Revista CEFAC
https://revistacefac.org.br/article/doi/10.1590/1982-0216/202426414023
Revista CEFAC
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Assessment of speech perception: A survey of speech-language-hearing therapists on their most frequent practices

Evaluación de la percepción del habla: encuesta a profesionales  de la Fonoaudiología sobre sus prácticas más frecuentes

María Solange Ahumada-Parra; Josué Pino-Castillo; Felipe Torres-Morales; Daniela Paz Rojas-Contreras; Christian Iván Peñaloza-Castillo; María Angélica Fernández-Gallardo; Felipe Inostroza-Allende; Patricia Junge-Cerda

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Abstract

Purpose: to characterize the practices of speech-language-hearing pathologists in Chile, regarding speech perception assessment in children and adolescents.

Methods: an exploratory cross-sectional study carried out using a self-administered online survey to investigate knowledge and quantify trends in the practice of speech perception assessment, based on six focus groups with speech-language-hearing pathologists. The instrument was disseminated through the researchers’ social media and contact networks. Descriptive statistical analysis was performed.

Results: a total of 121 people responded to the survey, all of them being speech-language-hearing pathologists. These professionals, in Chile, highly value speech perception in child development, however, a large percentage of them do not assess it. Those who carry it out, reported a wide range of assessment practices.

Conclusion: the results highlight the need for standardizing certain speech-language-hearing methods and the importance of understanding the assessment strategies in use to point out opportunities to improve both the assessment and subsequent therapeutic processes.

Keywords

Speech Perception; Child Development; Professional Practice; Speech; Language and Hearing Sciences; Surveys and Questionnaires

Resumen

Objetivo: caracterizar las prácticas de los profesionales de la Fonoaudiología en Chile en torno a la evaluación de la percepción del habla en niños, niñas y adolescentes.

Métodos: se realizó un estudio exploratorio de diseño transversal mediante una encuesta online autoadministrada desinãda para indagar en los saberes y cuantificar tendencias en la práctica de la evaluatión de la percepción del habla. La encuesta fue confeccionada en base a seis grupos focales realizados con profesionales fonoaudiólogos. La difusión del instrumento se realizó a través de redes sociales y redes de contacto de los investigadores. El análisis estadístico realizado fue de carácter descriptivo. 

Resultados: un total de 121 personas respondieron la encuesta, todos profesionales de la Fonoaudiología. Los profesionales de la Fonoaudiología en Chile otorgan un alto valor a la percepción del habla en el desarrollo infantil, no obstante, un gran porcentaje no la evalúa. Aquellos profesionales que lo realizan, revelan una amplia diversidad en las prácticas evaluativas.

Conclusión: los resultados permiten visibilizar la necesidad de estandarizar ciertos métodos fonoaudiológicos y resaltar la importancia de comprender las estrategias evaluativas en uso para señalar oportunidades de mejora tanto en la evaluación como en los posteriores procesos terapéuticos.

Palabras clave

Percepción del Habla; Desarrollo Infantil; Práctica Profesional; Fonoaudiología; Encuestas y Cuestionarios

Referências

1. Zaferani P, Ghafoori N. Speech perception - A foundation for first language acquisition. Islamic Azad University, Tabriz Branch. Tabriz, Irán. 2015.

2. Cervera Mérida JF, Ygual Fernández A. Estrategias para la evaluación de la percepción de rasgos fonológicos. Edetania Estud Propues Socio-Educ. 2001;(22):151-66.

3. Cañete O. Desorden del procesamiento auditivo central (DPAC). Rev Otorrinolaringol. Cir Cabeza Cuello. 2006;66(3):263-73. http://dx.doi.org/10.4067/S0718-48162006000300014

4. Rvachew S, Nowak M, Cloutier G. Effect of phonemic perception training on the speech production and phonological awareness skills of children with expressive phonological delay. Am J Speech Lang Pathol. 2004;13(3):250-63. https://doi.org/10.1044/1058-0360(2004/026) PMID: 15339234.

5. Ygual-Fernández A, Cervera-Mérida JF. Relación entre la percepción y la articulación en procesos fonológicos sustitutorios de niños con trastornos del lenguaje. Rev Neurol. 2013;56:S131-S140. https://doi.org/10.33588/rn.56S01.2013012 PMID: 23446715.

6. Marrero Aguiar V. La fonética perceptiva: trascendencia lingüística de mecanismos neuropsicofisiológicos. Estud Fonética Exp. 2008;(17):207-45.

7. Shiller D, Rvachew S, Brosseau-Lapré F. Importance of the auditory perceptual target to the achievement of speech production accuracy. Can J Speech-Lang Pathol Audiol. 2010;34(3):181-92.

8. Freitas CR de, Mezzomo CL, Vidor DCGM. Phonemic discrimination and the relationship with other linguistic levels in children with typical phonological development and phonological disorder. CoDAS. 2015;27(3):236-41. https://doi.org/10.1590/2317-1782/20152014168 PMID: 26222939.

9. Vance M, Rosen S, Coleman M. Assessing speech perception in young children and relationships with language skills. Int J Audiol. 2009;48(10):708-17. https://doi.org/10.1080/14992020902930550 PMID: 19863356.

10. Junge C, Boll-Avetisyan N, Benders T. Speech perception and discrimination: From sounds to words. In: International Handbook of Language Acquisition. Horst J, von Koss Torkildsen J, editors. Routledge: London; 2019. p. 33-50. https://doi.org/10.4324/9781315110622

11. Acosta VM, Moreno Santana AM, Ramos V, Quintana A, Espino Morales O. La evaluación del lenguaje: teoría y práctica del proceso de evaluación de la conducta lingüística infantil. Ediciones Aljibe; España. 1996.

12. Barón L, Galindo Ó, Müller O. La percepción del habla durante el primer año de vida. Rev Latinoam Psicol. 2014;46(1):12-23. https://doi.org/10.1016/S0120-0534(14)70002-0

13. Kuhl PK, Meltzoff AN. Infant vocalizations in response to speech: Vocal imitation and developmental change. J Acoust Soc Am. 1996;100(4 Pt 1):2425-38. https://doi.org/10.1121/1.417951 PMID: 8865648.

14. Hadders-Algra M. Early human motor development: From variation to the ability to vary and adapt. Neurosci Biobehav Rev. 2018;90:411-27. https://doi.org/10.1016/j.neubiorev.2018.05.009 PMID: 29752957.

15. Byun TM. Bidirectional perception-production relations in phonological development: evidence from positional neutralization. Clin Linguist Phon. 2012;26(5):397-413. https://doi.org/10.3109/02699206.2011.641060 PMID: 22489733.

16. Hearnshaw S, Baker E, Munro N. Speech perception skills of children with speech sound disorders: A systematic review and meta-analysis. JSLHR. 2019;62(10):3771-89. https://doi.org/10.1044/2019_JSLHR-S-18-0519 PMID: 31525302.

17. Malebrán C, Cerda N, Lozano C, Valencia D, Contreras S. La historia de la Fonoaudiología. In: Machado A, del Campo Rivas M, Silva Ríos A, editores. Textos de actualización en Fonoaudiología: Perspectivas del desarrollo disciplinar. Editorial Universidad Santo Tomás; 2020. p. 6-15.

18. Hearnshaw S, Baker E, Munro N. The speech perception skills of children with and without speech sound disorder. J Commun Disord. 2018;71:61-71. https://doi.org/10.1016/j.jcomdis.2017.12.004 PMID: 29306068.

19. Locke JL. The inference of speech perception in the phonologically disordered child. Part II: Some clinically novel procedures. Their use, some findings. J Speech Hear Disord. 1980;45(4):445-68. https://doi.org/10.1044/jshd.4504.445 PMID: 7442162.

20. Berti LC, De Assis MF, Cremasco E, Vieira Cardoso AC. Speech production and speech perception in children with speech sound disorder. Clin Linguist Phon. 2021;36(2-3):183-202. https://doi.org/10.1080/02699206.2021.1948609 PMID: 34279164.

21. McLeod S, Baker E. Speech-language pathologists' practices regarding assessment, analysis, target selection, intervention, and service delivery for children with speech sound disorders. Clin Linguist Phon. 2014;28(7-8):508-31. https://doi.org/10.3109/02699206.2014.926994 PMID: 25000375.

22. Wikse Barrow C, Körner K, Strömbergsson S. A survey of Swedish speech-language pathologists' practices regarding assessment of speech sound disorders. Logoped Phoniatr Vocol. 2023;48(1):23-34. https://doi.org/10.1080/14015439.2021.1977383 PMID: 34581250.

23. Bowling A. Research methods in health: Investigating health and health services. McGraw-Hill Education (UK); 2014.

24. Creswell JW, Clark VLP. Designing and conducting mixed methods research. 2nd ed. SAGE; 2011.

25. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap) - A metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377-81. https://doi.org/10.1016/j.jbi.2008.08.010 PMID: 18929686.

26. Harris PA, Taylor R, Minor BL, Elliott V, Fernandez M, O'Neal L et al. The REDCap consortium: Building an international community of software platform partners. J Biomed Inform. 2019 Jul 1;95:103208. https://doi.org/10.1016/j.jbi.2019.103208 PMID: 31078660.

27. Tsao F-M, Liu H-M, Kuhl PK. Speech perception in infancy predicts language development in the second year of life: A longitudinal study. Child Dev. 2004;75(4):1067-84. https://doi.org/10.1111/j.1467-8624.2004.00726.x PMID: 15260865.

28. Cristia A, Seidl A, Junge C, Soderstrom M, Hagoort P. Predicting individual variation in language from infant speech perception measures. Child Dev. 2014;85(4):1330-45. https://doi.org/10.1111/cdev.12193 PMID: 24320112.

29. Ziegler JC, Pech-Georgel C, George F, Alario F-X, Lorenzi C. Deficits in speech perception predict language learning impairment. Proc Natl Acad Sci U S A. 2005;102(39):14110-5. https://doi.org/10.1073/pnas.0504446102 PMID: 16162673.

30. Adlard A, Hazan V. Speech perception in children with specific reading difficulties (dyslexia). Q J Exp Psychol A. 1998;51(1):153-77. https://doi.org/10.1080/713755750 PMID: 9532966.

31. Petinou KC, Schwartz RG, Gravel JS, Raphael LJ. A preliminary account of phonological and morphophonological perception in young children with and without otitis media. Int J Lang Commun Disord. 2001;36(1):21-42. https://doi.org/10.1080/13682820150217554 PMID: 11221432.

32. Vanniasegaram I, Cohen M, Rosen S. Evaluation of selected auditory tests in school-age children suspected of auditory processing disorders. Ear Hear. 2004;25(6):586-97. https://doi.org/10.1097/01.aud.0000151575.58269.19 PMID: 15604919.

33. Rvachew S, Ohberg A, Grawburg M, Heyding J. Phonological awareness and phonemic perception in 4-year-old children with delayed expressive phonology skills. Am J Speech Lang Pathol. 2003;12(4):463-71. https://doi.org/10.1044/1058-0360(2003/092) PMID: 14658998.

34. Cervera-Mérida JF, Ygual-Fernández A. Evaluación de la discriminación de habla en preescolares: comparación de las pruebas ABX y AX. Rev Logop Foniatría Audiol. 2013;33(2):69-82. https://doi.org/10.1016/j.rlfa.2013.04.003
 


Submetido em:
28/12/2023

Aceito em:
15/03/2024

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