International journal of speech-language pathology · 2024
Representation of the ICF in research of speech intelligibility: A systematic review of literature describing deaf and hard-of-hearing children.
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Magnússon Egill, Crowe Kathryn, Stefánsdóttir Harpa, Guiberson Mark, Másdóttir Thora, Ágústsdóttir Inga, Baldursdóttir Ösp Vilberg
Аннотация
PURPOSE: The purpose of this review was to map speech intelligibility measures used for assessing d/Deaf and hard-of-hearing children onto the International Classification of Functioning, Disability and Health.
METHOD: This review considered perceptual speech intelligibility measures (Articulation functions b320) used to assess deaf and hard-of-hearing children aged 12 years and younger. The following electronic databases were searched: CINAHL; ERIC (ProQuest); Linguistic, Language, and Behaviour Abstracts; Scopus; Medline via PubMed; CENTRAL via Ovid; Cochrane via Ovid; and Joanna Briggs via Ovid. Data were extracted describing the article, participant, listener, study, speech intelligibility, and psychometric characteristics from the 245 included studies.
RESULT: Speech intelligibility was measured as articulation functions (b320) through speaking (d330) in all studies. Other Body Functions frequently measured were speech discrimination (b2304; 28%) and mental functions of language (b167; 27%). Activities and Participation factors other than speaking d330 were generally not considered. Speech intelligibility was most often measured in the context of health services (e5800; 66%).
CONCLUSION: Previous research on the speech intelligibility of deaf and hard-of-hearing children has largely lacked a broader perspective of functioning. Clinicians and educators of deaf and hard-of-hearing children should consider Activities and Participation, Environmental, and Personal Factors when assessing speech intelligibility.
METHOD: This review considered perceptual speech intelligibility measures (Articulation functions b320) used to assess deaf and hard-of-hearing children aged 12 years and younger. The following electronic databases were searched: CINAHL; ERIC (ProQuest); Linguistic, Language, and Behaviour Abstracts; Scopus; Medline via PubMed; CENTRAL via Ovid; Cochrane via Ovid; and Joanna Briggs via Ovid. Data were extracted describing the article, participant, listener, study, speech intelligibility, and psychometric characteristics from the 245 included studies.
RESULT: Speech intelligibility was measured as articulation functions (b320) through speaking (d330) in all studies. Other Body Functions frequently measured were speech discrimination (b2304; 28%) and mental functions of language (b167; 27%). Activities and Participation factors other than speaking d330 were generally not considered. Speech intelligibility was most often measured in the context of health services (e5800; 66%).
CONCLUSION: Previous research on the speech intelligibility of deaf and hard-of-hearing children has largely lacked a broader perspective of functioning. Clinicians and educators of deaf and hard-of-hearing children should consider Activities and Participation, Environmental, and Personal Factors when assessing speech intelligibility.