Voices from the field: exploring service providers' insights into service delivery and AAC use in Canada.

IF 2.1 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Stephanie Lackey, Seamus Burnham, Glenda Watson Hyatt, Tracy Shepherd, Shane Pinder, T Claire Davies, Beata Batorowicz
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引用次数: 0

Abstract

Use of augmentative and alternative communication (AAC) often relies on the involvement of AAC service providers; however little is known about how AAC services are delivered across Canada. This study aimed to explore AAC service provision and factors influencing use of AAC from the perspectives of service providers across Canada who are involved in providing and/or supporting use of AAC systems. The 22 participants from nine (of the 10) provinces participated in online focus groups. Participants were speech-language pathologists, occupational therapists, communicative disorders assistants, and a teacher. Transcripts of the audio recordings were analyzed using reflexive thematic analysis. Four themes were generated that reflect service-related factors contributing to the use of AAC in Canada: Support of Organizational Structures, Concordant Relationships and Goals, Making the Right Decisions, and Influence of Knowledge and Attitudes. These themes highlight how government systems, key stakeholders, assessment practices, and knowledge of AAC influence service provision and use of AAC. Voices from across Canada highlighted shared experiences of services providers as well as revealed variability in service delivery processes. The findings bring to attention a need for further research and development of service provision guidelines to support consistency, quality in practice, and equity in AAC services.

来自现场的声音:探索加拿大服务提供者对服务提供和 AAC 使用的见解。
辅助和替代性交流(AAC)的使用通常依赖于辅助和替代性交流服务提供者的参与;然而,人们对加拿大各地如何提供辅助和替代性交流服务知之甚少。本研究旨在从加拿大各地参与提供和/或支持使用辅助和替代性交流系统的服务提供者的角度,探讨辅助和替代性交流服务的提供情况以及影响使用辅助和替代性交流的因素。来自 10 个省中 9 个省的 22 名参与者参加了在线焦点小组。参与者包括言语病理学家、职业治疗师、交流障碍助理和一名教师。我们采用反思性主题分析法对录音誊本进行了分析。分析得出了四个主题,它们反映了有助于在加拿大使用人工辅助器具的服务相关因素:组织结构的支持、一致的关系和目标、做出正确的决定以及知识和态度的影响。这些主题强调了政府系统、主要利益相关者、评估实践以及对人工辅助器具的了解如何影响服务的提供和人工辅助器具的使用。来自加拿大各地的声音强调了服务提供者的共同经验,同时也揭示了服务提供过程中的差异。研究结果提请人们注意,有必要进一步研究和制定服务提供指南,以支持人工辅助器具服务的一致性、实践质量和公平性。
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来源期刊
Augmentative and Alternative Communication
Augmentative and Alternative Communication AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
2.80
自引率
15.00%
发文量
25
审稿时长
>12 weeks
期刊介绍: As the official journal of the International Society for Augmentative and Alternative Communication (ISAAC), Augmentative and Alternative Communication (AAC) publishes scientific articles related to the field of augmentative and alternative communication (AAC) that report research concerning assessment, treatment, rehabilitation, and education of people who use or have the potential to use AAC systems; or that discuss theory, technology, and systems development relevant to AAC. The broad range of topic included in the Journal reflects the development of this field internationally. Manuscripts submitted to AAC should fall within one of the following categories, AND MUST COMPLY with associated page maximums listed on page 3 of the Manuscript Preparation Guide. Research articles (full peer review), These manuscripts report the results of original empirical research, including studies using qualitative and quantitative methodologies, with both group and single-case experimental research designs (e.g, Binger et al., 2008; Petroi et al., 2014). Technical, research, and intervention notes (full peer review): These are brief manuscripts that address methodological, statistical, technical, or clinical issues or innovations that are of relevance to the AAC community and are designed to bring the research community’s attention to areas that have been minimally or poorly researched in the past (e.g., research note: Thunberg et al., 2016; intervention notes: Laubscher et al., 2019).
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