Optimizing outcomes for children with phonological impairment : a systematic search and review of outcome and experience measures reported in intervention research

Purpose: Reporting of outcome and experience measures is critical to our understanding of the effect of intervention for speech sound disorders (SSD) in children. There is currently no agreed-upon set of measures for reporting intervention outcomes and experiences. In this article, we introduce the Speech Outcome Reporting Taxonomy (SORT), a tool designed to assist with the classification of outcome and experience measures. In a systematic search and review using the SORT, we explore the type and frequency of these measures reported in intervention research addressing phonological impairment in children. Given the integral relationship between intervention fidelity and intervention outcomes, reporting of fidelity is also examined. Method: Five literature databases were searched to identify articles written or translated into English published between 1975 and 2020. Using the SORT, outcome and experience measures were extracted and categorized. The number of intervention studies reporting fidelity was determined. Results: A total of 220 articles met inclusion criteria. The most frequently reported outcome domain was broad generalization measures (n = 142, 64.5%), followed by specific measures of generalization of an intervention target (n = 133, 60.5%). Eleven (5.0%) articles reported measures of the impact of the phonological impairment on children’s activity, participation, quality of life, or others. Twenty articles (9.1%) reported on parent, child, or clinician experience or child engagement. Fidelity data were reported for 13.4% of studies of interventions. Conclusions: The measurement of intervention outcomes is challenging yet important. No single type of measure was reported across all articles. Through using tailored measures closely related to intervention targets in combination with a universal set of measures of intelligibility, the impact of phonological impairment on children’s lives, and the experience of receiving and providing intervention, researchers and clinicians could work together to progress insights and innovations in science and practice for children with SSD

Self Interacting Dark Matter in the Solar System

Weakly coupled, almost massless, spin 0 particles have been predicted by many extensions of the standard model of particle physics. Recently, the PVLAS group observed a rotation of polarization of electromagnetic waves in vacuum in the presence of transverse magnetic field. This phenomenon is best explained by the existence of a weakly coupled light pseudoscalar particle. However, the coupling required by this experiment is much larger than the conventional astrophysical limits. Here we consider a hypothetical self-interacting pseudoscalar particle which couples weakly with visible matter. Assuming that these pseudoscalars pervade the galaxy, we show that the solar limits on the pseudoscalar-photon coupling can be evaded.Comment: 17 pages, 2 figure

Pacifiers, Thumb Sucking, Breastfeeding, and Bottle Use:Oral Sucking Habits of Children with and without Phonological Impairment

Aims: The aim of this study was to describe the nutritive and non-nutritive oral sucking habits (breastfeeding, bottle use, pacifier/dummy/soother use, thumb/finger sucking) of preschoolers with and without phonological impairment, and to determine whether oral sucking habits are associated with the presence and severity of phonological impairment. Methods: We conducted a cross-sectional study of 199 Australian English-speaking preschoolers with and without phonological impairment. Preschoolers’ speech was directly assessed, and parents/caregivers completed a questionnaire. Chi-square (χ2) tests were used to examine relationships between oral sucking habits and the presence and severity of phonological impairment. Results: Based on caregiver reports, 79.9% of participants had been breastfed (33.3% for >12 months), 58.3% had used a pacifier (74.2% for ≥12 months), 83.9% had used a bottle (73.4% for >12 months), and 15.1% sucked their thumb/fingers. There was no association between a history of oral sucking and the presence and severity of phonological impairment. Conclusion: The majority of preschoolers had been breastfed and bottle-fed, and more than half had used a pacifier. The findings support an understanding that phonological impairment is not associated with a history of nutritive and non-nutritive sucking habits. Research is needed to examine the association between oral sucking habits and other types of speech sound disorders

Guidelines to the agroecology-I context document

The purpose of the Context Document is threefold: first, to characterize the environmental, social and economic context of each Agroecological Living Lab (ALL); second, to understand the data and information currently available in each ALL; and third to characterize how and the extent to which agroecological principles are already being employed in each ALL. The Context Document is not meant to be a quantitative baseline or an exhaustive report, but rather a broad overview of the situation in each ALL. The data collected during the Context Document can be utilized during the visioning and assessment phases and is fundamental to describe the situation in each ALL and will inform the impact assessment. It will also be valuable to all other WPs as it will provide foundational data for their investigation

Implementation fidelity of a computer-assisted intervention for children with speech sound disorders

© 2017 The Speech Pathology Association of Australia Limited Published by Informa UK Limited, trading as Taylor & Francis Group. Background: Implementation fidelity refers to the degree to which an intervention or programme adheres to its original design. This paper examines implementation fidelity in the Sound Start Study, a clustered randomised controlled trial of computer-assisted support for children with speech sound disorders (SSD). Method: Sixty-three children with SSD in 19 early childhood centres received computer-assisted support (Phoneme Factory Sound Sorter [PFSS]–Australian version). Educators facilitated the delivery of PFSS targeting phonological error patterns identified by a speech-language pathologist. Implementation data were gathered via (1) the computer software, which recorded when and how much intervention was completed over 9 weeks; (2) educators’ records of practice sessions; and (3) scoring of fidelity (intervention procedure, competence and quality of delivery) from videos of intervention sessions. Result: Less than one-third of children received the prescribed number of days of intervention, while approximately one-half participated in the prescribed number of intervention plays. Computer data differed from educators’ data for total number of days and plays in which children participated; the degree of match was lower as data became more specific. Fidelity to intervention procedures, competency and quality of delivery was high. Conclusion: Implementation fidelity may impact intervention outcomes and so needs to be measured in intervention research; however, the way in which it is measured may impact on data

Th17 cells and IL-17 receptor signaling are essential for mucosal host defense against oral candidiasis

The commensal fungus Candida albicans causes oropharyngeal candidiasis (OPC; thrush) in settings of immunodeficiency. Although disseminated, vaginal, and oral candidiasis are all caused by C. albicans species, host defense against C. albicans varies by anatomical location. T helper 1 (Th1) cells have long been implicated in defense against candidiasis, whereas the role of Th17 cells remains controversial. IL-17 mediates inflammatory pathology in a gastric model of mucosal candidiasis, but is host protective in disseminated disease. Here, we directly compared Th1 and Th17 function in a model of OPC. Th17-deficient (IL-23p19−/−) and IL-17R–deficient (IL-17RA−/−) mice experienced severe OPC, whereas Th1-deficient (IL-12p35−/−) mice showed low fungal burdens and no overt disease. Neutrophil recruitment was impaired in IL-23p19−/− and IL-17RA−/−, but not IL-12−/−, mice, and TCR-αβ cells were more important than TCR-γδ cells. Surprisingly, mice deficient in the Th17 cytokine IL-22 were only mildly susceptible to OPC, indicating that IL-17 rather than IL-22 is vital in defense against oral candidiasis. Gene profiling of oral mucosal tissue showed strong induction of Th17 signature genes, including CXC chemokines and β defensin-3. Saliva from Th17-deficient, but not Th1-deficient, mice exhibited reduced candidacidal activity. Thus, the Th17 lineage, acting largely through IL-17, confers the dominant response to oral candidiasis through neutrophils and antimicrobial factors

Bridging senses of place and mobilities scholarships to inform social-ecological systems governance:A research agenda

Uncertainty and change are increasingly commonplace as communities respond to impacts of social-ecological change including climate change, and dangerous levels of pollution. Given the extent of these crises, new approaches are needed to support responses. Here we identify challenges and discuss insights that the nexus of Senses of place (SoP) and mobilities research offers in navigating such uncertainty. We conducted a two-round Delphi, followed by a workshop, and collaborative writing process with a global network of researchers with expertise in either or both SoP and mobilities research. Participants identified five challenges at the place-mobility nexus that emerge when a social-ecological system is disrupted. We use the 2022 Odra River fish die-off to exemplify the identified challenges: 1) accounting for power dynamics, inequalities and motility; 2) doing justice to more-than human actors; 3) integrating multiple and sometimes nested spatial scales; 4) considering temporalities of place and mobilities, and 5) embracing multisensoriality. To address these challenges, we recommend drawing on diverse methods and knowledge co-creation processes that combine more-than-human perspectives, multisensoriality, and engage in the dynamic relations between places to understand people-place disruptions in the face of socio-spatial precarity. Addressing such knowledge gaps requires stronger collaboration of mobilities and place researchers.</p

Bridging senses of place and mobilities scholarships to inform social-ecological systems governance:A research agenda

Uncertainty and change are increasingly commonplace as communities respond to impacts of social-ecological change including climate change, and dangerous levels of pollution. Given the extent of these crises, new approaches are needed to support responses. Here we identify challenges and discuss insights that the nexus of Senses of place (SoP) and mobilities research offers in navigating such uncertainty. We conducted a two-round Delphi, followed by a workshop, and collaborative writing process with a global network of researchers with expertise in either or both SoP and mobilities research. Participants identified five challenges at the place-mobility nexus that emerge when a social-ecological system is disrupted. We use the 2022 Odra River fish die-off to exemplify the identified challenges: 1) accounting for power dynamics, inequalities and motility; 2) doing justice to more-than human actors; 3) integrating multiple and sometimes nested spatial scales; 4) considering temporalities of place and mobilities, and 5) embracing multisensoriality. To address these challenges, we recommend drawing on diverse methods and knowledge co-creation processes that combine more-than-human perspectives, multisensoriality, and engage in the dynamic relations between places to understand people-place disruptions in the face of socio-spatial precarity. Addressing such knowledge gaps requires stronger collaboration of mobilities and place researchers.</p

Основные подходы к разработке проекта рекультивации месторождения бокситов «Белинское»

© 2017 American Speech-Language-Hearing Association. Purpose: The aim was to evaluate the effectiveness of computer-assisted input-based intervention for children with speech sound disorders (SSD). Method: The Sound Start Study was a cluster-randomized controlled trial. Seventy-nine early childhood centers were invited to participate, 45 were recruited, and 1,205 parents and educators of 4- and 5-year-old children returned questionnaires. Children whose parents and educators had concerns about speech were assessed (n =275); 132 children who were identified with phonological patternbased errors underwent additional assessment. Children with SSD and no difficulties with receptive language or hearing, typical nonverbal intelligence, and English as their primary language were eligible; 123 were randomized into two groups (intervention n = 65; control n = 58), and 3 withdrew. The intervention group involved Phoneme Factory Sound Sorter software (Wren & Roulstone, 2013) administered by educators over 9 weeks; the control group involved typical classroom practices. Participants were reassessed twice by a speech-language pathologist who was unaware of the initial assessment and intervention conditions. Results: For the primary outcome variable (percentage of consonants correct), the significant mean change from pre- to postintervention for the intervention group (mean change = +6.15,