Dil ve Konuşma Terapisi - Makale Koleksiyonu

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https://hdl.handle.net/20.500.12695/303

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Experiences of International Speech–Language Pathology Students: A Phenomenological Study
(3 October 2025) Cankuvvet, Nurdan; Selvi-Balo, Semra; Yaşar-Gündüz, Esra; Yırtık, Havva Nur
Background International students often encounter systemic and individual challenges, especially in language-intensive fields like Speech–Language Pathology (SLP). Although their experiences are documented in well-established contexts, little is known about newer host countries such as Türkiye, where enrolments have recently risen. Understanding this is crucial for identifying barriers and support needs, impacting outcomes, and the internationalisation of SLP education. Aim This study explores the educational experiences of international undergraduates in the Speech–Language Pathology program at Anadolu University, Türkiye. Methods and Procedures Using a phenomenological design, data were collected through focus group interviews with nine female students and were analysed thematically. Conclusions and Implications International SLP students in Türkiye encountered familiar challenges—language barriers, uneven preparation, and integration difficulties—amplified by diverse entry pathways and local dynamics. Nevertheless, they demonstrated resilience by developing self-discipline and valuing educational quality despite mismatched expectations. The findings emphasise the need for institutional support: clearer communication of norms, structured orientation, and culturally responsive supervision could help reduce systemic barriers, while mentoring and buddy systems might further aid integration and clinical readiness, benefiting both students and the profession.
‘It Is Not Possible to Go Back to Normal, but It Is Possible to Start Again’: Experiences of Speech–Language Pathologists After the 2023 Earthquakes in Türkiye
(December 2025) Birol, Namık Yücel; Yaşar Gündüz, Esra; Tutuş, Zübeyir
Background Earthquakes severely disrupt health and rehabilitation services. However, little is known about the professional and personal experiences of speech–language pathologists (SLPs) in such disaster contexts. Aim This study aimed to examine the professional and personal experiences of SLPs working in the provinces affected by the 6 February 2023, earthquakes in Türkiye. It explored challenges faced by SLPs, continuity of client services and psychosocial impacts. Methods and Procedures A phenomenological design was adopted. Semi-structured online interviews were conducted with 16 SLPs actively working in the disaster region. Data were analysed using reflexive thematic analysis with MAXQDA 2020. Interviews were recorded, transcribed with the AI-based Turboscribe program and verified by the researchers. Results Four main themes emerged as follows: (1) working conditions of SLPs after the earthquake (living conditions, professional performance, physical environment and support mechanisms), (2) status of clients after the earthquake (interruptions in therapy processes, new and increased speech and language difficulties), (3) psychological effects of the earthquake on SLPs and clients (anxiety, burnout, and grief among therapists, clients and families) and (4) post-disaster interventions and preparedness (short-term needs in the field, and long-term strategies such as digitalization, teletherapy and trauma-focused professional training). Findings indicated multi-dimensional challenges for SLPs, major disruptions in therapy access and psychological impacts directly reflected in therapy processes. Conclusions This study highlights the critical role of SLPs in disaster conditions and emphasizes the need for policy development in this field. To ensure the continuity and effectiveness of speech and language therapy services, it is necessary in the short term to increase the number of specialists in the field and to strengthen psychosocial support mechanisms. In the long term, it is recommended to establish digital material and record systems, expand the use of teletherapy practices, develop programs to prepare families for disasters and integrate trauma-focused professional training into both undergraduate and in-service education processes of SLPs.
Auditory-Perceptual Voice Quality, Self-Perceived Voice Handicap, and Vocal Fatigue in Street Vendors
(İstanbul University Press, 2025) Birol, Namık Yücel; Alkan, Ferhat; Tutuş, Zübeyir
Objective: In rural labour sectors, individuals who rely heavily on their voices—such as street vendors— are at increased risk of developing voice disorders due to prolonged voice use in noisy environments. Understanding their vocal health needs is essential for developing targeted voice therapy interventions within rural rehabilitation frameworks. This study investigates the auditory-perceptual voice quality, self perceived voice handicap, and vocal fatigue among street vendors in the Cappadocia region, Türkiye. Material and Methods: A descriptive, cross-sectional study was conducted with 30 street vendors. Data collection involved the GRBAS scale for perceptual voice evaluation, the Turkish versions of the Voice Handicap Index-10 (VHI-10-TR), and the Vocal Fatigue Index (VFI-TR). Non-parametric tests were used for the statistical analysis. Results: Voice problems were reported by 40% of the participants. Significant differences were observed in the GRBAS scores, with higher impairments in grade, breathiness, asthenia, and strain among those with voice problems. Participants with voice issues also scored significantly higher on the VHI-10-TR and VFI-TR, indicating a greater voice-related handicap and vocal fatigue. A moderate positive correlation was found between the VHI-10-TR and VFI-TR scores. Conclusion: Street vendors in Cappadocia face significant vocal challenges due to occupational voice use, with notable impacts on perceptual voice quality, vocal fatigue, and quality of life. Preventive measures, including vocal health education and workplace interventions, are essential for reducing these risks.
Türkiye’deki Dil ve Konuşma Terapistlerinin Enfeksiyon Kontrolü Uygulamaları: Tanımlayıcı Araştırma
(Türkiye Klinikleri Yayınevi, 2025) Teke, Teke; Birol, Namık Yücel
Amaç: Dil ve konuşma terapistleri (DKT), herhangi bir danışan grubuyla çalışırken doğrudan ya da dolaylı olarak temas hâlindedir. Bu duruma bağlı olarak DKT’lerin sa ğladığı değerlendirme ve müdahale hizmetlerinin enfeksiyon kontrolü aç ısından bazı gereklilikleri bulun- maktadır. Bu çalışmada, Türkiye’de özel ve kamu hastanelerinde, özel eğitim ve rehabilitasyon merkezlerinde, özel dil ve konuşma terapisi kli- niklerinde çalışan DKT’lerin enfeksiyon kontrolü uygulamalar ının in- celenmesi amaçlanmaktır. Gereç ve Yöntemler: Araştırmanın deseni genel tarama modelidir. Ara ştırmaya toplamda 117 DKT kat ılmıştır. Veri toplama araçları Demografik Bilgi Formu ve Dil ve Konuşma Te- rapistlerinin Enfeksiyon Kontrolü Uygulamaları Anketi’dir. Demogra- fik Bilgi Formu ile kat ılımcıların yaşları, çalışma yılları ve çalıştıkları alanlar hakkında bilgi al ınmıştır. Enfeksiyon Kontrolü Uygulamalar ı Anketi, el yıkama, oral değerlendirme, enfeksiyon eğitimi, dezenfeksi- yon, kişisel koruyucu ekipman kullan ımı, öksürük görgü kurallar ına uyumu, enfeksiyon bulaşmasını azaltmak için kullanılan kontrol strate- jileri kullanımı ve diğer enfeksiyon kontrol uygulamalar ı olmak üzere toplamda 8 bölüm ve 41 maddeden olu şmaktadır. Elde edilen veriler IBM SPSS 27.0 programı ile analiz edilmiştir. Bulgular: Araştırmanın bulguları, katılımcıların büyük bir kısmının el hijyeni ve oral değerlen- dirme sırasında eldiven kullanımı gibi enfeksiyon kontrolü prosedürle- rini sık sık veya her zaman uygulad ıklarını göstermektedir. Bununla birlikte, katılımcıların önemli bir kısmı çalıştıkları yerlerde enfeksiyon kontrol kılavuzlarının bulunmadığını (%61,54) ve bu konuda düzenli eğitim almad ıklarını (%70,09) ifade etmi ştir. Sonuç: Türkiye’deki DKT’lerin enfeksiyon kontrolü uygulamalar ı genel olarak yeterli ol- makla birlikte, iş yerlerinde enfeksiyon kontrolüne yönelik kılavuz ek- sikliği ve e ğitimin yaygın olmayışı dikkat çekmektedir. Bu nedenle, enfeksiyon kontrolü konusunda daha kapsaml ı eğitim programlarının düzenlenmesi ve standart kılavuzların oluşturulması önerilmektedir.
An Overview of Speech and Language Therapy Undergraduate Programs and Students in Türkiye: Descriptive Research
(2025) Birol, Namık Yücel; Yaşar Gündüz, Esra; Tutuş, Zübeyir
Amaç: Türkiye'de dil ve konuşma terapisi (DKT) lisans programları 2012 yılında öğrenci alımına başlamıştır. Bu programlar ve öğrenci profilleri ise henüz ayrıntılı olarak araştırılmamıştır. Bu çalışmanın amacı Türkiye'deki DKT lisans programlarını ve lisans öğrenci profillerini incelemektir. Gereç ve Yöntemler: Kurumların resmi web sitelerinden elde edilen kamuya açık veriler kullanılarak, 27 aktif ve 34 aktif olmayan DKT lisans programı doküman analizi yoluyla incelenmiştir. Bu veriler aracılığıyla DKT lisans programlarına yerleşen öğrenci ve mezunların sayısı, cinsiyet dağılımı, öğrencilerin mesleki tercih eğilimleri, lisans programlarının özellikleri, 2012-2024 yılları arasında DKT lisans programlarının sayısı ve öğrenci sayıları, DKT programlarındaki akademik personelin ünvanlara göre dağılımı belirlenmiştir. Bulgular: DKT öğrencileri ve mezunlarına dair veriler incelendiğinde, kadınların oranının %78-85 arasında değiştiği görülmektedir. 2012 ve 2024 yılları arasında aktif DKT programlarının sayısı 1'den 27'e, bu programlara kayıt yaptıran öğrenci sayısı ise 31'den 1661'ye yükselmiştir. Aktif DKT lisans programlarında profesör ve doçent kadrosundaki akademisyenlerin oranı ise %14,73 olarak raporlanmıştır. Sonuç: DKT lisans programları, 2012 yılından itibaren hızlı bir büyüme göstermiştir. Ancak, bu büyümenin sürdürülebilir olması için dikkatli bir planlama gerekmektedir. Çalışma bulguları, kadın öğrencilerin alandaki belirgin üstünlüğünü, akademik personel sayısının yetersizliğini ve programların büyük ölçüde belirli şehirlerde yoğunlaştığını ortaya koymaktadır. Türkiye'deki DKT lisans programlarındaki büyüme, akademik personel sayısına dikkat edilerek gerçekleştirilmelidir.
“Lombard Effect” and Voice Changes in Adductor Laryngeal Dystonia: A Pilot Study.
(Wiley Periodicals LLC onbehalf of The American Laryngological,Rhinological and Otological Society, Inc., 2024) Maria Raffaella Marchese; Ylenia Longobardi; Rosa Libero; Gamze Yesilli-Puzella; Lucia D’Alatri; Jacopo Galli
Objectives: The aim was to describe the acoustic, auditory-perceptive, and subjective voice changes under the Lombardeffect (LE) in adductor laryngeal dystonia (AdLD) patients.Methods: Subjective perception of vocal effort (OMNI Vocal Effort Scale OMNI-VES), Maximum Phonation Time (MPT),and the perceptual severity of dysphonia (GRBAS scale) were assessed in condition of stillness and under LE in 10 AdLDpatients and in 10 patients with typical voice. Speakers were asked to produce the sustained vowel /a/ and to read a phoneti-cally balanced text aloud. Using the PRAAT software, the following acoustic parameters were analyzed: Mean Pitch (Hz), Mini-mum and Maximum Intensity (dB), the Fraction of Locally Unvoiced Frames, the Number of Voice Breaks, the Degree of VoiceBreaks (%), the Cepstral Peak Prominence-Smoothed (CPPS) (dB).Results: Under LE, the AdLD group showed a decrease of both G and S parameters of GRBAS and subjective effort, meanMPT increased signi?cantly; in the controls there were no signi?cant changes. In both groups under LE, pitch and intensity ofthe sustained vowel /a/ signi?cantly increased consistently with LE. In the AdLD group the mean gain of OMNI-VES score andthe mean gain of each parameter of the speech analysis were signi?cantly greater than the controls’ ones.Conclusion: Auditory feedback deprivation obtained under LE improves subjective, perceptual-auditory, and acousticsparameters of AdLD patients. These ?ndings encourage further research to provide new knowledge into the role of the audi-tory system in the pathogenesis of AdLD and to develop new therapeutic strategies.Key Words: acoustic analysis, adductor laryngeal dystonia, audio-vocal feedback control, Lombard effect.Level of Evidence: 4Laryngoscope, 134:3754–3760, 2024
The Normative Study of Acoustic and Aerodynamic Characteristics of Voice among Healthy Adult Turkish Speaker Population
(Hindawi, 2021) Şen, Ayşegül; Toğram, Bülent
Phonatory Aerodynamic System (PAS Model 6600) is an evaluation instrument that assesses the effectiveness of surgical interventions, treatments, and therapy for voice disorders. It can be used for the assessment of voice disorders by supporting other perceptual and instrumental methods. It is important to establish normative data, because the use of appropriate norms is necessary for diagnostic and descriptive accuracy. Therefore, this study is aimed primarily at establishing adult normative databases for phonatory aerodynamic measures obtained with the KayPENTAX PAS Model 6600 among healthy adult Turkish speakers and then examining the effect of age, gender, and age-gender interaction variables on these measures. The contribution of the study is considered so important since it will generate normative data for all measurements—except the mean pitch—by the five protocols of PAS for the first time. Two hundred and six healthy Turkish speakers with normal voice (106 women and 100 men) were included in the study and stratified into three age groups. Forty-five phonatory aerodynamic measures across five PAS protocols (vital capacity, maximum sustained phonation, comfortable sustained phonation, variation in sound pressure level, and voicing efficiency) were collected. Age, gender, and age-gender interaction variables were analyzed for 45 PAS parameters. Significant gender and age effect was found for 30 and 19 variables, respectively. Gender-age interaction together was observed for only 6 parameters. Significant differences were not found for the remaining 10 parameters. Significant age and gender effects were observed for 35 phonatory and aerodynamic measures which are essential part of the objective clinical assessment of voice. Consequently, normative data used as reference in voice assessment should be generated according to age and gender differences.

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