Disparities in Radiotherapy: Practice Patterns Analysis of DIBH use in Non-English Speakers

Purpose The purpose of this study is to examine the frequency and type of speech disfluencies (stuttering-like and nonstuttering-like) in bilingual Spanish–English (SE) children who stutter (CWS) to SE children who do not stutter (CWNS) during narrative samples elicited in Spanish and English to provide further diagnostic information for this population and preliminary data toward an expansion of this study. Method Participants included six bilingual SE children (three CWS, three CWNS) ranging in age from 5 years to 7;5 (years;months) and recruited from the surrounding Houston, Texas area. Participants provided a narrative sample in English and Spanish. The frequency of speech disfluencies was tabulated, and mean length of utterance was measured for each sample. Results Results indicate that both talker groups exceed the diagnostic criteria typically used for developmental stuttering. Regardless of the language being spoken, CWS participants had a frequency of stuttering-like speech disfluencies that met or exceeded the diagnostic criteria for developmental stuttering that is based on monolingual English speakers. The CWNS participants varied in meeting the criteria depending on the language being spoken, with one of the three CWNS exceeding the criteria in both languages and one exceeding the criteria for percentage of stuttering-like speech disfluencies in one language. Conclusion Findings from this study contribute to the development of more appropriate diagnostic criteria for bilingual SE-speaking children to aid in the reduction of misdiagnoses of stuttering in this population.

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Dynamic Assessment With Bilinguals: A Focus on Increasing Clinicians' Confidence

Perspectives on Communication Disorders and Sciences in Culturally and Linguistically Diverse Populations ◽

10.1044/cds22.3.112 ◽

2015 ◽

Vol 22 (3) ◽

pp. 112-121 ◽

Cited By ~ 4

Author(s):

Brenda K. Gorman

Keyword(s):

Standardized Tests ◽

Dynamic Assessment ◽

English Speakers ◽

Bilingual Children ◽

Assessment Practices ◽

Speech Language Pathologists ◽

Idea 2004 ◽

Disabilities Education Act ◽

Effective Dynamic ◽

Education Act

Speech-language pathologists (SLPs) are obligated to judiciously select and administer appropriate assessments without inherent cultural or linguistic bias (Individuals with Disabilities Education Act [IDEA], 2004). Nevertheless, clinicians continue to struggle with appropriate assessment practices for bilingual children, and diagnostic decisions are too often based on standardized tests that were normed predominately on monolingual English speakers (Caesar & Kohler, 2007). Dynamic assessment is intended to be a valid and unbiased approach for ascertaining what a child knows and can do, yet many speech-language pathologists (SLPs) struggle in knowing what and how to assess within this paradigm. Therefore, the aim of this paper is to present a clinical scenario and summarize extant research on effective dynamic language assessment practices, with a focus on specific language tasks and procedures, in order to foster SLPs' confidence in their use of dynamic assessment with bilingual children.

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Overview of Current Approaches to Aural Rehabilitation for Adults With Cochlear Implants

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2020_persp-20-00078 ◽

2020 ◽

Vol 5 (5) ◽

pp. 1175-1187

Author(s):

Rachel Glade ◽

Erin Taylor ◽

Deborah S. Culbertson ◽

Christin Ray

Keyword(s):

Health Care ◽

Clinical Practice ◽

Cochlear Implants ◽

Practice Patterns ◽

The United States ◽

Care Providers ◽

Aural Rehabilitation ◽

Starting Point ◽

Clinical Models ◽

Hearing Health

Purpose This clinical focus article provides an overview of clinical models currently being used for the provision of comprehensive aural rehabilitation (AR) for adults with cochlear implants (CIs) in the Unites States. Method Clinical AR models utilized by hearing health care providers from nine clinics across the United States were discussed with regard to interprofessional AR practice patterns in the adult CI population. The clinical models were presented in the context of existing knowledge and gaps in the literature. Future directions were proposed for optimizing the provision of AR for the adult CI patient population. Findings/Conclusions There is a general agreement that AR is an integral part of hearing health care for adults with CIs. While the provision of AR is feasible in different clinical practice settings, service delivery models are variable across hearing health care professionals and settings. AR may include interprofessional collaboration among surgeons, audiologists, and speech-language pathologists with varying roles based on the characteristics of a particular setting. Despite various existing barriers, the clinical practice patterns identified here provide a starting point toward a more standard approach to comprehensive AR for adults with CIs.

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Teaching Partners to Support Communication for Adults with Acquired Communication Impairment

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac22.1.4 ◽

2013 ◽

Vol 22 (1) ◽

pp. 4-15 ◽

Cited By ~ 3

Author(s):

Laura J. Ball ◽

Joanne Lasker

Keyword(s):

Practice Patterns ◽

Communicative Competence ◽

Communication Disorders ◽

Communication Impairment ◽

Communication Partner ◽

Communication Partners ◽

Selection For ◽

Communication Needs ◽

End Of Life Communication ◽

Lateral Sclerosis

Abstract For adults with acquired communication impairment, particularly those who have communication disorders associated with stroke or neurodegenerative disease, communication partners play an important role in establishing and maintaining communicative competence. In this paper, we assemble some evidence on this topic and integrate it with current preferred practice patterns (American Speech-Language-Hearing Association, 2004). Our goals are to help speech-language pathologists (SLPs) identify and describe partner-based communication strategies for adults with acquired impairment, implement evidence-based approaches for teaching strategies to communication partners, and employ a Personnel Framework (Binger et al., 2012) to clarify partners? roles in acquiring and supporting communication tools for individuals with acquired impairments. We offer specific guidance about AAC techniques and message selection for communication partners involved with chronic, degenerative, and end of life communication. We discuss research and provide examples of communication partner supports for person(s) with aphasia and person(s) with amyotrophic lateral sclerosis who have complex communication needs.

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Insights Into Practice Patterns for Thickened Liquids

Perspectives on Swallowing and Swallowing Disorders (Dysphagia) ◽

10.1044/sasd15.1.14 ◽

2006 ◽

Vol 15 (1) ◽

pp. 14-18 ◽

Cited By ~ 1

Author(s):

Jane Mertz Garcia ◽

Edgar Chambers

Keyword(s):

Practice Patterns ◽

Thickened Liquids

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Comparing Simultaneous Clinical Swallow Evaluations and Fiberoptic Endoscopic Evaluations of Swallowing: Changing Practice Patterns

Perspectives of the ASHA Special Interest Groups ◽

10.1044/persp3.sig13.124 ◽

2018 ◽

Vol 3 (13) ◽

pp. 124-132

Author(s):

Steven B. Leder ◽

Heather L. Warner

Keyword(s):

Practice Patterns ◽

Changing Practice

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Audiology Service Models in a Family Physician Practice Setting

Perspectives on Audiology ◽

10.1044/poa6.1.24 ◽

2010 ◽

Vol 6 (1) ◽

pp. 24-32 ◽

Cited By ~ 2

Author(s):

Sridhar Krishnamurti

Keyword(s):

Pediatric Patients ◽

Practice Patterns ◽

Healthcare Delivery ◽

Direct Consequence ◽

Direct Access ◽

Practice Setting ◽

Pediatric Populations ◽

Family Practice Physicians ◽

Primary Focus ◽

Balance Problems

This article illustrates the potential of placing audiology services in a family physician’s practice setting to increase referrals of geriatric and pediatric patients to audiologists. The primary focus of family practice physicians is the diagnosis/intervention of critical systemic disorders (e.g., cardiovascular disease, diabetes, cancer). Hence concurrent hearing/balance disorders are likely to be overshadowed in such patients. If audiologists get referrals from these physicians and have direct access to diagnose and manage concurrent hearing/balance problems in these patients, successful audiology practice patterns will emerge, and there will be increased visibility and profitability of audiological services. As a direct consequence, audiological services will move into the mainstream of healthcare delivery, and the profession of audiology will move further towards its goals of early detection and intervention for hearing and balance problems in geriatric and pediatric populations.

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