Speech and Hearing Sciences - Journal Articleshttps://hdl.handle.net/10468/7222024-03-29T13:44:01Z2024-03-29T13:44:01Z921A core outcome set for aphasia treatment research: the ROMA consensus statementWallace, Sarah J.Worrall, LindaRose, TanyaLe Dorze, GuylaineBreitenstein, CaterinaHilari, KaterinaBabbitt, EdnaBose, ArpitaBrady, Marian C.Cherney, Leora R.Copland, DavidCruice, MadelineEnderby, PamHersh, DeborahHowe, TamiKelly, HelenKiran, SwathiLaska, Ann-CharlotteMarshall, JaneNicholas, MarjoriePatterson, JanetPearl, GillRochon, ElizabethRose, MirandaSage, KarenSmall, StevenWebster, Janethttps://hdl.handle.net/10468/72462023-04-05T07:20:11Z2018-10-10T00:00:00Zdc.title: A core outcome set for aphasia treatment research: the ROMA consensus statement
dc.contributor.author: Wallace, Sarah J.; Worrall, Linda; Rose, Tanya; Le Dorze, Guylaine; Breitenstein, Caterina; Hilari, Katerina; Babbitt, Edna; Bose, Arpita; Brady, Marian C.; Cherney, Leora R.; Copland, David; Cruice, Madeline; Enderby, Pam; Hersh, Deborah; Howe, Tami; Kelly, Helen; Kiran, Swathi; Laska, Ann-Charlotte; Marshall, Jane; Nicholas, Marjorie; Patterson, Janet; Pearl, Gill; Rochon, Elizabeth; Rose, Miranda; Sage, Karen; Small, Steven; Webster, Janet
dc.description.abstract: Background: A core outcome set (COS; an agreed, minimum set of outcomes) was needed to address the heterogeneous measurement of outcomes in aphasia treatment research and to facilitate the production of transparent, meaningful, and efficient outcome data. Objective: The Research Outcome Measurement in Aphasia (ROMA) consensus statement provides evidence-based recommendations for the measurement of outcomes for adults with post-stroke aphasia within phases I–IV aphasia treatment studies. Methods: This statement was informed by a four-year program of research, which comprised investigation of stakeholder-important outcomes using consensus processes, a scoping review of aphasia outcome measurement instruments, and an international consensus meeting. This paper provides an overview of this process and presents the results and recommendations arising from the international consensus meeting. Results: Five essential outcome constructs were identified: Language, communication, patient-reported satisfaction with treatment and impact of treatment, emotional wellbeing, and quality of life. Consensus was reached for the following measurement instruments: Language: The Western Aphasia Battery Revised (WAB-R) (74% consensus); emotional wellbeing: General Health Questionnaire (GHQ)-12 (83% consensus); quality of life: Stroke and Aphasia Quality of Life Scale (SAQOL-39) (96% consensus). Consensus was unable to be reached for measures of communication (where multiple measures exist) or patient-reported satisfaction with treatment or impact of treatment (where no measures exist). Discussion: Harmonization of the ROMA COS with other core outcome initiatives in stroke rehabilitation is discussed. Ongoing research and consensus processes are outlined. Conclusion: The WAB-R, GHQ-12, and SAQOL-39 are recommended to be routinely included within phases I–IV aphasia treatment studies. This consensus statement has been endorsed by the Collaboration of Aphasia Trialists, the British Aphasiology Society, the German Society for Aphasia Research and Therapy, and the Royal College of Speech Language Therapists.
2018-10-10T00:00:00ZA prospective study of consecutive emergency medical admissions to compare a novel automated computer-aided mortality risk score and clinical judgement of patient mortality riskFaisal, MuhammadKhatoon, BinishScally, AndyRichardson, DonaldIrwin, SallyDavidson, RachelHeseltine, DavidCorlett, AlisonAli, JavedHampson, RebeccaKesavan, SandeepMcGonigal, GerryGoodman, KarenHarkness, MichaelMohammed, Mohammedhttps://hdl.handle.net/10468/85002023-04-05T06:56:44Z2019-06-19T00:00:00Zdc.title: A prospective study of consecutive emergency medical admissions to compare a novel automated computer-aided mortality risk score and clinical judgement of patient mortality risk
dc.contributor.author: Faisal, Muhammad; Khatoon, Binish; Scally, Andy; Richardson, Donald; Irwin, Sally; Davidson, Rachel; Heseltine, David; Corlett, Alison; Ali, Javed; Hampson, Rebecca; Kesavan, Sandeep; McGonigal, Gerry; Goodman, Karen; Harkness, Michael; Mohammed, Mohammed
dc.description.abstract: Objectives: To compare the performance of a validated automatic computer-aided risk of mortality (CARM) score versus medical judgement in predicting the risk of in-hospital mortality for patients following emergency medical admission.Design: A prospective study.Setting: Consecutive emergency medical admissions in York hospital.Participants: Elderly medical admissions in one ward were assigned a risk of death at the first post-take ward round by consultant staff over a 2-week period. The consultant medical staff used the same variables to assign a risk of death to the patient as the CARM (age, sex, National Early Warning Score and blood test results) but also had access to the clinical history, examination findings and any immediately available investigations such as ECGs. The performance of the CARM versus consultant medical judgement was compared using the c-statistic and the positive predictive value (PPV).Results: The in-hospital mortality was 31.8% (130/409). For patients with complete blood test results, the c-statistic for CARM was 0.75 (95% CI: 0.69 to 0.81) versus 0.72 (95% CI: 0.66 to 0.78) for medical judgements (p=0.28). For patients with at least one missing blood test result, the c-statistics were similar (medical judgements 0.70 (95% CI: 0.60 to 0.81) vs CARM 0.70 (95% CI: 0.59 to 0.80)). At a 10% mortality risk, the PPV for CARM was higher than medical judgements in patients with complete blood test results, 62.0% (95% CI: 51.2 to 71.9) versus 49.2% (95% CI: 39.8 to 58.5) but not when blood test results were missing, 50.0% (95% CI: 24.7 to 75.3) versus 53.3% (95% CI: 34.3 to 71.7).Conclusions: CARM is comparable with medical judgements in discriminating in-hospital mortality following emergency admission to an elderly care ward. CARM may have a promising role in supporting medical judgements in determining the patient’s risk of death in hospital. Further evaluation of CARM in routine practice is required.
2019-06-19T00:00:00ZAbnormal patterns of tongue-palate contact in the speech of individuals with cleft palateGibbon, Fiona E.https://hdl.handle.net/10468/9032023-04-05T07:19:02Z2004-08-01T00:00:00Zdc.title: Abnormal patterns of tongue-palate contact in the speech of individuals with cleft palate
dc.contributor.author: Gibbon, Fiona E.
dc.description.abstract: Individuals with cleft palate, even those with adequate velopharyngeal function, are at high risk for disordered lingual articulation. This article attempts to summarize current knowledge of abnormal tongue-palate contact patterns derived from electropalatographic (EPG) data in speakers with cleft palate. These data, which have been reported in 23 articles published over the past 20 years, have added significantly to our knowledge about cleft palate speech. Eight abnormal patterns of tongue-palate contact are described and illustrated with data from children and adults with repaired cleft palate. The paper also discusses some of the problems in interpreting EPG data from speakers with abnormal craniofacial anatomy and emphasizes the importance of quantifying relevant aspects of tongue-palate contact data. Areas of research requiring further investigation are outlined.
2004-08-01T00:00:00ZAdult speakers' tongue-palate contact patterns for bilabial stops within complex clustersZharkova, NataliaSchaeffler, SonjaGibbon, Fiona E.https://hdl.handle.net/10468/7522023-04-05T07:19:25Z2009-12-01T00:00:00Zdc.title: Adult speakers' tongue-palate contact patterns for bilabial stops within complex clusters
dc.contributor.author: Zharkova, Natalia; Schaeffler, Sonja; Gibbon, Fiona E.
dc.description.abstract: Previous studies using Electropalatography (EPG) have shown that individuals with speech disorders sometimes produce articulation errors that affect bilabial targets, but currently there is limited normative data available. In this study, EPG and acoustic data were recorded during complex word final /sps/ clusters spoken by 20 normal adults. A total contact (TC) index measured amount of tongue-palate contact during clusters in words such as 'crisps'. Bilabial closure was inferred from the acoustic signal. The TC profiles indicated that normal adults hold their tongues in a steady /s/-like position throughout the cluster; most speakers (85%, n=17) had no significant difference in TC values during bilabial closure compared to flanking fricatives. The results are interpreted as showing that normal speakers produce double bilabial-alveolar articulations for /p/ in these clusters. Although steady state TC profiles were typical of the group, absolute TC values varied considerably between speakers, with some speakers having up to three times more contact than others. These findings add to the knowledge about normal articulation, and will help to improve diagnosis and treatment of individuals with speech disorders.
2009-12-01T00:00:00ZAn exploration of speech and language pathology student and facilitator perspectives on problem-based learning online.O'Leary, NormaBrouder. NiamhBessell, NicolaFrizelle, Paulinehttps://hdl.handle.net/10468/141242023-04-05T07:20:13Z2022-04-19T00:00:00Zdc.title: An exploration of speech and language pathology student and facilitator perspectives on problem-based learning online.
dc.contributor.author: O'Leary, Norma; Brouder. Niamh; Bessell, Nicola; Frizelle, Pauline
dc.description.abstract: This mixed-methods study explored the perspectives of second and third-year Speech Language Pathology (SLP) students and facilitators on Problem-Based Learning (PBL) online. As a result of the COVID-19 pandemic, PBL was delivered online for the academic year 2020-2021 via a virtual learning environment. Forty-seven students and five facilitators completed an online survey designed to evaluate the quality of individual and collaborative learning in the PBL online context. All participants had experience of pre-COVID-19 face-to-face PBL. Thematic analysis and descriptive statistics were used to analyse qualitative and quantitative data, respectively. Demonstrated a preference from both students and facilitators to maintain PBL in a face-to-face format. Aspects of functionality offered by the virtual platform assisted in the PBL process, however technical and environmental barriers impeded virtual delivery. Responses suggest that the development of rapport and interactivity levels online are not equivalent to face-to-face PBL, and these factors were perceived by participants to negatively influence the learning process. Perspectives on the role of the facilitator online convey divergent views between second and third years which reflected a change in facilitator style to support more independent learning in line with students' progression through the course. Our findings demonstrate that students and facilitators are open to future implementation of a blended model of PBL. Participants reported benefits such as reduction in indirect education costs and acquisition of a digital skillset. However, our study indicates a preference for enhanced social presence afforded by face-to-face PBL.
2022-04-19T00:00:00ZArticulatory characteristics of the occlusion phase of /tS/ compared to /t/ in adult speech.Liker, MarkoGibbon, Fiona E.Wrench, AlanHorga, Damirhttps://hdl.handle.net/10468/7792018-01-18T10:25:16Z2007-03-01T00:00:00Zdc.title: Articulatory characteristics of the occlusion phase of /tS/ compared to /t/ in adult speech.
dc.contributor.author: Liker, Marko; Gibbon, Fiona E.; Wrench, Alan; Horga, Damir
dc.description.abstract: This study used electropalatography (EPG) to investigate articulatory characteristics of /tS/ and /t/ occlusion in order to provide normative data to be used for the diagnosis and treatment of individuals with speech disorders. EPG data from the EUR-ACCOR database were analysed for nonsense VCV sequences containing /tS/ and /t/ in nine vowel contexts for seven English speaking adults. The main results of this study are that all speakers had a significantly more posterior placement for /tS/ compared to /t/ and that placement was stable during the occlusion phase of both /tS/ and /t/. For most speakers, the occlusion phase was longer for /tS/ compared to /t/, the occlusion phase generally involved more EPG contact and was slightly more variable in /tS/ compared to /t/, but these differences were not statistically significant for all speakers. The implications of the results for diagnosing and treating speech disorders are discussed.
2007-03-01T00:00:00ZAssessing understanding of relative clauses: a comparison of multiple-choice comprehension versus sentence repetitionFrizelle, PaulineO'Neill, ClodaghBishop, Dorothy V. M.https://hdl.handle.net/10468/34952023-04-05T07:20:25Z2017-01-16T00:00:00Zdc.title: Assessing understanding of relative clauses: a comparison of multiple-choice comprehension versus sentence repetition
dc.contributor.author: Frizelle, Pauline; O'Neill, Clodagh; Bishop, Dorothy V. M.
dc.description.abstract: Although sentence repetition is considered a reliable measure of children's grammatical knowledge, few studies have directly compared children's sentence repetition performance with their understanding of grammatical structures. The current study aimed to compare children's performance on these two assessment measures, using a multiple-choice picture-matching sentence comprehension task and a sentence repetition task. Thirty-three typically developing children completed both assessments, which included relative clauses representing a range of syntactic roles. Results revealed a similar order of difficulty of constructions on both measures but little agreement between them when evaluating individual differences. Interestingly, repetition was the easier of the two measures, with children showing the ability to repeat sentences they did not understand. This discrepancy is primarily attributed to the additional processing load resulting from the design of multiple-choice comprehension tasks, and highlights the fact that these assessments are invoking skills beyond those of linguistic competence.
2017-01-16T00:00:00ZAssessment and treatment of short-term and working memory impairments in stroke aphasia - a practical tutorialSalis, ChristosKelly, HelenCode, Chrishttps://hdl.handle.net/10468/72282023-04-05T07:20:26Z2015-06-30T00:00:00Zdc.title: Assessment and treatment of short-term and working memory impairments in stroke aphasia - a practical tutorial
dc.contributor.author: Salis, Christos; Kelly, Helen; Code, Chris
dc.description.abstract: Background: Aphasia following stroke refers to impairments that affect the comprehension and expression of spoken and/or written language, and co‐occurring cognitive deficits are common. In this paper we focus on short‐term and working memory impairments that impact on the ability to retain and manipulate auditory–verbal information. Evidence from diverse paradigms (large group studies, case studies) report close links between short‐term/working memory and language functioning in aphasia. This evidence leads to the hypothesis that treating such memory impairments would improve language functioning. This link has only recently been acknowledged in aphasia treatment but has not been embraced widely by clinicians. Aims: To examine the association between language, and short‐term and working memory impairments in aphasia. To describe practical ways of assessing short‐term and working memory functioning that could be used in clinical practice. To discuss and critically appraise treatments of short‐term and working memory reported in the literature. Methods & Procedures: Taking a translational research approach, this paper provides clinicians with current evidence from the literature and practical information on how to assess and treat short‐term and working memory impairments in people with aphasia. Published treatments of short‐term and/or working memory in post‐stroke aphasia are discussed through a narrative review. Main Contributions: This paper provides the following. A theoretical rationale for adopting short‐term and working memory treatments in aphasia. It highlights issues in differentially diagnosing between short‐term, working memory disorders and other concomitant impairments, e.g. apraxia of speech. It describes short‐term and working memory assessments with practical considerations for use with people with aphasia. It also offers a description of published treatments in terms of participants, treatments and outcomes. Finally, it critically appraises the current evidence base relating to the treatment of short‐term and working memory treatments. Conclusions: The links between short‐term/working memory functioning and language in aphasia are generally acknowledged. These strongly indicate the need to incorporate assessment of short‐term/working memory functioning for people with aphasia. While the supportive evidence for treatment is growing and appears to highlight the benefits of including short‐term/working memory in aphasia treatment, the quality of the evidence in its current state is poor. However, because of the clinical needs of people with aphasia and the prevalence of short‐term/working memory impairments, incorporating related treatments through practice‐based evidence is advocated.
2015-06-30T00:00:00ZAttention control comparisons with SLT for people with aphasia following stroke: methodological concerns raised following a systematic reviewBrady, Marian C.Godwin, JonKelly, HelenEnderby, PamElders, AndrewCampbell, Paulinehttps://hdl.handle.net/10468/73372023-04-05T07:20:43Z2018-06-17T00:00:00Zdc.title: Attention control comparisons with SLT for people with aphasia following stroke: methodological concerns raised following a systematic review
dc.contributor.author: Brady, Marian C.; Godwin, Jon; Kelly, Helen; Enderby, Pam; Elders, Andrew; Campbell, Pauline
dc.description.abstract: Objective: Attention control comparisons in trials of stroke rehabilitation require care to minimize the risk of comparison choice bias. We compared the similarities and differences in SLT and social support control interventions for people with aphasia. Data sources: Trial data from the 2016 Cochrane systematic review of SLT for aphasia after stroke. Methods: Direct and indirect comparisons between SLT, social support and no therapy controls. We double-data extracted intervention details using the template for intervention description and replication. Standardized mean differences and risk ratios (95% confidence intervals (CIs)) were calculated. Results: Seven trials compared SLT with social support (n = 447). Interventions were matched in format, frequency, intensity, duration and dose. Procedures and materials were often shared across interventions. Social support providers received specialist training and support. Targeted language rehabilitation was only described in therapy interventions. Higher drop-out (P = 0.005, odds ratio (OR) 0.51, 95% CI 0.32–0.81) and non-adherence to social support interventions (P < 0.00001, OR 0.18, 95% CI 0.09–0.37) indicated an imbalance in completion rates increasing the risk of control comparison bias. Conclusion: Distinctions between social support and therapy interventions were eroded. Theoretically based language rehabilitation was the remaining difference in therapy interventions. Social support is an important adjunct to formal language rehabilitation. Therapists should continue to enable those close to the person with aphasia to provide tailored communication support, functional language stimulation and opportunities to apply rehabilitation gains. Systematic group differences in completion rates is a design-related risk of bias in outcomes observed.
2018-06-17T00:00:00ZBenchmarking typically developing children’s prosodic performance on the Irish version of the Profiling Elements of Prosody in Speech-Communication (PEPS-C)Foley, MichelleGibbon, Fiona E.Peppé, Susanhttps://hdl.handle.net/10468/104532023-04-05T07:20:59Z2011-01-01T00:00:00Zdc.title: Benchmarking typically developing children’s prosodic performance on the Irish version of the Profiling Elements of Prosody in Speech-Communication (PEPS-C)
dc.contributor.author: Foley, Michelle; Gibbon, Fiona E.; Peppé, Susan
dc.description.abstract: Objective: To identify the normal prosodic performance for typically developing children aged 5-11 years on the Irish version of the Profiling Elements of Prosody in Speech Communication (PEPS-C) assessment and identify significant age related changes between different age groups. Method: Thirty typically developing children between the ages of 5;9 and 11;1 years completed the PEPS-C assessment which involved both receptive and expressive tasks. Results: Significant differences were found between the youngest group’s prosodic performance and the two older groups. The 5/6 year old age group performed less well than the 10/11 year age group (p<0.05). The 10/11 year age group performed above chance level on all prosodic tasks. Conclusion: While 5/6 year old children have acquired some functional prosodic skills, there are further developments between the ages of 5;9 and 9;5, with some aspects of prosody continuing to develop up to 11 years.
2011-01-01T00:00:00Z