一项关于广东人获得性言语失用症诊断的临床实践和信心的在线调查。

IF 1.4 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY International Journal of Speech-Language Pathology Pub Date : 2024-12-01 Epub Date: 2023-10-26 DOI:10.1080/17549507.2023.2263181
Eddy C H Wong, Min Ney Wong, Tiffany On Kiu Wong
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引用次数: 0

摘要

目的:言语失用症(AOS)的评估和诊断在英语环境中已经得到了很好的研究,但对其他语言(如广东话)使用者的临床实践了解有限。本研究旨在获得有关广东人AOS评估方法和诊断标准的临床实践信息,以及对诊断AOS的信心。方法:由香港27位语言病理学家(SLP)完成了一项使用谷歌表格构建的在线调查。问卷包括12个问题,涵盖(a)人口统计信息,(b)与患有AOS的人共事的经验,(c)对广东人诊断AOS的信心,(d)评估广东人AOS的评估任务或方法,(e)用于诊断目的的临床特征,以及(f)用于确定用于诊断目的的临床特征的存在的评估任务。结果:所有受访者(100%)根据观察到的临床特征进行AOS诊断,而没有受访者仅使用标准化测试或定量测量进行诊断。大多数受访者普遍使用六种临床特征:发音摸索(100%)、发音错误不一致(100%),长度效应(85.2%),启动语音困难(81.5%),自动性效应(81.5%,77.8%)。超过一半的受访者收集了连接的语音样本(64%),并进行了diadochokinesis(64%)和重复任务(64%)。结论:香港SLP根据英文文献中观察到的临床特征进行AOS诊断。尽管一些临床特征已被更新为AOS的非歧视性特征,但它们仍被用于广东人的AOS诊断。观察到所选评估任务的趋势。公正的诊断置信水平表明,未来有必要对讲广东话的AOS进行调查,并开发评估工具。
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An online survey of clinical practice and confidence in diagnosing acquired apraxia of speech in Cantonese speakers.

Purpose: The assessment and diagnosis of apraxia of speech (AOS) have been well studied in the English context, yet there is limited understanding of the clinical practice in speakers of other languages, like Cantonese. This study aimed to obtain information about the clinical practice of assessment methods and diagnostic criteria used, and confidence in diagnosing, AOS in Cantonese speakers.

Method: An online survey constructed with Google Forms was completed by 27 speech-language pathologists (SLPs) in Hong Kong. The questionnaire comprised 12 questions covering (a) demographic information, (b) experience working with speakers with AOS, (c) confidence in making AOS diagnosis in Cantonese speakers, (d) assessment tasks or methods used for assessing AOS in Cantonese speakers, (e) clinical features used for diagnostic purposes, and (f) assessment tasks used to determine the presence of clinical features for diagnostic purposes.

Result: All respondents (100%) made AOS diagnoses based on the observed clinical features, while no respondents made diagnoses using only standardised tests or quantitative measures. Six clinical features were commonly used by most of the respondents: articulatory groping (100%), inconsistent articulatory errors (100%), length effects (85.2%), difficulty initiating speech (81.5%), automaticity effects (81.5%), and sound distortions (77.8%). More than half of the respondents collected connected speech samples (64%), and conducted diadochokinesis (64%) and repetition tasks (64%). The average confidence level of the respondents for making AOS diagnoses was fair (3.63/5).

Conclusion: The SLPs in Hong Kong make AOS diagnoses based on the observed clinical features that have been reported in the English literature. Although some of the clinical features have been updated as non-discriminatory for AOS, they are still being used for AOS diagnosis in Cantonese speakers. Tendencies were observed with respect to the assessment tasks selected. The fair diagnostic confidence level suggests a need for future investigations of AOS in Cantonese speakers and the development of assessment tools.

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来源期刊
International Journal of Speech-Language Pathology
International Journal of Speech-Language Pathology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION
CiteScore
3.10
自引率
16.70%
发文量
73
审稿时长
>12 weeks
期刊介绍: International Journal of Speech-Language Pathology is an international journal which promotes discussion on a broad range of current clinical and theoretical issues. Submissions may include experimental, review and theoretical discussion papers, with studies from either quantitative and/or qualitative frameworks. Articles may relate to any area of child or adult communication or dysphagia, furthering knowledge on issues related to etiology, assessment, diagnosis, intervention, or theoretical frameworks. Articles can be accompanied by supplementary audio and video files that will be uploaded to the journal’s website. Special issues on contemporary topics are published at least once a year. A scientific forum is included in many issues, where a topic is debated by invited international experts.
期刊最新文献
Mapping the parent experience of echolalia in autism spectrum disorder onto a conceptual taxonomy. Using a novel in-mask non-invasive ventilator microphone to improve talker intelligibility in healthy and hospitalised adults. An online survey of clinical practice and confidence in diagnosing acquired apraxia of speech in Cantonese speakers. The PraxiFala Battery: A diagnostic accuracy study. Sex differences in perceived speech intelligibility in patients with facial nerve palsy.
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