{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:40:57Z","timestamp":1787240457029,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T00:00:00Z","timestamp":1765411200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T00:00:00Z","timestamp":1765411200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Assessment and treatment practices for hypokinetic dysarthria in people with Parkinson's disease (PwPD) remain largely inaccessible and understudied in African and Arabic countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study investigates clinical practices of Algerian speech\u2010language therapists (SLTs) in assessing and treating dysarthria in PwPD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross\u2010sectional online survey of Algerian SLTs was conducted between December 2024 and January 2025. Thirty\u2010six SLTs completed the proposed questionnaire (88.8% women; mean age 32.7 \u00b1 8.9 years). Data on demographics, assessment tools, treatment methods, and perceived challenges of the answers were analysed using descriptive statistics and chi\u2010square tests (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      = 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Most SLTs who completed the questionnaire were based in the northern region of the country (66.6%). They reported leaning on informal assessments (63.8%), prioritizing articulation (61.1%), self\u2010assessment and speech rating (61.1%). Formal tools, such as acoustic analysis, appeared underused (36.1%). Non\u2010evidence\u2010based therapy dominated practice: articulatory muscle strengthening (77.7%), respiratory training (69.4%), and rehabilitation with a straw (61.1%). In contrast, evidence\u2010based methods like the Lee Silverman Voice Treatment (LSVT) were rarely used (8.3% frequent use). SLTs with PhD degrees significantly favoured formal assessments (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 25.3,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05) and evidence\u2010based methods (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 16.5,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05) compared to those with no PhD. Reported key barriers included inadequate training (83.3%), lack of dedicated tools (88.8%), and an inappropriate work environment (55.5%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings underline the crucial need for structured training programmes, integration of evidence\u2010based therapies, and improvement of the work environment in terms of different tools. This study emphasizes the significant gaps that remain to be addressed in the provision of SLTs services to PwPD in Algeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>WHAT THIS PAPER ADDS<\/jats:title>\n                    <jats:p>\n                      <jats:italic>What is already known on this subject<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Existing studies from high\u2010income countries highlight variability in assessment and treatment practices of hypokinetic dysarthria in PwPD among SLTs, with underutilization of standardized tools. However, no data existed on clinical practices in Africa and Arabic\u2010speaking contexts, where linguistic and resource constraints may uniquely shape rehabilitation approaches.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:italic>What this paper adds to the existing knowledge<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>This study reveals that Algerian SLTs predominantly rely on informal assessments (63.8%) and non\u2010evidence\u2010based therapy (e.g., articulatory muscle strengthening, 77.7%), while evidence\u2010based methods like LSVT are rarely used (8.3%). Systemic barriers, including inadequate training (83.3%), lack of dedicated tools (88.8%), and limited workplace resources (55.5%), may explain these disparities. This is the first study to document Arabic\u2010language challenges in dysarthria management in PwPD, advocating for linguistically adapted tools.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:italic>What are the potential or actual clinical implications of this study?<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>These findings urge action to enhance SLTs training programmes in Algeria, by integrating evidence\u2010based methods like LSVT into curricula and develop standardized Arabic\u2010language assessment tools.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  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