The usability of an AAC pain description system for patients with acquired expressive communication disorders.

IF 2.1 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Chen-Li Kuo, Tsai-Hsuan Tsai, Shen-Mei Tung, Yueh-E Lin
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Abstract

Augmentative and alternative communication (AAC) has been used by patients with acquired expressive communication disorders as an alternative to natural speech. The use of symbols to express pain, which is intangible, is challenging because designing a series of comprehensible symbols to represent personal experiences such as pain is not straightforward. This study describes (a) the development of symbols to express pain that were derived from Chinese pain-related similes and metaphors for an AAC mobile application developed specifically for this study known as PainDiary and (b) an assessment of the appropriateness of the app compared to conventional methods of collecting pain information. The symbols depicted headache pain and discomfort, which is prevalent among neurosurgical patients. The participants were 31 patients diagnosed with acquired expressive communication disorders who were receiving treatment in a neurosurgery general ward of Chang Gung Memorial Hospital in Taiwan and 14 nurses who worked on the ward. Pain information was collected by nurses using conventional methods and the PainDiary app. Assessment data, including the accuracy and efficiency of and user satisfaction with PainDiary, are compared. The results show that use of the app was effective in reporting pain and that patients required less time to report a pain event. The results further indicate that the PainDiary app was better received by younger individuals than by their older counterparts.

获得性表达性沟通障碍患者的AAC疼痛描述系统的可用性。
增强和替代通信(AAC)已被获得性表达性通信障碍患者用作自然语音的替代品。使用符号来表达无形的痛苦是具有挑战性的,因为设计一系列可理解的符号来表达痛苦等个人经历并不简单。这项研究描述了(a)从中国疼痛相关的明喻和隐喻中为AAC移动应用程序PainDiary开发的表达疼痛的符号,该应用程序专门为本研究开发,(b)与收集疼痛信息的传统方法相比,对该应用程序的适当性进行了评估。这些符号描绘了头痛、疼痛和不适,这在神经外科患者中很普遍。受试者是在台湾长庚医院神经外科普通病房接受治疗的31名被诊断为获得性表达性沟通障碍的患者和该病房的14名护士。护士使用传统方法和PainDiary应用程序收集疼痛信息。比较了评估数据,包括PainDiary的准确性和效率以及用户满意度。结果表明,使用该应用程序可以有效地报告疼痛,患者报告疼痛事件所需的时间更少。研究结果进一步表明,PainDiary应用程序在年轻人中比在老年人中更受欢迎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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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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