{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T07:24:17Z","timestamp":1777620257981,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,11,11]],"date-time":"2022-11-11T00:00:00Z","timestamp":1668124800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There is a large body of research showing the negative impact of a total laryngectomy on the resultant voice signal across multiple outcomes (e.g., speech intelligibility\/acceptability, listener comprehension, voice quality). However, there is limited information on the effects of laryngectomy on broader communication acts, particularly in the area of pragmatics, commonly referred to as the social use of language. Considering that individuals with a laryngectomy (IWL) frequently report reduced quality of life as well as reduced communicative competency, expanding the current research to include pragmatics is warranted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore the pragmatic changes in communication experienced by tracheoesophageal speakers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>The current study adapted an existing 17\u2010item measure to assess verbal, non\u2010verbal, paralinguistic and receptive communication competence via self\u2010report. This adapted measure was then distributed to 65 tracheoesophageal speakers (52 males, 13 females, mean age = 63.4\u00a0\u00b1\u00a08.5 years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>Both negative and positive pragmatic changes to communication were reported by participants secondary to laryngectomy. This included changes in verbal (negative \u201337.5%, positive \u201315.15%); non\u2010verbal (negative \u20139.54%, positive \u201335.45%; and paralinguistic acts (negative \u201329.55%, positive \u201334.09%). Changes to receptive communication were also noted (negative \u201314.78%, positive \u201343.19%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>The overall results suggest that communication changes post\u2010laryngectomy exist well beyond the paralinguistic areas (e.g., intelligibility, voice quality) and that males and females may approach or respond to changes in communication differently. Results are discussed specific to clinical intervention and the importance of including assessment of pragmatic function post\u2010laryngectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>WHat this paper adds<\/jats:title><jats:sec><jats:title>What is already known on this subject<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>While there is a large body of research on the changes to the speaker and listener following laryngectomy, there is minimal information on how the use of alaryngeal speech affects overall communication, specifically in the area of pragmatics or the social use of language.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds to existing knowledge<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>This study used an adapted version of the widely used Pragmatic Protocol to delineate changes in pragmatic components of communication for tracheoesophageal speakers.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What are the potential or actual clinical implications of this work?<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Clinically, this information can be used by healthcare professionals to educate and prepare IWL on potential changes in the underrecognized area of pragmatics.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.12802","type":"journal-article","created":{"date-parts":[[2022,11,11]],"date-time":"2022-11-11T10:48:49Z","timestamp":1668163729000},"page":"441-450","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Communication competence and disability secondary to laryngectomy and tracheoesophageal puncture voice restoration"],"prefix":"10.1111","volume":"58","author":[{"given":"Philip C.","family":"Doyle","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery Division of Laryngology Stanford University School of Medicine Stanford University  Stanford CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrienne M. H.","family":"Baker","sequence":"additional","affiliation":[{"name":"Laboratory for Quality of Life and Well\u2010Being in Oncology, Western University  London ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul M.","family":"Evitts","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences and Disorders, The Pennsylvania State University\u2014Harrisburg  Middleton PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11,11]]},"reference":[{"issue":"1","key":"e_1_2_9_2_1","first-page":"29","article-title":"Psychosocial quality of life in patients after total laryngectomy","volume":"130","author":"Babin E.","year":"2009","journal-title":"Revue Laryngologie Otologie Rhinologie (Bord)"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/17549507.2013.785591"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360.0203.82"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360.0102.63"},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/978-94-007-7954-9_2","volume-title":"Pragmatic Disorders","author":"Cummings L.","year":"2014"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-21395-8_3"},{"issue":"6","key":"e_1_2_9_8_1","first-page":"762","article-title":"Assessing self\u2010reported measures of voice disability in tracheoesophageal speakers","volume":"39","author":"Day A.M.","year":"2010","journal-title":"Journal of Otolaryngology Head & Neck Surgery"},{"key":"e_1_2_9_9_1","volume-title":"Foundations of voice and speech rehabilitation following laryngeal cancer","author":"Doyle P.","year":"1994"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-04702-3_17"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360(2003\/065)"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414525020"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24353"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2004.04.004"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-6984.2011.00005.x"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2009.10.002"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2011.575167"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.3109\/17549500903003078"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20147"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2407-8-80"},{"key":"e_1_2_9_21_1","doi-asserted-by":"crossref","unstructured":"Levinson S.C. 1983.Pragmatics.Cambridge University Press.","DOI":"10.1017\/CBO9780511813313"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21409"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0378-2166(97)00055-6"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshd.4702.123"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshd.5202.105"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59980300478-9"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1984.00800360042009"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshd.4902.202"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-018-2033-y"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348948008900608"}],"container-title":["International Journal of Language &amp; Communication Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1460-6984.12802","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1460-6984.12802","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1460-6984.12802","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,28]],"date-time":"2023-10-28T06:54:36Z","timestamp":1698476076000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1460-6984.12802"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,11]]},"references-count":29,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1111\/1460-6984.12802"],"URL":"https:\/\/doi.org\/10.1111\/1460-6984.12802","archive":["Portico"],"relation":{},"ISSN":["1368-2822","1460-6984"],"issn-type":[{"value":"1368-2822","type":"print"},{"value":"1460-6984","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,11]]},"assertion":[{"value":"2022-02-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}