: </strong>In total, the eight studies included in the review described the use of telesupervision with speech-language pathology students. The studies revealed that telesupervision is considered an effective supervision model for speech-language pathology students, as an adjunct to in-person supervision. Multiple aspects of telesupervision in the studies related to workplace settings, access to and training of technology, type of caseload, practice educator attributes, and the student-educator supervisory relationship.</p><p><strong>Conclusions and implications: </strong>Speech-language pathology educators and students consider telesupervision to be a useful and effective model of supervision, when used as an adjunct to in-person supervision. Although there is limited research to date examining the use of telesupervision in speech-language pathology, the findings of this review can be used to guide support of educators and students as well as inform future research in this area.</p><p><strong>What this paper adds: </strong>What is already known on this subject Telesupervision in speech-language pathology allows for an extension of clinical placement opportunities into a wider variety of locations including rural and remote settings and where a practice educator might not be available in person. Telesupervision can reduce costs and travel time and increase the time in the day available for supervision. What this study adds to existing knowledge Considering the potential for telesupervision to expand placement opportunities, this review provides important insights into educator and student views on its implementation and outcomes. All studies in this review occurred prior to COVID-19 restrictions on placements and so provide a context for any developments since and inform future research on telesupervision. What are the clinical implications of this work? While there is some evidence that practice educators and students alike cons
背景:在提供言语病理学服务时,远程实践的使用越来越多,言语病理学家通过远程监督为临床实习学生提供指导。目的:系统回顾有关语言病理学家如何、何时以及为何对学生进行远程督导的文献,以及学生、实践教育者和客户对远程督导的看法和经验:根据《系统综述和元分析首选报告项目》指南,通过在六个数据库(CINAHL、EMBASE、MEDLINE、PsycINFO、Web of Science 和教育资源信息中心)中进行检索,开展了一项系统综述。研究的质量采用 "多样化设计研究质量评估工具 "进行检验:本综述共收录了八项研究,介绍了对言语病理学学生使用远程督导的情况。这些研究表明,远程督导被认为是对言语病理学学生的一种有效督导模式,可作为面对面督导的辅助手段。研究中的远程督导涉及工作场所环境、技术的使用和培训、案例类型、实践教育者的属性以及学生与教育者之间的督导关系等多个方面:言语病理学教育者和学生认为远程督导是一种有用且有效的督导模式,可以作为面对面督导的辅助手段。尽管迄今为止关于远程督导在言语病理学中的应用的研究还很有限,但本综述的研究结果可用来指导对教育工作者和学生的支持,并为这一领域的未来研究提供信息:关于此主题的已知内容 远程语言病理学督导可将临床实习机会扩展到更广泛的地点,包括农村和偏远地区,以及实践教育者可能无法亲临现场的地方。远程督导可以减少成本和旅行时间,增加一天中可用于督导的时间。本研究对现有知识的补充 考虑到远程督导在扩大实习机会方面的潜力,本综述对教育者和学生对其实施和结果的看法提供了重要的见解。本综述中的所有研究都发生在 COVID-19 对实习的限制之前,因此为此后的发展提供了背景,并为未来的远程督导研究提供了参考。这项工作的临床意义是什么?虽然有证据表明实践教育者和学生都认为远程督导是有效的,但没有发现将远程督导作为独立督导方法的研究报告。研究结果可供言语病理学学生实习协调员和实践教育者在以下方面使用:(a)决定远程督导在特定的工作环境和临床案例中是否具有潜力;(b)决定他们是否拥有合适的技术和使用技术的支持;以及(c)确定在使用远程督导时支持教育者与学生关系的方法。
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引用次数: 0
How speech and language therapists and parents work together in the therapeutic process for children with speech sound disorder: A scoping review. 言语和语言治疗师与家长如何在言语发声障碍儿童的治疗过程中合作:范围综述。
IF 1.5 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-11-18 DOI: 10.1111/1460-6984.13132
Katherine Pritchard, Vesna Stojanovik, Jill Titterington, Emma Pagnamenta
<p><strong>Background: </strong>Speech sound disorders (SSDs) are broadly defined as difficulty producing speech sounds in childhood. Reported prevalence of SSD varies from 2.3% to 24.6%, depending on how SSD is defined and the included age range. SSDs that do not resolve before age 8 can have a lasting impact on a child's academic achievements. The intensity of intervention for SSD is important to ensure effectiveness. However, there is a gap between the evidence base for intensity and speech and language therapists' (SLTs) clinical practice. One way that SLTs try to bridge this gap is by working with parents. SLTs believe that working with parents/caregivers is vital for a child with SSD to make progress.</p><p><strong>Aims: </strong>To conduct a scoping review of the literature to provide a comprehensive picture of the perceptions, experiences and strategies underpinning collaborative working between SLTs and parents/caregivers of children (aged ≤ 5 years 11 months) with SSD to increase intervention intensity at home.</p><p><strong>Methods & procedures: </strong>This scoping review was completed in accordance with PRISMA-ScR guidelines. A systematic search of PubMed, PsycInfo, CINHAL, Web of Science, EBSCOhost and EThOS was conducted using synonyms of three key terms: SSD, Therapy, Parents. Key journals and papers were hand searched for unique papers. A total of 29 papers were included for review. Data were analysed using thematic synthesis to develop themes. These themes are discussed using the PAGER framework to identify advances, gaps, evidence for practice and areas for future research.</p><p><strong>Main contribution: </strong>Seven key themes were identified: individualization, setting expectations, daily life, parental knowledge, parental involvement, therapeutic relationships and supporting parents to deliver home practice. There has been an acceleration of research around working with parents of children with SSD, with increased consideration of effective adult coaching techniques. Parents value the parental and child relationship with the SLT and feel this supports the success of home practice. There is a need for further research, and guidance for SLTs working with parents of children with SSD to enable them to support parents to deliver home practice effectively.</p><p><strong>Conclusions & implications: </strong>Emerging evidence supports the value of SLTs and parents working together to support home practice for children with SSD. The review highlighted the importance of SLTs allocating time to build positive therapeutic relationships with parents to support engagement in therapy. Approaching intervention, in particular, home practice, flexibly and in collaboration with parents, allows parents to fit home practice into their daily lives. Providing clear information to parents supports the fidelity of, and engagement in, home practice.</p><p><strong>What this paper adds: </strong>What is already known on the subject There is a gap
背景:言语发音障碍(SSD)的广泛定义是儿童时期难以发出言语声音。根据 SSD 的定义和所包括的年龄段,报告的 SSD 患病率从 2.3% 到 24.6% 不等。如果 SSD 在 8 岁前得不到解决,就会对儿童的学习成绩产生持久影响。对 SSD 的干预力度对于确保其有效性非常重要。然而,干预强度的证据基础与言语和语言治疗师(SLT)的临床实践之间存在差距。语言治疗师试图弥合这一差距的方法之一是与家长合作。SLT认为,与家长/照顾者合作对于SSD患儿取得进步至关重要。目的:对文献进行范围界定综述,以全面了解SLT与SSD患儿(年龄≤5岁11个月)的家长/照顾者之间为提高家庭干预强度而开展合作的看法、经验和策略:本范围界定综述根据 PRISMA-ScR 指南完成。使用三个关键术语的同义词对 PubMed、PsycInfo、CINHAL、Web of Science、EBSCOhost 和 EThOS 进行了系统检索:SSD、治疗、父母。对关键期刊和论文进行了人工搜索,以查找唯一的论文。共纳入 29 篇论文进行审查。采用主题综合法对数据进行分析,以形成主题。使用 PAGER 框架对这些主题进行讨论,以确定进展、差距、实践证据和未来研究领域:确定了七个关键主题:个性化、设定期望、日常生活、家长知识、家长参与、治疗关系和支持家长开展家庭实践。围绕与患有 SSD 儿童的家长合作的研究正在加速,对有效的成人辅导技术的考虑也在增加。家长们重视与辅助治疗师之间的亲子关系,并认为这有助于家庭实践的成功。有必要开展进一步研究,并为与患有 SSD 儿童的家长合作的 SLT 提供指导,使他们能够支持家长有效开展家庭实践:新出现的证据支持了辅助治疗师和家长共同支持SSD儿童家庭实践的价值。审查强调了辅助治疗师分配时间与家长建立积极的治疗关系以支持家长参与治疗的重要性。与家长合作,灵活地进行干预,特别是家庭练习,可以让家长将家庭练习融入他们的日常生活中。向家长提供明确的信息有助于家庭实践的忠实性和参与性:关于该主题的已知信息 关于对 SSD 儿童干预强度的证据基础建议与当前全球临床实践之间存在差距。辅助治疗师试图通过家庭实践来弥补这一差距,并认为与家长/照顾者合作对患有SSD的儿童取得进步至关重要。然而,人们对SLTs与家长合作的最佳方式知之甚少。本文对现有知识的补充 以个性化和灵活的方式让家长成为干预措施的实施者,这对家长和 SLT 都很重要,也很有价值。家长重视了解干预方法背后的临床原理,并从明确的家庭实践指导(包括讨论、书面信息、观察和反馈)中获益。治疗关系的建立需要时间,并影响家长对家庭实践的参与。这项工作有哪些潜在或实际的临床意义?本研究的结果强调了现有的知识,这些知识将支持辅助治疗师与家长进行最佳合作,为患有SSD的儿童实施家庭实践。它强调了花时间培养与家长的工作关系以支持有效的家庭实践的重要性。本研究发现了儿童辅助治疗师在现有技能和知识方面的不足,强调了进一步研究、支持和指导儿童辅助治疗师与家长合作的必要性,以及对儿童辅助治疗师注册前课程发展的影响。
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引用次数: 0
Microstructure competences and grammatical errors of Danish-speaking children with developmental language disorder when telling and retelling narratives and engaging in spontaneous language. 丹麦语发育性语言障碍儿童在讲述和复述故事以及使用自发语言时的微观结构能力和语法错误。
IF 1.5 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-11-17 DOI: 10.1111/1460-6984.13131
Lone Sundahl Olsen, Kristine Jensen de López
<p><strong>Background: </strong>Research on the grammatical characteristics of children with developmental language disorder (DLD) across languages has challenged accounts about the nature of DLD. Studies of the characteristics of DLD in different languages can reveal which components of DLD emerge irrespective of language and which components are language specific.</p><p><strong>Aims: </strong>To examine the grammatical characteristics of children with DLD acquiring Danish (microstructure and error types) in order to contribute to research on language-general and language-specific characteristics of DLD.</p><p><strong>Methods & procedures: </strong>Language samples from two telling narratives, one retelling narrative and one session of semi-spontaneous talk were collected from 39 Danish-speaking children aged 5;0-8;6, comprising one group of children with DLD (n = 15) and two control groups (age- and language-matched: n = 15 and = 9, respectively). The data were analysed with reference to microstructure and grammatical errors. The DLD children's performance was compared with that of their peers with typical language development (AM) and to that of a younger group matched on language comprehension (LM). Task effects were also analysed.</p><p><strong>Outcomes & results: </strong>A significant group difference in microstructure was present in the results for mean length of utterance (MLU), where the AM group had significant higher MLU compared with the DLD group. Two variables clearly distinguished DLD children from both AM and LM children in terms of errors, namely word order errors and omission errors. The analysis of grammatical errors also revealed that the most salient challenges for Danish-speaking children with DLD were not clearly morphological in nature. Although the children with DLD, as expected, made more morphological errors compared with the AM group, they did not produce more errors compared with the LM group. Task effects were present for some but not all results.</p><p><strong>Conclusions & implications: </strong>This research emphasizes the importance of cross-linguistic comparisons of the linguistic error profiles in the elicited language of children with DLD and the importance of considering the methodological context when analysing the grammatical language abilities of children with DLD. The results are relevant for clinicians and for developing screening tools.</p><p><strong>What this paper adds: </strong>What is already known on this subject DLD is characterized by challenges in producing and comprehending language. Ample research is available on English-speaking children with DLD, and which has reported on challenges acquiring morphology. Studies of children with DLD acquiring other languages than English show challenges related to specific grammatical features of the respective language. What this study adds to the existing knowledge This study is the first to investigate microstructure abilities and grammatical errors prod
背景:对不同语言发育性语言障碍(DLD)儿童语法特征的研究,对有关 DLD 性质的说法提出了挑战。对不同语言发育障碍儿童的语法特征进行研究,可以揭示发育障碍儿童的哪些特征是不分语言而出现的,哪些特征是语言所特有的:从 39 名丹麦语儿童(5;0-8;6 岁)中收集了两次讲述、一次复述和一次半自发谈话的语言样本,其中包括一组 DLD 儿童(n = 15)和两组对照组(年龄和语言匹配:分别为 n = 15 和 = 9)。数据参照微观结构和语法错误进行分析。将 DLD 儿童的表现与具有典型语言发展水平的同龄人(AM)的表现进行了比较,并与在语言理解能力方面相匹配的较年轻群体(LM)的表现进行了比较。同时还分析了任务效应:在语篇平均长度(MLU)的结果中,微观结构方面存在明显的群体差异,与 DLD 群体相比,AM 群体的语篇平均长度明显更高。在错误方面,有两个变量将 DLD 儿童与 AM 和 LM 儿童明显区分开来,即词序错误和遗漏错误。对语法错误的分析还显示,说丹麦语的 DLD 儿童面临的最突出挑战并非明显的形态学性质。虽然如预期的那样,与 AM 组相比,DLD 儿童犯了更多的形态学错误,但与 LM 组相比,他们并没有犯更多的错误。部分结果存在任务效应,但不是所有结果:这项研究强调了对 DLD 儿童诱发语言中的语言错误进行跨语言比较的重要性,以及在分析 DLD 儿童的语法语言能力时考虑方法背景的重要性。研究结果对临床医生和筛查工具的开发具有重要意义:对这一主题的认识 DLD 的特点是在语言的产生和理解方面存在挑战。目前已有大量关于讲英语的 DLD 儿童的研究,这些研究报告了他们在学习形态学方面所面临的挑战。对学习英语以外的其他语言的 DLD 儿童进行的研究表明,他们所面临的挑战与相关语言的特定语法特征有关。本研究对现有知识的补充 本研究首次使用不同的语言样本(叙事讲述、叙事复述和自发语言),对丹麦语 DLD 儿童的微观结构能力和语法错误进行了调查。这项研究增进了我们对斯堪的纳维亚语言和跨语言的 DLD 的了解,并加强了跨语言研究的发现,即 DLD 儿童在语言习得过程中遇到的语法和结构挑战可能并不完全归因于语法。虽然 DLD 儿童在语言学习中遇到的某些挑战似乎具有普遍性,可以归因于总体因素,但其他挑战似乎更多地与目标语言的结构有关。本研究的结果还提醒我们,在研究 DLD 儿童的生产性语法能力时,考虑语境限制因素非常重要。这项工作有哪些实际和临床意义?对学习英语以外语言的 DLD 儿童的语法错误类型和个体差异进行更详细的分析,有助于该领域的临床进步。更好地了解丹麦语 DLD 儿童的语法困难可能有助于改进 DLD 儿童的评估程序和治疗计划。
{"title":"Microstructure competences and grammatical errors of Danish-speaking children with developmental language disorder when telling and retelling narratives and engaging in spontaneous language.","authors":"Lone Sundahl Olsen, Kristine Jensen de López","doi":"10.1111/1460-6984.13131","DOIUrl":"https://doi.org/10.1111/1460-6984.13131","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Research on the grammatical characteristics of children with developmental language disorder (DLD) across languages has challenged accounts about the nature of DLD. Studies of the characteristics of DLD in different languages can reveal which components of DLD emerge irrespective of language and which components are language specific.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;To examine the grammatical characteristics of children with DLD acquiring Danish (microstructure and error types) in order to contribute to research on language-general and language-specific characteristics of DLD.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods & procedures: &lt;/strong&gt;Language samples from two telling narratives, one retelling narrative and one session of semi-spontaneous talk were collected from 39 Danish-speaking children aged 5;0-8;6, comprising one group of children with DLD (n = 15) and two control groups (age- and language-matched: n = 15 and = 9, respectively). The data were analysed with reference to microstructure and grammatical errors. The DLD children's performance was compared with that of their peers with typical language development (AM) and to that of a younger group matched on language comprehension (LM). Task effects were also analysed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcomes & results: &lt;/strong&gt;A significant group difference in microstructure was present in the results for mean length of utterance (MLU), where the AM group had significant higher MLU compared with the DLD group. Two variables clearly distinguished DLD children from both AM and LM children in terms of errors, namely word order errors and omission errors. The analysis of grammatical errors also revealed that the most salient challenges for Danish-speaking children with DLD were not clearly morphological in nature. Although the children with DLD, as expected, made more morphological errors compared with the AM group, they did not produce more errors compared with the LM group. Task effects were present for some but not all results.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions & implications: &lt;/strong&gt;This research emphasizes the importance of cross-linguistic comparisons of the linguistic error profiles in the elicited language of children with DLD and the importance of considering the methodological context when analysing the grammatical language abilities of children with DLD. The results are relevant for clinicians and for developing screening tools.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;What this paper adds: &lt;/strong&gt;What is already known on this subject DLD is characterized by challenges in producing and comprehending language. Ample research is available on English-speaking children with DLD, and which has reported on challenges acquiring morphology. Studies of children with DLD acquiring other languages than English show challenges related to specific grammatical features of the respective language. What this study adds to the existing knowledge This study is the first to investigate microstructure abilities and grammatical errors prod","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649424","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
Parental communication dynamics with children who stutter: A scoping review. 父母与口吃儿童的沟通动态:范围综述。
IF 1.5 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-11-06 DOI: 10.1111/1460-6984.13129
Idillette Hartman, Daleen Klop, Leslie Swartz
<p><strong>Background: </strong>Parents of children who stutter (CWS) are often uncertain, hesitant and uncomfortable to communicate openly with their CWS and other people on the topic of the stutter and disclosing the stutter to the child and/or other people.</p><p><strong>Aims: </strong>To map and understand the dynamics involved when parents communicate with their CWS and other people on the topic of their child's stuttering and disclosure of the stutter to the child and/or other people.</p><p><strong>Methods: </strong>This scoping review was conducted in accordance with Joanna Briggs Institute methodology. The following platforms and search engines were identified and searched: Google Scholar, PubMed, ProQuest Databases and EBSCOhost: Academic Search Premier, Africa-Wide Information, CINAHL (Cumulative Index to Nursing and Allied Health Literature), ERIC (Educational Resources Information Center), Health Source Nursing/Academic Edition and MEDLINE. The search was limited to studies pertaining to parents of CWS, instead of people who stutter. The first two authors screened titles and abstracts of identified records, and thereafter, full-text screening was conducted of the selected articles as well as the reference lists.</p><p><strong>Results: </strong>The scoping review yielded 14 records that included data from 12 different countries representing five continents. The 14 records comprised one systematic review, four expert opinions, two studies with mixed methods, five with qualitative designs and two with quantitative designs. The review content provided information about the nature, advantages and disadvantages of open communication and disclosure as well as reasons why parents of CWS are reluctant or willing to communicate in an open way.</p><p><strong>Conclusions: </strong>There is limited information available about parental communication with CWS on the topic of their stuttering and disclosure of the child's stuttering to the child and/other people. The complexity of communication dynamics between CWS and their parents requires further in-depth research.</p><p><strong>Contribution: </strong>This study highlights the lack of empirical evidence about disclosure and the dynamics of open communication between parents and their CWS and the need for research to gain insight into this topic.</p><p><strong>What this paper adds: </strong>What is already known on the subject Parents of CWS are often uncertain, hesitant and uncomfortable to communicate openly with their CWS and other people on the topic of the stutter and disclosing the stutter to the child and/or other people. Despite the important and indispensable role parents play in the life of their CWS, little information is available regarding the way in which parents communicate about stuttering with their CWS, and how they accomplish the process of stuttering disclosure. What this study adds This scoping review confirms that limited information is available regarding the process of paren
背景:口吃儿童(CWS)的父母在与CWS和其他人就口吃问题进行公开交流以及向孩子和/或其他人透露口吃情况时,往往会感到不确定、犹豫和不自在。目的:了解父母与CWS和其他人就孩子的口吃问题进行交流以及向孩子和/或其他人透露口吃情况时所涉及的动态因素:此次范围界定审查是按照乔安娜-布里格斯研究所的方法进行的。确定并搜索了以下平台和搜索引擎:Google Scholar、PubMed、ProQuest Databases 和 EBSCOhost:Academic Search Premier、Africa-Wide Information、CINAHL(护理与联合健康文献累积索引)、ERIC(教育资源信息中心)、Health Source Nursing/Academic Edition 和 MEDLINE。搜索仅限于与 CWS 父母而非口吃患者有关的研究。前两位作者筛选了已确定记录的标题和摘要,随后对所选文章和参考文献目录进行了全文筛选:范围界定审查产生了 14 条记录,包括来自五大洲 12 个不同国家的数据。这 14 条记录包括 1 篇系统综述、4 篇专家意见、2 篇混合方法研究、5 篇定性设计研究和 2 篇定量设计研究。综述内容提供了有关公开交流和披露的性质、利弊以及儿童福利院家长不愿或愿意公开交流的原因等信息:关于父母与儿童福利机构就其口吃问题进行交流以及向儿童和/或其他人披露儿童口吃问题的信息十分有限。儿童福利机构与其父母之间复杂的沟通动态需要进一步的深入研究:本文的贡献:本研究强调了有关父母与儿童福利机构之间公开交流的披露和动态缺乏实证证据,因此有必要开展研究以深入了解这一主题:对这一主题的已有认识 口吃患者的父母在与口吃患者及其他人员就口吃以及向孩子和/或其他人披露口吃的话题进行公开交流时,往往感到不确定、犹豫不决和不自在。尽管父母在儿童福利机构的生活中扮演着不可或缺的重要角色,但关于父母如何与儿童福利机构就口吃问题进行沟通,以及他们如何完成口吃披露过程的信息却很少。本研究的补充 本范围审查证实,有关父母与儿童福利机构沟通和披露口吃的过程的信息非常有限。本研究评估了有关这一问题的知识现状,为规划进一步研究奠定了基础。这项工作的临床意义是什么?本研究的结果未来有可能帮助 CWS 的父母了解与父母与 CWS 沟通和披露口吃有关的过程。我们鼓励就这一问题开展进一步研究。
{"title":"Parental communication dynamics with children who stutter: A scoping review.","authors":"Idillette Hartman, Daleen Klop, Leslie Swartz","doi":"10.1111/1460-6984.13129","DOIUrl":"https://doi.org/10.1111/1460-6984.13129","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Parents of children who stutter (CWS) are often uncertain, hesitant and uncomfortable to communicate openly with their CWS and other people on the topic of the stutter and disclosing the stutter to the child and/or other people.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;To map and understand the dynamics involved when parents communicate with their CWS and other people on the topic of their child's stuttering and disclosure of the stutter to the child and/or other people.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This scoping review was conducted in accordance with Joanna Briggs Institute methodology. The following platforms and search engines were identified and searched: Google Scholar, PubMed, ProQuest Databases and EBSCOhost: Academic Search Premier, Africa-Wide Information, CINAHL (Cumulative Index to Nursing and Allied Health Literature), ERIC (Educational Resources Information Center), Health Source Nursing/Academic Edition and MEDLINE. The search was limited to studies pertaining to parents of CWS, instead of people who stutter. The first two authors screened titles and abstracts of identified records, and thereafter, full-text screening was conducted of the selected articles as well as the reference lists.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The scoping review yielded 14 records that included data from 12 different countries representing five continents. The 14 records comprised one systematic review, four expert opinions, two studies with mixed methods, five with qualitative designs and two with quantitative designs. The review content provided information about the nature, advantages and disadvantages of open communication and disclosure as well as reasons why parents of CWS are reluctant or willing to communicate in an open way.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;There is limited information available about parental communication with CWS on the topic of their stuttering and disclosure of the child's stuttering to the child and/other people. The complexity of communication dynamics between CWS and their parents requires further in-depth research.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Contribution: &lt;/strong&gt;This study highlights the lack of empirical evidence about disclosure and the dynamics of open communication between parents and their CWS and the need for research to gain insight into this topic.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;What this paper adds: &lt;/strong&gt;What is already known on the subject Parents of CWS are often uncertain, hesitant and uncomfortable to communicate openly with their CWS and other people on the topic of the stutter and disclosing the stutter to the child and/or other people. Despite the important and indispensable role parents play in the life of their CWS, little information is available regarding the way in which parents communicate about stuttering with their CWS, and how they accomplish the process of stuttering disclosure. What this study adds This scoping review confirms that limited information is available regarding the process of paren","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584561","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
The vague language use scale: Clinical utility and psychometrics from adults with traumatic brain injury. 模糊语言使用量表:脑外伤成人的临床实用性和心理测量学。
IF 1.5 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-11-06 DOI: 10.1111/1460-6984.13130
Kathryn J Greenslade, Julia K Bushell, Emily F Dillon, Amy E Ramage
<p><strong>Background: </strong>Pragmatic communication difficulties encompass many distinct behaviours, including the use of vague and/or insufficient language, a common characteristic following traumatic brain injury (TBI) that negatively impacts psychosocial outcomes. Existing assessments evaluate pragmatic communication broadly, often with only one or two items capturing each behaviour, thus limiting sensitivity and precision to variations within each behaviour. Given that greater nuance is needed to detect subtle pragmatic communication differences and investigate underlying cognitive mechanisms, a more refined measure is critical to improve psychosocial outcomes. The Vague scale was developed to address those needs.</p><p><strong>Aim: </strong>To provide preliminary evidence supporting the novel Vague language use (Vague) scale's reliability, validity and clinical utility.</p><p><strong>Methods and procedures: </strong>The Vague scale rates each discourse sample utterance for vague language use on a 3-point scale; the measure's Vague score represents the mean of utterance-level ratings. Using the Vague scale, two raters naïve to diagnosis evaluated Cinderella narratives of 46 adults with severe TBI and 46 controls with no brain injury, providing reliability, construct validity and classification accuracy evidence. Vague scores were also compared to other clinical measures to gather criterion-related validity evidence.</p><p><strong>Outcomes and results: </strong>Interrater agreement across all transcripts was moderate. Construct validity was supported by expected group differences and criterion validation, including significant relationships with increased violations of Grice's maxim of quantity and measures of lexical variation; significant relationships with psychosocial outcomes, supporting clinical utility; and nonsignificant relationships with measures of syntax and overall pragmatic communication. Classification accuracy expectedly did not support using Vague scores in isolation for diagnosis, due to unacceptable sensitivity (0.696).</p><p><strong>Conclusions and implications: </strong>Evidence supported the Vague scores' psychometric properties. Thus, the Vague scale shows promise as a measure of one distinct pragmatic communication behaviour: vague language use. Future research should apply the Vague scale to determine its sensitivity in individuals with subtle social communication challenges (e.g., mild TBI), explore its utility with more naturalistic discourse samples as part of a pragmatic communication battery, longitudinally examine changes in Vague scores, and investigate cognitive mechanisms underlying this specific pragmatic communication behaviour.</p><p><strong>What this paper adds: </strong>What is already known on this subject Use of vague language is common following traumatic brain injury (TBI) and may contribute to negative psychosocial outcomes related to employment and relationships. However, existing measures of va
背景:实用性交流障碍包含许多不同的行为,包括使用含糊不清和/或不充分的语言,这是创伤性脑损伤(TBI)后的一个常见特征,会对心理社会结果产生负面影响。现有的评估对实用沟通能力的评估较为宽泛,通常只有一到两个项目能捕捉到每种行为,从而限制了对每种行为内部变化的敏感性和精确性。鉴于需要更细微的差异来检测细微的实用交流差异并研究潜在的认知机制,因此更精细的测量对于改善心理社会结果至关重要。Vague 量表就是为满足这些需求而开发的。目的:提供初步证据,证明新颖的 Vague 语言使用(Vague)量表的可靠性、有效性和临床实用性:Vague 量表对每个话语样本语篇的模糊语言使用情况进行 3 级评分;该量表的 Vague 分数代表了语篇级别评分的平均值。通过使用模糊量表,两名对诊断一无所知的评分者对 46 名患有严重创伤性脑损伤的成人和 46 名未受脑损伤的对照者的灰姑娘叙事进行了评估,从而提供了可靠性、构建有效性和分类准确性方面的证据。此外,还将模糊评分与其他临床测量方法进行了比较,以收集与标准相关的有效性证据:所有记录誊本的互译一致性均为中等。结构效度得到了预期的组间差异和标准验证的支持,包括与格莱斯数量格言和词汇变异测量之间的显著关系;与社会心理结果之间的显著关系,支持临床实用性;与句法和整体语用交流测量之间的非显著关系。由于灵敏度(0.696)无法接受,因此分类准确性不支持单独使用 Vague 评分进行诊断:有证据支持模糊量表的心理测量特性。因此,模糊量表有望作为一种独特的语用交流行为的测量方法:模糊语言的使用。未来的研究应该应用模糊量表来确定其对具有微妙社会交际障碍(如轻度创伤性脑损伤)的个体的敏感性,探索其在更多自然话语样本中的实用性,将其作为实用性交际电池的一部分,纵向研究模糊量表得分的变化,并研究这种特殊实用性交际行为的认知机制:对这一主题的认识 模糊语言的使用在创伤性脑损伤(TBI)后很常见,可能会导致与就业和人际关系相关的负面社会心理结果。然而,现有的模糊语言测量方法缺乏灵敏度和精确度,限制了它们在识别微妙的表现差异或确定这种特定实用交流行为的认知机制方面的实用性。本研究对现有知识的补充 本研究收集了可靠、有效和临床实用的证据,以支持使用新型模糊语言使用量表(Vague)。根据患有和未患有创伤性脑损伤的成年人的复杂(灰姑娘)故事,Vague 评分显示出中等程度的评分者之间的一致性,并根据预期的群体差异和标准验证显示出良好的建构效度,包括与相关建构的中等程度关联和与无关建构的微弱关联。由于创伤后的实用交流情况可能会有所不同,因此分类准确性表明,Vague 评分不应单独用于识别创伤后的交流差异。这项研究的临床意义是什么?Vague 评分显示了记录客户使用模糊语言和规划干预措施以应对相关话语层面挑战的前景。未来的研究应该调查将模糊量表应用于自然话语样本的情况:(1)作为敏感而精确地识别实用性交流差异的电池的一部分;(2)作为调查模糊语言使用的认知机制的工具,目的是改进支持实用性交流和提高社会心理成果的干预措施。
{"title":"The vague language use scale: Clinical utility and psychometrics from adults with traumatic brain injury.","authors":"Kathryn J Greenslade, Julia K Bushell, Emily F Dillon, Amy E Ramage","doi":"10.1111/1460-6984.13130","DOIUrl":"10.1111/1460-6984.13130","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Pragmatic communication difficulties encompass many distinct behaviours, including the use of vague and/or insufficient language, a common characteristic following traumatic brain injury (TBI) that negatively impacts psychosocial outcomes. Existing assessments evaluate pragmatic communication broadly, often with only one or two items capturing each behaviour, thus limiting sensitivity and precision to variations within each behaviour. Given that greater nuance is needed to detect subtle pragmatic communication differences and investigate underlying cognitive mechanisms, a more refined measure is critical to improve psychosocial outcomes. The Vague scale was developed to address those needs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To provide preliminary evidence supporting the novel Vague language use (Vague) scale's reliability, validity and clinical utility.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods and procedures: &lt;/strong&gt;The Vague scale rates each discourse sample utterance for vague language use on a 3-point scale; the measure's Vague score represents the mean of utterance-level ratings. Using the Vague scale, two raters naïve to diagnosis evaluated Cinderella narratives of 46 adults with severe TBI and 46 controls with no brain injury, providing reliability, construct validity and classification accuracy evidence. Vague scores were also compared to other clinical measures to gather criterion-related validity evidence.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcomes and results: &lt;/strong&gt;Interrater agreement across all transcripts was moderate. Construct validity was supported by expected group differences and criterion validation, including significant relationships with increased violations of Grice's maxim of quantity and measures of lexical variation; significant relationships with psychosocial outcomes, supporting clinical utility; and nonsignificant relationships with measures of syntax and overall pragmatic communication. Classification accuracy expectedly did not support using Vague scores in isolation for diagnosis, due to unacceptable sensitivity (0.696).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions and implications: &lt;/strong&gt;Evidence supported the Vague scores' psychometric properties. Thus, the Vague scale shows promise as a measure of one distinct pragmatic communication behaviour: vague language use. Future research should apply the Vague scale to determine its sensitivity in individuals with subtle social communication challenges (e.g., mild TBI), explore its utility with more naturalistic discourse samples as part of a pragmatic communication battery, longitudinally examine changes in Vague scores, and investigate cognitive mechanisms underlying this specific pragmatic communication behaviour.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;What this paper adds: &lt;/strong&gt;What is already known on this subject Use of vague language is common following traumatic brain injury (TBI) and may contribute to negative psychosocial outcomes related to employment and relationships. However, existing measures of va","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584566","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
Personalized, performance-specific speech intervention in children with a cleft palate: A systematic review protocol. 对腭裂儿童进行个性化、针对具体表现的语言干预:系统综述方案。
IF 1.5 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-10-25 DOI: 10.1111/1460-6984.13128
Cassandra Alighieri, Kim Bettens, Febe Vandewiele, Kristiane Van Lierde

Background: The provision of speech intervention in children requires personalized, child-tailored approaches. Different speech-intervention approaches exist to eliminate cleft-related speech errors in children with a cleft palate. However, it is unclear what approach works best for the subtypes of cleft-related speech errors.

Aims: To describe a protocol for a systematic review that provides speech-language pathologists with the current literature concerning more individualized speech intervention in children with a cleft palate.

Methods & procedures: A systematic literature review was performed following the preferred reporting items for systematic reviews and meta-analyses. Two speech-language pathologists with clinical and scientific experience in cleft speech searched different electronic databases for relevant studies. No limit regarding publication date was set. Specific eligibility criteria were defined and used to include or exclude the studies. All included studies were evaluated with a risk-of-bias assessment tool and levels of evidence. Relevant data were extracted from the studies (study design, study population characteristics, intervention characteristics and outcome characteristics) and a narrative synthesis was performed.

Conclusions & implications: The findings of this systematic review will significantly contribute to the evidence on personalized speech intervention in children with a cleft palate. The study will inform speech-language pathologists on the possibilities to tailor treatment plans more to the specific subtype of cleft-related speech errors. The planned systematic review also makes recommendations for further cleft speech intervention research.

What this paper adds: What is already known on this subject At present, there is growing evidence for different speech therapy approaches in children with a cleft palate. Despite the recognized need for personalized, child-tailored therapy, there is no consensus on the best speech therapy approach per different subtype of compensatory cleft speech characteristic. What this study adds to the existing knowledge This paper provides a protocol for a systematic literature review of this topic. Specifically, it searches the literature for the use of personalized speech therapy approaches in children with different subtypes of compensatory cleft speech characteristics. What are the practical and clinical implications of this work? The systematic literature review provides speech-language pathologists with the current literature concerning personalized, performance-specific speech intervention in children with a cleft palate. Besides, the results will support therapy decision-making in children with a cleft palate in different speech-related clinical contexts.

背景:为儿童提供语言干预需要个性化的、适合儿童的方法。目前有不同的言语干预方法来消除腭裂儿童与腭裂相关的言语错误。目的:描述系统性综述的方案,为语言病理学家提供有关对腭裂儿童进行更个性化语言干预的最新文献:按照系统综述和荟萃分析的首选报告项目进行系统文献综述。两位在腭裂言语治疗方面具有临床和科研经验的言语病理学家在不同的电子数据库中搜索了相关研究。没有设定发表日期限制。界定了具体的资格标准,并用于纳入或排除研究。所有纳入的研究均采用偏倚风险评估工具和证据等级进行评估。从研究中提取相关数据(研究设计、研究人群特征、干预特征和结果特征)并进行叙述性综合:本系统综述的研究结果将极大地丰富腭裂儿童个性化言语干预的证据。这项研究将为言语病理学家提供信息,使他们能够根据与腭裂相关的言语错误的具体亚型制定更适合的治疗方案。计划中的系统综述还为进一步的唇裂语言干预研究提出了建议:目前,越来越多的证据表明,腭裂儿童可以采用不同的言语治疗方法。尽管人们认识到需要针对儿童的个性化治疗,但对于不同亚型的代偿性裂隙言语特征的最佳言语治疗方法还没有达成共识。本研究对现有知识的补充 本文提供了对这一主题进行系统性文献综述的方案。具体而言,它检索了关于在具有不同亚型代偿性裂隙言语特征的儿童中使用个性化言语治疗方法的文献。这项工作有哪些实际和临床意义?系统性文献综述为言语病理学家提供了有关针对腭裂儿童的个性化、特定表现言语干预的最新文献。此外,研究结果还将为腭裂儿童在不同语言相关临床环境中的治疗决策提供支持。
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引用次数: 0
A survey of dysphagia services practice in China 中国吞咽困难服务实践调查。
IF 1.5 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-10-21 DOI: 10.1111/1460-6984.13127
Yi Li, Qiongshuai Zhang, Jing Zeng, Liugen Wang
<div> <section> <h3> Background</h3> <p>Dysphagia services have only recently been formalised within Chinese health services. There has been no comprehensive evaluation of all aspects of dysphagia services practice in China.</p> </section> <section> <h3> Aims</h3> <p>To provide a profile for the dysphagia practice in China by assessing various facets of dysphagia services.</p> </section> <section> <h3> Methods and Procedures</h3> <p>This is a survey study carried out from December 2022 to May 2023 online in China. One hundred fifty-nine respondents comprising doctors, nurses or therapists involved in the field of dysphagia rehabilitation completed a questionnaire via Sojump. The questionnaire included dichotomous (e.g., yes/no) and multiple-choice questions related to participants' general information and their provision of dysphagia management services. Results were analysed descriptively and the differences among different levels of hospitals were analysed.</p> </section> <section> <h3> Outcomes and Results</h3> <p>Approximately two-thirds of hospitals (67.9%) started dysphagia services within the last 5 years. A significant difference in the initiation of dysphagia rehabilitation was observed across different hospital levels (<i>χ</i><sup>2 </sup> = 32.70;<i>p</i> < 0.001). Routine dysphagia screening was a standard practice in most hospitals (71.7%), with the most frequently employed screening method being the water swallow test (95.6%). Clinical swallowing evaluation emerged as the preferred initial assessment method (80.5%) and the most utilised assessment method (91.8%). Video fluoroscopic swallow study and flexible endoscopic evaluation swallowing were used by 22.7% and 12.6% of respondents. A significant difference was observed in the choice of assessment methods across hospitals of different levels (<i>χ</i><sup>2</sup> = 43.397; <i>p</i> < 0.001). The majority of respondents (53.5%) primarily employed rehabilitation as the main intervention method (76%–100%). Most respondents indicated that they would reevaluate patients after treatment (74.8%) and reported routine follow-up with patients (60.4%).</p> </section> <section> <h3> Conclusions and Implications</h3> <p>Despite the relatively recent development of dysphagia management in China, the practice patterns uncovered in this study are broadly consistent with Chinese guidelines and consensus. However, the use of instrumental assessments remains low, resulting in a lack of objective evaluation of patient conditions and outcomes. There is a need for policy and resource support in the f
背景:吞咽困难服务最近才在中国的医疗服务机构中正式开展起来。目的:通过评估吞咽困难服务的各个方面,为中国的吞咽困难服务提供一个概况:这是一项于2022年12月至2023年5月在中国进行的在线调查研究。159名受访者包括吞咽困难康复领域的医生、护士或治疗师,他们通过Sojump完成了一份调查问卷。问卷包括二分法(如 "是/否")和多项选择题,内容涉及参与者的一般信息及其提供的吞咽困难管理服务。调查结果采用描述性分析,并分析了不同级别医院之间的差异:约三分之二的医院(67.9%)在过去 5 年内开始提供吞咽困难治疗服务。不同级别医院在开始吞咽困难康复治疗方面存在明显差异(χ2 = 32.70;p 2 = 43.397; p < 0.001)。大多数受访者(53.5%)主要采用康复治疗作为主要干预方法(76%-100%)。大多数受访者表示会在治疗后对患者进行重新评估(74.8%),并对患者进行常规随访(60.4%):尽管中国的吞咽困难管理发展相对较晚,但本研究发现的实践模式与中国的指南和共识基本一致。然而,工具性评估的使用率仍然很低,导致缺乏对患者病情和结果的客观评估。中国在吞咽困难康复领域需要政策和资源支持:对这一问题的认识 吞咽困难的评估和治疗方法因患者、医疗机构和环境的不同而各异。目前尚未对中国吞咽困难康复实践的各个方面进行全面评估。本研究对现有知识的补充 本研究通过在线调查对中国吞咽困难康复的各个方面进行了评估。我们发现,中国吞咽困难管理的发展相对较晚,但本研究发现的实践模式与中国的指南和共识基本一致。不同级别医院在实践模式上的差异可能与资源限制和患者需求有关。此外,虽然康复训练是中国吞咽困难的主要干预方法,但评估主要集中于临床吞咽评估。工具性评估的使用率仍然较低,导致缺乏对患者病情和结果的客观评价。这项工作的临床意义是什么?本研究对中国吞咽困难康复的各个方面进行了评估,结果表明,中国在吞咽困难康复领域需要提高工具评估的使用率,并需要政策和资源支持。
{"title":"A survey of dysphagia services practice in China","authors":"Yi Li,&nbsp;Qiongshuai Zhang,&nbsp;Jing Zeng,&nbsp;Liugen Wang","doi":"10.1111/1460-6984.13127","DOIUrl":"10.1111/1460-6984.13127","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Dysphagia services have only recently been formalised within Chinese health services. There has been no comprehensive evaluation of all aspects of dysphagia services practice in China.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To provide a profile for the dysphagia practice in China by assessing various facets of dysphagia services.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods and Procedures&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This is a survey study carried out from December 2022 to May 2023 online in China. One hundred fifty-nine respondents comprising doctors, nurses or therapists involved in the field of dysphagia rehabilitation completed a questionnaire via Sojump. The questionnaire included dichotomous (e.g., yes/no) and multiple-choice questions related to participants' general information and their provision of dysphagia management services. Results were analysed descriptively and the differences among different levels of hospitals were analysed.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Outcomes and Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Approximately two-thirds of hospitals (67.9%) started dysphagia services within the last 5 years. A significant difference in the initiation of dysphagia rehabilitation was observed across different hospital levels (&lt;i&gt;χ&lt;/i&gt;&lt;sup&gt;2 &lt;/sup&gt; = 32.70;&lt;i&gt;p&lt;/i&gt; &lt; 0.001). Routine dysphagia screening was a standard practice in most hospitals (71.7%), with the most frequently employed screening method being the water swallow test (95.6%). Clinical swallowing evaluation emerged as the preferred initial assessment method (80.5%) and the most utilised assessment method (91.8%). Video fluoroscopic swallow study and flexible endoscopic evaluation swallowing were used by 22.7% and 12.6% of respondents. A significant difference was observed in the choice of assessment methods across hospitals of different levels (&lt;i&gt;χ&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 43.397; &lt;i&gt;p&lt;/i&gt; &lt; 0.001). The majority of respondents (53.5%) primarily employed rehabilitation as the main intervention method (76%–100%). Most respondents indicated that they would reevaluate patients after treatment (74.8%) and reported routine follow-up with patients (60.4%).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions and Implications&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Despite the relatively recent development of dysphagia management in China, the practice patterns uncovered in this study are broadly consistent with Chinese guidelines and consensus. However, the use of instrumental assessments remains low, resulting in a lack of objective evaluation of patient conditions and outcomes. There is a need for policy and resource support in the f","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"59 6","pages":"3004-3017"},"PeriodicalIF":1.5,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478810","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
Meta-analysis reveals low language capacity in childhood is associated with mental health problems in adulthood 元分析显示,儿童时期语言能力低下与成年后的心理健康问题有关。
IF 1.5 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-10-19 DOI: 10.1111/1460-6984.13125
Shelby W. Y. Lim, Jarrad A. G. Lum
<div> <section> <h3> Background</h3> <p>Children and adolescents with language problems have poorer mental health compared with their non-language impaired peers. Less is known about mental health in adults with a history of language problems. This paper presents a systematic review and meta-analysis that addresses this gap in the literature. Specifically, it summarises the results from studies examining anxiety and depression in adults (aged 18 years and over) who were identified with language impairments or problems earlier in development.</p> </section> <section> <h3> Methods & Procedures</h3> <p>Five electronic databases (PsycINFO, ERIC, CINAHL, EMBASE and PubMed) were searched for studies comparing anxiety and/or depression in a sample of adults with and without a history of language problems. Nine studies were found that met the inclusion criteria. From each, an odds ratio (OR) was computed measuring the relationship between childhood language problems and anxiety or depression in adulthood. The OR was computed so values > 1 which indicated anxiety/depression were associated with a history of language problems. ORs were averaged using multilevel random effects meta-analysis.</p> </section> <section> <h3> Outcomes & Results</h3> <p>Averaging the study's findings across both anxiety and depression outcomes, we found that a history of childhood language problems was associated with poorer mental health in adulthood (OR = 1.79, <i>p</i> = 0.004). The association for anxiety was also significant (OR = 1.80, <i>p</i> = 0.012) and close to statistical significance for depression (OR = 1.60, <i>p</i> = 0.054).</p> </section> <section> <h3> Conclusions & Implications</h3> <p>This review reveals that adults with a history of language problems are more likely to experience poorer mental health outcomes compared with controls. These findings demonstrate childhood language problems affect not only communication but also mental health and well-being in the long term.</p> </section> <section> <h3> WHAT THIS PAPER ADDS</h3> <section> <h3> What is already known on the subject</h3> <div> <ul> <li>Prior research examining mental health in children and adolescents with language problems reveals a twofold increased risk of internalising problems, including anxiety and depression. However, little is known ab
背景:与没有语言障碍的同龄人相比,有语言问题的儿童和青少年的心理健康状况较差。人们对有语言障碍的成年人的心理健康状况知之甚少。本文针对这一文献空白进行了系统回顾和荟萃分析。具体而言,它总结了对在发育早期被发现有语言障碍或问题的成年人(18 岁及以上)的焦虑和抑郁情况进行研究的结果:我们在五个电子数据库(PsycINFO、ERIC、CINAHL、EMBASE 和 PubMed)中搜索了有语言问题和没有语言问题的成年人样本,比较他们的焦虑和/或抑郁情况。结果发现有九项研究符合纳入标准。每项研究都计算了衡量童年语言问题与成年后焦虑或抑郁之间关系的几率比(OR)。计算出的 OR 值>1,表示焦虑/抑郁与语言问题史有关。采用多层次随机效应荟萃分析法对 OR 进行平均:通过对焦虑和抑郁结果的平均分析,我们发现童年语言问题史与成年后较差的心理健康状况有关(OR = 1.79,p = 0.004)。焦虑的相关性也很显著(OR = 1.80,p = 0.012),抑郁的相关性接近统计学意义(OR = 1.60,p = 0.054):本综述显示,与对照组相比,有语言问题史的成年人更有可能出现较差的心理健康结果。这些研究结果表明,童年时期的语言问题不仅会影响沟通,还会长期影响心理健康和幸福感:对这一主题已有的了解 对有语言问题的儿童和青少年的心理健康进行的先前研究显示,出现内化问题(包括焦虑和抑郁)的风险增加了两倍。然而,人们对有语言问题史的成年人的心理健康结果却知之甚少。本文对现有知识的补充 主要发现是儿童时期的语言问题与成年后焦虑和抑郁风险的增加有关。这项工作有哪些实际和临床意义?首先,这项研究表明,童年时期的语言问题会增加成年后心理健康状况不佳的风险。其次,在成人心理健康环境中,有必要对语言问题进行筛查,并酌情调整干预措施,以满足患者/客户的沟通需求。要解决这些问题,需要整合并认识到言语治疗在成人心理健康系统中的重要性。
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引用次数: 0
Child, family and professional views on valued communication outcomes for non-verbal children with neurodisability: A qualitative meta-synthesis 儿童、家庭和专业人员对神经残疾非语言儿童的重要沟通成果的看法:定性元综合。
IF 1.5 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-10-17 DOI: 10.1111/1460-6984.13121
Katherine Buckeridge, Vanessa Abrahamson, Tracy Pellatt-Higgins, Diane Sellers, Lindsay Forbes
<div> <section> <h3> Background</h3> <p>There are many children with neurodisability who are unable to rely on speech to communicate and so use a range of augmentative and alternative communication (AAC) methods and strategies to get their message across. Current instruments designed to measure the outcomes of speech and language therapy interventions lack specific attention to communication outcomes that are valued by non-verbal children with neurodisability, their families and support networks. This qualitative meta-synthesis was conducted to identify valued communication outcomes to inform the next stage of developing a novel outcome measure.</p> </section> <section> <h3> Aims</h3> <p>To systematically identify and synthesise the qualitative evidence about which communication outcomes non-verbal children with neurodisability, their family members, healthcare professionals and educators think are important to achieve, specifically which communication outcomes are most valued by: (1) non-verbal children with neurodisability; (2) parents or other family members of non-verbal children with neurodisability; and (3) professionals who work with non-verbal children with neurodisability.</p> </section> <section> <h3> Methods & Procedures</h3> <p>A systematic search of bibliographic databases and the grey literature was undertaken to identify qualitative studies that included evidence of views expressed by children, family members, healthcare professionals and educators on outcomes in relation to the communication of non-verbal children with neurodisability. All papers meeting the inclusion criteria were quality appraised using the Critical Appraisal Skills Programme Qualitative checklist, although none were excluded on this basis. The data synthesis involved organising coded data into descriptive themes which were then synthesised into analytical themes.</p> </section> <section> <h3> Main Contribution</h3> <p>We found 47 papers containing qualitative data meeting the inclusion criteria from research situated in 14 countries. The views of 35 children, 183 parents, six other family members, 42 healthcare professionals and 18 educators are represented in the review. The included studies contained very few data reported by children themselves; most data were provided by adults, especially parents. Three main analytical themes were identified: Experiences of communication and expectations; adapting to and acceptance of AAC; and becoming an autonomous communicator.</p> </section> <section>
背景:许多神经残疾儿童无法依靠语言进行交流,因此他们使用一系列辅助和替代性交流(AAC)方法和策略来传递信息。目前用于衡量言语和语言治疗干预成果的工具缺乏对非语言神经残疾儿童、其家庭和支持网络所重视的交流成果的特别关注。目的:系统地识别和综合有关神经障碍非言语儿童、其家庭成员、医疗保健专业人员和教育工作者认为哪些交流成果是重要的,特别是哪些交流成果是以下各方最看重的定性证据:(1)神经障碍非言语儿童、其家庭成员、医疗保健专业人员和教育工作者;(2)神经障碍非言语儿童、其家庭成员、医疗保健专业人员和教育工作者;(3)神经障碍非言语儿童、其家庭成员、医疗保健专业人员和教育工作者:(方法与程序:我们对文献数据库和灰色文献进行了系统性检索,以确定哪些定性研究包含了儿童、家庭成员、医疗保健专业人员和教育工作者对神经残疾无语言能力儿童的沟通结果所表达的观点的证据。所有符合纳入标准的论文都使用 "批判性评估技能计划定性检查表 "进行了质量评估,但没有一篇论文因此被排除在外。数据综合包括将编码数据组织成描述性主题,然后将这些主题综合成分析性主题:我们从 14 个国家的研究中发现了 47 篇论文,其中包含符合纳入标准的定性数据。35 名儿童、183 名家长、6 名其他家庭成员、42 名医疗保健专业人员和 18 名教育工作者的观点在综述中均有体现。所纳入的研究很少包含儿童自己报告的数据;大多数数据都是由成人,尤其是父母提供的。我们确定了三个主要分析主题:交流经验和期望;适应和接受辅助交流设备;成为自主交流者:本综述汇集了有限的定性研究结果,这些研究结果涉及家长、专业人士和儿童对神经残疾非语言儿童的重要沟通结果的看法。本综述指出了我们在了解儿童及其兄弟姐妹的观点方面存在的主要差距。本综述将为初级研究提供信息,以了解该群体中重要的沟通结果,并最终开发出一种患者报告结果测量法(PROM),用于在临床和服务层面展示干预措施的效果:关于该主题的已知信息 对大脑性麻痹和自闭症谱系障碍儿童的研究表明,至少有 25% 的此类儿童不会说话。对神经残疾儿童健康状况的研究表明,家长和医疗专业人员都认为沟通很重要。关于哪些沟通结果对非语言儿童、其家庭和与他们一起工作的人来说是重要的,目前还存在证据缺口。本文对现有知识的补充 这是第一份有关神经残疾非语言儿童沟通成果的数据综述。这份定性元综述从以往的研究中找出了无语言能力儿童、他们的父母或其他家庭成员以及与他们一起工作的专业人员所重视的交流成果。研究结果将用于开展进一步的初级研究,并为无语言能力的神经残疾儿童开发一种新的患者报告沟通结果测量方法。预计临床医生将以此来衡量干预措施的效果。这项工作有哪些实际和临床意义?临床医生在与家长讨论可能的结果之前,应先反思家长与孩子沟通的经历。深入了解非语言儿童及其家人在沟通方面的生活经历将有助于医疗专业人员了解哪些目标对他们来说是重要的,以及为什么。很少有研究专门询问哪些沟通结果对患有神经残疾的非语言儿童是重要的。我们需要进一步探索,以确定非语言儿童及其家人希望将哪些沟通结果纳入临床医生使用的结果测量中。
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引用次数: 0
Learner training for phonetic transcription of typical and/or disordered speech: A scoping review 典型和/或失调语音音标的学习者培训:范围综述。
IF 1.5 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-10-08 DOI: 10.1111/1460-6984.13126
Alice Lee, Nicola Bessell
<div> <section> <h3> Background</h3> <p>Phonetic transcription is a core skill of speech and language therapists/pathologists (SLT/Ps) for clinical assessment of speech sounds and/or errors, and linguists for investigation of phonetic phenomena in various languages; hence, it is included in the curriculum of the corresponding degree programme. Many experts and course instructors have discussed their opinions on different aspects of phonetic transcription teaching and/or reported their own training programmes. However, no review has systematically summarized the types of expert recommendations and training methodology reported in the literature. Such information is important for mapping the knowledge gaps, refining current teaching and planning further research.</p> </section> <section> <h3> Aims</h3> <p>To systematically summarize (1) the materials and procedures for delivering and evaluating phonetic transcription training programmes, and (2) the opinions from experts in phonetic transcription teaching regarding but not limited to the content, rationale(s), format and structure, and timing of teaching phonetic transcription of typical speech and/or disordered speech reported in the literature.</p> </section> <section> <h3> Methods & Procedures</h3> <p>A scoping review was carried out by following the Joanna Briggs Institute methodology. PubMed, EBSCOhost and Web of Science were searched and citation searching of included papers was completed. The included papers were divided into training programme reports, of which data (e.g., type and number of speech stimuli used, type and number of learners, outcome measures) were charted, and expert opinion papers, analysed using content analysis.</p> </section> <section> <h3> Main contribution</h3> <p>A total of 565 studies were retrieved. After excluding duplicates and irrelevant papers and merging two sources that reported the same training, a total of 23 sources on training programmes and six opinion papers were analysed. Most training were for English and for SLT/P students, with some for the linguistics students. There are variations in the training content (with phonetic transcription practice as the main procedure), delivery mode (some presented via websites or computer software), stimuli (audio recordings of typical adults and children with speech disorders were most used), feedback (mostly immediate feedback using answer keys) and outcome measures (mainly transcription accuracy of learners and user opinions). Content analysis of opinion papers determined five main categories: rationale for train
背景:语音转写是言语和语言治疗师/病理学家(SLT/Ps)对语音和/或错误进行临床评估的核心技能,也是语言学家研究各种语言中语音现象的核心技能。许多专家和课程讲师讨论了他们对音标教学不同方面的看法,并/或报告了他们自己的培训计划。然而,还没有任何一篇综述系统地总结了文献中报道的专家建议和培训方法的类型。目的:系统总结(1)语音转写培训项目的实施和评估材料及程序;(2)语音转写教学专家对文献中报道的典型语音和/或失调语音的语音转写教学内容、原理、形式和结构以及时间安排等方面的意见:按照乔安娜-布里格斯研究所(Joanna Briggs Institute)的方法进行了范围界定审查。对 PubMed、EBSCOhost 和 Web of Science 进行了检索,并对收录的论文进行了引文检索。纳入的论文分为培训计划报告和专家意见论文,前者的数据(如使用的语言刺激类型和数量、学习者类型和数量、结果测量)以图表形式列出,后者则采用内容分析法进行分析:主要成果:共检索到 565 项研究。在排除了重复和不相关的论文,并合并了报告相同培训的两份资料后,共分析了 23 份有关培训计划的资料和 6 份意见书。大多数培训是针对英语和 SLT/P 学生的,也有一些是针对语言学学生的。培训内容(以语音转写练习为主要程序)、授课方式(有些通过网站或计算机软件授课)、刺激物(使用最多的是典型成人和有语言障碍儿童的录音)、反馈(大多是使用答案键的即时反馈)和结果测量(主要是学习者的转写准确性和使用者的意见)各不相同。对意见书的内容分析确定了五个主要类别:培训理由;培训实施的各个方面;转录;注意到的问题领域;以及策略/资源:讨论了对教学的影响和考虑,以及对循证培训设计研究的建议。研究结果有助于在教育课程中制定有关音标培训的一般指导原则,并有助于建立注册前能力:语音转写是 SLT/Ps 和语言学家进行临床言语评估和研究的核心技能,也是相关学位课程的重要组成部分。许多专家和课程讲师在不同的资料来源(如书籍和章节、研究论文和会议记录)中讨论了他们对语音转写教学的看法和/或报告了他们自己的培训计划。本文对现有知识的补充 本文报告了一项范围界定审查,系统地总结了文献中报道的用于实施和评估注音课程的材料和程序,以及专家对注音教学的意见和建议。通过这两类资料,我们可以综合讨论语音转写培训的各个方面,如内容、形式和结构、教学材料和时间安排以及培训效果评估等。这项工作有哪些潜在或实际的临床意义?综合和讨论的数据为回顾当前在 SLT 教育中的音标教学实践奠定了基础。研究结果有助于制定教育课程中音标训练的一般准则,并有助于建立注册前的能力。
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引用次数: 0
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International Journal of Language & Communication Disorders
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