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Articulation in children with fetal alcohol syndrome 胎儿酒精综合征患儿的发音问题
Q4 Health Professions Pub Date : 2019-04-30 DOI: 10.21849/CACD.2019.00010
Christopher Bolinger, J. Dembowski
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引用次数: 1
A survey of parents’ perceptions of Picture Exchange Communication System for children with autism spectrum disorders and other developmental disabilities 自闭症谱系障碍及其他发育障碍儿童家长对图片交换沟通系统的认知调查
Q4 Health Professions Pub Date : 2019-04-30 DOI: 10.21849/CACD.2019.00038
Batool Alsayedhassan, Devender R. Banda, Jaehoon Lee, Youngmin Kim, N. Griffin-Shirley
Autism spectrum disorder (ASD) is a disability that limits an individual’s ability to develop skills in social communication and social interaction [1]. A deficit in social communication is one of the main characteristics shared by individuals with ASD, and many individuals with ASD never develop spoken language [2]. However, many strategies are employed to improve the communication abilities of children with ASD. Developed by Bondy and Frost [3], one such strategy is picture exchange communication system (PECS). PECS is a means of aided augmentative alternative communication (AAC) that consists of six phases. In the first phase, children with ASD learn to exchange a picture for an item or activity they desire instead of pointing to a symbol to obtain that item or action. Over the course of the six phases, the child is taught to initiate communication by Purpose: A survey was conducted to examine the perceptions of parents who use the Picture Exchange Communication System (PECS) to help improve the communication abilities of their children with autism spectrum disorder and/or other developmental disabilities.
自闭症谱系障碍(ASD)是一种限制个人发展社会沟通和社会互动技能的能力的残疾。社会沟通障碍是自闭症患者的主要特征之一,许多自闭症患者从未发展出口语障碍。然而,许多策略被用来提高自闭症儿童的沟通能力。由邦迪和弗罗斯特开发的一种这样的策略是图像交换通信系统(PECS)。PECS是辅助增强型替代通信(AAC)的一种方式,由六个阶段组成。在第一阶段,自闭症儿童学会用图片交换他们想要的物品或活动,而不是指着一个符号来获得那个物品或动作。在六个阶段的课程中,孩子们被教导有目的地开始沟通:一项调查是为了检查父母使用图片交换沟通系统(PECS)来帮助自闭症谱系障碍和/或其他发育障碍儿童提高沟通能力的看法。
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引用次数: 4
Using actors and peers in the clinical education of stuttering: Results from a mixed methods study 在口吃的临床教育中使用演员和同伴:一项混合方法研究的结果
Q4 Health Professions Pub Date : 2019-04-30 DOI: 10.21849/CACD.2019.00031
Charles D. Hughes, Derek E. Daniels, Erik X. Raj, Alana Ghent
Actors have been commonly used in the training of various helping professions [1-4]. Yet, they have not been frequently used in the field of speech-language pathology [5]. Although actors are seldom utilized in the clinical education of speech-language pathology students, the importance of actors in these training programs has been highlighted [6-9]. Some of this research has highlighted the importance of appropriate actor training to assure accuracy in their role portrayal with students [9], as well as assuring appropriate judges to evaluate student abilities when interacting with actors [8]. Many benefits exist when actors are incorporated into clinical training and involve the consistency of the experience and ability to reflect on the interaction in a standardized manner [9]. Gregg [5] provides a review of the benefit of using actors in speech-language pathology and in the clinical training of stuttering. He goes on to highlight the work of Zraick [7,10] with actors and adapting aspects of his outline [10] and use of Objective Structured Clinical Examination’s (OSCE) to fit the purpose for assessing student skills in Purpose: The use of trained actors in the clinical education of helping professionals has been well-documented. However, little is known about the potential benefit of using actors in the clinical education of speech-language pathology students specific to stuttering. This mixed methods study examined the perceptions of 26 participants related to their experiences with peers and two trained actors in a graduate-level fluency disorders course.
演员在各种助人职业的培训中被广泛使用[1-4]。然而,它们并没有被频繁地应用于语言病理学领域。虽然演员在言语病理学学生的临床教育中很少使用,但演员在这些培训项目中的重要性已经得到了强调[6-9]。一些研究强调了适当的演员培训的重要性,以确保他们与学生b[9]的角色塑造的准确性,以及确保适当的法官在与演员b[8]互动时评估学生的能力。当参与者被纳入临床培训并涉及经验的一致性和以标准化方式反思相互作用的能力时,会产生许多好处[10]。Gregg b[5]提供了在言语语言病理学和口吃临床训练中使用演员的好处的回顾。他接着强调了Zraick[7,10]在演员方面的工作,并改编了他的大纲b[10]和使用客观结构化临床检查(OSCE)的方面,以适应评估学生技能的目的。目的:在帮助专业人员的临床教育中使用训练有素的演员已经得到了充分的记录。然而,很少有人知道在言语病理学学生的临床教育中使用演员的潜在好处,特别是口吃。在研究生水平的流畅性障碍课程中,这项混合方法研究调查了26名参与者与同龄人和两名训练有素的演员的经历相关的感知。
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引用次数: 3
Discourse formulation and neurovascular activation across four genres 四种语篇形式与神经血管激活
Q4 Health Professions Pub Date : 2019-04-30 DOI: 10.21849/CACD.2019.00017
Michael Cannizzaro, S. Stephens
Communication through discourse is the central method of human interaction. Discourse is a series of interconnected propositions that communicate a coherent message that is above the level of single sentences [1,2]. Formulating and understanding discourse is a linguistically and cognitively demanding task, and the ability to efficiently produce coherent discourse is critical for functional participation in family and social relationships, vocation, and community engagement [3-6]. Discourse analysis has Purpose: Discourse production is a naturalistic and commonly occurring form of communication. Thus, it is no surprise that discourse formulation is a clinically relevant assessment for persons who experience communication impairments associated with cognitive disruptions such as traumatic brain injury, mild cognitive impairment, and dementia. The most commonly studied genre of discourse is the production of fictional narratives; however, little is known about the formulation of other, more commonly occurring and ecologically valid forms of discourse. To better understand the communication behaviors associated with these other discourse forms, this pilot research examined efficiency, informativeness, and neurovascular activation during formulation of procedural, personal, conversation, and fictional discourse produced by neurologically healthy adults.
通过话语进行交流是人类互动的核心方法。语篇是一系列相互关联的命题,它们传达了一个高于单句水平的连贯信息[1,2]。制定和理解话语是一项语言和认知要求很高的任务,有效产生连贯话语的能力对于家庭和社会关系、职业和社区参与的功能参与至关重要[3-6]。语篇分析有目的:语篇生成是一种自然的、普遍存在的交际形式。因此,毫不奇怪,话语表述是一种临床相关评估,适用于经历与认知障碍相关的沟通障碍的人,如创伤性脑损伤、轻度认知障碍和痴呆。最常被研究的话语类型是虚构叙事的产生;然而,人们对其他更常见、生态有效的话语形式的提法知之甚少。为了更好地理解与这些其他话语形式相关的沟通行为,这项试点研究考察了神经健康成年人在制定程序性、个人性、对话性和虚构话语过程中的效率、信息性和神经血管激活。
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引用次数: 2
“Are we…providing them with an equal service?”: Speech-language pathologists’ perceptions of bilingual aphasia assessment of Samoan-English speakers “我们……为他们提供平等的服务吗?”:言语语言病理学家对萨摩亚英语使用者双语失语症评估的看法
Q4 Health Professions Pub Date : 2019-04-30 DOI: 10.21849/CACD.2019.00024
Sara Jodache, T. Howe, S. Siyambalapitiya
Purpose: Speech-language pathologists are more often providing services to clients from a different cultural and/or linguistic background from their own. It can be particularly challenging to conduct language assessments with individuals with bilingual aphasia, especially given the limited research in this area. This investigation explored speech-language pathologists’ perspectives on: the challenges that impede the assessment of language in Samoan-English speakers with bilingual aphasia; and the facilitators that support the assessment of language in Samoan-English speakers with bilingual aphasia. Methods: The study used a qualitative descriptive approach, underpinned by a constructivist paradigm. A focus group was conducted with four speech-language pathologists who had experience working with Samoan-English speakers with bilingual aphasia, including one clinician with extensive knowledge of the Samoan language. Results: The focus group yielded rich data relevant to the research questions. Analysis revealed 29 codes within eight categories of challenges related to: the Samoan language and culture; the SLP’s background; using interpreters; family involvement; the logistics of the assessment; determining which language(s) to assess; assessment tasks and resources; and obtaining an initial impression of and building rapport with the individual. The analysis also identified 14 codes within five categories of facilitators related to: the SLP’s background; using interpreters; family involvement; determining which language(s) to assess; and assessment tasks and resources. Conclusions: The investigation provides valuable insights into the experience of conducting language assessments with Samoan-English speakers with bilingual aphasia. The findings may also be useful for informing the delivery of speech-language pathology services to other individuals with bilingual aphasia.
目的:语言病理学家更多的是为来自不同文化和/或语言背景的客户提供服务。对双语失语症患者进行语言评估尤其具有挑战性,特别是考虑到该领域的研究有限。这项调查探讨了语言病理学家的观点:阻碍萨摩亚语-英语双语失语症患者语言评估的挑战;以及支持萨摩亚英语双语失语症患者语言评估的促进者。方法:本研究采用定性描述方法,以建构主义范式为基础。对四名语言病理学家进行了焦点小组讨论,这些病理学家在治疗以萨摩亚语-英语为母语的双语失语症患者方面具有经验,其中包括一名对萨摩亚语具有广泛知识的临床医生。结果:焦点小组获得了与研究问题相关的丰富数据。分析揭示了8类挑战中的29项守则:萨摩亚语言和文化;社会主义工人党背景;使用翻译;家庭参与;评估的后勤工作;决定评估何种语言;评估任务和资源;获得对个人的初步印象并与之建立融洽的关系。分析还确定了5类促进者中的14个准则,这些促进者涉及:SLP的背景;使用翻译;家庭参与;决定评估何种语言;评估任务和资源。结论:该调查为萨摩亚语-英语双语失语症患者进行语言评估的经验提供了宝贵的见解。研究结果也可能有助于为其他双语失语症患者提供语言病理学服务。
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引用次数: 2
A Study of the Judgment Accuracy of Repeated /r/ Stimuli by Graduate Clinicians 临床医生对重复/r/刺激判断准确性的研究
Q4 Health Professions Pub Date : 2018-12-31 DOI: 10.21849/CACD.2018.00416
Lauren Glover, D. Ruscello
A Study of the Judgment Accuracy of Repeated /r/ Stimuli by Graduate Clinicians Lauren Glover In the field of speech-language pathology, communication disorders are treated with evidence-based methodologies. Treatments for many of the disorders require clinicians to use their auditory perceptual skills for feedback purposes, so that the client is aware of correct and incorrect treatment responses. It has been reported clinically that repeated listening to client responses over time may result in auditory perceptual confusions. This clinical hypothesis was studied by examining the integrity of judgement accuracy of repeated /r/ stimuli, which varied as a function of correct and incorrect stimuli. Findings showed no statistically significant evidence of auditory perceptual confusions when subjects listened to and evaluated repeated productions of /r/, /w/ for /r/substitution, and /r/ distortion embedded in a CV word.
研究生临床医生Lauren Glover对重复/r/刺激判断准确性的研究在言语病理学领域,沟通障碍是用循证方法治疗的。许多疾病的治疗需要临床医生使用他们的听觉感知技能进行反馈,以便客户了解正确和不正确的治疗反应。临床上有报道称,随着时间的推移,反复倾听客户的反应可能会导致听觉-知觉混淆。这一临床假设是通过检查重复/r/刺激的判断准确性的完整性来研究的,重复/r/激励是正确和不正确刺激的函数。研究结果显示,当受试者听和评估CV单词中嵌入的/r/、/w/for/r/替代和/r/失真的重复产生时,没有统计学上显著的听觉感知混淆证据。
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引用次数: 0
Serving Culturally and Linguistically Diverse Clients: A Review of Changing Trends in Speech-Language Pathologists’ Self-efficacy and Implications for Stakeholders 为文化和语言多样的客户服务:言语语言病理学家自我效能感的变化趋势及其对利益相关者的启示
Q4 Health Professions Pub Date : 2018-12-31 DOI: 10.21849/CACD.2018.00395
S. Santhanam, S. Parveen
The cultural and linguistic landscape of the United States has been changing rapidly in the last three decades. According to the U.S. Census Bureau, 21.1% (60.3 million) of the population in the United States speak a language other than English at home [1]. It is expected that these numbers would increase to about 43% by the year 2020 [2]. Correspondingly, speech-language pathologists (SLPs) in the United States are seeing a rise in their caseload of culturally and linguistically diverse (CLD) clients [3]. SLPs are often faced with clients who speak a language or belong to a culture different from their own. Kritikos [4] reported that 95% of SLPs serve at least one client from a CLD background. Yet, a vast majority of SLPs in the United States are monolingual English speakers. There continues to be a stark minority of bilingual SLPs [5] and a mismatch between the proportion of CLD clients and the available proportion of bilingual service providers. Only 6.5% of American Speech-Language-Hearing Association (ASHA) members identify themselves as bilingual service providers. Spanish-English bilingual SLPs conWith the rapid rise in our culturally and linguistically diverse (CLD) clientele, it is essential to understand the clinical self-efficacy of speech-language pathologists (SLPs) serving these clients and to examine the efforts we have taken as a field to better prepare our future clinicians. Studies from the past 25 years that examine SLPs’ clinical self-efficacy in CLD service delivery were located using electronic databases and manual searchers. A total of 13 articles were identified. A review of the existing studies indicated that reports on clinical self-efficacy among SLPs working with CLD clients has not markedly improved during the last two decades. Nevertheless, there is a positive trend in two areas: (1) the availability and access to training and resources for SLPs, and (2) the willingness to work with more CLD clients. Factors that are barriers to bilingual service delivery still need to be addressed. Future implications for stakeholders are discussed.
在过去的三十年里,美国的文化和语言格局一直在迅速变化。根据美国人口普查局的数据,21.1%(6030万)的美国人口在家里说英语以外的语言[1]。预计到2020年,这些数字将增加到约43%[2]。相应地,美国的言语语言病理学家(SLP)发现他们的文化和语言多样性(CLD)客户数量在增加[3]。SLP经常面对说某种语言或属于不同于自己文化的客户。Kritikos[4]报道称,95%的SLP至少为一名CLD背景的客户提供服务。然而,在美国,绝大多数SLP都是单语英语使用者。双语SLP[5]仍然是极少数,CLD客户的比例与双语服务提供商的可用比例不匹配。只有6.5%的美国言语语言听力协会(ASHA)成员认为自己是双语服务提供商。随着我们文化和语言多样性(CLD)客户的快速增长,了解为这些客户服务的言语语言病理学家(SLP)的临床自我效能感,并检查我们作为一个领域所做的努力,以更好地为我们未来的临床医生做好准备,这一点至关重要。过去25年来,使用电子数据库和手动搜索器对SLP在CLD服务提供中的临床自我效能进行了研究。共鉴定出13篇文章。对现有研究的回顾表明,在过去二十年中,与CLD客户合作的SLP的临床自我效能报告没有显著改善。尽管如此,在两个领域出现了积极的趋势:(1)SLP的培训和资源的可用性和可获得性,以及(2)与更多CLD客户合作的意愿。阻碍提供双语服务的因素仍然需要解决。讨论了对利益相关者的未来影响。
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引用次数: 34
Bolus Transition During Oropharyngeal Swallowing after Unilateral Cortical Stroke 单侧皮质卒中后口咽吞咽过程中的Bolus过渡
Q4 Health Professions Pub Date : 2018-12-31 DOI: 10.21849/CACD.2018.00423
Hyeju Han, T. Park, B. Oh, H. Seo, Youngsun Kim
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引用次数: 1
Supporting Communication Partners in a Leisure Setting to Enhance Social Interaction and Participation for Individuals with Complex Communication Needs 在休闲环境中支持交流伙伴,以增强有复杂交流需求的个人的社会互动和参与
Q4 Health Professions Pub Date : 2018-12-31 DOI: 10.21849/CACD.2018.00437
David J. Hajjar, John W. Mccarthy, Molly Lanphear Hajjar
Benefits from leisure and recreation Participation in recreational activities can have extensive benefits for children and adults with disabilities and complex communication needs (CCN) [1-4]. The infrastructure in recreation and leisure programs supports people who use augmentative and alternative communication (AAC) to develop relationships, increase engagement, and foster independence [2]. Opportunities for meaningful interactions are important for individuals with significant communication disabilities as they often report higher levels of loneliness and their social networks are more limited [5]. Patterson & Pegg [4] determined that serious engagement in leisure activities provides people with intellectual disabilities the necessary confidence to communicate and teaches new skills that build self-esteem and facilitate social inclusion across community settings. Communication partners are critical supports for individuals with complex communication needs who participate in leisure activities. Partners (e.g., volunteers, program leaders, support staff) can enhance recreational experiences by facilitating opportunities for communication, interaction, and participation. In this study, a single subject multiple baseline design across two time periods was used to examine the accuracy of volunteers’ in their ability to implement a program designed to promote communication and participation. Four volunteers from therapeutic riding learned to apply a communication program that focused on providing participants with a method to capture and share their riding experience. Results indicated that the volunteers successfully learned the program and that riders increased the amount of communication turns taken with volunteers. Volunteers, participants, and caregivers also shared their overall perspectives after program implementation. Implications and recommendations for future practice are provided for volunteers, participants and caregivers, recreational therapists, and other related professionals.
休闲娱乐的好处参与娱乐活动对有残疾和复杂沟通需求的儿童和成年人有广泛的好处[1-4]。娱乐和休闲项目的基础设施支持那些使用增强和替代通信(AAC)来发展关系、增加参与度和培养独立性的人[2]。对于有严重沟通障碍的人来说,有意义的互动机会很重要,因为他们经常报告更高程度的孤独感,他们的社交网络也更有限[5]。Patterson和Pegg[4]确定,认真参与休闲活动为智障人士提供了必要的沟通信心,并教授了建立自尊和促进社区社会包容的新技能。沟通伙伴是参与休闲活动的有复杂沟通需求的个人的重要支持。合作伙伴(如志愿者、项目负责人、支持人员)可以通过促进交流、互动和参与的机会来增强娱乐体验。在这项研究中,使用了一个跨两个时间段的单受试者多基线设计来检查志愿者实施旨在促进沟通和参与的计划的能力的准确性。四名来自治疗性骑行的志愿者学会了应用一个交流计划,该计划旨在为参与者提供一种捕捉和分享骑行经验的方法。结果表明,志愿者成功地学习了该程序,骑手增加了与志愿者的交流次数。志愿者、参与者和护理人员也分享了他们在项目实施后的总体观点。为志愿者、参与者和护理人员、娱乐治疗师和其他相关专业人员提供了对未来实践的影响和建议。
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引用次数: 2
Effects of Playing Positions on Memory and Auditory Comprehension in High School Football Players with a Mild Concussion 打球位置对高中足球运动员轻度脑震荡后记忆和听觉理解的影响
Q4 Health Professions Pub Date : 2018-12-31 DOI: 10.21849/CACD.2018.00451
Hyun-Joon Yoo, A. Salvatore
According to a Gallup poll in 2017, football is the most popular sport in United States (Retrieved from http://news.gallup.com/poll/224864/football-americans-favoritesport-watch.aspx) [1] with 37% of US adults picking football as their favorite sport. The popularity of football spans the generations including high school teenagers. According to a report by the National Federation of State High School Associations [2], football is the number 1 participatory sport for boys at the high school level and is the leading cause of injuries in high school players. Purpose: This study examined whether different playing positions of high school football players are associated with impaired memory and auditory comprehension at a sentence level after a concussion. The specific research questions are 1) whether there are significant differences in memory on the Immediate Postconcussion Assessment Cognitive Test (ImPACT) between a speed-positions group and a non-speed positions group, and 2) whether there are significant differences in auditory comprehension on Subtest VIII of the Computerized-Revised Token Test (CRTT) between the speed-positions group and the non-speed positions group.
2017年盖洛普民意调查显示,足球是美国最受欢迎的运动(来源:http://news.gallup.com/poll/224864/football-americans-favoritesport-watch.aspx), 37%的美国成年人选择足球作为他们最喜欢的运动。足球的流行跨越了几代人,包括高中生。根据全国州立高中协会联合会的一份报告,足球是高中男生参与最多的运动,也是高中球员受伤的主要原因。目的:本研究考察了高中足球运动员在不同的比赛位置是否与脑震荡后的记忆和听觉理解受损有关。具体研究问题为:1)速度位置组与非速度位置组在脑震荡后立即评估认知测试(ImPACT)上的记忆是否存在显著差异;2)速度位置组与非速度位置组在计算机化修正标记测试(CRTT)子测试VIII的听觉理解是否存在显著差异。
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引用次数: 0
期刊
Clinical Archives of Communication Disorders
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