<div> <section> <h3> Background</h3> <p>Addenbrooke's Cognitive Examination III (ACE-III) was developed as a screening tool for cognitive disorders. Many countries have proven the cultural adaptation, reliability and validity of ACE-III.</p> </section> <section> <h3> Aims</h3> <p>To make cultural adaptations of ACE-III for the Turkish population and to examine its validity and reliability.</p> </section> <section> <h3> Methods & Procedures</h3> <p>First, ACE-III was translated and adapted into Turkish (ACE-III-TR), then its validity and reliability were examined. The study included 234 people: 93 with dementia (78 Alzheimer's disease (AD) and 15 frontotemporal dementia (FTD)), 46 with mild cognitive impairment (MCI) and 95 healthy. Two blinded speech and language therapists rated the ACE-III-TR simultaneously for interrater validity. The same practitioner retested the same participants 2 weeks later for test–retest reliability. The construct validity of the culturally adapted test was assessed by analysing subsection correlations with the ACE-III-TR total score. The association between the Mini-Mental State Examination (MMSE) total score, relevant subsections and ACE-III-TR total score was examined for criterion validity. Intergroup differences for healthy, MCI and dementia were studied for ACE-III-TR subsections and total score, and cut-off scores were calculated for total score with sensitivity and specificity in differential diagnosis.</p> </section> <section> <h3> Results & Outcomes</h3> <p>Attention, memory and ACE-III-TR total scores showed a statistically significant difference between the three groups of dementia, MCI and healthy (<i>p</i> < 0.001). Statistically significant positive correlations ranging from 0.571 to 0.929 were found between ACE-III-TR subsections and total scores (<i>p</i> < 0.05). A highly significant positive correlation was found between MMSE total score and ACE-III-TR total score (<i>r</i> = 0.870). Between the second and first measurements, positive, moderately significant correlations were found for all subsections and ACE-III-TR total (ICC = 0.508–0.784, <i>r</i> = 0.477–0.646). A high level of agreement was found between two raters for all ACE-III-TR subsections and the ACE-III-TR total score (alpha = 0.9296–0.99995). The total ACE-III-TR cut-off score was 79.5 for healthy and MCI and 69.5 for MCI and mild stage dementia.</p> </section> <section> <h3> Conclusions & Implications</h3> <p>This study found that ACE-III-TR is a sensitive and specific screening test for the diagnosis of MCI and dementia t
{"title":"The Turkish validity and reliability of Addenbrooke's Cognitive Examination III","authors":"Mümüne Merve Parlak, Özlem Bizpınar Munis, Ayşen Köse, Cansu Yıldırım, Cemil Arcan Ülker","doi":"10.1111/1460-6984.13147","DOIUrl":"10.1111/1460-6984.13147","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Addenbrooke's Cognitive Examination III (ACE-III) was developed as a screening tool for cognitive disorders. Many countries have proven the cultural adaptation, reliability and validity of ACE-III.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To make cultural adaptations of ACE-III for the Turkish population and to examine its validity and reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>First, ACE-III was translated and adapted into Turkish (ACE-III-TR), then its validity and reliability were examined. The study included 234 people: 93 with dementia (78 Alzheimer's disease (AD) and 15 frontotemporal dementia (FTD)), 46 with mild cognitive impairment (MCI) and 95 healthy. Two blinded speech and language therapists rated the ACE-III-TR simultaneously for interrater validity. The same practitioner retested the same participants 2 weeks later for test–retest reliability. The construct validity of the culturally adapted test was assessed by analysing subsection correlations with the ACE-III-TR total score. The association between the Mini-Mental State Examination (MMSE) total score, relevant subsections and ACE-III-TR total score was examined for criterion validity. Intergroup differences for healthy, MCI and dementia were studied for ACE-III-TR subsections and total score, and cut-off scores were calculated for total score with sensitivity and specificity in differential diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results & Outcomes</h3>\u0000 \u0000 <p>Attention, memory and ACE-III-TR total scores showed a statistically significant difference between the three groups of dementia, MCI and healthy (<i>p</i> < 0.001). Statistically significant positive correlations ranging from 0.571 to 0.929 were found between ACE-III-TR subsections and total scores (<i>p</i> < 0.05). A highly significant positive correlation was found between MMSE total score and ACE-III-TR total score (<i>r</i> = 0.870). Between the second and first measurements, positive, moderately significant correlations were found for all subsections and ACE-III-TR total (ICC = 0.508–0.784, <i>r</i> = 0.477–0.646). A high level of agreement was found between two raters for all ACE-III-TR subsections and the ACE-III-TR total score (alpha = 0.9296–0.99995). The total ACE-III-TR cut-off score was 79.5 for healthy and MCI and 69.5 for MCI and mild stage dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>This study found that ACE-III-TR is a sensitive and specific screening test for the diagnosis of MCI and dementia t","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856016","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}
Thomas B. Tienkamp, Teja Rebernik, Rachel A. D'Cruz, Rob J. J. H. van Son, Martijn Wieling, Max J. H. Witjes, Sebastiaan A. H. J. de Visscher, Defne Abur
<div> <section> <h3> Background</h3> <p>Treatment for oral or oropharyngeal squamous cell carcinoma (O&OSCC) often leads to problems with speech articulation. Articulatory–kinematic data may be especially informative in designing new therapeutic approaches for individuals treated for these tumours.</p> </section> <section> <h3> Aims</h3> <p>To provide a systematic review of the literature assessing the articulatory–kinematic consequences of oral and oropharyngeal cancer treatment.</p> </section> <section> <h3> Methods & Procedures</h3> <p>Five databases (PubMed, Embase, Scopus, Web of Science and PsycInfo) were used to identify studies that used kinematic methods to characterize the speech of individuals treated for O&OSCC. Risk of bias was assessed using the critical appraisal checklist from the Joanna Briggs Institute. Data were synthesized using the Synthesis Without Meta-Analysis guidelines.</p> </section> <section> <h3> Outcomes & Results</h3> <p>In total, 29 studies with a total of 197 individuals treated for O&OSCC were included. In most studies the risk of bias was moderate to high and certainty of evidence was very low to low. Results showed both global changes (i.e., reduced movement and increased asymmetry of the tongue) as well as more local changes (i.e., reduced palatal contact and more centralized productions of consonants) following treatment for O&OSCC. Generally, reported changes were related to tumour size and location. Smaller tumours resulted in better or more typical articulatory–kinematic speech outcomes. Articulatory movements were most reduced in the affected region of the tongue as compared with neighbouring parts. Study findings were limited to small sample sizes with generally minimal descriptions of patient characteristics. No study assessed the influence of primary radiation treatment or adjuvant radiation therapy on kinematic speech outcomes.</p> </section> <section> <h3> Conclusions & Implications</h3> <p>Based on the literature to date, surgical treatment for O&OSCC seems to reduce articulatory–kinematics of speech, and post-treatment outcomes may be partially explained by tumour size and location. The absence of studies assessing the effect of primary or adjuvant radiation therapy on articulatory–kinematics limits our knowledge of how these interventions influence post-treatment kinematic speech outcomes. Future studies should provide detailed patient descriptions and develop standar
背景：口腔或口咽鳞状细胞癌（O&OSCC）的治疗经常导致语言发音问题。关节-运动学数据在为这些肿瘤患者设计新的治疗方法时可能特别有用。目的：对评估口腔癌和口咽癌治疗对关节运动影响的文献进行系统综述。方法和步骤：使用五个数据库（PubMed, Embase, Scopus， Web of Science和PsycInfo）来识别使用运动学方法表征O&OSCC治疗个体言语特征的研究。使用乔安娜布里格斯研究所的关键评估清单评估偏倚风险。采用无荟萃分析的综合指南对数据进行综合。结果与结果：共纳入29项研究，共197例O&OSCC患者。在大多数研究中，偏倚的风险从中到高，证据的确定性从极低到极低。结果显示，在O&OSCC治疗后，整体变化（即舌的运动减少和不对称增加）以及更多的局部变化（即腭接触减少和辅音的集中产生）。通常，报告的变化与肿瘤大小和位置有关。较小的肿瘤导致更好或更典型的发音-运动学结果。与邻近部位相比，舌头受影响区域的发音运动减少最多。研究结果仅限于小样本量，通常对患者特征的描述很少。没有研究评估初级放射治疗或辅助放射治疗对运动学语言预后的影响。结论和意义：根据迄今为止的文献，手术治疗O&OSCC似乎降低了言语的发音运动学，治疗后的结果可能部分由肿瘤的大小和位置来解释。缺乏评估初级或辅助放射治疗对关节运动学影响的研究，限制了我们对这些干预措施如何影响治疗后运动语言结果的了解。未来的研究应提供详细的患者描述，并开发标准化的语言评估工具，以进一步了解治疗后发音-运动学语言变化，并为O&OSCC患者制定积极的康复策略。本文补充的内容：在这个问题上已经知道的是，对O&OSCC的治疗会导致言语清晰度问题。O&OSCC的语音结果是高度可变的。我们系统地回顾和综合了O&OSCC治疗后关节-运动学变化的文献，并确定了29项相关研究。O&OSCC的治疗导致整体（即，更不对称或减少运动模式）和局部（即，减少腭接触）关节运动改变。一般来说，与较大的肿瘤相比，较小的肿瘤导致更好或更典型的发音-运动学结果。与邻近部位相比，舌头受影响区域的发音运动减少最多。这项工作的潜在或实际临床意义是什么？了解手术干预对O&OSCC的关节运动影响可以指导量身定制的语言康复。
{"title":"Articulatory–kinematic changes in speech following surgical treatment for oral or oropharyngeal cancer: A systematic review","authors":"Thomas B. Tienkamp, Teja Rebernik, Rachel A. D'Cruz, Rob J. J. H. van Son, Martijn Wieling, Max J. H. Witjes, Sebastiaan A. H. J. de Visscher, Defne Abur","doi":"10.1111/1460-6984.13148","DOIUrl":"10.1111/1460-6984.13148","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Treatment for oral or oropharyngeal squamous cell carcinoma (O&OSCC) often leads to problems with speech articulation. Articulatory–kinematic data may be especially informative in designing new therapeutic approaches for individuals treated for these tumours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To provide a systematic review of the literature assessing the articulatory–kinematic consequences of oral and oropharyngeal cancer treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>Five databases (PubMed, Embase, Scopus, Web of Science and PsycInfo) were used to identify studies that used kinematic methods to characterize the speech of individuals treated for O&OSCC. Risk of bias was assessed using the critical appraisal checklist from the Joanna Briggs Institute. Data were synthesized using the Synthesis Without Meta-Analysis guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>In total, 29 studies with a total of 197 individuals treated for O&OSCC were included. In most studies the risk of bias was moderate to high and certainty of evidence was very low to low. Results showed both global changes (i.e., reduced movement and increased asymmetry of the tongue) as well as more local changes (i.e., reduced palatal contact and more centralized productions of consonants) following treatment for O&OSCC. Generally, reported changes were related to tumour size and location. Smaller tumours resulted in better or more typical articulatory–kinematic speech outcomes. Articulatory movements were most reduced in the affected region of the tongue as compared with neighbouring parts. Study findings were limited to small sample sizes with generally minimal descriptions of patient characteristics. No study assessed the influence of primary radiation treatment or adjuvant radiation therapy on kinematic speech outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>Based on the literature to date, surgical treatment for O&OSCC seems to reduce articulatory–kinematics of speech, and post-treatment outcomes may be partially explained by tumour size and location. The absence of studies assessing the effect of primary or adjuvant radiation therapy on articulatory–kinematics limits our knowledge of how these interventions influence post-treatment kinematic speech outcomes. Future studies should provide detailed patient descriptions and develop standar","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1460-6984.13148","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848137","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}
Cassandra Alighieri, Andrew Hodges, Jolien Verbeke, Katrien Kestens, Kim Bettens, Rica Albite, Raphaelle May Tan, Kristiane Van Lierde
<div> <section> <h3> Background</h3> <p>Adults presenting with unrepaired cleft palate are not a rare occurrence in middle-income countries. However, many surgeons are hesitant to operate on these individuals because of the challenges in repairing the wide adult cleft palate, as well as concerns regarding any improvement in speech in older patients. Unfortunately, the literature on the effect of delayed palatal closure is scarce.</p> </section> <section> <h3> Aims</h3> <p>To investigate the effect of delayed palatal closure on speech and self-reported satisfaction in Filipino adults born with a cleft palate.</p> </section> <section> <h3> Methods & Procedures</h3> <p>A total of 17 adults (mean age = 23.31 years) who underwent delayed palatal closure in the Philippines (a middle-income country) using a three-step surgical procedure (palatal repair, buccinator flaps and suspension pharyngeal flap) were included in this study. Pre- and post-operative speech assessments were conducted. Nasalance values and the absence or presence of velopharyngeal insufficiency (VPI) were determined using the nasometer and videofluoroscopic assessments, respectively. A self-report questionnaire was administered to evaluate satisfaction with the procedure and their speech.</p> </section> <section> <h3> Outcomes & Results</h3> <p>Statistically significant improvements in speech understandability and speech acceptability were observed after delayed palatal closure. With regard to resonance and nasal airflow, the presence of hypernasality and nasal emission significantly decreased post-surgery. Videofluoroscopic data showed improved velopharyngeal closure following delayed palatal closure. Participants reported that their speech was significantly more intelligible in different contexts. No differences in articulation were observed before and after surgery.</p> </section> <section> <h3> Conclusions & Implications</h3> <p>Considering the positive speech outcomes in terms of speech understandability, speech acceptability, hypernasality, nasal emission, velopharyngeal closure and self-reported satisfaction, it is worthwhile to operate on adults with unrepaired palatal clefts. Post-operative speech therapy to improve articulation remains necessary.</p> </section> <section> <h3> WHAT THIS PAPER ADDS</h3> <section> <h3> What is already known on the subject</h3> <div> <ul>
{"title":"Does speech improve after delayed palatal closure in Filipino adults? Effects of combined palatal repair, buccinator flaps and suspension pharyngeal flap","authors":"Cassandra Alighieri, Andrew Hodges, Jolien Verbeke, Katrien Kestens, Kim Bettens, Rica Albite, Raphaelle May Tan, Kristiane Van Lierde","doi":"10.1111/1460-6984.13146","DOIUrl":"10.1111/1460-6984.13146","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adults presenting with unrepaired cleft palate are not a rare occurrence in middle-income countries. However, many surgeons are hesitant to operate on these individuals because of the challenges in repairing the wide adult cleft palate, as well as concerns regarding any improvement in speech in older patients. Unfortunately, the literature on the effect of delayed palatal closure is scarce.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To investigate the effect of delayed palatal closure on speech and self-reported satisfaction in Filipino adults born with a cleft palate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>A total of 17 adults (mean age = 23.31 years) who underwent delayed palatal closure in the Philippines (a middle-income country) using a three-step surgical procedure (palatal repair, buccinator flaps and suspension pharyngeal flap) were included in this study. Pre- and post-operative speech assessments were conducted. Nasalance values and the absence or presence of velopharyngeal insufficiency (VPI) were determined using the nasometer and videofluoroscopic assessments, respectively. A self-report questionnaire was administered to evaluate satisfaction with the procedure and their speech.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>Statistically significant improvements in speech understandability and speech acceptability were observed after delayed palatal closure. With regard to resonance and nasal airflow, the presence of hypernasality and nasal emission significantly decreased post-surgery. Videofluoroscopic data showed improved velopharyngeal closure following delayed palatal closure. Participants reported that their speech was significantly more intelligible in different contexts. No differences in articulation were observed before and after surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>Considering the positive speech outcomes in terms of speech understandability, speech acceptability, hypernasality, nasal emission, velopharyngeal closure and self-reported satisfaction, it is worthwhile to operate on adults with unrepaired palatal clefts. Post-operative speech therapy to improve articulation remains necessary.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <section>\u0000 \u0000 <h3> What is already known on the subject</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819937","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}
Meredith L. Baker-Rush, Michelle Zemsky Dineen, Erin T. Kaseda
<div> <section> <h3> Background</h3> <p>Speech–language pathologists (SLPs) perform nasal laryngoscopy (LE) to assess voice and dysphagia-related disorders. The procedural aspects may include the use of topical nasal anaesthesia.</p> </section> <section> <h3> Aims</h3> <p>To explore the practice patterns of American Speech–Language–Hearing Association (ASHA)-certified SLPs use of anaesthesia during laryngeal endoscopy procedures in the United States</p> </section> <section> <h3> Methods & Procedures</h3> <p>Data were collected via a brief computerized survey. A mixed methodology was employed. National representation across the United States was achieved.</p> </section> <section> <h3> Outcomes & Results</h3> <p>Limited pre-licensure training in LE with the majority of educational content embedded in a voice course (64.7%) and post-academic training via live continuing education (CE) (58.8–72.5%). Pharmacology training was notably lacking in pre- and post-licensure groups. A total of 50% of post-licensure training occurred via interprofessional (IP) mentorship with significant correlations (LE confidence and skills <i>r</i> = 0.64, < 0.001, anaesthesia <i>r</i> = 0.74, < 0.001). However, when looking at confidence of knowledge as compared with skills for the procedure, 83% of participants reported high levels of confidence in their knowledge, yet 31.25% reported high levels of confidence in the skills to perform LE. Conversely, when looking at confidence of anaesthesia knowledge (20.83%) as compared with skills, participants were less confident in their knowledge yet more confident in the skills (31.25%) to administer anaesthesia.</p> </section> <section> <h3> Conclusions & Implications</h3> <p>Bandura's Social Cognitive Learning Theory of 1986 with standardized use of vicarious and self-regulatory capabilities based on prior experiences and the use of IP mentorship during pre- and post-licensure education for LE may be beneficial in training. Limitations and suggestions for future research are additionally reported.</p> </section> <section> <h3> WHAT THIS PAPER ADDS</h3> <section> <h3> What is already known on this subject</h3> <div> <ul> <li>Laryngeal endoscopy is an advanced competency procedure completed by SLPs used in the evaluation and treatment of voice and swallowing disorders. Standards for competency lack consistency. Simult
{"title":"Exploring speech–language pathologists’ training and use of topical nasal anaesthesia during laryngeal endoscopy in the United States","authors":"Meredith L. Baker-Rush, Michelle Zemsky Dineen, Erin T. Kaseda","doi":"10.1111/1460-6984.13140","DOIUrl":"10.1111/1460-6984.13140","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Speech–language pathologists (SLPs) perform nasal laryngoscopy (LE) to assess voice and dysphagia-related disorders. The procedural aspects may include the use of topical nasal anaesthesia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To explore the practice patterns of American Speech–Language–Hearing Association (ASHA)-certified SLPs use of anaesthesia during laryngeal endoscopy procedures in the United States</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>Data were collected via a brief computerized survey. A mixed methodology was employed. National representation across the United States was achieved.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>Limited pre-licensure training in LE with the majority of educational content embedded in a voice course (64.7%) and post-academic training via live continuing education (CE) (58.8–72.5%). Pharmacology training was notably lacking in pre- and post-licensure groups. A total of 50% of post-licensure training occurred via interprofessional (IP) mentorship with significant correlations (LE confidence and skills <i>r</i> = 0.64, < 0.001, anaesthesia <i>r</i> = 0.74, < 0.001). However, when looking at confidence of knowledge as compared with skills for the procedure, 83% of participants reported high levels of confidence in their knowledge, yet 31.25% reported high levels of confidence in the skills to perform LE. Conversely, when looking at confidence of anaesthesia knowledge (20.83%) as compared with skills, participants were less confident in their knowledge yet more confident in the skills (31.25%) to administer anaesthesia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>Bandura's Social Cognitive Learning Theory of 1986 with standardized use of vicarious and self-regulatory capabilities based on prior experiences and the use of IP mentorship during pre- and post-licensure education for LE may be beneficial in training. Limitations and suggestions for future research are additionally reported.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <section>\u0000 \u0000 <h3> What is already known on this subject</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>Laryngeal endoscopy is an advanced competency procedure completed by SLPs used in the evaluation and treatment of voice and swallowing disorders. Standards for competency lack consistency. Simult","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819943","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}
Louise C. Occomore-Kent, John C. Hardman, Justin W. G. Roe, Paula Bradley, Paul N. Carding, Joanne M. Patterson
<div> <section> <h3> Background</h3> <p>Over 200,000 patients are referred onto the suspected head and neck cancer (HNC) pathway annually in the UK, with around 3% receiving a cancer diagnosis. With new HNC advancements in identifying patients at low risk of a cancer diagnosis, one proposal is a speech and language therapy (SLT)-led first point of contact clinic for low-risk patients presenting with voice or swallowing symptoms.</p> </section> <section> <h3> Aims</h3> <p>To explore ear, nose and throat (ENT) surgeons’ views regarding this model.</p> </section> <section> <h3> Materials & Methods</h3> <p>The study used a qualitative study design using semi-structured interviews. Transcribed responses were analysed using thematic analysis.</p> </section> <section> <h3> Outcomes & Results</h3> <p>A total of 11 UK ENT surgeons participated. Themes included the positives and challenges of the proposed model; existing facilitators that increase the likelihood of success; and the requirements for successful implementation. Service variation impacted level of interest. Waiting times were problematic at some sites more than others; SLT workforce issues were of differing prevalence; SLT competence and interest differed; and support from organizational leaders varied. Participants’ personal views also varied, for example, acceptability of the model to patients, or what governance structure is required. There was no single SLT-led clinic model suitable for all centres; however, some general principles were identified to inform further evaluation and implementation of this model.</p> </section> <section> <h3> Conclusions & Implications</h3> <p>Principles included the deployment of SLTs experienced in laryngeal examination and flexible nasendoscopy; dedicated job plans and workforce; professional and regulatory body recognition and support; and clear training, supervision structure and job description for the role. Service outcomes, training protocol and competencies require robust evaluation.</p> </section> <section> <h3> WHAT THIS PAPER ADDS</h3> <section> <h3> What is already known on this subject</h3> <div> <ul> <li>During the SARS-CoV-2 pandemic, a risk calculator tool was developed to identify patients a
{"title":"Speech and language therapist-led clinics for low-risk suspected head and neck cancer referrals: A qualitative study of ear, nose and throat surgeons’ views","authors":"Louise C. Occomore-Kent, John C. Hardman, Justin W. G. Roe, Paula Bradley, Paul N. Carding, Joanne M. Patterson","doi":"10.1111/1460-6984.13137","DOIUrl":"10.1111/1460-6984.13137","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Over 200,000 patients are referred onto the suspected head and neck cancer (HNC) pathway annually in the UK, with around 3% receiving a cancer diagnosis. With new HNC advancements in identifying patients at low risk of a cancer diagnosis, one proposal is a speech and language therapy (SLT)-led first point of contact clinic for low-risk patients presenting with voice or swallowing symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To explore ear, nose and throat (ENT) surgeons’ views regarding this model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials & Methods</h3>\u0000 \u0000 <p>The study used a qualitative study design using semi-structured interviews. Transcribed responses were analysed using thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>A total of 11 UK ENT surgeons participated. Themes included the positives and challenges of the proposed model; existing facilitators that increase the likelihood of success; and the requirements for successful implementation. Service variation impacted level of interest. Waiting times were problematic at some sites more than others; SLT workforce issues were of differing prevalence; SLT competence and interest differed; and support from organizational leaders varied. Participants’ personal views also varied, for example, acceptability of the model to patients, or what governance structure is required. There was no single SLT-led clinic model suitable for all centres; however, some general principles were identified to inform further evaluation and implementation of this model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>Principles included the deployment of SLTs experienced in laryngeal examination and flexible nasendoscopy; dedicated job plans and workforce; professional and regulatory body recognition and support; and clear training, supervision structure and job description for the role. Service outcomes, training protocol and competencies require robust evaluation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <section>\u0000 \u0000 <h3> What is already known on this subject</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>During the SARS-CoV-2 pandemic, a risk calculator tool was developed to identify patients a","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808242","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>Early childhood is a critical period of language development. Yet less is known about how language growth relates to the development of phoneme awareness and cognitive flexibility during this period.</p> </section> <section> <h3> Aims</h3> <p>To examine the longitudinal associations between growth in phonological awareness and cognitive flexibility from 4 to 5 years in relation to three patterns of child language development: early, intermediate and late.</p> </section> <section> <h3> Methods & Procedures</h3> <p>A sample of 439 four-year-old children were recruited and underwent repeated language, phonological awareness and cognitive flexibility testing to age 5. Children were classified into three language development groups based on their listening comprehension: early, intermediate and late. Group-based trajectory modelling was then used to examine the relations between cognitive flexibility and phonological awareness over time in relation to language outcome.</p> </section> <section> <h3> Outcomes & Results</h3> <p>Early language developers were characterized by higher levels and greater improvement in language and phonological awareness skills between 4 and 5 years. Late language developers exhibited slower growth in expressive language development (in addition to lower receptive language at age 4). Intermediate and late language developers showed steeper growth in cognitive flexibility over the study.</p> </section> <section> <h3> Conclusions & Implications</h3> <p>Findings affirm the interconnected nature of phoneme awareness, cognitive and language skill development in early childhood. Results suggest the importance of targeting skills across literacy and executive functioning/regulatory domains for children with language difficulties.</p> </section> <section> <h3> WHAT THIS PAPER ADDS</h3> <section> <h3> What is already known on the subject</h3> <div> <ul> <li>It is already known that language skills are related to self-regulation and phoneme awareness skills. However, it is also important to examine how different patterns of language growth are related to the timing and level of growth in self-regulation and phoneme awareness. Further, it is important to examine the relationship between language development and cognitive flexibility (one component of self-regulation) to understand this rel
{"title":"Trajectories of language development, cognitive flexibility and phoneme awareness knowledge in early childhood","authors":"Brigid McNeill, Gail Gillon, Megan Gath, Lianne Woodward","doi":"10.1111/1460-6984.13139","DOIUrl":"10.1111/1460-6984.13139","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Early childhood is a critical period of language development. Yet less is known about how language growth relates to the development of phoneme awareness and cognitive flexibility during this period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To examine the longitudinal associations between growth in phonological awareness and cognitive flexibility from 4 to 5 years in relation to three patterns of child language development: early, intermediate and late.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>A sample of 439 four-year-old children were recruited and underwent repeated language, phonological awareness and cognitive flexibility testing to age 5. Children were classified into three language development groups based on their listening comprehension: early, intermediate and late. Group-based trajectory modelling was then used to examine the relations between cognitive flexibility and phonological awareness over time in relation to language outcome.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>Early language developers were characterized by higher levels and greater improvement in language and phonological awareness skills between 4 and 5 years. Late language developers exhibited slower growth in expressive language development (in addition to lower receptive language at age 4). Intermediate and late language developers showed steeper growth in cognitive flexibility over the study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>Findings affirm the interconnected nature of phoneme awareness, cognitive and language skill development in early childhood. Results suggest the importance of targeting skills across literacy and executive functioning/regulatory domains for children with language difficulties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> WHAT THIS PAPER ADDS</h3>\u0000 \u0000 <section>\u0000 \u0000 <h3> What is already known on the subject</h3>\u0000 \u0000 <div>\u0000 <ul>\u0000 \u0000 <li>It is already known that language skills are related to self-regulation and phoneme awareness skills. However, it is also important to examine how different patterns of language growth are related to the timing and level of growth in self-regulation and phoneme awareness. Further, it is important to examine the relationship between language development and cognitive flexibility (one component of self-regulation) to understand this rel","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796158","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}
Joanne Cleland, Robyn McCluskey, Marie Dokovova, Lisa Crampin, Linsay Campbell
<div> <section> <h3> Background</h3> <p>Ultrasound visual biofeedback (UVBF) has the potential to be useful for the treatment of compensatory errors in speakers with cleft palate ± lip (CP±L), but there is little research on its effectiveness, or on how acceptable families find the technique. This study reports on parents’ and children's perspectives on taking part in a pilot randomized control trial of UVBF compared with articulation intervention.</p> </section> <section> <h3> Aims</h3> <p>To determine the acceptability of randomization, UVBF and articulation intervention to families. We set feasibility criteria of at least 75% of responses rated as acceptable or positive in order to determine progression from a pilot to a full randomized control trial.</p> </section> <section> <h3> Methods & Procedures</h3> <p>A total of 19 families who received UVBF therapy (11 families) and articulation intervention (eight families) were invited to participate. Mixed methods were employed: two questionnaires to determine the acceptability of UVBF and articulation intervention, respectively; and semi-structured focus groups/interviews. Questionnaires were analysed for frequency of positive versus negative acceptability and the focus groups/interviews were analysed using thematic analysis and coded using the theoretical framework of acceptability.</p> </section> <section> <h3> Outcomes & Results</h3> <p>More than 75% of families rated randomization as acceptable and more than 75% of families rated both interventions as acceptable, with the caveat that half of the participants did not wish to continue articulation intervention after the study. For some families, this was because they felt further intervention was not required. Six families (three in each intervention) volunteered to take part in the focus groups/interviews. Results showed more positive than negative themes regarding acceptability, particularly affective attitude where high levels of enjoyment were expressed, although some participants found the articulation intervention ‘boring’. In both groups, there was a considerable burden involved in travelling to the hospital location.</p> </section> <section> <h3> Conclusions & Implications</h3> <p>Randomization in a clinical trial is acceptable to families; UVBF and articulation intervention are acceptable and indeed enjoyable. The burden of the additional outcome measures required for a clinical trial is manageable, although there is a travel
{"title":"A mixed-methods pilot randomized control trial of ultrasound visual biofeedback versus standard intervention for children with cleft palate ± cleft lip: Parents’ and children's perspectives","authors":"Joanne Cleland, Robyn McCluskey, Marie Dokovova, Lisa Crampin, Linsay Campbell","doi":"10.1111/1460-6984.13144","DOIUrl":"10.1111/1460-6984.13144","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Ultrasound visual biofeedback (UVBF) has the potential to be useful for the treatment of compensatory errors in speakers with cleft palate ± lip (CP±L), but there is little research on its effectiveness, or on how acceptable families find the technique. This study reports on parents’ and children's perspectives on taking part in a pilot randomized control trial of UVBF compared with articulation intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To determine the acceptability of randomization, UVBF and articulation intervention to families. We set feasibility criteria of at least 75% of responses rated as acceptable or positive in order to determine progression from a pilot to a full randomized control trial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>A total of 19 families who received UVBF therapy (11 families) and articulation intervention (eight families) were invited to participate. Mixed methods were employed: two questionnaires to determine the acceptability of UVBF and articulation intervention, respectively; and semi-structured focus groups/interviews. Questionnaires were analysed for frequency of positive versus negative acceptability and the focus groups/interviews were analysed using thematic analysis and coded using the theoretical framework of acceptability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>More than 75% of families rated randomization as acceptable and more than 75% of families rated both interventions as acceptable, with the caveat that half of the participants did not wish to continue articulation intervention after the study. For some families, this was because they felt further intervention was not required. Six families (three in each intervention) volunteered to take part in the focus groups/interviews. Results showed more positive than negative themes regarding acceptability, particularly affective attitude where high levels of enjoyment were expressed, although some participants found the articulation intervention ‘boring’. In both groups, there was a considerable burden involved in travelling to the hospital location.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>Randomization in a clinical trial is acceptable to families; UVBF and articulation intervention are acceptable and indeed enjoyable. The burden of the additional outcome measures required for a clinical trial is manageable, although there is a travel ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802934","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}
Anna McGuiness, Lara Travethan, Kylie Irvin, Yvette Black, Jessica Apps, Kathleen Corinth, Jessica Kennedy, Verenna Zenay Brown, Carla Morgan, Greg Quartly-Scott, Pieter Van Rensburg, Kim Rusten, Chloe Gott, Julia Lappin, Nicole Sugden, Julaine Allan, Frances Dark, Heidi Gray, Grace Thomas, Ashley Hollow, Matt Thomas
<div> <section> <h3> Background</h3> <p>Impairment in aspects of communication is a core diagnostic feature of schizophrenia and other psychotic spectrum disorders. These communication difficulties inhibit participation in a range of daily activities and affect relationships and quality of life. There has been little research focussed on communication outcomes in relation to cognitive remediation therapy within this population. Data collected as part of an implementation trial of the Computerised Interactive Remediation of Cognition and Thinking Skills (CIRCuiTS) program provided an opportunity to examine the potential for changes in communication capability to support activities of daily living.</p> </section> <section> <h3> Aim</h3> <p>To survey changes in ratings of aspects of communication capability of adults with schizophrenia who completed the CIRCuiTS cognitive remediation therapy program.</p> </section> <section> <h3> Methods & Procedures</h3> <p>Thirty adults with schizophrenia and other psychotic spectrum disorders completed the CIRCuiTS therapy program as part of an implementation trial in 2018 and 2019. Most participants were male (93%) and inpatients at Bloomfield Hospital (73%) in Orange, New South Wales. Ratings on the <i>Adaptive Behaviour Assessment System, Third Edition</i> (ABAS3) were returned before and after completion of the CIRCuiTS program. The magnitude of changes in ABAS3 indices, the Communication scale and Functional academics scales were assessed between time points.</p> </section> <section> <h3> Outcomes & Results</h3> <p>Participants’ mean adaptive functioning indices prior to the CIRCuiTS program were in the extremely low range (∼second percentile) and increased to the low range (∼seventh percentile) following this therapy, achieving large mean effect sizes (Cohen's <i>d</i> = 0.92–1.24). Significant improvements in functioning were observed on the ABAS3 Communication and Functional Academics scales, with large mean effect sizes on both scales (Cohen's <i>d</i> = 1.09 and 0.99 respectively). Improvements in ratings occurred on items including initiating conversations, talking and listening over longer periods, explaining more complex information, using lists and reminders and a schedule or diary, completing written forms and personal money management.</p> </section> <section> <h3> Conclusions & Implications</h3> <p>Most participants were observed to make gains in aspects of communication. The results point to these aspects of communication as potential future targets for therapy with people with schizophre
背景：交际障碍是精神分裂症和其他精神谱系障碍的核心诊断特征。这些沟通困难阻碍了参与一系列日常活动，影响了人际关系和生活质量。在这一人群中，很少有研究关注与认知补救疗法相关的沟通结果。作为认知和思维技能计算机化互动补救（电路）计划实施试验的一部分收集的数据提供了一个机会，以检查支持日常生活活动的沟通能力变化的潜力。目的：探讨成人精神分裂症患者在完成电路认知修复治疗项目后，沟通能力各方面评分的变化。方法和程序：30名患有精神分裂症和其他精神谱系障碍的成年人完成了电路治疗项目，作为2018年和2019年实施试验的一部分。大多数参与者是男性（93%）和新南威尔士州奥兰治市布卢姆菲尔德医院的住院患者（73%）。自适应行为评估系统，第三版（ABAS3）的评分在电路程序完成前后返回。评估ABAS3指数、交流量表和功能学术量表在不同时间点之间的变化幅度。结果和结果：参与者的平均适应功能指数在电路计划之前处于极低的范围（~第二个百分位数），并在该治疗后增加到较低的范围（~第七个百分位数），实现了较大的平均效应量（Cohen’s d = 0.92-1.24）。在ABAS3沟通和功能学术量表上观察到功能的显著改善，两个量表的平均效应量都很大（Cohen’s d分别= 1.09和0.99）。在发起对话、长时间交谈和倾听、解释更复杂的信息、使用清单、提醒、时间表或日记、完成书面表格和个人理财等方面，得分都有所提高。结论和启示：大多数参与者在沟通方面取得了进步。研究结果指出，沟通的这些方面是治疗精神分裂症和其他精神病谱系障碍患者的潜在未来目标。本研究强调语言治疗师在认知修复治疗中的价值和作用。进一步的研究似乎需要更广泛的人口统计学、临床和功能能力的参与者，以控制药物和其他治疗干预的效果，并利用更全面的沟通评估。这篇论文补充的内容：在这个问题上已经知道的是，患有精神分裂症和其他精神病谱系障碍的人在认知功能和沟通能力方面都会受到损害，这影响了他们的日常功能和生活质量。认知补救疗法已被证明可以改善精神分裂症和其他精神病谱系障碍患者的日常功能，并在国际治疗指南中得到推荐。然而，很少有研究调查这种疗法在解决沟通困难方面的有效性。本研究发现，患有精神分裂症和其他精神谱系障碍的参与者在完成认知和思维技能的计算机化互动补救治疗项目后，在沟通的重要方面有了显著的改善。研究结果表明，认知补救疗法作为一种可能改善沟通能力的治疗方法具有潜力。这项工作的潜在或实际临床意义是什么？认知修复疗法可能是改善严重精神疾病患者沟通能力的重要治疗方法。这一相对较新的临床实践和研究领域强调了言语和语言治疗在改善精神分裂症和其他精神谱系障碍患者的沟通能力方面的价值和潜力。
{"title":"The potential of cognitive remediation therapy for improving the communication capabilities of adults with schizophrenia and other psychotic spectrum disorders","authors":"Anna McGuiness, Lara Travethan, Kylie Irvin, Yvette Black, Jessica Apps, Kathleen Corinth, Jessica Kennedy, Verenna Zenay Brown, Carla Morgan, Greg Quartly-Scott, Pieter Van Rensburg, Kim Rusten, Chloe Gott, Julia Lappin, Nicole Sugden, Julaine Allan, Frances Dark, Heidi Gray, Grace Thomas, Ashley Hollow, Matt Thomas","doi":"10.1111/1460-6984.13141","DOIUrl":"10.1111/1460-6984.13141","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Impairment in aspects of communication is a core diagnostic feature of schizophrenia and other psychotic spectrum disorders. These communication difficulties inhibit participation in a range of daily activities and affect relationships and quality of life. There has been little research focussed on communication outcomes in relation to cognitive remediation therapy within this population. Data collected as part of an implementation trial of the Computerised Interactive Remediation of Cognition and Thinking Skills (CIRCuiTS) program provided an opportunity to examine the potential for changes in communication capability to support activities of daily living.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To survey changes in ratings of aspects of communication capability of adults with schizophrenia who completed the CIRCuiTS cognitive remediation therapy program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>Thirty adults with schizophrenia and other psychotic spectrum disorders completed the CIRCuiTS therapy program as part of an implementation trial in 2018 and 2019. Most participants were male (93%) and inpatients at Bloomfield Hospital (73%) in Orange, New South Wales. Ratings on the <i>Adaptive Behaviour Assessment System, Third Edition</i> (ABAS3) were returned before and after completion of the CIRCuiTS program. The magnitude of changes in ABAS3 indices, the Communication scale and Functional academics scales were assessed between time points.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>Participants’ mean adaptive functioning indices prior to the CIRCuiTS program were in the extremely low range (∼second percentile) and increased to the low range (∼seventh percentile) following this therapy, achieving large mean effect sizes (Cohen's <i>d</i> = 0.92–1.24). Significant improvements in functioning were observed on the ABAS3 Communication and Functional Academics scales, with large mean effect sizes on both scales (Cohen's <i>d</i> = 1.09 and 0.99 respectively). Improvements in ratings occurred on items including initiating conversations, talking and listening over longer periods, explaining more complex information, using lists and reminders and a schedule or diary, completing written forms and personal money management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>Most participants were observed to make gains in aspects of communication. The results point to these aspects of communication as potential future targets for therapy with people with schizophre","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802935","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}
Laurien Brauner, Karin Neijenhuis, Ruth Dalemans, Philip J. van der Wees, Ellen Gerrits
<div> <section> <h3> Background</h3> <p>Goal setting is an essential step in the clinical reasoning process of speech and language therapists (SLTs) who provide care for children, adolescents and adults with communication disorders. In the light of person-centred care, shared or collaborative goal setting between the SLT and client is advised in (inter)national guidelines. SLTs face challenges in implementing (shared) goal setting as theoretical frameworks and practical interventions are scarce and less applicable to use with a wide range of communication vulnerable populations.</p> </section> <section> <h3> Aims</h3> <p>A first step in developing theory and practical interventions is to explore first-hand experiences of SLTs and clients about day-to-day goal-setting practice. This study was guided by the following research question: What are the perspectives and needs of SLTs and persons with communication disorders regarding (shared) goal setting in routine SLT services?</p> </section> <section> <h3> Methods & Procedures</h3> <p>The qualitative study was carried out in the setting of routine speech–language therapy services in community practices, primary education and neurological rehabilitation in the Netherlands. Data collection followed the principles of video-reflexive ethnography, using video footage of goal-setting conversations to facilitate semi-structured, reflexive interviews. Data analysis was based on reflexive thematic analysis. A total of 12 interviews were conducted with client–SLT dyads, covering perspectives from children, parents and adults with a range of communication difficulties and their SLTs.</p> </section> <section> <h3> Outcomes & Results</h3> <p>Data analysis resulted in four themes, of which two contain subthemes. Each theme represents a central organizing concept found in SLT and client interviews. The themes were identified as: (1) goal setting is a complex process; (2) goal talk needs to be communication accessible; (3) communicative participation goals are hard to grasp; and (4) the importance of relationships. Topics such as power imbalance, communication vulnerability, effective communication strategies, and motivation and trust are explored under these themes.</p> </section> <section> <h3> Conclusions & Implications</h3> <p>SLTs are encouraged to view shared goal setting as a process that needs to be explicitly planned and communicated with clients regardless of their age or communication vulnerabil
{"title":"Perspectives on goal setting: Video-reflexive ethnography with speech–language therapists and clients","authors":"Laurien Brauner, Karin Neijenhuis, Ruth Dalemans, Philip J. van der Wees, Ellen Gerrits","doi":"10.1111/1460-6984.13138","DOIUrl":"10.1111/1460-6984.13138","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Goal setting is an essential step in the clinical reasoning process of speech and language therapists (SLTs) who provide care for children, adolescents and adults with communication disorders. In the light of person-centred care, shared or collaborative goal setting between the SLT and client is advised in (inter)national guidelines. SLTs face challenges in implementing (shared) goal setting as theoretical frameworks and practical interventions are scarce and less applicable to use with a wide range of communication vulnerable populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>A first step in developing theory and practical interventions is to explore first-hand experiences of SLTs and clients about day-to-day goal-setting practice. This study was guided by the following research question: What are the perspectives and needs of SLTs and persons with communication disorders regarding (shared) goal setting in routine SLT services?</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods & Procedures</h3>\u0000 \u0000 <p>The qualitative study was carried out in the setting of routine speech–language therapy services in community practices, primary education and neurological rehabilitation in the Netherlands. Data collection followed the principles of video-reflexive ethnography, using video footage of goal-setting conversations to facilitate semi-structured, reflexive interviews. Data analysis was based on reflexive thematic analysis. A total of 12 interviews were conducted with client–SLT dyads, covering perspectives from children, parents and adults with a range of communication difficulties and their SLTs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes & Results</h3>\u0000 \u0000 <p>Data analysis resulted in four themes, of which two contain subthemes. Each theme represents a central organizing concept found in SLT and client interviews. The themes were identified as: (1) goal setting is a complex process; (2) goal talk needs to be communication accessible; (3) communicative participation goals are hard to grasp; and (4) the importance of relationships. Topics such as power imbalance, communication vulnerability, effective communication strategies, and motivation and trust are explored under these themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions & Implications</h3>\u0000 \u0000 <p>SLTs are encouraged to view shared goal setting as a process that needs to be explicitly planned and communicated with clients regardless of their age or communication vulnerabil","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787468","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}
Loretta Gasparini, Shaun Ziegenfusz, Natalie Turner, Suze Leitão, Michelle C. St Clair, Emily Jackson
<div> <section> <h3> Background</h3> <p>Eighty-five percent of medical research goes to waste, partly because it is not appropriately communicated to stakeholders. This represents a critical issue for the research community, especially because individuals who are impacted by research should be able to readily access that research. Making research findings accessible to key stakeholders is an important step in implementation science and in enabling research to have meaningful impacts. Plain language summaries are a tool to make research more accessible to individuals with communication disorders. While guidelines exist to support researchers to develop plain language summaries for some populations, no such guidelines exist for the developmental language disorder (DLD) community.</p> </section> <section> <h3> Aims</h3> <p>We aimed to develop evidence-informed guidelines to support researchers to create plain language summaries that are accessible for individuals with DLD, their families, and the broader community. This discussion paper describes the development of these guidelines and how they may be implemented by researchers who conduct research on the topic of DLD.</p> </section> <section> <h3> Methods</h3> <p>We drew from existing plain language summary guidelines for other populations and knowledge of various barriers that may impact the DLD community's ability to access scientific research. We used this knowledge to create guidelines for researchers to develop plain language summaries of their research relating to the DLD population. This includes guidelines for creating written, visual, audio and video summaries. We consulted with an adult with DLD, an implementation scientist, and a speech-language pathologist regarding the suitability of the guidelines.</p> </section> <section> <h3> Main Contribution</h3> <p>The plain language summary guidelines are publicly available via https://osf.io/ydkw9. They include templates and examples, as well as suggestions for writing and visual styles. We encourage strengths-based language, seeking feedback from non-experts, and sharing the summaries on social media. We have also developed an online repository for researchers to disseminate their plain language summaries via DLD advocacy groups.</p> </section> <section> <h3> Conclusions</h3> <p>The written, audio and video plain language summaries that researchers create using our guidelines can be used to disseminate research to the DLD community. This can facilitate science implementation and maximise the impact of DLD research. The plain language summaries may
{"title":"How to create accessible research summaries for the developmental language disorder community","authors":"Loretta Gasparini, Shaun Ziegenfusz, Natalie Turner, Suze Leitão, Michelle C. St Clair, Emily Jackson","doi":"10.1111/1460-6984.13142","DOIUrl":"https://doi.org/10.1111/1460-6984.13142","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Eighty-five percent of medical research goes to waste, partly because it is not appropriately communicated to stakeholders. This represents a critical issue for the research community, especially because individuals who are impacted by research should be able to readily access that research. Making research findings accessible to key stakeholders is an important step in implementation science and in enabling research to have meaningful impacts. Plain language summaries are a tool to make research more accessible to individuals with communication disorders. While guidelines exist to support researchers to develop plain language summaries for some populations, no such guidelines exist for the developmental language disorder (DLD) community.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>We aimed to develop evidence-informed guidelines to support researchers to create plain language summaries that are accessible for individuals with DLD, their families, and the broader community. This discussion paper describes the development of these guidelines and how they may be implemented by researchers who conduct research on the topic of DLD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We drew from existing plain language summary guidelines for other populations and knowledge of various barriers that may impact the DLD community's ability to access scientific research. We used this knowledge to create guidelines for researchers to develop plain language summaries of their research relating to the DLD population. This includes guidelines for creating written, visual, audio and video summaries. We consulted with an adult with DLD, an implementation scientist, and a speech-language pathologist regarding the suitability of the guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Contribution</h3>\u0000 \u0000 <p>The plain language summary guidelines are publicly available via https://osf.io/ydkw9. They include templates and examples, as well as suggestions for writing and visual styles. We encourage strengths-based language, seeking feedback from non-experts, and sharing the summaries on social media. We have also developed an online repository for researchers to disseminate their plain language summaries via DLD advocacy groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The written, audio and video plain language summaries that researchers create using our guidelines can be used to disseminate research to the DLD community. This can facilitate science implementation and maximise the impact of DLD research. The plain language summaries may ","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"60 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764046","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}
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