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Directions in Addressing the Language and Literacy Needs of Children Across the Bilingual Continuum 在双语连续体中解决儿童语言和识字需求的方向
IF 1.4 4区 医学 Q1 Arts and Humanities Pub Date : 2021-10-01 DOI: 10.1097/tld.0000000000000267
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引用次数: 0
Intervention for English Learners With Developmental Language Disorder 发展性语言障碍英语学习者的干预
IF 1.4 4区 医学 Q1 Arts and Humanities Pub Date : 2021-10-01 DOI: 10.1097/tld.0000000000000262
Celeste A. Roseberry-McKibbin
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引用次数: 0
Personalized AAC Intervention to Increase Participation and Communication for a Young Adult With Down Syndrome 个性化的AAC干预增加唐氏综合症青年的参与和交流
IF 1.4 4区 医学 Q1 Arts and Humanities Pub Date : 2021-07-01 DOI: 10.1097/TLD.0000000000000240
Salena Babb, Sojung Jung, Ciara L. Ousley, David Mcnaughton, J. Light
Many adults with Down syndrome (DS) experience difficulty with speech production, and intelligibility challenges and communication breakdowns are common. Augmentative and alternative communication (AAC) intervention can provide important supports for persons with these complex communication needs but must be customized to address the goals, strengths, and needs of the individual. This article provides a description of a personalized AAC intervention for a young adult with DS whose speech was frequently unintelligible. The AAC intervention made use of a video visual scene display (VSD) approach and was investigated in 2 separate studies in 2 key community settings: An inclusive post–secondary education program (a single-case reversal ABAB design), and a community shopping activity (a nonexperimental AB case study design). The participant demonstrated sharp increases in successful communication and participation in both settings following the introduction of the video VSD, and both the participant and the key stakeholders viewed the intervention positively. The results provide preliminary evidence that personalized AAC intervention, including the use of a video VSD approach, can provide important supports for communication and participation in community settings for adults with DS and complex communication needs.
许多患有唐氏综合症(DS)的成年人在语言产生方面有困难,并且通常存在可理解性挑战和沟通障碍。辅助和替代沟通(AAC)干预可以为有这些复杂沟通需求的人提供重要的支持,但必须根据个人的目标、优势和需求进行定制。这篇文章提供了一个个性化的AAC干预的描述为年轻成人的退行性障碍,其言语经常难以理解。AAC干预使用视频视觉场景显示(VSD)方法,并在两个关键社区环境中进行了两项独立研究:包容性高等教育计划(单案例逆转ABAB设计)和社区购物活动(非实验性AB案例研究设计)。在引入视频VSD后,参与者在两种环境下的成功沟通和参与方面都表现出了显著的增加,参与者和主要利益相关者都对干预措施持积极态度。结果提供了初步证据,表明个性化的AAC干预,包括使用视频VSD方法,可以为具有复杂沟通需求的DS成人在社区环境中的沟通和参与提供重要支持。
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引用次数: 3
Personalization of Language Intervention for Children and Adults With Complex Communication Needs 有复杂沟通需要的儿童和成人的个性化语言干预
IF 1.4 4区 医学 Q1 Arts and Humanities Pub Date : 2021-07-01 DOI: 10.1097/tld.0000000000000257
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引用次数: 0
Personalization of Patient–Provider Communication Across the Life Span 贯穿生命周期的医患沟通个性化
IF 1.4 4区 医学 Q1 Arts and Humanities Pub Date : 2021-07-01 DOI: 10.1097/TLD.0000000000000255
J. Gormley, S. Fager
People with disabilities are more likely to be hospitalized and use health care services than people without disabilities. They also report negative experiences interacting with health care providers during these encounters, placing them at risk for preventable adverse medical events, poor quality of life, and dependence on others. Fortunately, providers and people with communication disabilities can take steps to improve these interactions by personalizing and implementing communication supports to empower people with communication disabilities to actively participate in these interactions and improve outcomes. The purpose of this article is to describe strategies that health care providers can use to develop and implement personalized communication supports for children and adults with communication disorders during health care interactions. Additional strategies are provided to guide people with disabilities as well as their community/school providers and families to prepare for health care interactions. Case examples are provided to illustrate use of these strategies in acute care, inpatient rehabilitation, and outpatient settings. The use of emerging training tools (e.g., video visual scene displays) and augmentative or alternative communication partner training formats (e.g., just-in-time training) are also presented as future directions to expedite learning and implementation of communication supports in fast-paced and time-limited health care interactions.
残疾人比非残疾人更有可能住院并使用医疗保健服务。他们还报告了在这些遭遇中与医疗保健提供者互动的负面经历,使他们面临可预防的不良医疗事件、生活质量差和依赖他人的风险。幸运的是,提供者和沟通障碍者可以采取措施,通过个性化和实施沟通支持来改善这些互动,使沟通障碍者能够积极参与这些互动并改善结果。本文的目的是描述医疗保健提供者在医疗保健互动过程中为患有沟通障碍的儿童和成人开发和实施个性化沟通支持的策略。提供了额外的战略,以指导残疾人及其社区/学校提供者和家庭为医疗保健互动做好准备。提供了一些案例来说明这些策略在急性护理、住院康复和门诊环境中的使用。使用新兴的培训工具(如视频视觉场景显示)和增强或替代的沟通伙伴培训形式(如即时培训)也被视为未来的方向,以加快在快节奏和限时的医疗保健互动中学习和实施沟通支持。
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引用次数: 4
Personalization of Visual Scene Displays 视觉场景显示的个性化
IF 1.4 4区 医学 Q1 Arts and Humanities Pub Date : 2021-07-01 DOI: 10.1097/TLD.0000000000000256
D. Beukelman, Amber Thiessen, S. Fager
Visual scene displays (VSDs) are becoming an increasingly popular method of message representation within augmentative and alternative communication (AAC) supports; however, design factors can influence the effectiveness of these images as communication supports. One issue that has come to light in recent years is the fact that selecting personalized VSDs, which depict the person with complex communication needs or an individual with whom they are familiar, is preferred over generic VSDs, which depict unfamiliar individuals. Although personalization is likely an important factor in the usability of VSDs, these images may be difficult for clinicians to obtain. As such, compromises must be identified. The purpose of this study was to explore the effects of controlling personal relevance factors (i.e., age and gender of the people depicted in generic VSDs) on the image preference patterns of adults with and without aphasia. Results from three very preliminary study summaries indicate that gender and age are both mitigating factors in image preference, as males tended to indicate preference for VSDs containing males over those containing females. In addition, females tended to indicate preference for females of a similar age depicted in VSDs.
视觉场景显示(VSD)正成为增强和替代通信(AAC)支持中越来越流行的消息表示方法;然而,设计因素会影响这些图像作为通信支持的有效性。近年来出现的一个问题是,选择个性化VSD(描述有复杂沟通需求的人或他们熟悉的个人)比选择描述不熟悉的个人的通用VSD更受欢迎。尽管个性化可能是VSD可用性的一个重要因素,但临床医生可能很难获得这些图像。因此,必须确定妥协。本研究的目的是探讨控制个人相关因素(即普通VSD患者的年龄和性别)对失语症和非失语症成年人的图像偏好模式的影响。三份非常初步的研究摘要的结果表明,性别和年龄都是图像偏好的缓解因素,因为男性倾向于表示更喜欢含有男性的VSD,而不是含有女性的VSD。此外,女性倾向于表示更喜欢VSD中描述的年龄相似的女性。
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引用次数: 2
Personalized Early AAC Intervention to Build Language and Literacy Skills 建立语言和读写能力的个性化早期AAC干预
IF 1.4 4区 医学 Q1 Arts and Humanities Pub Date : 2021-07-01 DOI: 10.1097/TLD.0000000000000254
J. Light, Allison Barwise, Ann Marie Gardner, M. Flynn
Personalized augmentative and alternative communication (AAC) intervention refers to an approach in which intervention is tailored to the individual's needs and skills, the needs and priorities of the individual's family and other social environments, the evidence base, and the individual's response to intervention. This approach is especially relevant to AAC intervention for young children with complex communication needs given their unique constellations of strengths and challenges, and the qualitative and quantitative changes that they experience over time as they develop, as well as the diversity of their families, schools, and communities. This article provides detailed documentation of personalized AAC intervention over a 6-month period for a 3-year-old girl with developmental delay and complex communication needs. The article describes (1) personalization of multimodal AAC supports to provide this child with the tools to communicate; (2) personalized intervention to build semantic and morphosyntactic skills; and (3) personalized instruction in literacy skills (i.e., letter sound correspondences, sound blending, decoding, sight word recognition, reading simple stories, reading comprehension, and encoding skills). Specific goals, instructional materials, and procedures are described; data on speech, language, and literacy outcomes are presented.
个性化增强和替代沟通(AAC)干预是指一种根据个人的需求和技能、个人家庭和其他社会环境的需求和优先事项、证据基础以及个人对干预的反应进行干预的方法。鉴于幼儿独特的优势和挑战,以及他们在成长过程中经历的质和量的变化,以及他们的家庭、学校和社区的多样性,这种方法与AAC对有复杂沟通需求的幼儿的干预尤其相关。本文为一名发育迟缓和复杂沟通需求的3岁女孩提供了为期6个月的个性化AAC干预的详细文件。文章描述了(1)个性化的多模式AAC支持,为这个孩子提供交流的工具;(2) 个性化干预,建立语义和形态句法技能;以及(3)识字技能的个性化教学(即字母-声音对应、声音混合、解码、视觉单词识别、阅读简单故事、阅读理解和编码技能)。描述了具体目标、教学材料和程序;提供了有关言语、语言和识字结果的数据。
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引用次数: 6
Personalization of Restorative and Compensatory Treatments for People With Aphasia 失语症患者康复和补偿治疗的个性化
IF 1.4 4区 医学 Q1 Arts and Humanities Pub Date : 2021-07-01 DOI: 10.1097/TLD.0000000000000253
Amber Thiessen, Jessica A. Brown
Speech–language pathologists serving individuals with aphasia must make many decisions regarding assessment and intervention practices to support comprehension and expression of language. Each of these decisions can influence the effectiveness of therapy and long-term functional outcomes for individuals with aphasia. One factor that must be considered is the impact of personalizing therapy techniques to match the unique strengths and challenges of a client as well as incorporating personally relevant stimuli and methodologies into therapy. Research indicates that treatment customization can have a positive impact on service provision quality and can potentially lead to positive outcomes in therapy. The purpose of this article is to provide a broad overview of how personalization can be achieved across a variety of interventions. Furthermore, we explore factors (e.g., client motivation, cognitive resources) that influence therapeutic outcomes and discuss the benefits, challenges, and rationale for therapy customization.
为失语症患者服务的言语病理学家必须就评估和干预实践做出许多决定,以支持语言的理解和表达。这些决定中的每一个都会影响失语症患者的治疗效果和长期功能结果。必须考虑的一个因素是个性化治疗技术的影响,以匹配客户的独特优势和挑战,以及将与个人相关的刺激和方法纳入治疗。研究表明,治疗定制可以对服务提供质量产生积极影响,并可能导致治疗的积极结果。本文的目的是对如何在各种干预措施中实现个性化进行广泛概述。此外,我们探讨了影响治疗结果的因素(如客户动机、认知资源),并讨论了定制治疗的好处、挑战和理由。
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引用次数: 3
Navajo 纳瓦霍人
IF 1.4 4区 医学 Q1 Arts and Humanities Pub Date : 2021-04-01 DOI: 10.1097/TLD.0000000000000248
Davis E. Henderson
Standardized norm-referenced language assessments are used to identify developmental language disorder (DLD) in bicultural Navajo children. However, these assessments do not include normative data for Navajo children, the majority of whom are exposed to both Navajo and English, and consequently the assessments may not reflect their true language abilities. The purpose of this clinical tutorial is to provide background and alternative assessment information to help practitioners accurately identify Navajo children with and without DLD. In particular, the use of dynamic assessment, a test–teach–retest method, has shown promising results in differentiating Navajo children with and without DLD.
标准化的规范参考语言评估用于识别发展语言障碍(DLD)在双文化纳瓦霍儿童。然而,这些评估不包括纳瓦霍儿童的标准数据,他们中的大多数人同时接触纳瓦霍语和英语,因此评估可能无法反映他们的真实语言能力。本临床教程的目的是提供背景和替代评估信息,以帮助从业者准确地识别纳瓦霍儿童与无DLD。特别是,动态评估的使用,一种测试-教学-再测试的方法,在区分患有和没有DLD的纳瓦霍儿童方面显示出有希望的结果。
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引用次数: 1
Culturally Responsive Language and Literacy Instruction With Native American Children 美国原住民儿童的文化反应性语言和识字教学
IF 1.4 4区 医学 Q1 Arts and Humanities Pub Date : 2021-04-01 DOI: 10.1097/TLD.0000000000000249
M. Gillispie
Many American Indian education leaders advocate for the need to combine evidence-based reading instruction with cultural-based educational practices. In the broader education literature, education philosophers propose analogous models such as culturally responsive teaching to meet the educational realities of diverse students. Culturally Responsive Early Literacy Instruction (CRELI) was a project funded by the U.S. Office of Special Education Programs to train graduate scholars in speech–language pathology to work with American Indian/Alaska Native communities. The grant scholars and staff of CRELI worked with two early childhood education centers for American Indian preschoolers and developed curriculum units that featured culturally relevant storybooks as thematic centerpieces and activities to facilitate early language and literacy development. This clinical tutorial summarizes this work, broader components of culturally responsive teaching, and attributes of language-focused literacy curriculum and differentiated instruction, followed by a sample curriculum unit to demonstrate application of culturally responsive teaching concepts.
许多美国印第安人教育领袖提倡将基于证据的阅读教学与基于文化的教育实践相结合。在更广泛的教育文献中,教育哲学家提出了类似的模式,如文化响应式教学,以满足不同学生的教育现实。文化反应性早期读写指导(CRELI)是由美国特殊教育项目办公室资助的一个项目,目的是培训语言病理学方面的研究生,以便与美国印第安人/阿拉斯加土著社区合作。CRELI的资助学者和工作人员与两个美国印第安学龄前儿童早期教育中心合作,开发了课程单元,将与文化相关的故事书作为主题中心和活动,以促进早期语言和读写能力的发展。本临床教程总结了这项工作,文化响应教学的更广泛组成部分,以及以语言为中心的扫盲课程和差异化教学的属性,随后是一个示例课程单元,以演示文化响应教学概念的应用。
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引用次数: 4
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Topics in Language Disorders
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