Keller Sydney, Valentine Hannah, Harel Daphna, Grigos Maria I
Department of Communicative Sciences and Disorders, New York University, NY.
Department of Applied Statistics, Social Science, and Humanities, New York University, NY.
Am J Speech Lang Pathol. 2025 Jul 29;34(4S):2464-2484. doi: 10.1044/2025_AJSLP-24-00224. Epub 2025 Jun 2.
The diagnosis and treatment of childhood apraxia of speech (CAS) remains a clinical challenge for many speech-language pathologists (SLPs). Given this, it is imperative to understand how SLPs learn about CAS during graduate school and throughout their careers.
In the current study, American Speech-Language-Hearing Association-certified SLPs who practice in the United States and work with young children completed a 32-item online survey. Survey items aimed to understand SLPs' experiences learning about CAS during graduate school and through continuing education (CE). Respondents were evaluated on their knowledge of diagnosing and treating CAS (against an expert consensus). Finally, the survey sought to investigate how respondents' learning experiences related to their knowledge of diagnosing and treating CAS.
In total, 346 clinicians completed the survey. Reliance on CE ( < .001) and scientific literature in SLP ( < .01) were found to be the only positive significant predictors of CAS knowledge. No graduate school experiences positively predicted CAS knowledge. The majority of clinicians indicated being unprepared to diagnose and treat CAS based on their graduate-level education but reported high levels of satisfaction for CE resources for CAS.
Results of this study highlight challenges in graduate program models for training on CAS. Implications for graduate program models are discussed.
对于许多言语语言病理学家(SLP)而言,儿童言语失用症(CAS)的诊断和治疗仍是一项临床挑战。鉴于此,了解言语语言病理学家在研究生阶段及整个职业生涯中如何学习CAS至关重要。
在当前研究中,在美国执业且与幼儿打交道的美国言语语言听力协会认证的言语语言病理学家完成了一项包含32个项目的在线调查。调查项目旨在了解言语语言病理学家在研究生阶段以及通过继续教育(CE)学习CAS的经历。根据专家共识,对受访者在CAS诊断和治疗方面的知识进行评估。最后,该调查旨在探究受访者的学习经历与其在CAS诊断和治疗方面的知识之间的关系。
共有346名临床医生完成了调查。结果发现,依赖继续教育(<.001)和言语语言病理学领域的科学文献(<.01)是CAS知识的仅有的正向显著预测因素。没有研究生阶段的经历能正向预测CAS知识。大多数临床医生表示,基于其研究生阶段的教育,他们在诊断和治疗CAS方面没有做好准备,但对CAS的继续教育资源满意度较高。
本研究结果凸显了在研究生课程模式中进行CAS培训所面临的挑战。文中讨论了对研究生课程模式的启示。