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Clearly enunciated speech (relative to conversational, plain speech) involves articulatory and acoustic modifications that enhance auditory-visual (AV) segmental intelligibility. However, little research has explored clear-speech effects on the perception of suprasegmental properties such as lexical tone, particularly involving visual (facial) perception. Since tone production does not primarily rely on vocal tract configurations, tones may be less visually distinctive. Questions thus arise as to whether clear speech can enhance visual tone intelligibility, and if so, whether any intelligibility gain can be attributable to tone-specific category-enhancing (code-based) clear-speech cues or tone-general saliency-enhancing (signal-based) cues. The present study addresses these questions by examining the identification of clear and plain Mandarin tones with visual-only, auditory-only, and AV input modalities by native (Mandarin) and nonnative (English) perceivers. Results show that code-based visual and acoustic clear tone modifications, although limited, affect both native and nonnative intelligibility, with category-enhancing cues increasing intelligibility and category-blurring cues decreasing intelligibility. In contrast, signal-based cues, which are extensively available, do not benefit native intelligibility, although they contribute to nonnative intelligibility gain. These findings demonstrate that linguistically relevant visual tonal cues are existent. In clear speech, such tone category-enhancing cues are incorporated with saliency-enhancing cues across AV modalities for intelligibility improvements.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565566 | PMC |
http://dx.doi.org/10.3389/fnhum.2023.1247811 | DOI Listing |
Workplace Health Saf
September 2025
Care Delivery Research, Allina Health.
Background: Effective communication and collaboration among clinical and nonclinical staff are critical to the health and safety of the staff, for optimal team performance and for safe patient care. While respiratory protective equipment are routine key strategies to protect healthcare workers from exposure to select respiratory pathogens, they have been demonstrated to disrupt speech intelligibility. The COVID-19 pandemic escalated the need for and utilization of respiratory protection in all healthcare settings.
View Article and Find Full Text PDFAm J Speech Lang Pathol
September 2025
American Speech-Language-Hearing Association, Rockville, MD.
Purpose: Since its inception, the National Joint Committee for the Communication Needs of Persons with Severe Disabilities (NJC) has focused specifically on advocating for individuals with significant communication support needs resulting from intellectual disability. The purpose of this review article is to describe the history of terminology used to describe this group of individuals, share the results of a recent survey completed by 102 members of our NJC Network, and discuss the implications of decisions regarding terminology in the NJC's ongoing advocacy efforts.
Method: History of terminology used to describe people with intellectual disability is documented by reviewing the literature, policies, professional organizations, and self-advocacy groups that used various terms from the early 20th century to present day.
IBRO Neurosci Rep
December 2025
University of Washington, Seattle, Washington, USA.
Prior findings indicate that individuals who stutter do not show the typical modulation of auditory processing that is observed during speech movement planning in nonstuttering speakers. We now ask whether this lack of planning-related sensory modulation in stuttering adults is specific to the auditory domain. In this first study (15 stuttering and 15 nonstuttering participants), we implemented the prior stimulation timeline in a paradigm with orofacial skin stretch stimuli.
View Article and Find Full Text PDFAm J Speech Lang Pathol
September 2025
Department of Special Education and Communication Disorders, University of Nebraska-Lincoln.
Purpose: This clinical focus article describes the role that treatment intensity plays in social communication interventions utilizing augmentative and alternative communication for learners who have complex communication needs associated with intellectual disability and/or autism spectrum disorder.
Method: We delineate the parameters that comprise a frequently used treatment intensity taxonomy and provide an overview of the extant literature pertaining to treatment intensity as it applies to social communication interventions that include augmentative and alternative communication. Next, we describe several additional variables that complement treatment intensity frameworks and summarize the need for more rigorous methodological descriptions of intervention procedures in social communication intervention studies.
Glob Health Action
December 2025
Department of Speech-language Pathology and Audiology, University of Pretoria, Pretoria, South Africa.
Background: Hearing loss affects more than 1.5 billion people worldwide, yet fewer than 10% of those who could benefit from hearing aids are able to access them. Barriers such as high costs, limited availability, and a critical shortage of trained professionals in low- and middle-income countries contribute to this gap, while emerging models of care-such as task-shifting to community healthcare workers (CHWs) supported by mHealth technologies-show promise in improving access, affordability, and outcomes in underserved communities.
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