South African Journal of Communication Disorders

<font color="#000080">The <em>South African Journal of Communication Disorders</em> is concerned with research, and critically evaluative theoretical, philosophical and conceptual issues dealing with aspects of human communication and its disorders, dysphagia, service provision, training and policy.<br></font><br>

List of Papers (Total 314)

Feedback-based noise management matrix in action

Background: This article presents the details and findings of a practical implementation of a preliminary model for use in hearing conservation programmes (HCPs) in the mining sector in South Africa. Objectives: The implementation is based on a previously published model, called feedback-based noise monitoring model (FBNMM), and represents its implementation as a tool of...

An audiological profile of a cohort of school-aged children with HIV and AIDS attending an antiretroviral clinic in South Africa

Background: Recent estimates reveal that there are approximately 280 000 children between the ages of birth and 14 years who are living with the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) in South Africa. These children are living with a compromised immune system, are vulnerable to opportunistic infections and subsequent hearing loss. However...

A descriptive analysis of assessment measures on the effectiveness of a comprehensive stuttering intervention approach: A single case study

Background: For effective client outcomes, stuttering assessment and intervention approaches need to be aligned. This encompasses using assessment and intervention approaches that address the three multidimensional constructs of stuttering, namely core behaviours, secondary behaviours and negative feelings and attitudes. Objective: The study aimed to explore whether multiple...

Occupational Hearing loss in Africa: An interdisciplinary view of the current status

Noise-induced hearing loss is 100% preventable if the collaborative stakeholders in the prevention process are fully committed to the process and implement effective measures timely. Audiologists have within their scope of practice the prevention of hearing loss and this needs to be at the forefront of all advocacy campaigns to prevent occupational hearing loss (OHL). In a...

Estimating miners at risk for occupational noise-induced hearing loss: A review of data from a South African platinum mine

Background: Occupational noise-induced hearing loss (ONIHL) is a complex, but preventable, health problem for South African miners. Meticulously collected data should be made use of to design interventions to address this health issue. Objectives: A single mine’s electronic data were reviewed in a secondary data review to determine, from the records, factors that hearing...

Chemicals, noise and occupational hearing health in South Africa: A mapping study

Background: Chemical exposure leading to ototoxicity is a fresh challenge for occupational healthcare in South Africa. Objectives: The critical question is: ‘what is known about occupational ototoxic chemicals with or without noise exposure in South Africa?’ Method: This qualitative, mapping study was completed with published (peer-reviewed) and grey literature from 1979-2019...

Burden of disease: A scoping review of HIV/AIDS and TB in occupational noise-induced hearing loss

Background: Occupational noise-induced hearing loss (ONIHL) does not occur in isolation from other influencing factors such as health conditions and illnesses like human immunodeficiency virus and acquired immunodeficiency syndrome (HIV and AIDS), as well as tuberculosis (TB). How the burden of disease influences the occurrence and/or management of ONIHL becomes a key if the goal...

Infection prevention and control measures in audiology practice within public healthcare facilities in KwaZulu-Natal province, South Africa

Background: Audiologists have a clinical and ethical responsibility to create a working environment, designed to reduce the potential for cross-contamination or transmission of infections. Objectives: To describe the infection prevention and control (IPC) measures utilised and the opinions of audiologists and speech therapists, and audiologists (A/STAs) towards IPC in public...

Towards a South African model of language-based learning disability

Background: This conceptual article is inspired by the first phase of a doctoral research project that aimed to develop and validate a bilingual language assessment test for IsiZulu-English-speaking children in grades 1, 2 and 3 with language-based learning disabilities (L-b LDs) in South Africa. Objectives: Phase 1, systematic literature review, pretesting and formulating of a...

Contributing factors to high prevalence of hearing impairment in the Elias Motsoaledi Local Municipal area, South Africa: A rural perspective

BACKGROUND: There is evidence that the factors contributing to the prevalence and aetiology of hearing impairment vary widely from one country to another. In South Africa, as in other low-income and middle-income countries, more context-specific information on the estimated prevalence of hearing impairment and the factors that contribute to its onset is required. AIM: The aim of...

Audiology practice management in South Africa: What audiologists know and what they should know

BACKGROUND: In future, the South African Department of Health aims to purchase services from accredited private service providers. Successful private audiology practices can assist to address issues of access, equity and quality of health services. It is not sufficient to be an excellent clinician, since audiology practices are businesses that must also be managed effectively...

Suck, swallow and breathing coordination in infants with infantile colic

BACKGROUND: There appears to be a perception amongst parents and in popular literature that infantile colic is caused by feeding difficulties. Limited support for this perception is found in scientific literature. Whilst there is scientific evidence that suck, swallow and breathing are key components of successful feeding, these components and the coordination thereof in infants...

Language and communication development in preschool children with visual impairment: A systematic review

BACKGROUND: Language and communication difficulties of young children with visual impairment (VI) are ascribed to intellectual disability, multiple disabilities and autism spectrum disorder (ASD) rather than their sensory impairment. Consequently, the communication difficulties of children with VI may have been underestimated and undertreated. OBJECTIVES: This report aims to...

What can speech production errors tell us about cross-linguistic processing in bilingual aphasia? Evidence from four English/Afrikaans bilingual individuals with aphasia

INTRODUCTION: The aim of this study is contribute to clinical practice of bilinguals around the globe, as well as to add to our understanding of bilingual aphasia processing, by analysing confrontation naming data from four Afrikaans/English bilingual individuals with acquired aphasia due to a left hemisphere stroke METHODS: This is a case series analysis of four Afrikaans...

Comparison of the South African Spondaic and CID W-1 wordlists for measuring speech recognition threshold

BACKGROUND: The home language of most audiologists in South Africa is either English or Afrikaans, whereas most South Africans speak an African language as their home language. The use of an English wordlist, the South African Spondaic (SAS) wordlist, which is familiar to the English Second Language (ESL) population, was developed by the author for testing the speech recognition...

Establishing a pharmacotherapy induced ototoxicity programme within a service-learning approach

Pharmacotherapy-induced ototoxicity is growing, especially in developing countries such as South Africa. This highlights the importance of ototoxicity monitoring and management of hearing loss. This article focuses on the establishment of an ototoxicity clinic as a site for the implementation of a service-learning module in the Audiology programme. The clinic offers a unique...

Translating tools for better parent-based assessment: An exploratory study

BACKGROUND: Current speech language assessment and intervention measures are not always culturally valid, as they are not standardised specifically for the various cultural groups within the South African population; and thus need to be adapted OBJECTIVES: The objective of this study was to examine the appropriateness and utility of translations of the Ages & Stages Questionnaire...

The challenge of linguistic and cultural diversity: Does length of experience affect South African speech-language therapists

BACKGROUND: South African speech-language therapists (SLTs) currently do not reflect the country's linguistic and cultural diversity. The question arises as to who might be better equipped currently to provide services to multilingual populations: SLTs with more clinical experience in such contexts, or recently trained SLTs who are themselves linguistically and culturally diverse...

The use of non-speech oral-motor exercises among Indian speech-language pathologists to treat speech disorders: An online survey

OBJECTIVE: Previous surveys in the United States of America (USA), the United Kingdom (UK), and Canada have indicated that most of the speech-language pathologists (SLPs) tend to use non-speech oral-motor exercises (NSOMEs) on a regular basis to treat speech disorders. At present, there is considerable debate regarding the clinical effectiveness of NSOMEs. The current study aimed...

Lexical development of noun and predicate comprehension and production in isiZulu

This study seeks to investigate the development of noun and predicate comprehension and production in isiZulu-speaking children between the ages of 25 and 36 months. It compares lexical comprehension and production in isiZulu, using an Italian developed and validated vocabulary assessment tool: The Picture Naming Game (PiNG) developed by Bello, Giannantoni, Pettenati, Stefanini...

Ototoxicity management: An investigation into doctors

BACKGROUND: A significant number of medications that are prescribed by doctors to treat cancers, tuberculosis and infections are ototoxic. Disclosure of ototoxic risks is ethical practice as patients have the right to be properly informed about and involved in decisions about their health care. Often, doctors fail to disclose such information. AIM: This research investigated...

An audiological profile of patients infected with multi-drug resistant tuberculosis at a district hospital in KwaZulu-Natal

BACKGROUND: The increased incidence of multi-drug-resistant tuberculosis (MDR-TB) and the consequent use of aminoglycosides with their ototoxic potential necessitate a better understanding of the audiological pattern of infected patients. OBJECTIVE: To describe the occurrence and nature of hearing loss in patients with MDR-TB receiving aminoglycosides over a period of 6 months...