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The Hearing and Talking Scale (HATS): Development and validation with young Aboriginal and Torres Strait Islander children in urban and remote settings in Australia 听力和说话量表(HATS):在澳大利亚城市和偏远地区的年轻土著和托雷斯海峡岛民儿童中的发展和验证
IF 1.4 Q2 Social Sciences Pub Date : 2020-10-01 DOI: 10.1080/14643154.2020.1830241
T. Ching, Michelle Saetre-Turner, Samantha Harkus, Louise Martin, Meagan Ward, V. Marnane, Caroline Jones, Eugenie Collyer, Chantelle Khamchuang, K. Kong
ABSTRACT Many Aboriginal and Torres Strait Islander children are affected by chronic middle ear infection or otitis media from infancy that has a negative impact on development of listening and communication skills. Deficits in these skills are often not detected until school-age when the opportunity for early intervention is lost. Primary health and early childhood workers need screening tools to assist them with detecting the problem early, but there is a scarcity of tools. This study reports the development and validation of a screening tool for detecting communication problems in young Aboriginal and Torres Strait Islander children. The tool, called the Hearing and Talking Scale (HATS), relies on a systematic use of parent observations of communication behaviours of their children in everyday situations. Developed by using a co-design approach, the HATS is culturally and linguistically appropriate for use with parents/carers of young children by front-line workers not trained in speech-language pathology. We validated the HATS by comparing the HATS score of 68 children (46 Indigenous and 22 non-Indigenous children) with their performance in standardised assessments. The accuracy of the HATS was 80% and 81% when compared to the ASQ-TRAK and the Expressive Vocabulary Test respectively. The HATS takes 5 minutes to administer, and is easy to score and interpret. It can be used as part of a standard ear and hearing health check for young children to support early detection so that those with problems can be referred for specialist diagnosis and treatment at a young age.
许多原住民和托雷斯海峡岛民儿童从婴儿期开始就患有慢性中耳感染或中耳炎,这对听力和沟通技能的发展产生了负面影响。这些技能的缺陷往往要到学龄才会被发现,这时早期干预的机会就失去了。初级卫生和幼儿工作者需要筛查工具来帮助他们及早发现问题,但工具缺乏。本研究报告了一种用于检测土著和托雷斯海峡岛民儿童沟通问题的筛选工具的开发和验证。这个工具被称为听力和谈话量表(HATS),它依赖于父母对孩子在日常情况下交流行为的系统观察。“净化海港计划”采用共同设计的方法,在文化和语言上适合没有接受过言语语言病理学培训的一线工作人员与幼儿的父母/照顾者一起使用。我们通过比较68名儿童(46名土著儿童和22名非土著儿童)的HATS得分与他们在标准化评估中的表现来验证HATS。与ASQ-TRAK和表达性词汇测验相比,HATS的正确率分别为80%和81%。HATS测试只需5分钟即可完成,并且易于评分和解释。它可以作为幼儿标准耳部和听力健康检查的一部分,以支持早期发现,以便有问题的儿童可以在年轻时进行专科诊断和治疗。
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引用次数: 3
Djaalinj Waakinj (listening talking): Rationale, cultural governance, methods, population characteristics – an urban Aboriginal birth cohort study of otitis media Djaalinj Waakinj(听、说):中耳炎的理论基础、文化治理、方法、人口特征——城市原住民出生队列研究
IF 1.4 Q2 Social Sciences Pub Date : 2020-10-01 DOI: 10.1080/14643154.2020.1826101
Valerie M Swift, June Doyle, Holly J Richmond, Natasha R Morrison, S. Weeks, P. Richmond, C. Brennan-Jones, D. Lehmann, Djaalinj Waakinj Team
ABSTRACT The majority of Australian Aboriginal and Torres Strait Islander (hereafter referred to as “Aboriginal”) people live in urban centres. Otitis media (OM) occurs at a younger age, prevalence is higher and hearing loss and other serious complications are more common in Aboriginal than non-Aboriginal children. Despite this, data on the burden of OM and hearing loss in urban Aboriginal children are limited. This project was initiated following a request from urban Aboriginal people who felt the focus on more remote communities often meant urban communities were forgotten. This paper describes the development of an urban Aboriginal birth cohort study of OM that is culturally secure, outlines the process of community consultation and establishment of an Aboriginal Community Advisory Group to provide cultural governance, and presents preliminary results. Djaalinj Waakinj is an ongoing study being conducted in Perth, Western Australia, on Noongar Boodja (country). Aboriginal researchers visit people’s homes to collect sociodemographic and environmental data at enrolment of babies aged <3 months; otoscopy and tympanometry are conducted by an Aboriginal research assistant or a nurse at ages 2–4, 6–8 and 12–18 months, and full audiological assessment conducted at 9–12 months. To date, 125 participants have been enrolled; 39% of 71 children aged 2–4 months and 52% of 44 children aged 6–8 months had evidence of OM. To our knowledge, this is the first prospective cohort study aiming to determine the prevalence and risk factors associated with OM in Aboriginal infants residing in an urban area.
大多数澳大利亚原住民和托雷斯海峡岛民(以下简称“原住民”)居住在城市中心。中耳炎(OM)发生在较年轻的年龄,患病率较高,听力损失和其他严重并发症在土著儿童中比非土著儿童更常见。尽管如此,关于城市土著儿童OM负担和听力损失的数据有限。该项目是应城市土著居民的要求而发起的,他们认为关注更偏远的社区往往意味着城市社区被遗忘。本文描述了一项文化安全的城市土著出生队列研究的发展,概述了社区咨询和建立土著社区咨询小组以提供文化治理的过程,并提出了初步结果。Djaalinj Waakinj是一项正在西澳大利亚珀斯进行的关于Noongar Boodja(国家)的研究。土著研究人员在3个月以下的婴儿入学时访问人们的家,收集社会人口和环境数据;在2-4个月、6-8个月和12-18个月时由土著研究助理或护士进行耳镜检查和鼓室测量,并在9-12个月时进行全面的听力学评估。迄今为止,已有125名参与者被招募;71例2-4月龄儿童中39%和44例6-8月龄儿童中52%有OM的证据。据我们所知,这是第一个前瞻性队列研究,旨在确定居住在城市地区的土著婴儿OM的患病率和风险因素。
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引用次数: 10
Hear our Heart Ear Bus Project: Supporting families of Australian Indigenous and non-Indigenous children with Otitis Media 倾听我们的心耳朵巴士项目:支持患有中耳炎的澳大利亚土著和非土著儿童的家庭
IF 1.4 Q2 Social Sciences Pub Date : 2020-10-01 DOI: 10.1080/14643154.2020.1827764
D. Rees, Rachel Mills, L. Paatsch
ABSTRACT Otitis Media (OM) is an important global issue that can have a long-lasting impact on a child’s life. There is no easy fix! For a family who has a child with OM, the ramifications can be short term and have minimal consequences, or they can be very complex and involve medical, educational, behavioural and wellbeing issues, and may even be life-threatening. Navigating diagnosis and then the combinations of interventions in all areas is just the start of a very daunting journey. As a preventable disease, we have the opportunity to make a difference. This paper presents the development and implementation of the Hear our Heart Ear Bus Project (HoHEBP) within a regional city in western New South Wales (NSW), Australia. The HoHEBP supports families of Australian Indigenous and non-Indigenous children with OM through a transdisciplinary approach incorporating health and education, in partnership with families and communities to ensure the best possible outcomes for children and young people. We present how the HoHEBP provides a unique vehicle for change in the way we approach OM as a transdisciplinary team. Longitudinal data from 2014 to 2019 shows that numbers of children and young people being tested and diagnosed with OM, and referred to medical and educational specialists through the HoHEBP have increased, with over one third identifying as Indigenous (in this paper Indigenous is used respectfully to refer to Australian Aboriginal and Torres Strait Islander peoples).
中耳炎(OM)是一个重要的全球性问题,可能对儿童的生活产生长期影响。没有简单的解决办法!对于一个有OM患儿的家庭来说,其后果可能是短期的,影响很小,也可能非常复杂,涉及医疗、教育、行为和健康问题,甚至可能危及生命。引导诊断,然后在所有领域结合干预措施,这只是一个非常艰巨的旅程的开始。作为一种可预防的疾病,我们有机会做出改变。本文介绍了澳大利亚新南威尔士州西部一个区域城市“倾听我们的心声”巴士项目(HoHEBP)的发展和实施情况。该方案与家庭和社区合作,通过结合保健和教育的跨学科方法,为患有OM的澳大利亚土著和非土著儿童的家庭提供支持,以确保儿童和年轻人获得尽可能好的结果。我们将介绍HoHEBP如何为我们作为一个跨学科团队处理OM的方式提供独特的变革工具。2014年至2019年的纵向数据显示,接受OM检测和诊断并通过HoHEBP向医疗和教育专家咨询的儿童和年轻人数量有所增加,其中超过三分之一的人被认定为土著人(在本文中,土著人被尊称为澳大利亚土著人和托雷斯海峡岛民)。
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引用次数: 3
Indigenous people and ear disease 土著人与耳部疾病
IF 1.4 Q2 Social Sciences Pub Date : 2020-10-01 DOI: 10.1080/14643154.2020.1827536
K. Kong
I’m an ear-nose-throat (ENT) surgeon or an otorhinolaryngologist. I practise in both paediatric and adult ENT issues. Most importantly, I am a very proud Worimi man; Worimi country is about two hou...
我是耳鼻喉科医生或耳鼻喉科医生。我在儿科和成人耳鼻喉科执业。最重要的是,我是一个非常自豪的沃米人;Worimi国家大约是两个星期……
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引用次数: 0
The Parents’ evaluation of Listening and Understanding Measure (PLUM): Development and normative data on Aboriginal and Torres Strait Islander children below 6 years of age 6岁以下原住民和托雷斯海峡岛民儿童家长听力理解评价量表的发展与规范数据
IF 1.4 Q2 Social Sciences Pub Date : 2020-09-25 DOI: 10.1080/14643154.2020.1823609
Teresa Y. C. Ching, Sanna Hou, Mark Seeto, Samantha Harkus, Meagan Ward, Vivienne Marnane, Kelvin Kong
ABSTRACT Ear infection or otitis media (OM) occurs in many Aboriginal and Torres Strait Islander children at a young age and tends to persist over a long period of time. Chronic OM is associated with conductive hearing loss that reduces a child’s access to sounds. This can have a negative impact on development of listening and communication skills. Primary health and early childhood workers are best positioned to detect children with hearing and listening problems. However, they lack appropriate tools to screen and triage young children for early referral. By using a co-design approach with Aboriginal primary health workers and early childhood teachers, we have developed the Parents’ Evaluation of Listening and Understanding Measure (PLUM) listening skills questionnaire. The PLUM provides a systematic framework for front-line workers to explore a parent’s observations of their child’s listening behaviour in everyday situations to detect hearing and listening problems in young Aboriginal children. This paper reports the development of the scale. PLUM scores for 438 children from urban, regional and remote communities in Australia were collected. The internal consistency reliability was 0.87. Normative data from 235 children with normal hearing (hearing thresholds averaged between 0.5 and 4 kHz in the better ear to be no greater than 20 dB HL) were used to define the relationship between PLUM scores and age. The functions allow performance of individual children to be related to their normal-hearing peers.
耳部感染或中耳炎(OM)发生在许多土著和托雷斯海峡岛民儿童中,并且往往持续很长一段时间。慢性OM与传导性听力损失有关,会减少儿童接触声音的机会。这可能会对倾听和沟通技巧的发展产生负面影响。初级卫生和幼儿工作人员最有能力发现有听力和听力问题的儿童。然而,他们缺乏适当的工具来筛查和分类幼儿,以便及早转诊。通过与土著初级卫生工作者和幼儿教师共同设计方法,我们开发了家长听力和理解评估量表(PLUM)听力技能问卷。土著儿童听力研究为一线工作者提供了一个系统的框架,以探索父母在日常情况下对孩子听力行为的观察,以发现土著儿童的听力和听力问题。本文报道了该量表的研制过程。收集了来自澳大利亚城市、地区和偏远社区的438名儿童的PLUM分数。内部一致性信度为0.87。使用235名听力正常儿童的标准数据(较好耳的听力阈值平均在0.5 - 4 kHz之间,不大于20 dB HL)来定义PLUM评分与年龄之间的关系。这些功能使个别儿童的表现与他们听力正常的同龄人相联系。
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引用次数: 7
“I was isolated and this was difficult”: Investigating the communication barriers to inclusive further/higher education for deaf Scottish students “我被孤立了,这很困难”:调查聋哑苏格兰学生包容性继续/高等教育的沟通障碍
IF 1.4 Q2 Social Sciences Pub Date : 2020-09-08 DOI: 10.1080/14643154.2020.1818044
G. Hendry, A. Hendry, Henri Ige, N. McGrath
ABSTRACT Deaf students are no less likely than their hearing counterparts to obtain good grades and pass courses in higher education. Despite this, under half the number of deaf pupils, compared to hearing pupils, go straight from school to university, and when there, face an array of challenges that hinder their HE experience [Sachs, D. (2011). Inclusion of students with disabilities in higher education: Performance and participation in student’s experiences. Disability Studies Quarterly, 31(2). https://doi.org/10.18061/dsq.v31i2]. The project reported on explored deaf students’ experiences of Further and Higher (FE/HE) education, with the aim of identifying the communication barriers to inclusivity being faced by deaf students. Sixteen interviews (face to face using British Sign Language or written responses over email) with current and former Scottish deaf students were conducted then analysed using thematic analysis, revealing themes of (1) A lack of deaf awareness, (2) The English language, and (3) Access to interpreters, as barriers to inclusive FE/HE for deaf students. The findings demonstrate specific ways in which deaf students are being excluded in and outside the classroom in FE/HE. It is crucial that FE/HE institutions are aware of these, and are prepared to support their deaf students more effectively.
聋人学生在高等教育中取得好成绩和通过课程的可能性并不低于听力正常的学生。尽管如此,与听力正常的学生相比,不到一半的失聪学生直接从学校进入大学,在那里,他们面临着一系列阻碍他们高等教育经历的挑战[Sachs, D.(2011)]。高等教育中残疾学生的包容:学生经历的表现和参与。残疾研究季刊,31(2)。https://doi.org/10.18061/dsq.v31i2]。该项目报告了聋哑学生接受高等教育(FE/HE)的经历,目的是找出聋哑学生在包容性方面面临的沟通障碍。对现在和以前的苏格兰聋哑学生进行了16次访谈(使用英国手语面对面或通过电子邮件进行书面回复),然后使用主题分析进行了分析,揭示了(1)缺乏聋人意识,(2)英语语言,(3)获得口译员的主题,作为聋哑学生包容性文化教育/高等教育的障碍。研究结果表明,聋哑学生在FE/HE课堂内外被排斥的具体方式。高等教育机构意识到这一点,并准备好更有效地支持他们的聋哑学生,这一点至关重要。
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引用次数: 3
A Model of Targeted Transition Planning for Adolescents who are Deaf or Hard of Hearing 失聪或听障青少年针对性过渡规划模型
IF 1.4 Q2 Social Sciences Pub Date : 2020-09-07 DOI: 10.1080/14643154.2020.1816595
Renée Punch, Jill Duncan
ABSTRACT Transition from secondary school to postschool life, education, and employment can be difficult for young people who are deaf or hard of hearing (DHH). This population’s postschool outcomes, particularly in employment, continue to lag behind those of the general population. The transition education, planning, and practices that these students experience while at secondary school are important to their achievement of optimal postschool outcomes. This paper reviews recent literature relating to the postschool transition of young people who are DHH, including studies that have investigated specific transition practices and student characteristics and their associations with positive postschool outcomes. Taking into consideration evidence-based best practices for students with disability in general and students who are DHH in particular, the authors propose a model of targeted transition planning and practice for adolescents who are DHH.
从中学到毕业后的生活、教育和就业的过渡对失聪或听力障碍(DHH)的年轻人来说是很困难的。这些人的毕业后成绩,特别是在就业方面,继续落后于普通人群。这些学生在中学期间所经历的过渡教育、规划和实践对他们获得最佳的毕业后成果非常重要。本文回顾了最近有关DHH年轻人的毕业后过渡的文献,包括研究了具体的过渡实践和学生特征及其与积极的毕业后结果的关联。考虑到一般残疾学生,特别是DHH学生的循证最佳实践,作者提出了一个针对DHH青少年的有针对性的过渡计划和实践模型。
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引用次数: 6
Research in deaf education: Contexts, challenges, and considerations 聋人教育研究:背景、挑战与思考
IF 1.4 Q2 Social Sciences Pub Date : 2020-09-04 DOI: 10.1080/14643154.2020.1816596
William Choi
This book is a valuable teaching tool for beginning researchers. Through the lenses of 28 distinguished researchers in the US, the book starts with a general overview of deaf educational research, followed by speci fi c research designs, and concludes with some general advice for researchers.
这本书是一个有价值的教学工具,为初学者的研究。本书通过美国28位杰出研究人员的镜头,首先概述了聋人教育研究的总体概况,然后是具体的研究设计,最后为研究人员提供了一些一般性建议。
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引用次数: 0
The effectiveness of using multi-sensory children’s stories on vocabulary development in young deaf and hard-of-hearing children 多感官儿童故事对失聪和听障儿童词汇发展的影响
IF 1.4 Q2 Social Sciences Pub Date : 2020-08-21 DOI: 10.1080/14643154.2020.1808275
S. Hettiarachchi, M. Ranaweera, H. M. Lalani N. Disanayake
ABSTRACT Young deaf and hard-of-hearing children enrolling in school in Sri Lanka often display language delay due to limited amplification and limited language stimulation. The scarcity of speech and language therapy support within the educational context at present necessitates a rethink of service-delivery models to reach more children. Multi-sensory stimuli and traditional children’s stories have been used in speech and language therapy to promote vocabulary development in children experiencing language-learning difficulties. Fifteen deaf or hard-of-hearing children from three different educational contexts were offered a three week “Katha malu” multi-sensory children’s story programme through the class teacher. The programme focused on developing receptive and expressive vocabulary of a set of 30 target words. The programme was offered using a combination of Sri Lankan Sign Language and Spoken Sinhala. The participants' receptive and expressive vocabulary knowledge on the target words was assessed using a specially devised picture-based vocabulary assessment pre- and post-intervention. The results show positive gains at both group and individual levels on receptive and expressive vocabulary skills. There was a positive effect of familiarity with the story with the overall vocabulary gains more prominent for the older, more traditional story. The findings of this study highlight the possibility of offering access to language stimulation programmes at classroom-level facilitated by the class teacher, under the guidance of a speech and language therapist.
在斯里兰卡上学的年轻聋哑和听力障碍儿童经常由于有限的放大和有限的语言刺激而表现出语言延迟。目前在教育背景下缺乏言语和语言治疗支持,需要重新考虑服务提供模式,以惠及更多的儿童。多感官刺激和传统儿童故事在语言治疗中被用来促进语言学习困难儿童的词汇发展。十五名来自三种不同教育背景的失聪或听障儿童通过班主任参加了为期三周的“Katha malu”多感官儿童故事课程。该课程的重点是培养30个目标词汇的接受和表达能力。该课程使用斯里兰卡手语和僧伽罗语口语相结合的方式提供。在干预前和干预后,使用专门设计的基于图片的词汇评估来评估参与者对目标单词的接受性和表达性词汇知识。结果显示,在小组和个人层面上,接受和表达词汇技能都有积极的收获。对故事的熟悉程度对整体词汇量的增加有积极的影响,在更古老、更传统的故事中表现得更为明显。这项研究的结果强调了在言语和语言治疗师的指导下,由班主任在课堂上提供语言刺激计划的可能性。
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引用次数: 3
Co-Enrollment in Deaf Education 聋人教育的联合招生
IF 1.4 Q2 Social Sciences Pub Date : 2020-08-05 DOI: 10.1080/14643154.2020.1804710
K. Snoddon
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引用次数: 0
期刊
Deafness & Education International
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