Table 4.

Barriers to assessment in adults with non-progressive dysarthria

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