Background: Various fields of study have alluded to food textural, and its associated acoustic, properties (i.e. food textural acoustics). However, because of the challenging nature of the inclusion of acoustic properties in diet textural modifications in dysphagia (swallowing disorders), this construct has not been sufficiently considered in the field.Objective: To investigate the sensibility of food textural acoustics as a construct to understand eating for individuals with dysphagia.Method: The study design was based on qualitative evidence synthesis methodologies. This involved revised scoping review methods (peer-reviewed published articles from 1980 to 2020 over seven databases), with an adapted consultation phase through online focus group discussions with six world experts. The data was analysed using frequency and thematic analysis, and ideology critique.Results: A total of 11 articles were included in the revised scoping review analysis (seven research studies and four review articles). The analysis of these articles revealed a lack of diversity in geography, discipline and perspective exploring the construct of food textural acoustics. A total of three themes with three associated core arguments emerged from the revised scoping review and the consultation phase. These arguments highlighted (1) the need to study food textural acoustics because of its salience and pleasure responses, (2) possible methodological dilemmas in studying food textural acoustics due to the complexity of eating, and (3) considerations with regard to the approach and positioning adopted when studying the construct.Conclusion: Food textural acoustics may be a sensible construct to understand eating for individuals with dysphagia. As eating is a complex process, there is a need to challenge the methods we use when studying this construct of food textural acoustics. We hope that this article inspires researchers and practitioners to think differently by using textural, and its associated acoustic, properties as a way to reimagine dysphagia practice, especially for those from low- to middle-income contexts such as South Africa and Brazil.

BackgroundThe purpose of this article was to demonstrate the effectiveness of a comprehensive stuttering intervention approach on an adult male participant who stutters based on multiple assessment measures. According to Bleek et al. (2012), stuttering is a multidimensional construct characterised by: (1) overt core behaviours, such as involuntary repetitions of syllables and words, prolongations of the sound(s) during the flow of speech and blocks of airflow, and (2) covert behaviours, a variety of behavioural, physiological, cognitive and emotional reactions to the speech disruptions. In essence, stuttering can be reduced to consisting of three components: (1) core speech behaviours, (2) secondary behaviours and (3) negative feelings and attitudes (Guitar, 2013). The interaction of these three components of stuttering often leads to debilitating effects. A person who stutters (PWS) may experience a variety of emotional challenges, which include sadness, shame, guilt, anger, resentment and fear (Yaruss, 2010;Yaruss & Quesal, 2006). This often leads to feelings of negative self-regard, such as self-blame and an overall sense of negative self-worth. These attitudes may cause further negative behavioural challenges such as avoidance of stuttering instances through secondary behaviours and avoidance of participation in activities that entail any communicative interactions (Yaruss, 2010;Bleek et al., 2012).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 assessment measures could be used to describe the effectiveness of a comprehensive stuttering intervention approach, undergirded by the International Classification of Functioning, Disability and Health (ICF) framework.Method: A single-subject case design was employed with one male adult who stutters. Data was collected by administering the Stuttering Severity Instrument-Fourth Edition (SSI-4) and Overall Assessment of the Speaker's Experience of Stuttering-Adults (OASES-A) at three testing periods (pre-intervention, immediately post-intervention and 7 months postintervention), and a semi-structured interview schedule immediately post-intervention. Descriptive statistics was used to analyse the SSI-4 and OASES-A, and thematic analysis was conducted to evaluate the participant's interview schedule responses.Results: The participant's total scores, impact scores and severity ratings of both the SSI-4 and OASES decreased across the three testing periods. The main theme of effectiveness of the comprehensive stuttering intervention to reduce aspects of disability emerged from the participant's responses. Conclusion:Evaluation of the results from the assessment measures revealed that the comprehensive stuttering intervention approach was effective in ...