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Long-Term Outcomes for Individuals With Childhood Apraxia of Speech.

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Title: Long-Term Outcomes for Individuals With Childhood Apraxia of Speech.
Authors: Lewis, Barbara A.1 barbara.lewis@case.edu, Miller, Gabrielle J.1, Iyengar, Sudha K.2, Stein, Catherine2, Benchek, Penelope2
Source: Journal of Speech, Language & Hearing Research. 2024 Supplement, Vol. 67, p3463-3479. 17p.
Subject Terms: *Articulation disorders, *Phonological awareness, *Movement disorders, *Retrospective studies, *Speech evaluation, *Literacy, *Speech therapy, T-test (Statistics), Research funding, Fisher exact test, Mann Whitney U Test, Early diagnosis, Speech apraxia, Social classes
Abstract: Purpose: The study's primary aims were to describe the long-term speech outcomes for adolescents and young adults with a history of childhood apraxia of speech (CAS) and to examine the association of persistent speech sound errors with measures of literacy skills, phonological processing, motor speech production, and parent report of early motor difficulty. Method: Data from a large longitudinal 25-year study were used to explore outcomes for 32 individuals with a history of CAS, ages 12;6 (years; months) to 25 years (M = 17.4, SD = 4.7). Persistent and nonpersistent groups were compared on decoding, phonological processing, multisyllabic word repetition, diadochokinetic rate, and parent report of motor involvement. Parametric (Welch's t tests) and nonparametric tests (Wilcoxon and Fisher exact tests) were used to identify differences between the groups' distributions. Developmental trajectories of speech production were plotted. Results: Outcomes for individuals with CAS are highly variable, with some demonstrating speech sound errors into adolescence and young adulthood. Speech sound errors were primarily on later developing sounds. Persistence was significantly associated with early motor difficulties. Difficulties with multisyllabic words, phonological processing, and literacy were often present regardless of persistence or nonpersistence of speech errors. Conclusions: Children with CAS are at risk for persistent speech sound errors into adulthood. For children showing limited progress with more traditional speech therapy, alternative interventions should be explored. Individuals with persistent speech sound errors are more likely to have a history of early motor deficits. Regardless of persistence, participants with CAS demonstrated ongoing weaknesses in literacy, phonological processing skills, and complex speech production tasks. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Long-Term Outcomes for Individuals With Childhood Apraxia of Speech.
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  Data: <searchLink fieldCode="AR" term="%22Lewis%2C+Barbara+A%2E%22">Lewis, Barbara A.</searchLink><relatesTo>1</relatesTo><i> barbara.lewis@case.edu</i><br /><searchLink fieldCode="AR" term="%22Miller%2C+Gabrielle+J%2E%22">Miller, Gabrielle J.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Iyengar%2C+Sudha+K%2E%22">Iyengar, Sudha K.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Stein%2C+Catherine%22">Stein, Catherine</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Benchek%2C+Penelope%22">Benchek, Penelope</searchLink><relatesTo>2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. 2024 Supplement, Vol. 67, p3463-3479. 17p.
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  Data: *<searchLink fieldCode="DE" term="%22Articulation+disorders%22">Articulation disorders</searchLink><br />*<searchLink fieldCode="DE" term="%22Phonological+awareness%22">Phonological awareness</searchLink><br />*<searchLink fieldCode="DE" term="%22Movement+disorders%22">Movement disorders</searchLink><br />*<searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br />*<searchLink fieldCode="DE" term="%22Speech+evaluation%22">Speech evaluation</searchLink><br />*<searchLink fieldCode="DE" term="%22Literacy%22">Literacy</searchLink><br />*<searchLink fieldCode="DE" term="%22Speech+therapy%22">Speech therapy</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Fisher+exact+test%22">Fisher exact test</searchLink><br /><searchLink fieldCode="DE" term="%22Mann+Whitney+U+Test%22">Mann Whitney U Test</searchLink><br /><searchLink fieldCode="DE" term="%22Early+diagnosis%22">Early diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Speech+apraxia%22">Speech apraxia</searchLink><br /><searchLink fieldCode="DE" term="%22Social+classes%22">Social classes</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: The study's primary aims were to describe the long-term speech outcomes for adolescents and young adults with a history of childhood apraxia of speech (CAS) and to examine the association of persistent speech sound errors with measures of literacy skills, phonological processing, motor speech production, and parent report of early motor difficulty. Method: Data from a large longitudinal 25-year study were used to explore outcomes for 32 individuals with a history of CAS, ages 12;6 (years; months) to 25 years (M = 17.4, SD = 4.7). Persistent and nonpersistent groups were compared on decoding, phonological processing, multisyllabic word repetition, diadochokinetic rate, and parent report of motor involvement. Parametric (Welch's t tests) and nonparametric tests (Wilcoxon and Fisher exact tests) were used to identify differences between the groups' distributions. Developmental trajectories of speech production were plotted. Results: Outcomes for individuals with CAS are highly variable, with some demonstrating speech sound errors into adolescence and young adulthood. Speech sound errors were primarily on later developing sounds. Persistence was significantly associated with early motor difficulties. Difficulties with multisyllabic words, phonological processing, and literacy were often present regardless of persistence or nonpersistence of speech errors. Conclusions: Children with CAS are at risk for persistent speech sound errors into adulthood. For children showing limited progress with more traditional speech therapy, alternative interventions should be explored. Individuals with persistent speech sound errors are more likely to have a history of early motor deficits. Regardless of persistence, participants with CAS demonstrated ongoing weaknesses in literacy, phonological processing skills, and complex speech production tasks. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=179986412
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        Value: 10.1044/2023_JSLHR-22-00647
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      – Code: eng
        Text: English
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        PageCount: 17
        StartPage: 3463
    Subjects:
      – SubjectFull: Articulation disorders
        Type: general
      – SubjectFull: Phonological awareness
        Type: general
      – SubjectFull: Movement disorders
        Type: general
      – SubjectFull: Retrospective studies
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      – SubjectFull: Speech evaluation
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      – SubjectFull: Literacy
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      – SubjectFull: Speech therapy
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      – SubjectFull: Research funding
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      – SubjectFull: Fisher exact test
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      – SubjectFull: Mann Whitney U Test
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      – SubjectFull: Early diagnosis
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      – SubjectFull: Speech apraxia
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      – SubjectFull: Social classes
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              Text: 2024 Supplement
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