Abstract:
:Improvement or maintenance of speech intelligibility is a central aim in a whole range of conditions in speech-language therapy, both developmental and acquired. Best clinical practice and pursuance of the evidence base for interventions would suggest measurement of intelligibility forms a vital role in clinical decision-making and monitoring. However, what should be measured to gauge intelligibility and how this is achieved and relates to clinical planning continues to be a topic of debate. This review considers the strengths and weaknesses of selected clinical approaches to intelligibility assessment, stressing the importance of explanatory, diagnostic testing as both a more sensitive and a clinically informative method. The worth of this, and any approach, is predicated, though, on awareness and control of key design, elicitation, transcription and listening/listener variables to maximize validity and reliability of assessments. These are discussed. A distinction is drawn between signal-dependent and -independent factors in intelligibility evaluation. Discussion broaches how these different perspectives might be reconciled to deliver comprehensive insights into intelligibility levels and their clinical/educational significance. The paper ends with a call for wider implementation of best practice around intelligibility assessment.
journal_name
Int J Lang Commun Disordauthors
Miller Ndoi
10.1111/1460-6984.12061subject
Has Abstractpub_date
2013-11-01 00:00:00pages
601-12issue
6eissn
1368-2822issn
1460-6984journal_volume
48pub_type
杂志文章,评审abstract::One approach to outcome measures for speech and language therapy is to display measures of the physical, acoustic, correlates of the perceptually salient features of the structure of speech. A difficulty with this approach is that there is no simple mapping of physical correlates onto speech percepts. In this workshop...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682829809179441
更新日期:1998-01-01 00:00:00
abstract::The needs of under-graduate students and newly qualified speech and language therapists (SLTs) are discussed. The results of a small-scale survey of final year SLT students and one of newly qualified therapists are presented. Similarities between clinical teaching of under-graduates and mentoring of newly qualified th...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682820109177873
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:In the Lidcombe Program of Early Stuttering Intervention, parents present verbal contingencies for stutter-free and stuttered speech in everyday situations. A previous randomized controlled trial of the programme with preschool-age children from 2005, conducted in two public speech clinics in New Zealand, sh...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820801895599
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND:Across the world, research has shown that intervention for children with phonological impairment can be both effective and efficient. However, it has also raised concerns about the translation of this evidence to practice, highlighting questions around clinician knowledge and the understanding of approaches,...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12416
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:The ability to make inferences plays a crucial role in reading comprehension and the educational success of school-aged children. However, it starts to unfold much earlier than school entry and literacy. Given that it is likely to be targeted in speech language therapy, it would be useful for clinicians to h...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,评审
doi:10.1111/1460-6984.12175
更新日期:2015-11-01 00:00:00
abstract::Impaired phonology is reported to be the most salient characteristic of the communication profiles of twin children. However, little is known about the phonological development of twins speaking languages other than English. This case study described the phonological systems of a set of Putonghua-speaking twins, using...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/136828200750001250
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:Language impairments are associated with an increased likelihood of emotional difficulties later in childhood or adolescence, but little is known about the impact of LI on the growth of emotional problems. AIMS:To examine the link between early language status (language impaired (LI), typical language (TL))...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12142
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:Difficulties experienced by novices in clinical reasoning have been well documented in many professions, especially medicine (Boshuizen and Schmidt 1992, 2000; Elstein, Shulman and Sprafka 1978; Patel and Groen 1986; Rikers, Loyens and Schmidt 2004). These studies have shown that novice clinicians have diffi...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820601171530
更新日期:2007-03-01 00:00:00
abstract:BACKGROUND:A subset of children with Developmental Language Delay (DLD) encountered difficulties with the regulation of spoken discourse. In the conversations of caretakers with DLD children, several studies report difficulties with turn-taking, a proneness to use the non-verbal register, child and caretaker problems w...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682820902994226
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:Childhood apraxia of speech (CAS) is associated with phonological awareness, reading, and spelling deficits. Comparing literacy skills in CAS with other developmental speech disorders is critical for understanding the complexity of the disorder. AIMS:This study compared the phonological awareness and readin...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820801997353
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:A manualized language therapy developed via a randomized controlled trial had proved efficacious in the short-term in developing expressive language for mainstream primary school children with persistent language impairment. This therapy had been delivered to a predetermined schedule by speech and language t...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.3109/13682820903560302
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Children with specific language impairment (SLI) have problems not only with language performance but also with sustained attention, which is the ability to maintain alertness over an extended period of time. Although there is consensus that this ability is impaired with respect to processing stimuli in the ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12275
更新日期:2017-05-01 00:00:00
abstract::The present study investigated how a dementing illness such as Alzheimer's disease, might affect an individual's recourse to higher order contextual information in the access and integration of lexical material in on-line discourse comprehension. More specifically, the experiment investigated the priming of homophones...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/136828298247703
更新日期:1998-10-01 00:00:00
abstract::Approximately 7% of young school-aged children have specific language impairments. Many such children are now being educated in mainstream settings. However, there is a dearth of up-to-date and valid research that considers UK (student) teachers' attitudes towards such children. This study aimed to investigate trainee...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/1368282021000008892
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:This study investigated the relationship between phonological and syntactic disorders of French-speaking children with specific language impairment in production. AIMS:To compare three theories (pure phonological theory, surface theory, and mapping theory) of language developmental disorders, all of which v...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820701608209
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:The Transsexual Voice Questionnaire (TVQMtF ) was designed to capture the voice-related perceptions of individuals whose gender identity as female is the opposite of their birth-assigned gender (MtF women). Evaluation of the psychometric properties of the TVQMtF is ongoing. AIMS:To investigate associations ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12319
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:In domains other than language, there is fairly consistent diagnostic terminology to refer to children's developmental difficulties. For instance, the terms 'dyslexia', 'attention deficit hyperactivity disorder' and 'autistic spectrum disorder' are used for difficulties with reading, attention or social cogn...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,评审
doi:10.1111/1460-6984.12101
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:Children with dyslexia and/or developmental language disorder (hereafter children with DDLD) have been reported to retrieve fewer words than their typically developing (TD) peers in semantic fluency tasks. It is not known whether this retrieval difficulty can be attributed to the semantic structure of their ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12512
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Professional placements are critical elements of speech-language pathology qualifying programmes that can be complex learning environments for international students. Students are supported by placement educators who facilitate their developing skills and competencies for professional practice in these place...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12516
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Numerous studies have demonstrated the benefit of devices delivering altered auditory feedback (AAF) as a therapeutic alternative for those who stutter. AIMS:The effectiveness of a device delivering AAF (SpeechEasy®) was compared with behavioural techniques in the treatment of stuttering in a randomized cli...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,随机对照试验
doi:10.1111/1460-6984.12237
更新日期:2016-11-01 00:00:00
abstract::Two experiments examined the time course of lexical information availability in 20 adults, 20 children (8;0-10;0) with typical language development, and in 20 children (8;0-10;0) with specific language impairment. A cross-modal picture-word interference paradigm was used in which participants named the pictures as qui...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820701768581
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:People with profound intellectual and multiple disabilities (PMLD) have communication impairments as one defining characteristic. AIMS:To explore speech and language therapists' (SLTs) decision making in communication interventions for people with PMLD, in terms of the intervention approaches used, the fact...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12098
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Speech and language therapy (SLT) managers are expected to ensure that there are appropriate services available for bilingual and multilingual clients in order to ensure an equitable service to all clients. However, there is a paucity of data available to inform service planning. AIMS:To identify the level ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820600623911
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:Prior research has described the prevalence and utility of questions in children's language learning environment. However, there has been little empirical investigation of the interaction sequences that ensue following caregiver questions. Understanding these interactions may be especially important for chil...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12513
更新日期:2020-03-01 00:00:00
abstract::A recent project entitled CATALISE used the Delphi method to reach a consensus on terminology for unexplained language problems in children. 'Developmental language disorder' (DLD) was the term agreed by a panel of 57 experts. Here I reflect on points of difficulty that arose when attempting to reach a consensus, usin...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12335
更新日期:2017-11-01 00:00:00
abstract::This paper describes a project designed to equip direct care workers with the knowledge and skills to address communication as a central factor in the lives of people with learning disabilities who challenge services. The elements of the approach taken--'Challenging Communication'--are described, outcomes discussed an...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682829809179461
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Both direct (clinician to child) and indirect (clinician to carer) approaches are currently used in the management of children with language delay, but there is as yet little evidence about their relative effects or resource implications. AIMS:This research project compared the Hanen Parent Programme (HPP) ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/1368282031000121651
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:A high prevalence of Developmental Language Disorder (DLD) is reported in the population of Young Offenders (YO). However, little is known about the extent of the association between language and offending behaviour relative to social disadvantage, education attendance and non-verbal intelligence (IQ), and n...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12330
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Discourse in adults with aphasia is increasingly the focus of assessment and therapy research. A broad range of measures is available to describe discourse, but very limited information is available on their psychometric properties. As a result, the quality of these measures is unknown, and there is very lit...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12420
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Listening to how people talk about the consequences of acquired aphasia helps one gain insight into how people construe disability and communication disability in particular. It has been found that some of these construals can be more of a disabling barrier in re-engaging with life than the communication imp...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820701697947
更新日期:2008-05-01 00:00:00