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Adapting educational speech-language pathology services during a pandemic 在大流行病期间调整言语病理学教育服务
IF 0.3 Q4 Arts and Humanities Pub Date : 2024-01-31 DOI: 10.1558/jircd.22951
F. Westernoff
Background: Hanen Programs® have a research-based history of helping parents learn to support the oral language, social communication, and literacy development of their young children. Programs are delivered by Hanen-certified speech-language pathologists, usually in preschool speech and language centers. The global COVID-19 pandemic that began in March 2020 required school-based clinicians to adjust their professional practices to meet the needs of students during disruptive school years.Method: This clinical case study describes the two-year project launched to incorporate Hanen Programs® through telepractice, and discusses the feasibility of offering them as part of a continuum of services at the Toronto District School Board in Toronto, Ontario Canada.Results: Favorable responses from stakeholders led to the expansion of the project. Attrition rate and staff allocation were found to be problematic.Discussion/conclusion: Reasons for the high attrition rate were explored, and a response plan was developed. Additional training for interested staff members was scheduled. Ongoing monitoring is needed to determine the long-term feasibility of offering Hanen Programs® in a school board setting.
背景:哈能计划®以研究为基础,帮助家长学习支持幼儿的口语、社交沟通和读写能力发展。课程由汉能认证的言语病理学家提供,通常在学前言语和语言中心进行。2020 年 3 月开始的全球 COVID-19 大流行要求学校临床医生调整其专业实践,以满足学生在混乱学年的需求:本临床案例研究描述了加拿大安大略省多伦多市多伦多区教育局为通过远程实践纳入哈能计划®而启动的为期两年的项目,并讨论了将哈能计划®作为连续服务的一部分提供的可行性:结果:利益相关者的积极响应促成了该项目的扩展。讨论/结论:探讨了自然减员率高的原因,并制定了应对计划。计划为感兴趣的工作人员提供额外培训。需要进行持续监测,以确定在学校董事会环境中提供哈能计划®的长期可行性。
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引用次数: 0
Discourse repetition and phonetic reduction in a person with dysarthria secondary to Parkinson’s disease 帕金森病继发性构音障碍患者的话语重复和语音减弱
IF 0.3 Q4 Arts and Humanities Pub Date : 2024-01-31 DOI: 10.1558/jircd.27138
Ben Rutter, Tobias Kroll
Background: A common concern for persons with dysarthria is a difficulty in being understood. This is captured clinically using assessments of intelligibility. Any attempt to measure intelligibility must be carried out in a way that is sensitive to the phonetic variation that occurs in naturally occurring conversational speech. This article identifies examples of an interactional event known to trigger phonetic variability: discourse repetition.Method: This article is a case study of a 68-year-old male with dysarthria secondary to Parkinson’s disease. The method of analysis is interactional phonetics.Results: Examples of discourse repetition are presented with accompanying interactional and phonetic analysis. The speaker is seen to produce the same linguistic tokens with varying phonetic features. In some cases, this variation means the tokens are realized as markedly different phonetic forms.Discussion: The results highlight how variable a single speaker’s realizations of the same word can be within a single conversation. Given this, it is proposed that intelligibility is best conceptualized as a range rather than as a single, invariant score.
背景:构音障碍患者普遍关心的问题是难以被理解。临床上使用可懂度评估来捕捉这一问题。任何测量可懂度的尝试都必须对自然会话中出现的语音变化敏感。本文举例说明了已知会引发语音变异的互动事件:话语重复:本文是对一名 68 岁男性帕金森病继发性构音障碍患者的个案研究。分析方法是互动语音学:结果:本文介绍了话语重复的例子,并附有互动和语音分析。我们可以看到,说话者在发出相同的语言标记时,语音特征却各不相同。在某些情况下,这种变化意味着这些标记以明显不同的语音形式出现:讨论:研究结果凸显了在一次会话中,一个说话者对同一个词的理解会有多大的差异。有鉴于此,我们建议最好将可懂度概念化为一个范围,而不是一个单一不变的分数。
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引用次数: 0
Diagnostic accuracy of current assessment measures for developmental language disorders in bilingual children 当前双语儿童语言发育障碍评估方法的诊断准确性
IF 0.3 Q4 Arts and Humanities Pub Date : 2024-01-31 DOI: 10.1558/jircd.26978
Xueao Cao, Ruixia Yan
Background: Speech-language pathologists are facing challenges in assessing bilingual children with developmental language disorder (DLD). The study aimed to systematically review the literature for the past five years and evaluate the diagnostic accuracy of current assessment measures in the identification of DLD in bilingual children.Method: Through a keyword search from four electronic databases and a manual search of reference lists, eligible studies were identified and evaluated with respect to quality of evidence, study characteristics, and reported diagnostic accuracy.Results: The assessment measures used in the studies varied widely in format, emphasis, and origin. Most studies lacked clear descriptions of controls for potential biases, making it difficult to rate specific quality indicators and decreasing the overall quality of evidence. Diagnostic accuracy of assessment measures across studies ranged from poor to good. Mixed measures showed a higher percentage of good diagnostic accuracy compared to linguistic and nonlinguistic ones.Discussion/conclusions: Evidence supports the previous findings regarding the difficulties in developing appropriate assessment tools and advocacy for using converging evidence in assessment. Limitations in methodology discussed in the past literature still exist, which may result in inflated diagnostic accuracy and decreased validity.
背景:言语病理学家在评估患有语言发育障碍(DLD)的双语儿童时面临着挑战。本研究旨在系统回顾过去五年的文献,评估当前评估方法在识别双语儿童发育性语言障碍方面的诊断准确性:方法:通过对四个电子数据库的关键词检索和对参考文献列表的人工检索,确定了符合条件的研究,并就证据质量、研究特点和报告的诊断准确性进行了评估:研究中使用的评估方法在格式、重点和来源方面差异很大。大多数研究缺乏对潜在偏差控制的清晰描述,因此很难对具体的质量指标进行评分,并降低了证据的整体质量。各项研究中评估措施的诊断准确性从差到好不等。与语言和非语言评估方法相比,混合评估方法的诊断准确率较高:有证据支持以前的研究结果,即在开发适当的评估工具和倡导在评估中使用融合证据方面存在困难。过去文献中讨论的方法论的局限性仍然存在,这可能会导致诊断准确性的提高和有效性的降低。
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引用次数: 0
Association between the degree of autism and permissiveness of pragmatic impairments in Japanese-speaking adults with and without autism spectrum disorder 患有和未患有自闭症谱系障碍的日语成人的自闭症程度与语用障碍容许度之间的关系
IF 0.3 Q4 Arts and Humanities Pub Date : 2024-01-31 DOI: 10.1558/jircd.26745
Manabu Oi, Ryuko Mizutani, Junko Fukuda, Michio Hiratani
Twenty-seven pragmatic skills and social engagement sub-items and 7 language structure sub-items from the Communication Checklist – Adult were rated by 124 typically developing (TD) adults and 29 adults with autism spectrum disorder (ASD) on a 5-point scale. The results indicated that the higher the score of the TD adults on the Autism Spectrum Quotient (AQ), the more they evaluated pragmatic impairments as non-problematic; however, no correlation was found between their AQ score and evaluation of language impairments. In contrast, the higher the score of the adults with ASD on the AQ, the more they evaluated both pragmatic and language impairments as problematic. The relationships between AQ scores and the permissiveness of pragmatic impairments in adults are discussed.
124名发育正常(TD)的成年人和29名患有自闭症谱系障碍(ASD)的成年人对 "交流检查表--成年人 "中的27个实用技能和社会参与子项目以及7个语言结构子项目进行了5级评分。结果表明,自闭症谱系商数(AQ)得分越高的自闭症谱系障碍成人,他们对语用障碍的评价越高,认为语用障碍不是问题;但是,他们的自闭症谱系商数得分与对语言障碍的评价之间没有相关性。相反,患有 ASD 的成人在 AQ 上的得分越高,他们对语用障碍和语言障碍的评价就越有问题。本文讨论了成人语用能力测验分数与语用障碍容许度之间的关系。
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引用次数: 0
Integrating the HBM and the PEN-3 model to explain the health behavior of persons with DLD 整合健康管理和 PEN-3 模型,解释 DLD 患者的健康行为
IF 0.3 Q4 Arts and Humanities Pub Date : 2024-01-31 DOI: 10.1558/jircd.25592
I. Salako, Mofeyisara Oluwatoyin Omobowale, O. Amodu
Background: Investigating factors that dictate the health-seeking process in persons with developmental language disorders (DLDs) is critical for enhancing early intervention and effective utilization of treatment services among persons with DLDs. This study sought to understand factors that determine health seeking in persons with DLDs using the Health Belief Model (HBM) and the PEN-3 model.Methods: A qualitative study of 36 semi-structured interviews explored health-seeking behavior among stakeholders involved in the management of children with DLDs. Interviews were conducted with parents, teachers, and speech-language therapists on health behaviors and factors that dictate health behavior during intervention seeking. Data coding was done inductively, and analysis was carried out using qualitative content analysis.Results: Findings revealed that both the HBM and the PEN-3 model were well represented in the dataset, and that integration of both models contributes to a systematic understanding of health behavior in persons with DLDs.Conclusion: The study details how demographic, psychological, and sociocultural variables interact to shape the health-seeking process among persons with DLDs and the resulting impact of these interactions on the effective management of DLDs.
背景:调查决定发育性语言障碍(DLDs)患者寻求健康过程的因素对于加强早期干预和有效利用 DLDs 患者的治疗服务至关重要。本研究试图利用健康信念模型(HBM)和 PEN-3 模型了解决定发育性语言障碍患者寻求健康的因素:这项定性研究通过 36 个半结构式访谈,探讨了参与管理 DLD 儿童的利益相关者的求医行为。对家长、教师和言语治疗师进行了访谈,内容涉及寻求干预过程中的健康行为和决定健康行为的因素。数据编码采用归纳法,分析采用定性内容分析法:结果:研究结果表明,健康管理模型和 PEN-3 模型在数据集中都得到了很好的体现,将两种模型结合起来有助于系统地了解 DLDs 患者的健康行为:本研究详细阐述了人口、心理和社会文化变量是如何相互作用以形成 DLDs 患者的健康寻求过程的,以及这些相互作用对有效管理 DLDs 所产生的影响。
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引用次数: 0
Collaborative turn-construction practices of people with primary progressive aphasia and their family conversation partners 原发性进行性失语症患者及其家庭对话伙伴的合作回合建构实践
Q4 Arts and Humanities Pub Date : 2023-10-25 DOI: 10.1558/jircd.25504
Anna Volkmer, Shreeya Mistry, Daniella Thompson, Jason D. Warren, Suzanne Beeke
Background: Primary progressive aphasia describes a group of three rare language-led dementias: semantic, logopenic, and non-fluent. The small number of conversation analysis studies to date suggest that repair and turn-construction practices in primary progressive aphasia are similar to those seen in post-stroke aphasia. This study investigates the collaborative aspect of these practices between people with primary progressive aphasia and their conversation partners. Method: Conversation analysis was used to investigate collaboration in repair and turn-construction practices in 10-minute video recordings of natural conversation collected from two dyads, one with logopenic and one with mixed primary progressive aphasia. Results: This study demonstrates that people with primary progressive aphasia have a range of practices available to construct their turns, and that their conversation partners collaborate to co-construct talk. Discussion: Findings demonstrate that collaboration can support interaction or lead to further interactional trouble. Collaborative practices are important targets for speech and language therapy interventions.
背景:原发性进行性失语症描述了一组三种罕见的语言导致的痴呆:语义性、语意性和非流利性。迄今为止,少量的对话分析研究表明,原发性进行性失语症的修复和转向构建实践与卒中后失语症相似。本研究调查了原发性进行性失语症患者与其对话伙伴之间的合作方面。方法:采用对话分析的方法,对两组失语症患者10分钟的自然对话录像进行修复和转身的合作实践。结果:本研究表明原发性进行性失语症患者有一系列的练习来构建他们的回合,他们的对话伙伴合作来共同构建谈话。讨论:研究结果表明,协作可以支持交互,也可以导致进一步的交互问题。协作实践是言语和语言治疗干预的重要目标。
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引用次数: 0
Should they stay or should they go? 他们应该留下还是离开?
Q4 Arts and Humanities Pub Date : 2023-10-25 DOI: 10.1558/jircd.25505
Bracha Nir, Gonen Dori-Hacohen
Background: The study investigates how participants in the institutional interaction between caregiver-child-therapist negotiate rapport-building. This setting, which is usually taken as a dyad, is an actual triad. Method: We focus on examples taken from five speech-language therapy (SLT) openings, analyzing the resources that lead to alliances as rapport-building through the turns of talk. We connect these alliances to the configuration of the setting. Results: The analyses highlight different dyadic participant alliances within the triadic constellation: child-therapist, caregiver-therapist, therapist-child. These alliances are formed through complaints regarding the participants’ investment in the therapy. The therapists concentrate their efforts on the child, whereas the parents focus on creating rapport with the therapist. Discussion and conclusion: The balancing act of rapport-building in the therapeutic triad of SLT is complicated, since the family is not composed of equal members. Therefore, ‘ironing’ the creases of the caregiver-child-therapist into a pseudo-dyad either ignores the differences that exist between a parent and a child or does not work.
背景:本研究探讨了在照料者与儿童治疗师的机构互动中,参与者如何协商建立关系。这种设定,通常被认为是二分音,实际上是一个三和弦。方法:我们将重点放在五个言语语言治疗(SLT)开始的例子上,分析导致联盟的资源,通过谈话的回合来建立融洽关系。我们将这些联盟与环境的配置联系起来。结果:分析强调了三位一体星座中不同的二元参与者联盟:儿童治疗师,护理者-治疗师,治疗师-儿童。这些联盟是通过抱怨参与者对治疗的投入而形成的。治疗师将精力集中在孩子身上,而父母则专注于与治疗师建立融洽的关系。讨论与结论:由于家庭并非由平等的成员组成,因此在SLT治疗三合一中建立融洽关系的平衡行为是复杂的。因此,“熨平”照顾者-儿童治疗师之间的褶皱,使之成为一个伪二分体,要么忽略了父母和孩子之间存在的差异,要么不起作用。
{"title":"Should they stay or should they go?","authors":"Bracha Nir, Gonen Dori-Hacohen","doi":"10.1558/jircd.25505","DOIUrl":"https://doi.org/10.1558/jircd.25505","url":null,"abstract":"Background: The study investigates how participants in the institutional interaction between caregiver-child-therapist negotiate rapport-building. This setting, which is usually taken as a dyad, is an actual triad. Method: We focus on examples taken from five speech-language therapy (SLT) openings, analyzing the resources that lead to alliances as rapport-building through the turns of talk. We connect these alliances to the configuration of the setting. Results: The analyses highlight different dyadic participant alliances within the triadic constellation: child-therapist, caregiver-therapist, therapist-child. These alliances are formed through complaints regarding the participants’ investment in the therapy. The therapists concentrate their efforts on the child, whereas the parents focus on creating rapport with the therapist. Discussion and conclusion: The balancing act of rapport-building in the therapeutic triad of SLT is complicated, since the family is not composed of equal members. Therefore, ‘ironing’ the creases of the caregiver-child-therapist into a pseudo-dyad either ignores the differences that exist between a parent and a child or does not work.","PeriodicalId":52222,"journal":{"name":"Journal of Interactional Research in Communication Disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135169067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Facilitating participation in an online dance class for people living with dementia 促进痴呆症患者参加在线舞蹈课程
Q4 Arts and Humanities Pub Date : 2023-10-25 DOI: 10.1558/jircd.24520
An Kosurko, Ilkka Arminen
Background: Care workers practice different approaches to facilitating social participation and managing (non-)responsiveness in activities for people living with dementia. Utilizing an on-screen dance activity in a foreign language, carers in this study draw on multimodal resources and shift their footings in participation frameworks to demonstrate and reformulate expectations in pursuit of responses. Method: Data were collected as part of a test pilot for a dance program designed for people with cognitive and physical challenges. The program was remotely delivered from Canada to a private, assisted living facility in Finland during the COVID-19 pandemic. Video recordings of five consecutive weekly dance classes were transcribed and analyzed using an ethnomethodology and conversation analysis (EMCA) approach to multimodal interaction, looking at directive-response sequences. Results: Our preliminary results explore how co-present facilitators encouraged participation of a non-responsive participant through embodied directives in three ways: through demonstrations and reformulations in co-participation; through repetition and emphasis in response to non-compliance; and through a subsequent proposal of a change in the interactional frame. Discussion/conclusion: There are various recipient-designed ways in which care workers facilitate participation in on-screen arts-based programs, including how they address non-compliance.
背景:护理工作者采用不同的方法来促进痴呆症患者的社会参与和管理(非)响应性活动。在本研究中,照顾者利用屏幕上的外语舞蹈活动,利用多模式资源,改变他们在参与框架中的立足点,以展示和重新制定期望,以追求回应。方法:收集的数据是为认知和身体有挑战的人设计的舞蹈项目的测试试点的一部分。在2019冠状病毒病大流行期间,该计划从加拿大远程交付给芬兰的一家私人辅助生活设施。对连续五周的舞蹈课录像进行转录,并使用多模态交互的民族方法学和对话分析(EMCA)方法进行分析,观察指示反应序列。结果:我们的初步研究结果探讨了共同在场促进者如何通过三种方式的具体化指示来鼓励无反应参与者的参与:通过共同参与的示范和重新制定;通过重复和强调对违规行为的回应;并通过随后提出的改变互动框架的建议。讨论/结论:有各种各样的接受者设计的方式,护理人员促进参与基于屏幕的艺术节目,包括他们如何处理不合规。
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引用次数: 0
Features of answers to questions about recent events by people with mild cognitive impairment and Alzheimer’s disease, and healthy controls 轻度认知障碍和阿尔茨海默病患者以及健康对照者对近期事件的回答特征
Q4 Arts and Humanities Pub Date : 2023-10-25 DOI: 10.1558/jircd.24511
Gareth Walker, Traci Walker, Ronan O'Malley, Bahman Mirheidari, Heidi Christensen, Markus Reuber, Daniel Blackburn
Background: Asking patients who have been referred to memory clinics open questions about recent events has been shown to have diagnostic relevance. Method: We use conversation analysis to look at responses to questions about recent events. The interviewees are healthy control (HC) participants, people with mild cognitive impairment (MCI), and people with Alzheimer’s disease (AD). Results: We show differences among the groups’ use of claims of memory problems, self-directed questions, and well-prefacing. Healthy control participants produce more talk in response to all of these, while people with MCI and AD either do not, or do so in demonstrably different ways from both HC participants and each other. Discussion/conclusion: Healthy control participants are both willing and able to ‘show off’ their memory, while people with AD are willing but generally unable to do so. People with MCI, in contrast, display themselves as both unwilling and unable to engage with the agent’s questions as tests of memory.
背景:询问被转介到记忆诊所的患者有关近期事件的开放性问题已被证明具有诊断相关性。方法:我们使用对话分析来观察对最近事件问题的回答。受访者包括健康对照组(HC)参与者、轻度认知障碍(MCI)患者和阿尔茨海默病(AD)患者。结果:我们显示各组在使用记忆问题、自我导向问题和良好的前言方面的差异。健康对照组的参与者对所有这些都做出了更多的回应,而患有轻度认知障碍和AD的人要么没有,要么以明显不同于HC参与者和彼此的方式做出回应。讨论/结论:健康对照组的参与者既愿意也能够“炫耀”他们的记忆力,而AD患者愿意但通常不能这样做。相比之下,MCI患者表现出既不愿意也无法参与代理的问题作为记忆测试。
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引用次数: 0
Using conversation analysis to identify unresponsiveness in peer interactions in inclusive groups 使用对话分析来识别包容性群体中同伴互动中的不响应性
Q4 Arts and Humanities Pub Date : 2023-10-25 DOI: 10.1558/jircd.24391
Anni Kilpiä, Katja Dindar, Eija Kärnä, Hannu Räty, Anniina Kämäräinen, Calkin Suero Montero
Background: Previous research regarding unresponsiveness in peer interaction, including participants on the autism spectrum (AS), is mainly based on predefined categorizations of unresponsiveness; thus, there is a need for conversation analytic research to examine unresponsiveness from participants’ perspectives. Method: Multimodal conversation analysis (CA) was applied to examine unresponsiveness in task-focused multiparty peer interactions of an inclusive group, including one participant on the AS. Results: The results showed that it was not meaningful to analyze unresponsiveness in situations where there was no (aligning) response and all participants’ orientations revealed that a response was (not) needed. Instead, participants’ discrepant orientations to the response relevance made unresponsiveness a meaningful issue for participants to negotiate. Discussion/conclusion: The CA approach can be useful for examining unresponsiveness accurately. The combination of both the speaker and recipient(s) orientations to response relevance can be used as a conceptual tool to identify unresponsiveness when it is relevant for the participants.
背景:以往关于同伴交往中无反应性的研究主要基于对无反应性的预定义分类;因此,有必要进行会话分析研究,从参与者的角度来检查不响应。方法:应用多模态会话分析(CA)来检验一个包容性群体中以任务为中心的多方同伴互动中的无反应性,其中包括一个AS参与者。结果:结果表明,在没有(一致)反应和所有参与者的取向都显示需要(不)反应的情况下,分析无反应性是没有意义的。相反,参与者对反应相关性的不同取向使得无反应成为参与者谈判的一个有意义的问题。讨论/结论:CA方法可用于准确检查无响应性。说话者和接受者对回应相关性的取向的结合可以作为一种概念性工具,用于识别与参与者相关的无回应。
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引用次数: 0
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Journal of Interactional Research in Communication Disorders
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