Sébastien Finlay, Geneviève Lamoureux, Anne Moïse-Richard, Lucie Ménard, Ingrid Verduyckt
Objectives
People who stutter (PWS) experience stigma-based health inequalities that can negatively impact their quality of life. Yet, few interventions in the literature are explicitly designed to address these systemic disparities. The Responsible Innovation in Health (RIH) framework offers a promising foundation for developing health innovations that are equitable, sustainable and contextually responsive. This study explores how stakeholders interpret and apply the RIH framework to envision interventions that reduce stigma and promote health equity for PWS.
Methods
Using a mixed-methods design, namely the Participative Concept Mapping Approach, stakeholders (PWS, clinicians, health innovators) participated in a workshop to generate, sort and rate ideas based on their importance and feasibility. Concept maps were used to analyse and categorize ideas thematically.
Results
Stakeholders generated 94 ideas across six clusters as follows: (1) Digital Technology and Video Media, (2) Collective and Professional Approaches, (3) Cost and Accessibility, (4) Inclusive and Sustainable Intervention Design, (5) Engaging Multi-Modal Approaches and (6) Flexibility. The environmental responsibility value of the RIH framework received limited focus. Discrepancies between the importance and feasibility of ideas highlighted challenges in implementing interventions, while ensuring their sustainability.
Conclusion
This study demonstrates how stakeholders prioritize values of the RIH framework when envisioning stigma-reducing health innovations for PWS. Findings highlight the need for embedding sustainability within clinical practices and underscore the importance of patient and user feedback to bridge the gap between impactful concepts and practical solutions, ensuring that interventions are meaningful, feasible and grounded in the RIH values.
WHAT THIS PAPER ADDS
What is already known on this subject
Stuttering is associated with stigma-based health inequalities that extend beyond speech, impacting PWS across multiple domains of life. Research has documented the effects of stigma on quality of life, access to care and communicative participation for PWS. However, frameworks to guide the develo
{"title":"Stakeholder Perspectives on the Responsible Innovation in Health Framework for Addressing Stigma-Based Health Inequalities Among People Who Stutter","authors":"Sébastien Finlay, Geneviève Lamoureux, Anne Moïse-Richard, Lucie Ménard, Ingrid Verduyckt","doi":"10.1111/1460-6984.70115","DOIUrl":"https://doi.org/10.1111/1460-6984.70115","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>People who stutter (PWS) experience stigma-based health inequalities that can negatively impact their quality of life. Yet, few interventions in the literature are explicitly designed to address these systemic disparities. The Responsible Innovation in Health (RIH) framework offers a promising foundation for developing health innovations that are equitable, sustainable and contextually responsive. This study explores how stakeholders interpret and apply the RIH framework to envision interventions that reduce stigma and promote health equity for PWS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using a mixed-methods design, namely the Participative Concept Mapping Approach, stakeholders (PWS, clinicians, health innovators) participated in a workshop to generate, sort and rate ideas based on their importance and feasibility. Concept maps were used to analyse and categorize ideas thematically.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Stakeholders generated 94 ideas across six clusters as follows: (1) Digital Technology and Video Media, (2) Collective and Professional Approaches, (3) Cost and Accessibility, (4) Inclusive and Sustainable Intervention Design, (5) Engaging Multi-Modal Approaches and (6) Flexibility. The environmental responsibility value of the RIH framework received limited focus. Discrepancies between the importance and feasibility of ideas highlighted challenges in implementing interventions, while ensuring their sustainability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study demonstrates how stakeholders prioritize values of the RIH framework when envisioning stigma-reducing health innovations for PWS. Findings highlight the need for embedding sustainability within clinical practices and underscore the importance of patient and user feedback to bridge the gap between impactful concepts and practical solutions, ensuring that interventions are meaningful, feasible and grounded in the RIH values.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on this subject</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>Stuttering is associated with stigma-based health inequalities that extend beyond speech, impacting PWS across multiple domains of life. Research has documented the effects of stigma on quality of life, access to care and communicative participation for PWS. However, frameworks to guide the develo","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70115","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katherine Shobbrook, Rosie Miller, Shybah Yunis, Suzanne Beeke, Wendy Best
<div> <section> <h3> Background</h3> <p>Oral comprehension difficulties are prevalent amongst preschool children with language needs and are related to academic, social and emotional outcomes. Speech and language therapists (SLTs) frequently deliver comprehension intervention to preschool children, but the influences on their clinical decisions are unknown. Understanding these influences and how chosen interventions align with models of evidence-based practice (EBP), particularly in an area where research evidence is sparse, is crucial to developing effective intervention and supporting the implementation of research to practice.</p> </section> <section> <h3> Aims</h3> <p>To investigate SLTs’ perspectives on the delivery of intervention to preschool children with oral comprehension difficulties and to examine these in the context of models of EBP.</p> </section> <section> <h3> Methods and Procedures</h3> <p>Semi-structured interviewing gathered the perspectives of 14 UK-based SLTs, representing a range of years of experience, work settings and employment models (NHS and independent). Data were analysed using reflexive thematic analysis.</p> </section> <section> <h3> Outcomes and Results</h3> <p>The overarching theme ‘Flexibility and Constraint’ described a complex and challenging process whereby SLTs respond to sometimes conflicting influences from external drivers, the needs of the child and adults around them, perspectives on who has responsibility for effecting change, and their own perceptions of clinical autonomy.</p> </section> <section> <h3> Conclusions and Implications</h3> <p>SLTs’ practice aligns with components of EBP, but the need to be flexible and responsive to individual circumstances is frequently in conflict with constraints affecting the ability to deliver individualised intervention. Implications include how individual SLTs and speech and language therapy services promote the ways in which they are evidence-based practitioners and advocate for their specialist role in supporting preschool children with oral comprehension difficulties.</p> </section> <section> <h3> WHAT THIS PAPER ADDS</h3> <div><i>What is already known on this subject</i> <ul> <li>Models of EBP emphasise the considered application of research, patient preferences and clinician-related
{"title":"'Why Aren't We Fighting Our Case?': Speech and Language Therapists’ Perspectives on Intervention for Preschool Children With Oral Comprehension Difficulties","authors":"Katherine Shobbrook, Rosie Miller, Shybah Yunis, Suzanne Beeke, Wendy Best","doi":"10.1111/1460-6984.70112","DOIUrl":"https://doi.org/10.1111/1460-6984.70112","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Oral comprehension difficulties are prevalent amongst preschool children with language needs and are related to academic, social and emotional outcomes. Speech and language therapists (SLTs) frequently deliver comprehension intervention to preschool children, but the influences on their clinical decisions are unknown. Understanding these influences and how chosen interventions align with models of evidence-based practice (EBP), particularly in an area where research evidence is sparse, is crucial to developing effective intervention and supporting the implementation of research to practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To investigate SLTs’ perspectives on the delivery of intervention to preschool children with oral comprehension difficulties and to examine these in the context of models of EBP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>Semi-structured interviewing gathered the perspectives of 14 UK-based SLTs, representing a range of years of experience, work settings and employment models (NHS and independent). Data were analysed using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>The overarching theme ‘Flexibility and Constraint’ described a complex and challenging process whereby SLTs respond to sometimes conflicting influences from external drivers, the needs of the child and adults around them, perspectives on who has responsibility for effecting change, and their own perceptions of clinical autonomy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>SLTs’ practice aligns with components of EBP, but the need to be flexible and responsive to individual circumstances is frequently in conflict with constraints affecting the ability to deliver individualised intervention. Implications include how individual SLTs and speech and language therapy services promote the ways in which they are evidence-based practitioners and advocate for their specialist role in supporting preschool children with oral comprehension difficulties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on this subject</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>Models of EBP emphasise the considered application of research, patient preferences and clinician-related","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Freya Sparks, Margaret Coffey, Lucy Dipper, Jessica Crowther, Simon Hamilton, Louise Occomore-Kent, Katerina Hilari
<div> <section> <h3> Background</h3> <p>People with laryngectomy who use a tracheoesophageal voice prosthesis for communication experience changes to respiratory function resulting in reduced breath support and increased secretions. This impacts tracheoesophageal voice quality and volume. Expiratory muscle strength training (EMST) is an effective treatment for cough management, voice and respiratory function in other clinical populations, such as neurodegenerative conditions and benign voice disorders. There is limited evidence for the use of EMST in people with laryngectomy. This study explores EMST feasibility and preliminary efficacy with tracheoesophageal speakers. It is hypothesised that, like in other disorders, EMST can improve respiratory parameters and thus tracheoesophageal voice quality.</p> </section> <section> <h3> Aims</h3> <p>(1) To investigate the feasibility and acceptability of EMST after laryngectomy. (2) To determine the impact of EMST on respiratory function; participant-reported outcome measures (PROMS) of cough and secretion burden, voice-related quality of life and experiences of communication; objective and perceptual measures of tracheoesophageal voice quality.</p> </section> <section> <h3> Methods and Procedures</h3> <p>This was a before–after study with time (double baseline) providing experimental control. Participants completed a 5-week EMST protocol and 6-week maintenance period. Assessments were taken at two baselines, post-EMST and at 6-week follow-up: respiratory: maximum expiratory pressure (MEP), peak flow, forced expiratory volume (FEV1); PROMS: CASA-Q, SECEL, V-RQOL; voice: voice recording for perceptual (clinician-rated) analysis, maximum phonation time, decibels. One-way repeated measures ANOVA or Friedman tests were used as appropriate to explore the pattern of change. Effect sizes were reported.</p> </section> <section> <h3> Outcomes and Results</h3> <p>Ten participants (eight male and two female) completed EMST. Participants found EMST acceptable and beneficial, reporting subjective changes in breathing and exercise tolerance. There were no significant differences in any measures between the two baselines. Significant increase from baseline was found in peak flow, FEV1 and decibels post-EMST training and post 6-week maintenance period, respectively. MEP increased significantly from baseline to post-EMST training only. PROMS showed a reduction in cough impact, sputum symptoms and reduced self-evaluation of communication impairment post-EMST. There was a non-significant reduction in maximum phonation time and no sign
背景喉切除术后使用气管食道语音假体进行交流的患者会经历呼吸功能的改变，导致呼吸支持减少和分泌物增加。这会影响气管食道的声音质量和音量。呼气肌力训练（EMST）是治疗其他临床人群咳嗽、声音和呼吸功能的有效方法，如神经退行性疾病和良性声音障碍。在喉切除术患者中使用EMST的证据有限。本研究探讨EMST在气管食管扬声器中的可行性及初步疗效。据推测，与其他疾病一样，EMST可以改善呼吸参数，从而改善气管食管语音质量。目的(1)探讨喉切除术后EMST的可行性和可接受性。(2)确定EMST对呼吸功能的影响；参与者报告的咳嗽和分泌物负担、语音相关生活质量和交流体验的结果测量（PROMS）；气管食管语音质量的客观与感知测量。这是一项前后对照研究，时间（双基线）提供实验控制。参与者完成了5周的EMST方案和6周的维持期。在emst后和6周随访的两个基线上进行评估：呼吸：最大呼气压（MEP）、峰值流量、用力呼气量（FEV1）；逍遥音乐会：casa-q， secel, v-rqol；语音：语音记录用于感知（临床评定）分析，最大发声时间，分贝。在适当的情况下，使用单向重复测量ANOVA或Friedman检验来探索变化的模式。报告了效应量。10名参与者（8名男性，2名女性）完成了EMST。参与者发现EMST是可接受的和有益的，他们报告了呼吸和运动耐受性的主观变化。两个基线之间的任何测量均无显著差异。emst训练后和6周维持期后，峰值流量、FEV1和分贝分别较基线显著增加。从基线到emst培训后，MEP显著增加。在emst后，PROMS显示咳嗽影响、痰症状和沟通障碍的自我评价降低。在emst培训和维护期后，最大发声时间没有显著减少，临床医生评价的语音质量也没有显著差异。参与者需要对设备进行修改，以确保设备的安全使用，并在颈部造口处实现密封连接。结论与意义EMST治疗气管食管扬声器是一种可接受的治疗方法；然而，需要对设备进行修改以支持使用并将气道安全风险降至最低。初步疗效数据显示，EMST可改善PWL患者的呼吸功能、容积和自我沟通感知等参数。需要更大规模的随机试验来增加研究结果的稳健性。建议设备制造商开发适配器，以促进与颈部造口的紧密连接，并增加喉切除术人群的设备安全性。根据现有证据，EMST是改善咳嗽强度和呼吸功能的有效治疗方法。然而，关于喉切除术后使用EMST的知识有限，只有一项现有研究有证据（Van Sluis et al. 2020）。这项创新性的可行性研究为EMST在喉切除术患者中的可行性和可接受性提供了证据，并为其对气管食管声音、咳嗽和分泌物清除的感知和客观测量的影响提供了初步数据。 这项工作的潜在或实际临床意义是什么？经进一步测试，EMST可能是考虑改善气管食管说话者呼吸功能、分泌物清除率、声音响度和自我交流感知的合适治疗方法。
{"title":"Expiratory Muscle Strength Training to Improve Voice and Respiratory Outcomes After Laryngectomy: A Feasibility Study","authors":"Freya Sparks, Margaret Coffey, Lucy Dipper, Jessica Crowther, Simon Hamilton, Louise Occomore-Kent, Katerina Hilari","doi":"10.1111/1460-6984.70107","DOIUrl":"https://doi.org/10.1111/1460-6984.70107","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>People with laryngectomy who use a tracheoesophageal voice prosthesis for communication experience changes to respiratory function resulting in reduced breath support and increased secretions. This impacts tracheoesophageal voice quality and volume. Expiratory muscle strength training (EMST) is an effective treatment for cough management, voice and respiratory function in other clinical populations, such as neurodegenerative conditions and benign voice disorders. There is limited evidence for the use of EMST in people with laryngectomy. This study explores EMST feasibility and preliminary efficacy with tracheoesophageal speakers. It is hypothesised that, like in other disorders, EMST can improve respiratory parameters and thus tracheoesophageal voice quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>(1) To investigate the feasibility and acceptability of EMST after laryngectomy. (2) To determine the impact of EMST on respiratory function; participant-reported outcome measures (PROMS) of cough and secretion burden, voice-related quality of life and experiences of communication; objective and perceptual measures of tracheoesophageal voice quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>This was a before–after study with time (double baseline) providing experimental control. Participants completed a 5-week EMST protocol and 6-week maintenance period. Assessments were taken at two baselines, post-EMST and at 6-week follow-up: respiratory: maximum expiratory pressure (MEP), peak flow, forced expiratory volume (FEV1); PROMS: CASA-Q, SECEL, V-RQOL; voice: voice recording for perceptual (clinician-rated) analysis, maximum phonation time, decibels. One-way repeated measures ANOVA or Friedman tests were used as appropriate to explore the pattern of change. Effect sizes were reported.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>Ten participants (eight male and two female) completed EMST. Participants found EMST acceptable and beneficial, reporting subjective changes in breathing and exercise tolerance. There were no significant differences in any measures between the two baselines. Significant increase from baseline was found in peak flow, FEV1 and decibels post-EMST training and post 6-week maintenance period, respectively. MEP increased significantly from baseline to post-EMST training only. PROMS showed a reduction in cough impact, sputum symptoms and reduced self-evaluation of communication impairment post-EMST. There was a non-significant reduction in maximum phonation time and no sign","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144853820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<div> <section> <h3> Purpose</h3> <p>Clinical reasoning is essential for speech–language pathologists (SLPs) when addressing ill-defined questions in various clinical settings. This study focuses on the acquisition of clinical reasoning skills in SLP students, particularly their evolution with clinical experience. To achieve this, the study developed and validated the first cloud-based script concordance test (SCT) tailored for assessing clinical reasoning skills in SSD diagnosis.</p> </section> <section> <h3> Methods</h3> <p>An expert panel of 15 SLPs (average experience of 20.3 years) helped develop and score the SCT, which was administered to 51 undergraduate students (22 sophomores, 18 juniors, and 11 seniors). Statistical analyses examined the predictive role and trend of clinical experience in three dimensions (utility, interpretation, and diagnosis).</p> </section> <section> <h3> Results</h3> <p>A significant difference in mean SCT scores was found between the expert panel and student groups (<i>p</i> < 0.05). Trend analysis showed a significant impact of clinical experience on SCT performance across all dimensions (all <i>F</i>s > 9.91, <i>p</i> < 0.001), with greater experience linked to better reasoning skills. Low-scoring items highlighted challenges with stimulability testing, indicating a lack of clinical consensus.</p> </section> <section> <h3> Conclusions</h3> <p>This study demonstrates that clinical reasoning skills in SSD assessment become more refined with accumulated experience. The SCT developed effectively differentiates reasoning abilities between experts and students, offering a valuable tool for advancing clinical decision-making in speech–language pathology. These findings have practical implications, empowering SLP educators to design effective training programs and preparing students for the challenges they may face in clinical practice.</p> </section> <section> <h3> WHAT THIS PAPER ADDS</h3> <div><i>What is already known on this subject?</i> <ul> <li>The knowledge base of clinical practitioners includes both content and its organization. Clinical reasoning is the cognitive ability to integrate, organize, and interpret information as a key aspect of expertise in evidence-based practice. Recently, script concordance tests, which use case-based scenarios to reflect clinical decision-making processes, have become a popular method for assessing these reasoning skills.</li> </ul> </div> <div><i>What thi
目的临床推理是必不可少的语言病理学家（slp）在解决各种临床设置不明确的问题。本研究的重点是SLP学生临床推理技能的习得，特别是临床经验的演变。为了实现这一目标，该研究开发并验证了首个基于云的脚本一致性测试（SCT），该测试专门用于评估SSD诊断中的临床推理技能。方法由15名平均工作经验20.3年的学生组成的专家小组，对51名本科生（22名大二学生、18名大三学生和11名大四学生）进行SCT量表的编制和评分。统计分析检验了临床经验在三个维度（效用、解释和诊断）的预测作用和趋势。结果专家组和学生组的SCT平均分有显著差异(p <；0.05)。趋势分析显示，临床经验对SCT在所有维度上的表现都有显著影响(所有Fs >；9.91, p <；0.001)，经验越丰富推理能力越强。得分低的项目突出了刺激性测试的挑战，表明缺乏临床共识。结论随着经验的积累，临床推理能力在SSD评估中的运用日趋完善。SCT有效地区分了专家和学生的推理能力，为语言病理学的临床决策提供了一个有价值的工具。这些发现具有实际意义，使SLP教育者能够设计有效的培训计划，并为学生在临床实践中可能面临的挑战做好准备。在这个问题上我们已经知道了什么？临床从业人员的知识库包括内容和组织。临床推理是一种整合、组织和解释信息的认知能力，是循证实践中专业知识的一个关键方面。最近，脚本一致性测试，使用基于案例的场景来反映临床决策过程，已经成为评估这些推理技能的流行方法。这篇论文为现有知识增加了什么？这项研究首次从经验上表明，语言病理学的临床推理技能，特别是评估语音障碍的临床推理技能，是通过临床经验逐步完善的。它强调学生在实习期间的推理能力似乎受到监督临床方法的影响，潜在地影响诊断能力。这些推理能力可能会随着进一步的临床经验或有针对性的继续教育而提高。此外，该研究开发了第一个专注于SSD评估的SCT，证明了其在区分专家和学生临床推理和决策能力方面的有效性。这项工作的潜在或实际临床意义是什么？临床教育最近的一个目标是使临床推理过程在训练中更加明确和结构化。创建全面的病例评估脚本，设计具体的临床思维指导方案，并结合有效的测量方法，如本研究开发的SCT，可作为SSD临床诊断的教学目标。
{"title":"Trends in the Acquisition of Clinical Reasoning in the Assessment of Speech Sound Disorders: Using the Script Concordance Test","authors":"Ting-Fang Chan, Li-Li Yeh","doi":"10.1111/1460-6984.70105","DOIUrl":"https://doi.org/10.1111/1460-6984.70105","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Clinical reasoning is essential for speech–language pathologists (SLPs) when addressing ill-defined questions in various clinical settings. This study focuses on the acquisition of clinical reasoning skills in SLP students, particularly their evolution with clinical experience. To achieve this, the study developed and validated the first cloud-based script concordance test (SCT) tailored for assessing clinical reasoning skills in SSD diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An expert panel of 15 SLPs (average experience of 20.3 years) helped develop and score the SCT, which was administered to 51 undergraduate students (22 sophomores, 18 juniors, and 11 seniors). Statistical analyses examined the predictive role and trend of clinical experience in three dimensions (utility, interpretation, and diagnosis).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A significant difference in mean SCT scores was found between the expert panel and student groups (<i>p</i> < 0.05). Trend analysis showed a significant impact of clinical experience on SCT performance across all dimensions (all <i>F</i>s > 9.91, <i>p</i> < 0.001), with greater experience linked to better reasoning skills. Low-scoring items highlighted challenges with stimulability testing, indicating a lack of clinical consensus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study demonstrates that clinical reasoning skills in SSD assessment become more refined with accumulated experience. The SCT developed effectively differentiates reasoning abilities between experts and students, offering a valuable tool for advancing clinical decision-making in speech–language pathology. These findings have practical implications, empowering SLP educators to design effective training programs and preparing students for the challenges they may face in clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on this subject?</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>The knowledge base of clinical practitioners includes both content and its organization. Clinical reasoning is the cognitive ability to integrate, organize, and interpret information as a key aspect of expertise in evidence-based practice. Recently, script concordance tests, which use case-based scenarios to reflect clinical decision-making processes, have become a popular method for assessing these reasoning skills.</li>\u0000 </ul>\u0000 </div>\u0000 \u0000 <div><i>What thi","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144853819","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}
Svetlana Kapalková, Kamila Polišenská, Andrej Mentel, Tereza Horská, Monika Janíková, Martina Zubáková
<div> <section> <h3> Background and Aims</h3> <p>The aim of the current study is to assess the validity of the Cross-linguistic lexical task (CLT) against direct and indirect measures of lexical skills across 2–6 years of age, for a crucial period of lexical development. In addition to evaluating relationships between measures at the level of total score, we also explored agreement at an item level between two lexical measures.</p> </section> <section> <h3> Method</h3> <p>Participants were 109 Slovak-speaking 2–6-year-old typically developing children who all completed the Cross-linguistic lexical task (CLT-SK). Three additional measures of lexical skills were obtained: A parental checklist (Slovak adaptation of CDI; <i>n</i> = 30, aged 30–36 months), a narrative task to estimate production of Internal State Terms (<i>n</i> = 79, aged 41–81 months) and a non-word repetition task (<i>n</i> = 105, aged 30–81). The agreement at the item level was determined between items that were included in both the CLT-SK and CDI.</p> </section> <section> <h3> Results</h3> <p>Correlational analyses showed that the CLT-SK was significantly related to all measures. While relationships at the level of total scores were confirmed, agreement at the level of individual items between parental judgement and the child's performance was poor.</p> </section> <section> <h3> Conclusions</h3> <p>The results support the view that CLT-SK is a valid instrument to assess lexical skills in children aged 2–6 years when total scores are evaluated. However, the agreement at the level of individual items was inadequate, which may have implications for clinical work and/or research based on assumed knowledge of individual items.</p> </section> <section> <h3> WHAT THIS PAPER ADDS</h3> <div><i>What is already known on this subject</i> <ul> <li>The validity of parental checklists in relation to direct vocabulary assessments is well established, particularly in pre-school-aged children. However, there is limited research exploring the relationship between different direct measures of lexical knowledge. This gap highlights the need for further investigation to understand how various methods complement each other in assessing lexical skills.</li> </ul> </div> <div><i>What this paper adds to existing knowledge</i> <ul
{"title":"Convergent Validity of the Cross-Linguistic Lexical Task","authors":"Svetlana Kapalková, Kamila Polišenská, Andrej Mentel, Tereza Horská, Monika Janíková, Martina Zubáková","doi":"10.1111/1460-6984.70110","DOIUrl":"https://doi.org/10.1111/1460-6984.70110","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Aims</h3>\u0000 \u0000 <p>The aim of the current study is to assess the validity of the Cross-linguistic lexical task (CLT) against direct and indirect measures of lexical skills across 2–6 years of age, for a crucial period of lexical development. In addition to evaluating relationships between measures at the level of total score, we also explored agreement at an item level between two lexical measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Participants were 109 Slovak-speaking 2–6-year-old typically developing children who all completed the Cross-linguistic lexical task (CLT-SK). Three additional measures of lexical skills were obtained: A parental checklist (Slovak adaptation of CDI; <i>n</i> = 30, aged 30–36 months), a narrative task to estimate production of Internal State Terms (<i>n</i> = 79, aged 41–81 months) and a non-word repetition task (<i>n</i> = 105, aged 30–81). The agreement at the item level was determined between items that were included in both the CLT-SK and CDI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Correlational analyses showed that the CLT-SK was significantly related to all measures. While relationships at the level of total scores were confirmed, agreement at the level of individual items between parental judgement and the child's performance was poor.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results support the view that CLT-SK is a valid instrument to assess lexical skills in children aged 2–6 years when total scores are evaluated. However, the agreement at the level of individual items was inadequate, which may have implications for clinical work and/or research based on assumed knowledge of individual items.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on this subject</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>The validity of parental checklists in relation to direct vocabulary assessments is well established, particularly in pre-school-aged children. However, there is limited research exploring the relationship between different direct measures of lexical knowledge. This gap highlights the need for further investigation to understand how various methods complement each other in assessing lexical skills.</li>\u0000 </ul>\u0000 </div>\u0000 \u0000 <div><i>What this paper adds to existing knowledge</i>\u0000 \u0000 <ul","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<div> <section> <h3> Background</h3> <p>Perceptual evaluation of speech disorders produces scores that poorly predict the consequences of speech impairment on the communication abilities of patients treated for oral/oropharyngeal cancer. This may be mitigated by automatic speech analysis.</p> </section> <section> <h3> Aim</h3> <p>To measure communication and speech impairment using automatic analyses of spontaneous speech and self-administered questionnaires in patients treated for oral cavity or oropharyngeal cancer.</p> </section> <section> <h3> Methods and Procedures</h3> <p>The spontaneous speech of 25 patients was recorded during a semistructured interview. Various acoustic and automatic tools were applied to the speech signal to obtain scores relating to the different linguistic levels. Reduction of dimensionality was applied to retain only relevant and nonredundant parameters. Self-administered questionnaires assessing communication and associated factors (associated deficits, anxiety/depression, cognitive status, communication needs relating to social circles, self-perception of speech impairment and quality of life) were conducted. A predictive modelling of communication and speech impairment by LASSO regression was performed using the scores from the automatic tools alone, which were then combined with the scores arising from the questionnaires.</p> </section> <section> <h3> Outcomes and Results</h3> <p>A total of 149 automatic parameters were extracted from the speech signal, of which 75 were retained after dimensional reduction. Predictive modelling of communication and speech impairment [Holistic Communication Score (HoCoS)] using the selected automatic parameters (number of sonants and occlusives recognised per second) provides a correlation of 0.83 between the predicted and actual score. This modelling is reliable (<i>r</i><sub>S</sub> = 0.82 between five-fold cross-validation and HoCoS). The correlation reaches 0.89 when including associated factors in the modelling, while maintaining a high reliability (<i>r</i><sub>S</sub> = 0.70 between five-fold cross-validation and HoCoS).</p> </section> <section> <h3> Conclusions and Implications</h3> <p>The use of automatic speech analysis allows a reliable prediction of the communication and speech impairment experienced by the patients. This study opens up new perspectives for the use of automatic speech recognition systems in clinical evaluation and for the consideration of functional and
{"title":"Prediction of Speech Impairment in Patients Treated for Oral or Oropharyngeal Cancer Using Automatic Speech Analysis","authors":"Mathieu Balaguer, Julien Pinquier, Jérôme Farinas, Virginie Woisard","doi":"10.1111/1460-6984.70103","DOIUrl":"https://doi.org/10.1111/1460-6984.70103","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Perceptual evaluation of speech disorders produces scores that poorly predict the consequences of speech impairment on the communication abilities of patients treated for oral/oropharyngeal cancer. This may be mitigated by automatic speech analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To measure communication and speech impairment using automatic analyses of spontaneous speech and self-administered questionnaires in patients treated for oral cavity or oropharyngeal cancer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>The spontaneous speech of 25 patients was recorded during a semistructured interview. Various acoustic and automatic tools were applied to the speech signal to obtain scores relating to the different linguistic levels. Reduction of dimensionality was applied to retain only relevant and nonredundant parameters. Self-administered questionnaires assessing communication and associated factors (associated deficits, anxiety/depression, cognitive status, communication needs relating to social circles, self-perception of speech impairment and quality of life) were conducted. A predictive modelling of communication and speech impairment by LASSO regression was performed using the scores from the automatic tools alone, which were then combined with the scores arising from the questionnaires.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>A total of 149 automatic parameters were extracted from the speech signal, of which 75 were retained after dimensional reduction. Predictive modelling of communication and speech impairment [Holistic Communication Score (HoCoS)] using the selected automatic parameters (number of sonants and occlusives recognised per second) provides a correlation of 0.83 between the predicted and actual score. This modelling is reliable (<i>r</i><sub>S</sub> = 0.82 between five-fold cross-validation and HoCoS). The correlation reaches 0.89 when including associated factors in the modelling, while maintaining a high reliability (<i>r</i><sub>S</sub> = 0.70 between five-fold cross-validation and HoCoS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>The use of automatic speech analysis allows a reliable prediction of the communication and speech impairment experienced by the patients. This study opens up new perspectives for the use of automatic speech recognition systems in clinical evaluation and for the consideration of functional and ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144767356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Atefeh Moazeni, Mohammad Mahdi Shamsaee, Mahbubeh Nakhshab
<div> <section> <h3> Background</h3> <p>Stuttering is a chronic condition that requires long-term management. Previous research emphasizes that motivation plays a critical role in therapy success. Motivation is an intrinsic process that drives and directs behaviour, making it a key determinant in whether individuals continue or discontinue therapy.</p> </section> <section> <h3> Aims</h3> <p>This study aims to explore the factors influencing the motivation of adults who stutter to continue therapy, focusing on identifying themes and insights related to therapy continuation.</p> </section> <section> <h3> Methods and Procedures</h3> <p>A qualitative content analysis approach was used, involving 24 adults aged 30 to 40 who stutter. Participants were recruited through purposeful and snowball sampling from social media groups of the Iranian Stuttering Association and speech and language pathologists' platforms. Participants were divided into two groups: those who chose to continue their speech therapy (<i>n</i> = 11) and those who decided to discontinue it (<i>n</i> = 13). Data were collected through semi-structured, in-depth interviews conducted online, which were analysed using content analysis to identify themes and subthemes related to the motivation of continuing stuttering therapy.</p> </section> <section> <h3> Outcomes and Results</h3> <p>The study identified six key themes that influence motivation to continue therapy: therapist characteristics, therapy structure and process, therapeutic setting and tools, perceived treatment effectiveness, client psychological dynamics, and social support and perception. These themes played a critical role in shaping clients' motivation and their decision to persist in therapy.</p> </section> <section> <h3> Conclusions and Implications</h3> <p>This research underscores that a strong therapeutic alliance, along with supportive family and social environments, can enhance motivation by fulfilling basic psychological needs (autonomy, competence, and relatedness). These needs can be addressed by focusing on effective therapeutic interactions, minimizing ambiguity in the treatment process, designing tailored treatment plans based on each client's unique goals and circumstances, fostering active participation, and providing constructive feedback.</p> </section> <section> <h3> WHAT THIS PAPER ADDS</h3> <div><i>What is already known on this subject</i> <ul> <li>Stuttering requi
{"title":"What Factors Contribute to the Motivation of Adults Who Stutter to Continue Their Treatment? A Qualitative Study","authors":"Atefeh Moazeni, Mohammad Mahdi Shamsaee, Mahbubeh Nakhshab","doi":"10.1111/1460-6984.70102","DOIUrl":"https://doi.org/10.1111/1460-6984.70102","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Stuttering is a chronic condition that requires long-term management. Previous research emphasizes that motivation plays a critical role in therapy success. Motivation is an intrinsic process that drives and directs behaviour, making it a key determinant in whether individuals continue or discontinue therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aims to explore the factors influencing the motivation of adults who stutter to continue therapy, focusing on identifying themes and insights related to therapy continuation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Procedures</h3>\u0000 \u0000 <p>A qualitative content analysis approach was used, involving 24 adults aged 30 to 40 who stutter. Participants were recruited through purposeful and snowball sampling from social media groups of the Iranian Stuttering Association and speech and language pathologists' platforms. Participants were divided into two groups: those who chose to continue their speech therapy (<i>n</i> = 11) and those who decided to discontinue it (<i>n</i> = 13). Data were collected through semi-structured, in-depth interviews conducted online, which were analysed using content analysis to identify themes and subthemes related to the motivation of continuing stuttering therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes and Results</h3>\u0000 \u0000 <p>The study identified six key themes that influence motivation to continue therapy: therapist characteristics, therapy structure and process, therapeutic setting and tools, perceived treatment effectiveness, client psychological dynamics, and social support and perception. These themes played a critical role in shaping clients' motivation and their decision to persist in therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications</h3>\u0000 \u0000 <p>This research underscores that a strong therapeutic alliance, along with supportive family and social environments, can enhance motivation by fulfilling basic psychological needs (autonomy, competence, and relatedness). These needs can be addressed by focusing on effective therapeutic interactions, minimizing ambiguity in the treatment process, designing tailored treatment plans based on each client's unique goals and circumstances, fostering active participation, and providing constructive feedback.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on this subject</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>Stuttering requi","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144767357","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}
Haifa Alroqi, Michael C. Frank, Khadeejah Alaslani, Aalya Albeeshi, Alaa Almohammadi, Yara Aljahlan, Roaa Alsulaiman, Abdullah Murad, Fahad Alnemary
<div> <section> <h3> Purpose</h3> <p>This study addresses the lack of a short Communicative Development Inventory (CDI) form tailored to Saudi Arabic, specifically designed based on local norms, for assessing early communicative skills in toddlers. The JISH Arabic CDI: Words and Sentences Short-Form (JACDI: WS-SF) is introduced to meet this need. This tool is particularly useful in contexts of low parental literacy and is designed to offer a culturally relevant and efficient assessment of early language development in Saudi Arabic-speaking children.</p> </section> <section> <h3> Method</h3> <p>The JACDI: WS-SF was developed using a cross-sectional study design. Participants were toddlers aged 16 to 36 months and their parents, who provided data on language development through this newly developed tool.</p> </section> <section> <h3> Results</h3> <p>Preliminary findings indicate that the JACDI: WS-SF effectively captures essential aspects of early communicative development, aligning with local linguistic and cultural norms. The tool proves to be accessible to parents with varying literacy levels and sensitive to the linguistic context of Saudi Arabic. Notably, the study highlighted a significant association between children's ability to combine words and their vocabulary size, emphasising the need for considering language complexity in early interventions. Gender differences in vocabulary size were also noted, calling for equitable support in language assessment and intervention.</p> </section> <section> <h3> Conclusions</h3> <p>The JACDI: WS-SF effectively fills a significant gap in developmental assessment tools in the region, confirming its efficacy in initial testing. The outcomes support the tool's utility and cultural relevance, enhancing its potential to expedite language disorder diagnoses, facilitate rigorous and comparable early language development studies, and broaden accessibility to language assessments. These results underscore the importance of the tool in both research and clinical practice, especially for advancing early intervention strategies.</p> </section> <section> <h3> WHAT THIS PAPER ADDS</h3> <div><i>What is already known on this subject</i> <ul> <li>Previous studies have established the utility of MacArthur-Bates Communicative Development Inventories (CDIs) for assessing early communicative skills in infants and toddlers, with over 100 adaptatio
本研究解决了沙特阿拉伯语短沟通发展量表（CDI）的缺乏问题，该量表是根据当地规范专门设计的，用于评估幼儿早期沟通技能。JISH阿拉伯语CDI：单词和句子短格式（JACDI: WS-SF）就是为了满足这一需求而引入的。该工具在父母识字率低的情况下特别有用，旨在为沙特阿拉伯语儿童的早期语言发展提供文化相关和有效的评估。方法采用横断面研究设计，研制JACDI: WS-SF。参与者是16到36个月的幼儿和他们的父母，他们通过这个新开发的工具提供了语言发展的数据。结果初步研究结果表明，JACDI: WS-SF有效地捕捉了早期交际发展的基本方面，与当地语言和文化规范保持一致。事实证明，不同文化水平和对沙特阿拉伯语语境敏感的父母都可以使用该工具。值得注意的是，该研究强调了儿童组合单词的能力与其词汇量之间的重要联系，强调了在早期干预中考虑语言复杂性的必要性。还注意到词汇量方面的性别差异，要求在语言评价和干预方面给予公平的支持。结论JACDI: WS-SF有效填补了该地区发育评价工具的空白，初步验证了其有效性。结果支持了该工具的实用性和文化相关性，增强了其加速语言障碍诊断的潜力，促进了严格和可比的早期语言发展研究，并扩大了语言评估的可及性。这些结果强调了该工具在研究和临床实践中的重要性，特别是在推进早期干预策略方面。先前的研究已经建立了麦克阿瑟-贝茨交际发展量表（cdi）用于评估婴幼儿早期交际技能的效用，全球有100多种不同语言和方言的适应。然而，现有的沙特阿拉伯版本很长，超过了大多数长篇cdi的长度，并且包括过时的项目。这凸显了对更新的、适合文化的工具的需求，这些工具能够准确地反映当前的语言和文化体验。本研究介绍了JISH阿拉伯语CDI: Words and Sentences Short-Form (JACDI: WS-SF)，这是一个为沙特阿拉伯语儿童量身定制的文化和语言更新短格式清单。这个新工具是为不同文化水平的父母设计的，为评估早期语言发展提供了一种有效和有效的方法。它解决了对反映现代沙特阿拉伯语儿童环境的更新词汇的需求，并支持快速，可靠的发展评估。这项工作的潜在或实际临床意义是什么？JACDI: WS-SF填补了临床医生与讲沙特阿拉伯语的婴幼儿一起工作的评估工具包中的一个关键空白。通过提供一种与文化相关且有效的评估早期语言发展的方法，该工具可以更准确、更及时地诊断语言障碍，最终增强临床评估实践。它的流线型格式特别有利于在繁忙的临床环境中使用，并使文化水平较低的父母受益。通过促进准确和及时的干预，JACDI: WS-SF支持改善沙特阿拉伯各地儿童的发展成果。
{"title":"JACDI: WS-SF: A Short-Form Version of the Saudi Arabic Communicative Development Inventory","authors":"Haifa Alroqi, Michael C. Frank, Khadeejah Alaslani, Aalya Albeeshi, Alaa Almohammadi, Yara Aljahlan, Roaa Alsulaiman, Abdullah Murad, Fahad Alnemary","doi":"10.1111/1460-6984.70108","DOIUrl":"https://doi.org/10.1111/1460-6984.70108","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study addresses the lack of a short Communicative Development Inventory (CDI) form tailored to Saudi Arabic, specifically designed based on local norms, for assessing early communicative skills in toddlers. The JISH Arabic CDI: Words and Sentences Short-Form (JACDI: WS-SF) is introduced to meet this need. This tool is particularly useful in contexts of low parental literacy and is designed to offer a culturally relevant and efficient assessment of early language development in Saudi Arabic-speaking children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The JACDI: WS-SF was developed using a cross-sectional study design. Participants were toddlers aged 16 to 36 months and their parents, who provided data on language development through this newly developed tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Preliminary findings indicate that the JACDI: WS-SF effectively captures essential aspects of early communicative development, aligning with local linguistic and cultural norms. The tool proves to be accessible to parents with varying literacy levels and sensitive to the linguistic context of Saudi Arabic. Notably, the study highlighted a significant association between children's ability to combine words and their vocabulary size, emphasising the need for considering language complexity in early interventions. Gender differences in vocabulary size were also noted, calling for equitable support in language assessment and intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The JACDI: WS-SF effectively fills a significant gap in developmental assessment tools in the region, confirming its efficacy in initial testing. The outcomes support the tool's utility and cultural relevance, enhancing its potential to expedite language disorder diagnoses, facilitate rigorous and comparable early language development studies, and broaden accessibility to language assessments. These results underscore the importance of the tool in both research and clinical practice, especially for advancing early intervention strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <div><i>What is already known on this subject</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>Previous studies have established the utility of MacArthur-Bates Communicative Development Inventories (CDIs) for assessing early communicative skills in infants and toddlers, with over 100 adaptatio","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70108","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144751519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Áine Kearns, Caroline Jagoe, Rachael Stockdale, Dorothy Clarke, Molly Manning, Ruth Mc Menamin, Yvonne Fitzmaurice, James Green, Orla Duffy, Helen Kelly
<div> <section> <h3> Background</h3> <p>The United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) recognizes communication accessibility as a fundamental human right. Communication plays a key role in facilitating belonging, sharing and engaging with communities, allowing individuals to connect and forge relationships. Communication is fundamental to well-being and building a sense of self and identity, as well as establishing and maintaining social roles and vocation. Those with communication disabilities or differences can face many barriers to social participation, inclusion and potential financial implications.</p> </section> <section> <h3> Aims</h3> <p>This integrative review explores policy, practices and guidelines that support communication access of adults with communication disabilities and differences in selected English-speaking countries with UNCRPD-ratified status and well-established speech and language therapy services.</p> </section> <section> <h3> Methods</h3> <p>An integrative review of the literature was undertaken. A systematic search of the published, peer-reviewed literature was conducted for empirical research, and a manual search was undertaken to obtain policy, practice, or guidelines, to support communication access at a sectoral/service or community level. A multi-scalar approach situates the findings within several contexts: international law, national legislation and policy, professional guidelines and evidence from local/national projects.</p> </section> <section> <h3> Main Contributions</h3> <p>A multi-scalar map was developed that positions the findings on communication access within the included countries (Republic of Ireland, Northern Ireland, United Kingdom, Canada, Australia and New Zealand), across local/national programmes and projects (<i>n</i> = 11), professional body and civil society guidance, regional/national legislation and policy specific to communication access and finally the international normative instrument of the UNCRPD. The findings indicate that communication accessibility is recognised as a fundamental human right, but signatory states are required to take appropriate measures to ensure access to information and communication for persons with disabilities. National legislation, policy and practice need further scrutiny in this regard.</p> </section> <section> <h3> Conclusions</h3> <p>This review examines the complex phenomenon of communication access for people with com
{"title":"Supporting Communication Access of People With Communication Disabilities and Communication Differences in UNCRPD-Ratified Countries: An Integrative Review","authors":"Áine Kearns, Caroline Jagoe, Rachael Stockdale, Dorothy Clarke, Molly Manning, Ruth Mc Menamin, Yvonne Fitzmaurice, James Green, Orla Duffy, Helen Kelly","doi":"10.1111/1460-6984.70098","DOIUrl":"https://doi.org/10.1111/1460-6984.70098","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) recognizes communication accessibility as a fundamental human right. Communication plays a key role in facilitating belonging, sharing and engaging with communities, allowing individuals to connect and forge relationships. Communication is fundamental to well-being and building a sense of self and identity, as well as establishing and maintaining social roles and vocation. Those with communication disabilities or differences can face many barriers to social participation, inclusion and potential financial implications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This integrative review explores policy, practices and guidelines that support communication access of adults with communication disabilities and differences in selected English-speaking countries with UNCRPD-ratified status and well-established speech and language therapy services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An integrative review of the literature was undertaken. A systematic search of the published, peer-reviewed literature was conducted for empirical research, and a manual search was undertaken to obtain policy, practice, or guidelines, to support communication access at a sectoral/service or community level. A multi-scalar approach situates the findings within several contexts: international law, national legislation and policy, professional guidelines and evidence from local/national projects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Contributions</h3>\u0000 \u0000 <p>A multi-scalar map was developed that positions the findings on communication access within the included countries (Republic of Ireland, Northern Ireland, United Kingdom, Canada, Australia and New Zealand), across local/national programmes and projects (<i>n</i> = 11), professional body and civil society guidance, regional/national legislation and policy specific to communication access and finally the international normative instrument of the UNCRPD. The findings indicate that communication accessibility is recognised as a fundamental human right, but signatory states are required to take appropriate measures to ensure access to information and communication for persons with disabilities. National legislation, policy and practice need further scrutiny in this regard.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This review examines the complex phenomenon of communication access for people with com","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.70098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144751353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<div> <section> <h3> Introduction</h3> <p>Tele-practice in speech–language pathology has existed for nearly a decade, but it emerged as a solution to overcome the challenges of access issues in delivering speech–language pathology services globally, particularly during the COVID-19 pandemic. However, it is essential to follow up on tele-practice services following a pandemic concerning their efficacy and factors influencing their implementation as a routine or long-term service delivery method. This study investigated speech–language pathologists’ perceived effectiveness and challenges of tele-practice in India.</p> </section> <section> <h3> Methods</h3> <p>An online survey of speech–language pathologists in India was conducted. Data from 110 speech–language pathologists were collected via Google Forms and further analysed using descriptive statistics and frequency distribution.</p> </section> <section> <h3> Results</h3> <p>Results are discussed under four domains: awareness and familiarity with tele-practice, comparison between tele-practice and face-to-face sessions, challenges faced, and patient satisfaction. Although speech–language pathologists in India had good awareness, familiarity, and high patient satisfaction via tele-practice, they preferred face-to-face sessions over tele-practice.</p> </section> <section> <h3> Conclusion</h3> <p>The grounds for speech–language pathologists’ perspective on tele-practice services in India are identified, and the need for reformatory measures for implementing tele-practice in India is highlighted.</p> </section> <section> <h3> WHAT THIS PAPER ADDS?</h3> <div><i>What is already known in this subject</i> <ul> <li>Tele-practice, including teletherapy and telemedicine, has been studied extensively in Western countries like the United States and several European nations. These studies generally indicate that tele-practice can be effective for delivering speech and language therapy, particularly for certain populations and conditions.</li> <li>Studies in other countries suggest that both therapists and clients generally find tele-practice acceptable and feasible. Therapists appreciate the flexibility and reach it offers, while clients often report high levels of satisfaction due to reduced travel time and greater convenience.</li> </ul> </div> <div><i>What this paper adds to the existing knowledge</i> <ul>
{"title":"A Preliminary Survey of Speech–Language Pathologists’ Perceived Effectiveness and Challenges of Tele-Practice in India","authors":"Suma Raju, Merlyn Rachel Sam, M. K. Niharika","doi":"10.1111/1460-6984.70104","DOIUrl":"https://doi.org/10.1111/1460-6984.70104","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Tele-practice in speech–language pathology has existed for nearly a decade, but it emerged as a solution to overcome the challenges of access issues in delivering speech–language pathology services globally, particularly during the COVID-19 pandemic. However, it is essential to follow up on tele-practice services following a pandemic concerning their efficacy and factors influencing their implementation as a routine or long-term service delivery method. This study investigated speech–language pathologists’ perceived effectiveness and challenges of tele-practice in India.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online survey of speech–language pathologists in India was conducted. Data from 110 speech–language pathologists were collected via Google Forms and further analysed using descriptive statistics and frequency distribution.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results are discussed under four domains: awareness and familiarity with tele-practice, comparison between tele-practice and face-to-face sessions, challenges faced, and patient satisfaction. Although speech–language pathologists in India had good awareness, familiarity, and high patient satisfaction via tele-practice, they preferred face-to-face sessions over tele-practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The grounds for speech–language pathologists’ perspective on tele-practice services in India are identified, and the need for reformatory measures for implementing tele-practice in India is highlighted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS?</h3>\u0000 \u0000 <div><i>What is already known in this subject</i>\u0000 \u0000 <ul>\u0000 \u0000 <li>Tele-practice, including teletherapy and telemedicine, has been studied extensively in Western countries like the United States and several European nations. These studies generally indicate that tele-practice can be effective for delivering speech and language therapy, particularly for certain populations and conditions.</li>\u0000 \u0000 <li>Studies in other countries suggest that both therapists and clients generally find tele-practice acceptable and feasible. Therapists appreciate the flexibility and reach it offers, while clients often report high levels of satisfaction due to reduced travel time and greater convenience.</li>\u0000 </ul>\u0000 </div>\u0000 \u0000 <div><i>What this paper adds to the existing knowledge</i>\u0000 \u0000 <ul>\u0000 \u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144740238","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号