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Analysis of the Quality of Stuttering Content on Douyin in China 国内抖音口吃内容质量分析
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
International Journal of Language & Communication Disorders
Pub Date : 2025-11-05 DOI: 10.1111/1460-6984.70155
Yu-An Chen, Hiu Lam Leung, Shoko Miyamoto

Background

Stuttering, a neurodevelopmental disorder, remains widely misunderstood in China. While Chinese social media platforms like Douyin are increasingly used for health information, no studies have evaluated the quality of stuttering-related content online, particularly for this stigmatized condition.

Aims

This study aims to review and analyse the quality of stuttering-related Douyin videos in China.

Methods and Procedures

A sample of 100 top-liked stuttering-related videos was collected between 12 and 15 May 2024. The videos were classified into three categories as follows: Useful (U), Personal experience (P) and Misleading (M), and four features were extracted for analysis. The Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-A/V) was employed to evaluate the comprehensibility and actionability percentiles of these videos.

Results and Outcomes

Through review and analysis, we found that 4% of the videos was classified as useful, 22% was classified as personal experience, and 74% was classified as misleading. Misleading videos are more likely to be liked by viewers. The evaluation results from the PEMAT-A/V indicated an average understandability score of 53.0% and an average actionability score of 24.3%, which are considered to have low understandability and low actionability.

Conclusions and Implications

Based on our analysis of Douyin's video content, audience behaviour and previous research, this study reveals that the prevalent misinformation may mislead the Chinese public and people who stutter about stuttering on the platform. These findings highlight the need to raise public awareness about unreliable stuttering-related content on social media and inform evidence-based education initiatives.

WHAT THIS PAPER ADDS

What is already known on this subject
  • Most studies on stuttering attitudes in China indicate that the Chinese public has a positive attitude toward accessing information about stuttering, such as through the Internet or video. However, this seems to contradict the overall negative attitudes toward stuttering commonly observed among the Chinese population (Chen et al. 2024; Chen et al. 2025; Ma et al. 2024; Ip et al. 2012; Üs
背景：口吃是一种神经发育障碍，在中国仍被广泛误解。抖音等中国社交媒体平台被越来越多地用于提供健康信息，但没有研究评估过网上与口吃有关的内容的质量，尤其是针对这种被污名化的情况。目的：本研究旨在回顾和分析国内与口吃相关的抖音视频的质量。方法和步骤：在2024年5月12日至15日期间收集100个点赞最多的口吃相关视频样本。将视频分为三类：有用(U)，个人经验(P)和误导性(M)，并提取四个特征进行分析。采用患者教育材料视听材料评估工具（PEMAT-A/V）对这些视频的可理解性和可操作性百分位数进行评估。结果和结果：通过审查和分析，我们发现4%的视频被归类为有用，22%的视频被归类为个人体验，74%的视频被归类为误导。误导性的视频更容易被观众喜欢。PEMAT-A/V评价结果显示，平均可理解性得分为53.0%，平均可操作性得分为24.3%，属于低可理解性和低可操作性。结论与启示：基于我们对抖音视频内容、受众行为以及以往研究的分析，本研究发现，普遍存在的错误信息可能会误导中国公众和平台上的口吃者。这些发现突出表明，有必要提高公众对社交媒体上与口吃有关的不可靠内容的认识，并为循证教育举措提供信息。本文补充的内容：关于这个问题的已知情况大多数关于中国口吃态度的研究表明，中国公众对获取有关口吃的信息持积极态度，例如通过互联网或视频。然而，这似乎与中国人群中普遍观察到的对口吃的整体负面态度相矛盾（Chen et al. 2024; Chen et al. 2025; Ma et al. 2024; Ip et al. 2012； Üstün-Yavuz et al. 2021）。Ma et al.（2023）强调，许多自称为“口吃矫正者”的人，缺乏相关领域的专业培训，在中国积极传播有关口吃的错误信息。在抖音上，关于口吃的误导性视频可能远远超过有用的视频，而且往往缺乏可理解性和可操作性。这项工作的潜在或实际临床意义是什么？本研究有助于读者了解中国新媒体平台上关于口吃的错误信息的普遍存在，以及专业人士如何改善这种环境。此外，专业人员可以利用这项研究的结果来告知口吃者或那些寻求学习口吃的人，从而提高他们对在线信息的认识。
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引用次数: 0
Inter-Instrument Agreement of Three Ultrasound Systems in Measuring the Cross-Sectional Area of the Geniohyoid Muscle 三种超声系统测量膝舌骨肌横截面积的仪器间一致性。
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
International Journal of Language & Communication Disorders
Pub Date : 2025-10-27 DOI: 10.1111/1460-6984.70148
Takashi Mori, Nami Ogawa, Ichiro Fujishima, Hidetaka Wakabayashi, Keishi Okamoto, Yuto Kameyama, Ai Hirano, Fumiko Oshima, Masataka Itoda, Sumito Ogawa, Tomohisa Ohno, Minoru Yamada, Kenjiro Kunieda, Takashi Shigematsu, Shinta Nishioka, Kazuki Fukuma, Akio Shimizu, Yoichiro Sugiyama

Purpose

Measurement of swallowing muscle mass is important in determining sarcopenic dysphagia. Ultrasound equipment can measure the cross-sectional area of the swallowing muscles, but the inter-instrument reliability is unknown. In this study, the inter-instrument reliability was investigated.

Methods

Three ultrasound devices were used to measure the geniohyoid muscle in 16 healthy participants, and their reliability was evaluated. The LogiQeV2, which has already been used to calculate cut-off values for the muscle mass of the geniohyoid muscle, was used as the key device. The reliability of the Sonosite iViz and the TUP-C035J for LogiQeV2 was analysed, respectively. Intra-class correlation coefficients (ICC) and Bland–Altman plots were used for the analysis.

Results

The ICC between LogiQeV2 and Sonosite iViz was 0.976. One data point deviated from the Limit of agreement. The ICC between LogiQeV2 and TUP-C035J was 0.979. Ninety-four per cent of the data fell within the limit of agreement. From the result of the ICC and Bland–Altman plot, errors were judged to be within the acceptable range for practical purposes.

Conclusion

The inter-instrument reliability of three ultrasound systems for cross-sectional area of geniohyoid muscle was confirmed. In the clinical setting, ultrasound systems can be widely used to measure the swallowing muscle mass.

WHAT THIS PAPER ADDS

What is already known on this subject
  • Ultrasonography can be used to measure the area of the geniohyoid muscle that plays an important role in swallowing.
What this paper adds to the existing knowledge
  • The inter-instrument reliability of different ultrasound systems for the cross-sectional area of geniohyoid muscle was revealed.
What are the potential or actual clinical implications for this work?
  • Ultrasound systems can be used to measure the mass of swallowing muscle in a wide range of clinical settings.
目的：测定吞咽肌质量对判断肌肉减少性吞咽困难有重要意义。超声设备可以测量吞咽肌肉的横截面积，但仪器间的可靠性尚不清楚。本研究对仪器间的信度进行了研究。方法：采用3种超声装置对16名健康受试者进行膝舌骨肌测量，并对其可靠性进行评价。LogiQeV2已经被用于计算膝舌骨肌肌肉质量的临界值，它被用作关键设备。分别对LogiQeV2的Sonosite iViz和TUP-C035J的可靠性进行了分析。采用类内相关系数（ICC）和Bland-Altman图进行分析。结果：LogiQeV2与Sonosite iViz之间的ICC值为0.976。有一个数据点偏离了一致的极限。LogiQeV2与TUP-C035J之间的ICC为0.979。94%的数据在协议的限制范围内。从ICC和Bland-Altman图的结果来看，判断误差在实际可接受范围内。结论：证实了三种超声系统测量膝舌骨肌横截面积的仪器间可靠性。在临床环境中，超声系统可以广泛用于测量吞咽肌肉质量。本文补充的内容：关于这一主题的已知内容超声检查可用于测量在吞咽中起重要作用的膝舌骨肌的面积。揭示了不同超声系统测量膝舌骨肌横截面积的仪器间可靠性。这项工作的潜在或实际临床意义是什么？超声系统可用于测量吞咽肌肉的质量在广泛的临床设置。
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引用次数: 0
Intersection of Knowledge to Practice: A Purposeful Integration of Communication Partner Training in Aphasia With Adult Learning Principles for Healthcare Students 知识与实践的交集：有目的的整合失语症沟通伙伴训练与成人学习原则医疗保健学生
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
International Journal of Language & Communication Disorders
Pub Date : 2025-10-25 DOI: 10.1111/1460-6984.70150
Catherine Torrington Eaton, Madeline McAvoy, Selina Morgan, Angela Kennedy
<div> <section> <h3> Background</h3> <p>Communication partner training (CPT) for people with aphasia (PWA) is an evidence-based approach that supports patients’ abilities to effectively communicate with their healthcare providers. Efforts to create efficient training programmes, which aim to instil appropriate practices and attitudes prior to working with patients, have the potential to induce widespread change in communication access in healthcare settings.</p> </section> <section> <h3> Aims</h3> <p>The current study examined the effectiveness of a novel, scalable CPT programme for healthcare students based on andragogical principles.</p> </section> <section> <h3> Methods and Procedures</h3> <p>Fifteen of 18 allied healthcare students completed training that included (1) a three-part online module consisting of testimonials from individuals with aphasia, didactic content regarding principles of CPT and communication strategies, and discipline-specific healthcare scenarios with and without communication support; (2) individualised feedback and self-reflection regarding ways to improve interaction skills; and (3) an opportunity to practice facilitative conversation skills during a psychosocial aphasia group meeting. The research design enabled within-group comparisons of students’ knowledge, attitudes, and skills pre- and post-completion of the multi-component training and between-group comparisons of interaction skills with online versus no training.</p> </section> <section> <h3> Outcomes and Results</h3> <p>Multi-component training resulted in meaningful changes in knowledge, attitudes, and skills as observed by effect sizes. The group comparison between those who completed online training versus controls demonstrated statistically significant improvements in facilitative skills, specifically verifying the intended message of the PWA and use of gesture.</p> </section> <section> <h3> Conclusions and Implications</h3> <p>Findings suggest that online CPT that capitalises on learning theories and principles for healthcare education is effective and efficient for training supportive techniques in communication with people with aphasia.</p> </section> <section> <h3> WHAT THIS PAPER ADDS</h3> <div><i>What is already known on this subject</i> <ul> <li>Communication partner tra
失语症（PWA）患者的沟通伙伴培训（CPT）是一种基于证据的方法，支持患者与医疗保健提供者有效沟通的能力。努力制定有效的培训方案，其目的是在与病人合作之前灌输适当的做法和态度，这有可能导致保健环境中通信渠道的广泛变化。目的本研究考察了一种新颖的、可扩展的基于性学原理的卫生保健学生CPT方案的有效性。方法和程序18名联合医疗保健学生中有15名完成了培训，包括(1)一个由三部分组成的在线模块，包括失语症患者的证明，关于CPT原则和沟通策略的教学内容，以及有和没有沟通支持的学科特定医疗场景；(2)个性化反馈和自我反思，以提高互动技能；(3)在社会心理失语症小组会议上练习促进性对话技巧的机会。研究设计可以在组内比较学生在完成多组件培训前后的知识、态度和技能，并在组间比较在线培训与未在线培训的互动技能。结果和结果通过效应量观察到，多成分训练导致知识、态度和技能有意义的变化。完成在线培训的人与对照组之间的小组比较显示，在促进技能方面，特别是验证PWA的预期信息和手势的使用方面，统计上有显著的改善。结论和启示研究结果表明，在线CPT利用医疗保健教育的学习理论和原则，在与失语症患者交流时培训支持性技术是有效和高效的。沟通伙伴培训（CPT）可以为未来的医疗保健提供者提供更有效地与失语症患者沟通的工具。研究表明，这种培训对提高保健专业学生的知识和态度是有效的，尽管迄今为止的研究尚未证明在实际采用促进性谈话技巧方面发生了变化。本研究复制并扩展了先前关于医疗保健学生CPT的研究，证明基于成人学习原则的在线培训是一种有效和高效的工具，可以训练知识、态度和技能，促进与失语症患者的沟通。此外，研究结果表明，设计培训材料，说明在特定学科背景下促进对话技巧的重要性。这项工作的潜在或实际临床意义是什么？本研究为卫生保健教育中CPT规划的扩展提供了基础。这种规划的广泛采用将对失语症患者的医疗保健获取产生直接影响。
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引用次数: 0
Validity and Reliability of Speech Data in the Norwegian Registry of Cleft Lip and Palate 挪威唇腭裂患者语音数据的效度和信度。
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
International Journal of Language & Communication Disorders
Pub Date : 2025-10-23 DOI: 10.1111/1460-6984.70151
Øydis Hide, Dagrun Slettebø Daltveit, Åse Sivertsen, Anne Katherine Hvistendahl, Randi Lovise Kjerstad, Marit Berntsen Kvinnsland, Nina Helen Pedersen, Christina Sørensen

Background

Cleft lip and palate (CLP) treatment in Norway is centralized and multidisciplinary, with long-term follow-up from birth to adulthood. The Norwegian Registry of Cleft Lip and Palate was established to ensure high-quality care and enable systematic data collection. Speech data are a key component, assessed by speech–language therapists (SLTs) using standardized tools. Ensuring the validity and reliability of these data is essential for clinical decision-making and quality assurance.

Aim

The study aimed to (1) assess the validity of speech data obtained from routine assessments recorded in the Norwegian Registry of Cleft Lip and Palate and (2) propose and evaluate speech-related quality indicators for use in the Norwegian Registry of Cleft Lip and Palate.

Methods and Procedures

To assess the validity of speech data obtained from routine assessments, comparisons were made between registry entries and blinded re-assessments. The registry data consisted of speech data from 143 children born in 2011–2012 with cleft palate ± lip. For the re-assessments, four experienced SLTs independently re-assessed anonymized audio recordings. Inter- and intra-rater reliability were analysed using Gwet's agreement coefficients and intra-class correlation coefficients (ICCs). Variables assessed included hypernasality, hyponasality, audible nasal air emission, weak pressure consonants, perceived velopharyngeal competence (VPC), intelligibility of speech, percent non-oral articulation errors, percent consonants correct (PCC) and percent oral articulation errors. Three speech-related quality indicators were proposed and evaluated as follows: (1) proportion of children without non-oral articulation errors, (2) proportion of children with competent or marginally incompetent VPC and (3) proportion of children with good intelligibility of speech.

Outcomes and Results

Participants: 143 children (47% with cleft palate only, 36% unilateral, 17% bilateral cleft lip), mean age 6 years. Comparisons between registry entries and blinded re-assessments revealed almost perfect agreement (≥0.81) for hypernasality, hyponasality, audible nasal air emission, weak pressure consonants and perceived VPC. Agreement ranged from substantial (0.80) to almost perfect (≥0.81) for intelligibility of speech. Agreement was substantial (0.61–0.75) for percent non-oral articulation errors and mainly also for PCC (0.58–0.71). Agreement for percent oral articulation errors ranged from fair to moderate (0.25–0.50). The quality indicators, proportio

背景：挪威的唇腭裂（CLP）治疗是集中和多学科的，从出生到成年的长期随访。挪威唇腭裂登记处的建立是为了确保高质量的护理和系统的数据收集。语言数据是一个关键组成部分，由语言治疗师（slt）使用标准化工具进行评估。确保这些数据的有效性和可靠性对于临床决策和质量保证至关重要。目的：本研究旨在(1)评估从挪威唇腭裂登记处记录的常规评估中获得的语音数据的有效性；(2)提出并评估挪威唇腭裂登记处使用的语音相关质量指标。方法和程序：为了评估从常规评估中获得的语音数据的有效性，将注册表记录与盲法重新评估进行比较。登记数据包括2011-2012年出生的143例腭裂±唇裂患儿的言语数据。对于重新评估，四位经验丰富的slt独立地重新评估了匿名录音。采用Gwet的一致系数和类内相关系数（ICCs）分析组间和组内信度。评估的变量包括鼻音高、低鼻音、可听鼻气排放、弱压辅音、感知舌咽部能力（VPC）、言语可理解度、非口头发音错误百分比、辅音正确百分比和口头发音错误百分比。提出并评估了三个与语音相关的质量指标：(1)无非口头发音错误的儿童比例，(2)正常或轻度不正常VPC的儿童比例，(3)良好语音可理解性的儿童比例。结果和结果：参与者：143名儿童（47%仅腭裂，36%单侧唇裂，17%双侧唇裂），平均年龄6岁。注册记录与盲法重新评估的比较显示，在鼻高、鼻低、可听鼻气体排放、弱压辅音和感知VPC方面几乎完全一致（≥0.81）。在言语可理解性方面，一致性范围从相当大（0.80）到几乎完美（≥0.81）。非口腔发音错误的百分比一致（0.61-0.75），主要是PCC（0.58-0.71）。口头发音错误百分比的一致性范围从一般到中等（0.25-0.50）。质量指标，无非口腔发音错误的儿童比例和正常或轻度不正常VPC的儿童比例，显示出基本或几乎完全一致（0.80-0.91）。对于良好的语音可理解性，一致性范围从中等到几乎完美（0.60-0.81）。在高鼻音、低鼻音、可听鼻气排放、弱压辅音、感知VPC和言语可理解性方面，评分间的一致性几乎完全（≥0.81）。非口腔发音错误的百分比（0.61-0.75）一致，PCC的百分比（0.58-0.71）一致，但口腔发音错误的百分比（0.25-0.50）仅为中等到中等。无非口腔发音错误儿童的质量指标比例与正常或轻度不合格儿童的质量指标比例几乎完全一致（0.82,0.92）。具有良好言语可理解性的儿童比例的一致性是实质性的（0.67）。slt在大多数语音特征上表现出几乎完美的一致性（≥0.81），包括鼻音高、低鼻音、可听鼻气排放、弱压辅音、可感知的VPC和语音可理解性。对于非口头发音错误的百分比，三个slt的一致性几乎是完美的，一个的一致性是相当大的。对于PCC，三个slt几乎完全一致，而一个slt基本一致。口语发音错误的百分比表现出更多的变化，从一般到几乎完美。在与语音相关的质量指标上，一致性从相当到几乎完美不等。结论和意义：挪威唇腭裂登记处的语音数据可以被认为是有效的，因为覆盖率和报告程度很高，并且对变量进行了可靠性评估。语音数据的可靠性通常很强，无论是在注册表数据和盲法评估之间，还是在评估者之间和评估者内部的一致性方面。然而，发音错误（尤其是口语错误）评级的可靠性较低，表明需要定期校准slt，以确保注册表语音数据的有效性。提议的三个质量指标是可靠的，适合纳入国家报告。 本文补充的内容：在这个问题上已经知道的是，一些国家已经建立了腭裂患者的质量登记处，并被认为是系统数据收集的宝贵工具。使用标准化协议和国家语言结果基准提高了报告的意义，并促进了各治疗中心之间的比较。先前关于语音数据的有效性和可靠性的研究表明，不同参数之间存在差异，强调了仔细解释注册数据以确保最佳患者护理的重要性。这些发现突出表明，需要不断努力提高评估程序的一致性，并加强临床决策和研究中使用的数据质量。挪威唇腭裂登记处自2011年以来系统地收集数据，保持较高的纳入率。根据国家协议收集语音数据，并由个体语言治疗师（SLT）进行评估。为了确保这些数据的有效性和可靠性，在全国的slt之间达成一致的评级之间和内部的协议是至关重要的。本研究调查了从挪威唇腭裂登记处记录的常规评估中获得的语音数据的有效性。该研究还提出并评估了挪威唇腭裂登记处使用的言语相关质量指标。该研究对质量登记研究和唇腭裂护理语言结果国家标准的发展做出了重大贡献。这项工作的潜在或实际临床意义是什么？挪威唇腭裂登记处的语音数据可以被认为是有效的，因为覆盖率和报告程度很高，并且对变量进行了可靠性评估。语音数据的可靠性通常很强，无论是在注册表数据和盲法评估之间，还是在评估者之间和评估者内部的一致性方面。然而，与发音变量相关的研究结果强调了在唇裂团队中对slt进行系统校准的必要性。提出的三个与言语相关的质量指标具有很高的可靠性，可以在挪威唇腭裂登记处作为明确、可获取和有意义的措施实施。
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引用次数: 0
Motor–Speech Performance in Very Old Speakers: Associations With Physio-Anatomical and Cognitive-Linguistic Factors 高龄说话者的运动语言表现：与生理解剖和认知语言因素的关联。
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
International Journal of Language & Communication Disorders
Pub Date : 2025-10-23 DOI: 10.1111/1460-6984.70137
Sonja Alantie, Tanja Makkonen, Kati Renvall
<div> <section> <h3> Background</h3> <p>Motor–speech skills slow down with age, but health care professionals lack normative data, especially on the vastly growing population of very old (VO) speakers. The execution of different motor–speech tasks requires both fine-motoric and cognitive abilities.</p> </section> <section> <h3> Aims</h3> <p>To study the performance on oral diadochokinetic (DDK) rate and narrative speech tempo in typically ageing 80–100-year-old speakers and to investigate whether they are predicted by age, dentition, hearing, cognitive status, language skills or educational level.</p> </section> <section> <h3> Methods</h3> <p>This cross-sectional study comprises 50 typically ageing VO Finnish speakers. Their motor–speech performance was evaluated by alternating motion rate (AMR) syllables /pa/, /ta/ and /ka/ and sequential motion rate (SMR) syllable sequence /pataka/ and two speech tempo parameters (speaking and articulation rate) in semi-spontaneous narrative. The association between task performance and background variables was studied by multiple linear regression analysis.</p> </section> <section> <h3> Results</h3> <p>The VO speakers’ normative performance in DDK, speaking and articulation rates was predicted by physio-anatomical and cognitive-linguistic factors. Older age within the 80–100-year range was associated only with slower execution of the SMR task. Wearing dentures predicted slower tempo in the AMR tasks and articulation rate. The highest educational level predicted slower tempo in the AMR tasks. Good language skills were positively associated with motor-speech performance: Better phonemic fluency predicted faster AMR /pa/ and SMR /pataka/, and a higher Western Aphasia Battery Aphasia Quotient predicted a faster speaking rate.</p> </section> <section> <h3> Conclusions</h3> <p>The VO speakers had relatively well-preserved motor–speech skills. Consistent with previous studies, the mean DDK, speaking and articulation rates were, nevertheless, slower in the VO speakers than in younger speakers in prior research. As a novel finding, SMR was slower than AMR in the VO speakers, which deviates from the trend observed in Finnish adults and younger elderly. This study suggests that natural teeth, younger age and good language skills safeguard the motor–speech skills from slowing down. However, it seems characteristic for the most highly educated VO speakers to perform slower than peers in the AMR tasks.</p> </se
背景：运动语言技能随着年龄的增长而减慢，但卫生保健专业人员缺乏规范的数据，特别是关于大量增长的高龄（VO）说话者的数据。执行不同的运动-言语任务需要精细运动和认知能力。目的：研究80-100岁典型老年说话者的口腔diadochokinetic （DDK）速率和叙事语速的表现，并探讨其是否与年龄、牙列、听力、认知状况、语言技能或教育水平有关。方法：这项横断面研究包括50名典型的老年VO芬兰语使用者。在半自发叙事中，采用交替运动速率（AMR）音节/pa/、/ta/和/ka/和顺序运动速率（SMR）音节序列/pataka/和两个言语速度参数（说话和发音速度）来评价他们的运动-言语表现。采用多元线性回归分析方法研究任务绩效与背景变量之间的关系。结果：VO说话者在DDK、说话和发音率方面的规范性表现可由生理解剖和认知语言因素预测。年龄在80-100岁之间的老年人仅与SMR任务的执行速度较慢有关。戴假牙预示着AMR任务的慢节奏和发音速度。受教育程度最高的人在AMR任务中反应速度较慢。良好的语言技能与运动-言语表现呈正相关：更好的音位流畅预示着更快的AMR /pa/和SMR /pataka/，更高的西方失语电池失语商数预示着更快的说话速度。结论：VO说话者具有相对完好的运动语言技能。与先前的研究一致，VO说话者的平均DDK、说话和发音速度比先前研究中较年轻的说话者慢。作为一个新的发现，在VO说话者中，SMR比AMR慢，这偏离了在芬兰成年人和年轻老年人中观察到的趋势。这项研究表明，天然的牙齿、年轻的年龄和良好的语言技能可以保护运动语言技能不变慢。然而，大多数受过高等教育的VO演讲者在AMR任务中的表现似乎比同龄人慢。贡献：本研究的结果将有助于确定典型衰老的表现。他们还深入了解了言语技能的终身演变，以及言语的运动和语言方面之间的关系。这篇论文补充的内容：由于生理解剖和认知语言的变化，运动语言能力随着年龄的增长而减慢。因此，语言速度是神经系统变化的敏感生物标志物。这项研究补充了现有的知识，以前缺失的关于高龄（VO）说话者的典型运动语言技能及其预测因素的数据。群体内的差异是由年龄、牙齿、语言技能和教育水平引起的。这项工作的临床意义是什么？DDK，说话和发音率是临床运动语言评估的合适手段，即使是最老的说话者。除了实足年龄外，语言病理学家还应该考虑影响语言表现的一系列个体生理解剖和认知语言因素。我们建议将AMR任务/pa/， /ta/和/ka/与SMR /pataka/任务一起进行，并将结果与文化上有效的年龄特异性规范（如果有的话）进行比较，因为它们的非典型关系可能表明神经病理学。
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引用次数: 0
Is This Really Burnout? Speech and Language Therapists’ Perspective 这真的是倦怠吗？言语和语言治疗师的观点。
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
International Journal of Language & Communication Disorders
Pub Date : 2025-10-20 DOI: 10.1111/1460-6984.70147
Şerife Nur Biçen, Eren Balo
<div> <section> <h3> Background</h3> <p>The World Health Organization defines burnout as ‘the syndrome of chronic workplace stress that cannot be successfully managed’. Due to daily contact with individuals having communication disorders and their families, along with stressful working conditions, professional devaluation, occupational overload and poor management, speech and language therapists (SLTs) are at risk of experiencing burnout. The burnout level of SLTs working with such client profiles and under such an intense workload is a matter of curiosity.</p> </section> <section> <h3> Aim</h3> <p>This study aims to determine the burnout levels of Speech and Language Therapists in Türkiye and to investigate the related factors.</p> </section> <section> <h3> Methods and Procedures</h3> <p>Consisting of 138 women and 29 men, a total of 167 SLTs participated in the study. Their responses to the Demographic Form and the Maslach Burnout Inventory (MBI) were analyzed using SPSS 22.0 software. Descriptive statistics, including mean, frequency, standard deviation and range, were employed to characterize the participants. To investigate the differences among the variables, independent groups <i>t</i>-tests, one-way analysis of variance (ANOVA) and post-hoc analyses (Tukey, LSD) were conducted.</p> </section> <section> <h3> Outcomes and Results</h3> <p>The results indicate that the percentage of the SLTs with moderate-level burnout in the Emotional Exhaustion subscale was 43.1% while 62.3% were determined to have low-level burnout on the Depersonalization subscale. Furthermore, 74.9% of the participants reported low-level burnout on the Low Sense of Personal Accomplishment subscale. The factors identified to significantly impact burnout levels are gender, age, educational background, work setting, length of professional experience, monthly income and concerns about shifting jobs (<i>p</i> < 0.05). Conversely, variables such as the city, the number of workdays per week, the frequency of weekly assessments or therapy sessions, and the way of commuting to the workplace do not significantly influence burnout levels (<i>p</i> > 0.05).</p> </section> <section> <h3> Conclusions and Implications</h3> <p>Although the current study indicates that SLTs do not experience high levels of burnout, a potential risk is suggested. Therefore, it is crucial to raise awareness about burnout among SLTs and to implement preventive measures.</p> </section> <section> <h3> WHAT THIS PAPER ADDS</h3> <
背景：世界卫生组织将职业倦怠定义为“无法成功管理的慢性工作压力综合症”。由于每天与有沟通障碍的人及其家人接触，再加上工作条件紧张、专业水平下降、职业负担过重和管理不善，言语和语言治疗师（slt）面临着倦怠的风险。slt在这样的客户端配置文件和如此高的工作量下工作的倦怠程度令人好奇。目的：本研究旨在了解 rkiye语言治疗师的职业倦怠水平，并探讨相关因素。方法和程序：由138名女性和29名男性组成，共167名slt参与研究。采用SPSS 22.0软件对调查对象的人口统计调查表和职业倦怠量表（MBI）进行统计分析。描述性统计包括平均值、频率、标准差和极差，用于描述参与者的特征。为了研究变量之间的差异，我们进行了独立组t检验、单因素方差分析（ANOVA）和事后分析（Tukey， LSD）。结果与结果：结果表明，在情绪耗竭子量表中被确定为中度倦怠的slt占43.1%，在人格解体子量表中被确定为低水平倦怠的slt占62.3%。此外，74.9%的参与者在低个人成就感子量表上报告了低水平的倦怠。性别、年龄、学历、工作环境、工作经验长短、月收入、跳槽担忧等因素对职业倦怠水平有显著影响（p < 0.05）。相反，城市、每周工作天数、每周评估或治疗的频率以及上班通勤的方式等变量对倦怠水平没有显著影响（p > 0.05）。结论和启示：虽然目前的研究表明，slt没有高水平的倦怠，但潜在的风险是提示的。因此，提高教师的职业倦怠意识并采取预防措施至关重要。世界卫生组织（WHO）将职业倦怠定义为“长期工作压力得不到有效控制的综合征”。世卫组织在现有定义中增加三个项目，目的是提高对倦怠的认识：存在精力枯竭或疲惫的感觉，与工作的心理距离增加或对职业的负面情绪，以及专业生产力下降。slt的职业倦怠可归因于工作环境压力大、职业贬值、职业超载和管理不善等因素，以及客户及其家人的挑战、关系和期望。虽然有一些关于特殊语言交际者的倦怠水平及其相关因素的研究，但在语言和语言治疗领域正在兴起的中国还没有研究。结果表明：我国有43.1%的大学生存在中等程度的情绪耗竭。62.3%的人在人格解体量表中表现为低水平倦怠，74.9%的人在低个人成就感量表中表现为低水平倦怠。性别、年龄、教育背景、工作环境、专业经验长度、月收入和对换工作的担忧显著影响倦怠水平。另一方面，城市、每周工作天数、每周评估或治疗次数以及上下班通勤方式对职业倦怠水平没有显著影响。这项工作的潜在或实际临床意义是什么？本研究的结果是，参与者将能够总结言语和语言治疗师的倦怠水平，看到导致倦怠的因素，并获得这一问题的认识。研究与重点：土耳其语习得学生存在中度的情绪耗竭、低程度的人格解体和低程度的个人成就感。性别、年龄、教育背景、工作环境、工作经验长短、月收入、对转岗的担忧等对职业倦怠有显著影响。虽然研究发现，在日本的职业倦怠程度并不高，但提高对职业倦怠及其后果和预防措施的认识是至关重要的。
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引用次数: 0
Impact of Virtual Care on Speech-Language Services 虚拟护理对言语语言服务的影响。
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
International Journal of Language & Communication Disorders
Pub Date : 2025-10-20 DOI: 10.1111/1460-6984.70145
Elizabeth M. Fitzpatrick, Allyson C. Grant, Taylor King
<div> <section> <h3> Introduction</h3> <p>COVID-19 impacted care delivery in rehabilitation services including speech-language pathology. The purpose of this study was to examine speech-language pathologists’(SLPs) perspectives on the effectiveness of virtual care delivered during the pandemic in Canada, their experiences with therapy delivered virtually and their views on future models of care.</p> </section> <section> <h3> Methods</h3> <p>We carried out a cross-sectional survey with SLPs in Canada who had delivered virtual services to children during the pandemic. The survey questions were based on information collected in a previous study involving focus group interviews with SLPs. The survey elicited responses related to SLPs’ perception of effectiveness, their experiences with virtual care including perceived barriers and facilitators to implementing virtual care, and their vision for future speech-language services. Quantitative responses were compiled descriptively, and qualitative responses were reviewed and categorized.</p> </section> <section> <h3> Results</h3> <p>Seventy-five SLPs returned completed questionnaires. A majority (57.4%) reported that virtual care was very/extremely effective and 33.3% somewhat effective. The main barriers to providing virtual services were limited access to technology (family), limited workspace for the session at home, and limited availability of the caregiver for sessions. Services for children with complex developmental needs were viewed as more difficult to deliver virtually. Several positive aspects were highlighted including caregiver engagement in sessions and better work-life balance. The majority (84%) of SLPs indicated they would prefer to continue to use virtual care by adopting a hybrid model of service, while 8% of SLPs favored virtual care only and 8% in-person care only.</p> </section> <section> <h3> Conclusions</h3> <p>Most SLPs reported that speech-language services via virtual care were effective. Practitioners indicated a preference for a hybrid model of care for post-pandemic services. Further research is needed to better identify what components of virtual care enhance services to better adapt service models in the future.</p> </section> <section> <h3> WHAT THIS PAPER ADDS</h3> <div><i>What is already known on this subject</i> <ul> <li>Virtual care has been provided in speech-language pathology for many year
导言：COVID-19影响康复服务的护理提供，包括语言病理学。本研究的目的是考察语言病理学家（slp）对加拿大大流行期间虚拟治疗有效性的看法，他们在虚拟治疗方面的经验以及他们对未来护理模式的看法。方法：我们对加拿大在大流行期间向儿童提供虚拟服务的slp进行了横断面调查。调查问题是基于先前的研究中收集的信息，包括对slp的焦点小组访谈。该调查得到了与语言服务提供者对有效性的感知、他们对虚拟护理的体验（包括对实施虚拟护理的障碍和促进因素的感知）以及他们对未来语音语言服务的愿景相关的回答。定量的回答是描述性的汇编，定性的回答是审查和分类。结果：75名slp返回完成的问卷。大多数（57.4%）报告虚拟护理非常/非常有效，33.3%报告有些有效。提供虚拟服务的主要障碍是有限的技术（家庭），有限的家庭工作空间，以及有限的护理人员的可用性。为有复杂发展需要的儿童提供的服务被认为更难以以虚拟方式提供。几个积极的方面被强调，包括护理人员参与会议和更好的工作与生活平衡。大多数（84%）的slp表示，他们更愿意通过采用混合服务模式继续使用虚拟护理，而8%的slp只喜欢虚拟护理，8%的slp只喜欢亲自护理。结论：大多数slp报告通过虚拟护理的语言服务是有效的。从业人员表示，倾向于大流行后服务的混合护理模式。为了更好地适应未来的服务模式，需要进一步的研究来更好地确定虚拟护理的哪些组成部分可以增强服务。本文补充的内容：关于这一主题的已知情况虚拟护理已经在言语语言病理学方面提供了多年，但主要是针对生活在偏远地区的儿童的特定情况。由于COVID-19大流行期间所需的封锁，许多国家的语言护理发生了巨大变化。本研究基于加拿大语言病理学家被迫快速实施一种新的服务模式的意外经验，提供了关于儿童虚拟护理有效性认知的最新信息。研究结果表明，整体从业人员适应得很快，并判断他们的服务是有效的。护理的积极方面包括改善护理人员的指导，更多的护理人员参与和更好的工作与生活平衡的从业人员。主要障碍包括家庭获得技术的机会和向有复杂需求的儿童提供护理的挑战。这项工作的潜在或实际临床意义是什么？本研究支持对儿童进行虚拟语言关怀的可行性和有效性。这种服务模式可能会导致护理指导和护理人员参与方面的改进。大多数从业人员倾向于将其大流行后服务转变为混合护理模式。
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引用次数: 0
Developing and Validating Accurate Test Scale for Mandarin Vocabulary Comprehension Ability of Preschool Children 学龄前儿童汉语词汇理解能力准确测试量表的编制与验证。
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
International Journal of Language & Communication Disorders
Pub Date : 2025-10-20 DOI: 10.1111/1460-6984.70141
Jing Zhou, Zhongbing Ding, Meng Zhang, Xinxin Wei, Wenjun An, Ziqiao Zhu, Peiling Guo, Li Qiu, Qiang Guo, Yinting Bai

Purpose

The purpose of this study is to develop an accurate test scale for vocabulary comprehension ability applicable to Mandarin-speaking preschool children aged 3–5.

Methods

First, an initial scale was developed and evaluated using the expert consultation method. Subsequently, 490 typically developing 3–5-year-old Mandarin-speaking children were selected as subjects through convenience sampling, and individual tests were conducted in the form of ‘following instructions to point to target pictures’. A formal scale was formed through item analysis, reliability analysis and validity analysis of the test scores. Finally, developmental norms for vocabulary comprehension ability in these children were established based on classification criteria of age and gender.

Results

This study developed an accurate test scale for vocabulary comprehension ability in Mandarin-speaking preschool children aged 3–5, consisting of 30 nouns, 20 verbs and 30 adjectives. The results showed that the item difficulty for each word category was moderate (0.54–0.59), with good discriminability (0.60–0.70 > 0.40) and the biserial correlation coefficients (0.457–0.774) all reached a significant level (all p < 0.05). The homogeneity reliability (0.825–0.846 > 0.70), split-half reliability (0.817–0.854 > 0.70) and test-retest reliability (0.812–0.832 > 0.70) were all high. The construct validity was good (the correlation coefficients between dimensions were 0.497–0.574 > 0.4; the correlation coefficients between each dimension and the total score were 0.749–0.846 > 0.7, all p < 0.05). The criterion validity was also good (the correlation coefficients with PPVT-R were 0.721–0.794 > 0.70, all p < 0.05). Based on the results of the formal scale, developmental norms for vocabulary comprehension ability in Mandarin-speaking preschool children were established based on age and gender.

Conclusions

The accurate test scale for vocabulary comprehension ability in Mandarin-speaking preschool children aged 3–5 developed in this study can provide a scientific tool for screening and dynamic monitoring of vocabulary comprehension ability in typically developing children, and also serve as a basis for accurate assessment, early intervention and rehabilitation treatment of vocabulary comprehension disorders in special children.

WHAT THIS PAPER ADDS

What is already kn
目的：本研究的目的是开发一套适用于3-5岁学龄前普通话儿童词汇理解能力的准确测试量表。方法：首先，采用专家咨询法编制初步量表并进行评估。随后，通过方便抽样的方式，选取490名正常发育的3-5岁普通话儿童作为研究对象，以“跟随指示指向目标图片”的形式进行个体测试。通过项目分析、信度分析和效度分析，形成正式的量表。最后，以年龄和性别为分类标准，建立幼儿词汇理解能力的发展规范。结果：本研究编制了一套准确的3-5岁汉语学龄前儿童词汇理解能力测试量表，包括30个名词、20个动词和30个形容词。结果表明，各词类的题难度中等（0.54 ~ 0.59），具有较好的判别性（0.60 ~ 0.70 > 0.40），双列相关系数（0.457 ~ 0.774）均达到显著水平（p均为0.70），分半信度（0.817 ~ 0.854 > 0.70）和重测信度（0.812 ~ 0.832 > 0.70）均较高。构念效度较好(各维度间相关系数为0.497 ~ 0.574 > 0.4；各维度与总分的相关系数为0.749 ~ 0.846 >.7，p均为0.70，p均为p。本研究编制的3-5岁学龄前汉语普通话儿童词汇理解能力准确测试量表，可为正常发育儿童词汇理解能力的筛查和动态监测提供科学工具，也可为特殊儿童词汇理解障碍的准确评估、早期干预和康复治疗提供依据。补充内容：对词汇理解这一主题已有的认识是词汇习得的基础，对学龄前汉语儿童词汇理解能力的发展进行定期评价具有重要意义。然而，现有的评估工具在内容覆盖的广度、功能定位的准确性、规范的时效性等方面存在明显的局限性，难以全面、动态地反映幼儿词汇理解能力的发展水平。准确的评价是儿童词汇理解缺陷临床评价和早期干预的基础。为了解决现有工具的局限性，本研究整合了广泛使用的临床语言评估工具和范式，用于普通话学龄前儿童。以词汇习得的发展模式和特点为指导，构建了一套包含30个名词、20个动词和30个形容词的准确的汉语3-5岁儿童词汇理解评价量表。此外，在正式量表结果的基础上，我们建立了按年龄和性别分层的发展规范，为准确评估提供了标准化参考。这项工作的潜在或实际临床意义是什么？本研究编制的评估量表不仅可以满足正常发育儿童词汇理解能力筛查和纵向监测的需要，而且可以为准确评估特殊儿童词汇理解障碍（如发展性语言障碍、自闭症谱系障碍）提供依据。通过提供可量化的基准，它为量身定制的早期干预和康复计划建立了经验基础，从而将理论严谨性与临床实用性联系起来。
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引用次数: 0
Dysphagia in Children With Autism Spectrum Disorder and Typical Development: A Comparative Study on the Symptoms and Impact on Parents 自闭症谱系障碍与典型发育儿童的吞咽困难：症状及对家长影响的比较研究
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
International Journal of Language & Communication Disorders
Pub Date : 2025-10-20 DOI: 10.1111/1460-6984.70149
Melike İrem Alnıaçık, Serkan Bengisu

Objective

This study aims to comparatively examine dysphagia symptoms in children diagnosed with autism spectrum disorder (ASD) and children with typical development (TD), along with the impact on their families.

Methods

A total of 70 children aged 3–7 years and their parents took part in the study (35 children diagnosed with ASD and their parents, and 35 typically developing children and their parents). Swallowing disorders were assessed using the Pediatric Eating Assessment Tool (PEDI-EAT-10). The impact of children's feeding and swallowing problems on their parents was measured through the Feeding/Swallowing Impact Survey (FS-IS).

Results

According to the PEDI-EAT-10 results, abnormalities in swallowing function were identified in 20% of children diagnosed with ASD, and in 8.57% of TD children. However, no statistically significant difference was found when the PEDI-EAT-10 total scores of both groups were compared (p = 0.833). An analysis of the FS-IS subscales revealed a statistically significant difference in the ‘daily activities’ subscale between the parents of children with ASD and TD (p = 0.036). In contrast, no significant difference was observed between the groups in terms of ‘worry,’ ‘feeding difficulties,’ and total FS-IS scores (p > 0.05).

Conclusion

This study demonstrates that children with ASD carry a higher clinical risk for parent-reported swallowing and feeding difficulties compared to their typically developing peers, and that these problems negatively affect parents’ quality of life. The findings highlight the importance of early assessment of feeding skills and behaviour as well as swallowing function, and the development of child-family-centred holistic intervention approaches to support children's functional development and improve families' daily lives.

WHAT THIS PAPER ADDS

What is already known on the subject
  • Feeding and swallowing difficulties are more frequently observed in children with Autism Spectrum Disorder (ASD) than in their typically developing (TD) peers. These difficulties include food selectivity, chewing and swallowing problems, and disruptive mealtime behaviours. While these symptoms are not core diagnostic criteria for ASD, they significantly affect the child's health and family dynamics. Previous research has mostly focuse
目的：本研究旨在比较自闭症谱系障碍（ASD）患儿与典型发育（TD）患儿的吞咽困难症状及其对其家庭的影响。方法：共70名3-7岁儿童及其父母参与研究，其中35名诊断为ASD的儿童及其父母，35名发育正常的儿童及其父母。使用儿科进食评估工具（PEDI-EAT-10）评估吞咽障碍。通过喂养/吞咽影响调查（FS-IS）测量儿童喂养和吞咽问题对父母的影响。结果：根据PEDI-EAT-10结果，20%的ASD患儿和8.57%的TD患儿存在吞咽功能异常。两组PEDI-EAT-10总分比较，差异无统计学意义（p = 0.833）。对FS-IS量表的分析显示，自闭症儿童和TD儿童的父母在“日常活动”量表上存在统计学上的显著差异（p = 0.036）。相比之下，两组在“担忧”、“喂养困难”和FS-IS总分方面没有显著差异（p < 0.05）。结论：本研究表明，与正常发育的同龄人相比，ASD儿童父母报告的吞咽和喂养困难的临床风险更高，这些问题对父母的生活质量产生了负面影响。研究结果强调了早期评估喂养技能和行为以及吞咽功能的重要性，以及发展以儿童-家庭为中心的整体干预方法，以支持儿童的功能发展和改善家庭的日常生活。这篇论文补充的内容：关于这个问题，我们已经知道的是，在患有自闭症谱系障碍（ASD）的儿童中，进食和吞咽困难比在正常发育（TD）的同龄人中更常见。这些困难包括食物选择，咀嚼和吞咽问题，以及进餐时的破坏性行为。虽然这些症状不是自闭症谱系障碍的核心诊断标准，但它们会显著影响孩子的健康和家庭动态。以前的研究主要集中在喂养行为方面，而没有广泛比较吞咽困难的临床症状或它们对照顾者的心理社会影响。本研究使用经过验证的工具（PEDI-EAT-10, FS-IS）对ASD儿童和TD儿童的吞咽困难进行了比较分析。它强调，虽然ASD儿童的临床吞咽困难风险更高，但观察到的最显著的影响是对照顾者的日常功能的影响。重要的是，它表明，即使在大多数指标上没有统计学上的显著差异，自闭症儿童的父母在日常生活中也会遇到更大的干扰。该研究还证实，儿童吞咽症状的严重程度与父母压力的增加和生活质量的下降有关。这项工作的潜在或实际临床意义是什么？研究结果强调了早期识别和干预ASD患儿喂养和吞咽困难的重要性。儿科医生、语言病理学家和跨学科团队应该同时考虑喂养问题的生理和心理两方面。以儿童和家庭为中心的办法对于解决对家庭的功能影响至关重要。量身定制干预措施，减轻照顾者负担，提高日常生活质量，可以改善儿童及其家庭的结局。本研究支持将护理人员的支持和教育纳入管理神经发育障碍患者喂养困难的临床方案。
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引用次数: 0
Voice-Assisted Technology as a Potential Tool for Addressing Speech and Voice Concerns Experienced by People With Parkinson's Disease and Other Conditions Presenting With Dysarthria: A Scoping Review 语音辅助技术作为解决帕金森病和其他构音障碍患者语音和声音问题的潜在工具：范围综述
IF 2.1 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
International Journal of Language & Communication Disorders
Pub Date : 2025-10-20 DOI: 10.1111/1460-6984.70140
Jodie Mills, Orla Duffy, Katy Pedlow, W. George Kernohan

Background

People with neurological conditions such as Parkinson's Disease are at risk of speech and voice difficulties that impact volume, clarity of speech and intelligibility. Voice-assisted technology (VAT), such as Alexa, poorly recognises speech difficulties, and this often prompts people to change their speech to enable interaction.

Aims

This study aims to identify and map available literature regarding the utilisation of VAT to address speech and voice difficulties associated with neurological conditions. We explore (1) how well VAT recognises speech difficulties or dysarthric speech, across different severities and intelligibilities, and (2) the impact of using VAT on intelligibility, clarity or volume for people with dysarthria or speech difficulties.

Methods and Procedures

A review of available literature was guided by Arksey and O'Malley's scoping review framework between September 2023 and November 2023. Five electronic databases were systematically searched, yielding 840 results. Results were screened by title, abstract and full text using inclusion and exclusion criteria. Eligible papers were identified and articles using ‘out of the box’ (i.e., not customised) VAT, speech difficulties or dysarthria and speech outcomes were included. Relevant data were extracted using an adapted version of the Joanna Briggs Institute extraction tool, and study outcomes were narratively reviewed. We report findings using the Preferred Reporting Items for Systematic Reviews and Meta-analysis extension for scoping reviews (PRISMA-ScR).

Outcomes and Results

Five papers were reviewed that included varying speech difficulties, including dysarthria, stammering and reduced intelligibility. Results yielded limited evidence regarding the role of VAT for assessment in speech and language therapy (SLT). However, literature suggests that VAT should be used cautiously as a tool for managing volume, intelligibility and clarity of speech. Indeed, implications for activity, participation and well-being were noted, although findings are mixed. Early outcomes indicate that further research is needed to validate the evidence base for using VAT in SLT. Future research should explore the views of people with Parkinson's and speech and language therapists (SaLTs) who are using VAT to understand current usage and direct future development.

背景：患有神经系统疾病（如帕金森病）的人有言语和声音困难的风险，这些困难会影响言语的音量、清晰度和可理解性。语音辅助技术（VAT），如Alexa，很难识别语言困难，这经常促使人们改变他们的语言来进行互动。目的：本研究旨在识别和绘制关于利用VAT来解决与神经系统疾病相关的言语和语音困难的现有文献。我们探索(1)VAT如何识别不同严重程度和可理解性的言语困难或发音困难，以及(2)使用VAT对患有构音障碍或言语困难的人的可理解性，清晰度或音量的影响。方法和程序：在2023年9月至2023年11月期间，以Arksey和O'Malley的范围审查框架为指导，对现有文献进行审查。系统检索了5个电子数据库，得到840个结果。采用纳入和排除标准对结果进行标题、摘要和全文筛选。确定了符合条件的论文，并纳入了使用“开箱即用”（即非定制）VAT、言语困难或构音障碍和言语结果的文章。使用改编版的乔安娜布里格斯研究所提取工具提取相关数据，并对研究结果进行叙述性回顾。我们使用系统评价的首选报告项目和范围评价的元分析扩展（PRISMA-ScR）报告研究结果。结果和结果：回顾了五篇包括不同语言困难的论文，包括构音障碍，口吃和可理解性降低。结果显示，关于VAT在言语和语言治疗（SLT）评估中的作用的证据有限。然而，文献表明，增值税应谨慎使用，作为一种工具，管理音量，可理解性和清晰度的言论。的确，研究人员注意到了对活动、参与和幸福感的影响，尽管研究结果喜忧参半。早期结果表明，需要进一步的研究来验证在SLT中使用增值税的证据基础。未来的研究应该探索帕金森患者和使用VAT的言语和语言治疗师（salt）的观点，以了解目前的使用情况并指导未来的发展。结论和意义：本综述提供了初步结论，VAT可能有助于改善构音障碍或言语困难患者（如帕金森病患者）的音量、可理解性和清晰度。然而，在使用VAT时要谨慎，因为设备的单词错误率很高，并且不清楚这是否与设备限制或语言紊乱有关。来自设备的生物反馈可能有助于这种效应的机制。本文补充的内容：在这个问题上已经知道的是，语音辅助技术在识别困难或语言障碍方面表现不佳，而且往往没有明确的迹象表明，识别能力差是技术本身的限制，还是困难或语言障碍的结果。本文对现有知识的补充是，语音辅助技术可能有望成为未来的SLT管理工具，以提高语音的音量、清晰度和可理解性，并对活动、参与和福祉产生影响。来自设备的反馈和家庭实践的实现可能有助于技术的作用机制；然而，设备在识别率、可变性和事务交互方面的限制也必须考虑在内。由于缺乏以证据为基础的干预发展，无法就不同人群的具体影响、干预期间的剂量或使用时间、或在评估中使用语音辅助技术提出明确建议。需要进一步的研究来充分了解临床意义。这项工作的潜在或实际临床意义是什么？语音辅助技术可用于促进语音和言语的改变，包括提高音量、可理解性和清晰度，以及潜在的功能增益。然而，考虑到可能影响增值税一致性的众多变量，临床医生应进行彻底的风险-收益分析，并根据潜在的不良后果（无论是真实的还是感知的），根据具体情况确定其适当性。帕金森病患者可能会受益于增值税作为SLT的一部分。设备可以允许无限的练习尝试，可以提高语言困难的自我意识，并激励继续练习。然而，错误率、种族中心偏见和对福祉的潜在影响需要谨慎对待，临床医生应该使用临床判断来仔细考虑增值税的临床使用。 总的来说，这种广泛使用的技术具有作为SLT工具的潜力，可以在治疗期间或之后实现自我管理和支持维护。未来的研究应寻求生物反馈作为语言变化的机制。
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