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Speech-language pathologists and prosody: Clinical practices and barriers.

Kara Hawthorne1, Sarah Fischer2

  • 1Hearing, Speech and Language Sciences, Gallaudet University, Washington, D.C. 20002, United States; Communication Sciences and Disorders, University of Mississippi, University, MS 38677, United States.

Journal of Communication Disorders
|July 14, 2020
PubMed
Summary

Speech-Language Pathologists (SLPs) rarely assess or treat prosody, despite its importance for communication. SLPs reported knowledge and training gaps as key barriers to addressing prosodic impairments in clients.

Keywords:
Clinical practiceProsodySpeech-language pathologist

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Area of Science:

  • Clinical Linguistics
  • Speech-Language Pathology
  • Neurolinguistics

Background:

  • Prosodic impairments affect intelligibility and communication in individuals with autism and motor speech disorders.
  • Effective assessment and treatment of prosody are crucial for improving patient outcomes.
  • Current clinical practices for prosody are not well-documented.

Purpose of the Study:

  • To survey Speech-Language Pathologists (SLPs) on their clinical practices regarding prosody.
  • To identify barriers preventing SLPs from assessing and treating prosodic impairments.
  • To inform recommendations for improving prosody intervention in clinical settings.

Main Methods:

  • A survey was distributed to 245 Speech-Language Pathologists (SLPs).
  • The survey assessed current clinical practices, perceived knowledge, and experience with prosody.
  • Data were analyzed to identify trends and barriers in prosody assessment and treatment.

Main Results:

  • A majority of SLPs acknowledged prosody within their scope of practice.
  • However, most SLPs rarely assessed or treated prosodic impairments.
  • Respondents cited a lack of knowledge, experience, and assessment/treatment tools as primary barriers.

Conclusions:

  • There is a significant gap between the recognized importance of prosody and its clinical application.
  • Enhanced training, research collaboration, and development of practical assessment tools are recommended.
  • Addressing these barriers can improve clinical services for individuals with prosodic deficits.