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Table 4 Barriers to assessment in adults with non-progressive dysarthria

From: Assessment of non-progressive dysarthria: practice and attitude of speech and language therapists in Lebanon

Barriers to effective assessment Examples of responses n %
Lack of available standardized Arabic assessment tools • Absence of tools adapted to the Lebanese population.
• We don’t have a reliable and valid assessment tool in the Arabic language to assess all areas needed (phonation, prosody, respiration...)
34 68
Comorbidities • The variability in the characteristics of dysarthria along with comorbidities in patients makes it hard to assess effectively.
• The presence of comorbidities and especially in cases of dysphagia.
• Mostly, the receptive level of the patient influences the assessment process.
11 22
Financial problems • Financial barriers to providing specialized instrumental assessment tools.
• I am unable to purchase standardized English assessments for my bilingual patients due to the current dollar rate crisis.
10 20
Professional limitations • Perceptual judgments are subjective as the accuracy of the assessment finding depends on the clinician’s expertise in active listening and analyzing the characteristics of speech.
• I receive a limited number of patients with dysarthria per year, so, I believe I need more practice.
5 10
Client motivation and compliance • The low motivation of the patient as the assessment tasks might seem boring. 5 10