Background: Children who meet language test criteria for specific language impairment (SLI) are not necessarily the same as those who are referred to a speech and language therapist. Aims: To consider how far this discrepancy reflects insensitivity of traditional language tests to clinically important features of language impairment. Methods &…

Background: The study is the first within trial cost analysis of direct versus indirect and individual versus group modes of speech-and-language therapy for children with primary language impairment. Aims: To compare the short-run resource consequences of the four interventions alongside the effects achieved measured by standardized scores on a…

Purpose: This study compared parents with histories of speech sound disorders (SSD) to parents without known histories on measures of speech sound production, phonological processing, language, reading, and spelling. Familial aggregation for speech and language disorders was also examined. Method: The participants were 147 parents of children with…

Background: Dysarthria is a common post-stroke presentation. Its management falls within the remit of the speech and language therapy profession. Little controlled evaluation of the effects of intervention for dysarthria in stroke has been reported. Aims: The study aimed to determine the effects of a period of behavioural communication…

Purpose: The authors aimed to establish whether 2 theoretically motivated interventions could improve use of verb argument structure in pupils with persistent specific language impairment (SLI). Method: Twenty-seven pupils with SLI (ages 11;0-16;1) participated in this randomized controlled trial with "blind" assessment. Participants were randomly…

Background: There is a significant body of evidence documenting the speech and language abnormalities found in adult psychiatric disorders. These speech and language impairments can create additional social barriers for the individual and may hinder effective communication in psychiatric treatment and management. However, the role of speech and…

Background: High levels of early language difficulties raise practical issues about the efficient and effective means of meeting children's needs. Persistent language difficulties place significant financial pressures on health and education services. This has led to large investment in intervention in the early years; yet, little is known about…

Background: Parental and speech and language therapist (SLT) explanatory models may affect engagement with speech and language therapy, but there has been dearth of research in this area. This study investigated parents' and SLTs' views about language development, delay and intervention in pre-school children with language delay. Aims: The aims…

This volume examines the ramifications of individual differences in therapy outcomes for a wide variety of communication disorders. In an era where evidence-based practice is the clinical profession's watchword, each chapter attacks this highly relevant issue from a somewhat different perspective. In some areas of communication disorders,…

This paper describes the pilot of an interactional training programme designed for speech and language therapists to use with school support assistants, students and parents to enhance their implementation of therapy for children with speech sound difficulties. Collaborative therapy sessions in a school setting were videoed to encourage reflection…

This article presents a review of current conceptualizations of clinical expertise in speech-language pathology; reviews claims about the impact that factors like belief, enthusiasm, and innovation can have on learning; and concludes with suggestions for the research needed to develop a theory of clinical expertise in speech-language pathology.…

This study examined effects of group communication treatment on the linguistic and communicative performance of 24 adults with chronic aphasia. Participants received five hours of group communication treatment weekly provided by a speech-language pathologist. Participants had significantly higher scores on communicative and linguistic measures…

A semantic-based treatment was used initially to train naming of nouns in four adults with aphasia. Treatment responses and error patterns indicated treatment resulted in improved naming of both trained and untrained items for two participants. Two other participants showed improved naming only after phonological information was added. Results…

This paper examines the repair skills of three groups of 7 to 11-year old children: 1) children with Pragmatic Language Impairments (the PLI group); 2) children with Specific Language Impairments with no pragmatic difficulties (the SLI group); 3) children with normally developing communication skills (the mainstream group). The data comprise…

Case-study phase of a national study into provision of services to children with speech and language needs. Finds extensive recognition of the need for collaboration between local education authorities (LEAs) and speech and language therapy (SLT) providers, but wide variation in practices across England and Wales. At the strategic level, various…