SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS最新文献_第3页

Communicative practices and perceptions towards stuttering people in South Africa 南非口吃患者的交流方式和观念

IF 1.1

SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2024-03-08 DOI: 10.4102/sajcd.v71i1.1008

Rockie Sibanda, Tlou C. Mothapo

引用次数: 0

Swallowing and feeding of young children on high-flow oxygen therapy 接受高流量氧气治疗的幼儿的吞咽和喂食问题

IF 1.1

SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2024-03-02 DOI: 10.4102/sajcd.v71i1.1010

Ruhee Hoosain, Bhavani S. Pillay, Shabnam Abdoola, M. Graham, E. Krüger

{"title":"Swallowing and feeding of young children on high-flow oxygen therapy","authors":"Ruhee Hoosain, Bhavani S. Pillay, Shabnam Abdoola, M. Graham, E. Krüger","doi":"10.4102/sajcd.v71i1.1010","DOIUrl":"https://doi.org/10.4102/sajcd.v71i1.1010","url":null,"abstract":"Background: Oral feeding practices of young patients on high-flow oxygen (HFO2) have been controversial. Limited literature exists on this topic, but new studies suggest introducing oral feeds.Objective: This study aims to describe the changes in swallowing and feeding of a group of young children on HFO2.Method: Twelve participants (mean age 34.17 months [s.d. = 3.97]) on HFO2 were assessed clinically at the bedside using the Schedule of Oral Motor Assessment. Assessments were conducted twice to determine the change in characteristics: upon approval from the managing doctor when respiratory stability on HFO2 was achieved and for a second time on the last day of receiving HFO2 (mean 2.6 days apart). Patients received standard in-patient care and speech therapy intervention.Results: Most participants displayed typical oral motor function at initial and final assessments for liquid, puree and semi-solid consistencies. Purees and soft solid consistencies were introduced to most participants (n = 11, 91.7%). Solids and chewables were challenging for all participants during both assessments. Half of the participants displayed gagging and a wet vocal quality with thin liquids at the initial assessment only.Conclusion: This small-scale study found that HFO2 should not preclude oral diets, but in this sample, small amounts of oral feeding could be introduced with caution, in an individualised manner, and with a collaborative multidisciplinary approach. Further research is essential.Contribution: Partial oral feeding of specific consistencies was possible during the assessment of young paediatric in-patients on HFO2. Monitoring of individual patient characteristics and risk factors by a specialist feeding team is essential.","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140081346","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

Enhanced Milieu Teaching in resource-constrained settings: Stakeholder-informed adaptation guidelines 在资源有限的环境中加强环境教学：以利益相关者为基础的适应指南

IF 1.1

SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2024-02-21 DOI: 10.4102/sajcd.v71i1.989

Chevonne D. Du Plessis, Lauren H. Hampton, Michal Harty

{"title":"Enhanced Milieu Teaching in resource-constrained settings: Stakeholder-informed adaptation guidelines","authors":"Chevonne D. Du Plessis, Lauren H. Hampton, Michal Harty","doi":"10.4102/sajcd.v71i1.989","DOIUrl":"https://doi.org/10.4102/sajcd.v71i1.989","url":null,"abstract":"Background: Enhanced Milieu Teaching (EMT) is an evidence-based naturalistic developmental behavioural intervention (NDBI) for children with developmental disabilities. Little is known about the EMT’s fit or what adaptations might be needed to improve its applicability within a resource-constrained setting.Objectives: To explore stakeholders’ perceptions of the contextual fit of EMT for young children with developmental disabilities in a resource-constrained context and to identify adaptations to improve EMT’s contextual fit.Method: We conducted a descriptive qualitative study using semi-structured interviews and focus groups. Participants included 5 speech and language therapists and 11 caregivers of children with developmental disabilities who speak English and Afrikaans or isiXhosa. Using thematic analysis, data were coded into 10 subthemes and grouped according to the Adaptome framework components.Results: Overall, stakeholders view EMT as an appropriate intervention in the South African context. They indicated that certain intervention components may need to be modified. Specifically, clinicians may need to adapt intervention materials and activities to be sensitive to families’ available resources, preferred activity routines and priorities. From these data, we provide guidelines to improve the fit of EMT in South Africa.Conclusion: Enhanced Milieu Teaching is an appropriate intervention in the South African context, although some adaptations can enhance its fit.Contribution: This article highlights the importance of engaging with stakeholders to determine the fit of NDBIs, like EMT, as they are implemented in new contexts. Based on these insights, stakeholder-informed adaptation guidelines are provided for improving the contextual fit of EMT in resource-constrained settings.","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957787","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

Exploring quality of life post sudden onset hearing loss: A convergent parallel approach 探索突发性听力损失后的生活质量：聚合平行法

IF 1.1

SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2024-02-16 DOI: 10.4102/sajcd.v71i1.990

L. Ntlhakana, Sabeehah Hamid

{"title":"Exploring quality of life post sudden onset hearing loss: A convergent parallel approach","authors":"L. Ntlhakana, Sabeehah Hamid","doi":"10.4102/sajcd.v71i1.990","DOIUrl":"https://doi.org/10.4102/sajcd.v71i1.990","url":null,"abstract":"Background: Sudden onset hearing loss (SOHL) is rare and presents differently to individuals; hence, it is complex to diagnose. The impact on the quality of life (QoL) varies for individuals and their support structure. However, the exploration of research designs is warranted.Objectives: This study explored the lived experiences of adults post-SOHL diagnosis and the impact on the QoL. Facilitators of emotional and social aspects of counselling provided by audiologists post-SOHL diagnosis were established.Method: This was a convergent parallel research study. Data were collected from the two primary participants and three secondary participants, face-to-face and telephonically. The Hearing Handicap Inventory for Adults (HHIA) screening tool and the semi-structured interviews were used for data collection. The data sets were analysed independently, viz. descriptive analysis and thematic analysis, to confirm the impact on the QoL post-SOHL diagnosis.Results: The HHIA scores obtained were 84% and 50% for P1 and P2, respectively. Key themes that emerged from the interviews revealed that communication difficulties mostly impacted the QoL, which in turn influenced their mental and social well-being. Aural rehabilitation was perceived as ineffective support, thus the inability to reduce the impact on the QoL post-SOHL diagnosis.Conclusion: The integrated findings indicated the impact on the QoL post-SOHL diagnosis. Convergent parallel methods should be considered by researchers to understand rare auditory pathologies and their impact on the QoL.Contribution: Person-centred care (PCC) and family-centred care (FCC) are facilitators of counselling that audiologists can employ as QoL management strategies post-SOHL diagnosis.","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139960782","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

Outcomes and device use in children with bone-conduction hearing devices in South Africa 南非儿童使用骨导听力设备的效果和设备使用情况

IF 1.1

SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2024-02-15 DOI: 10.4102/sajcd.v71i1.1005

Chéri van Zyl, Christine Rogers, Silva Kuschke

引用次数: 0

Outcomes and device use in children with bone-conduction hearing devices in South Africa 南非儿童使用骨导听力设备的效果和设备使用情况

IF 1.1

SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2024-02-15 DOI: 10.4102/sajcd.v71i1.1005

Chéri van Zyl, Christine Rogers, Silva Kuschke

引用次数: 0

Tube feeding in advanced dementia: Insights from South African speech-language therapists 晚期痴呆症患者的管饲问题：南非语言治疗师的见解

IF 1.1

SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2024-02-12 DOI: 10.4102/sajcd.v71i1.970

Danette Pullen, Bhavani S. Pillay, E. Krüger

{"title":"Tube feeding in advanced dementia: Insights from South African speech-language therapists","authors":"Danette Pullen, Bhavani S. Pillay, E. Krüger","doi":"10.4102/sajcd.v71i1.970","DOIUrl":"https://doi.org/10.4102/sajcd.v71i1.970","url":null,"abstract":"Background: Speech-language therapists (SLTs) may recommend tube feeding even with minimal research evidence of its effectiveness, and an understanding of SLTs’ perceived practices is warranted.Objectives: To qualitatively describe a sample of South African SLTs’ perceived practices regarding feeding tube placement in people with advanced dementia.Method: Semi-structured online interviews were conducted via Microsoft Teams. Eight South African SLTs with a particular interest in advanced dementia, in public and private settings, were recruited. Data were analysed using inductive reflexive thematic analysis.Results: Three main themes were identified: (1) factors influencing SLTs’ decisions for feeding tube placement in people with advanced dementia; (2) nature of clinical setting and SLTs’ decision-making and (3) SLTs’ considerations to improve management of people with advanced dementia. Existing local palliative care guidelines were not employed in decisions about tube feeding. Most participants did not recommend tube feeding during end-of-life care. Perceived burden of care influenced participants’ decisions about tube feeding.Conclusion: Speech-language therapists in South Africa likely have an increased reliance on clinical experience rather than recent research and guidelines for decisions about feeding tube placement. Findings accentuate the importance of clinical supervision, mentoring and continuous professional development in the workplace. The findings are an urgent call to action to improve SLTs’ overall practices and ethical service delivery for people with advanced dementia and their families.Contribution: Factors and needs regarding SLTs’ decision-making about feeding tubes in people with advanced dementia are highlighted.","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842983","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

Tube feeding in advanced dementia: Insights from South African speech-language therapists 晚期痴呆症患者的管饲问题：南非语言治疗师的见解

IF 1.1

SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2024-02-12 DOI: 10.4102/sajcd.v71i1.970

Danette Pullen, Bhavani S. Pillay, E. Krüger

{"title":"Tube feeding in advanced dementia: Insights from South African speech-language therapists","authors":"Danette Pullen, Bhavani S. Pillay, E. Krüger","doi":"10.4102/sajcd.v71i1.970","DOIUrl":"https://doi.org/10.4102/sajcd.v71i1.970","url":null,"abstract":"Background: Speech-language therapists (SLTs) may recommend tube feeding even with minimal research evidence of its effectiveness, and an understanding of SLTs’ perceived practices is warranted.Objectives: To qualitatively describe a sample of South African SLTs’ perceived practices regarding feeding tube placement in people with advanced dementia.Method: Semi-structured online interviews were conducted via Microsoft Teams. Eight South African SLTs with a particular interest in advanced dementia, in public and private settings, were recruited. Data were analysed using inductive reflexive thematic analysis.Results: Three main themes were identified: (1) factors influencing SLTs’ decisions for feeding tube placement in people with advanced dementia; (2) nature of clinical setting and SLTs’ decision-making and (3) SLTs’ considerations to improve management of people with advanced dementia. Existing local palliative care guidelines were not employed in decisions about tube feeding. Most participants did not recommend tube feeding during end-of-life care. Perceived burden of care influenced participants’ decisions about tube feeding.Conclusion: Speech-language therapists in South Africa likely have an increased reliance on clinical experience rather than recent research and guidelines for decisions about feeding tube placement. Findings accentuate the importance of clinical supervision, mentoring and continuous professional development in the workplace. The findings are an urgent call to action to improve SLTs’ overall practices and ethical service delivery for people with advanced dementia and their families.Contribution: Factors and needs regarding SLTs’ decision-making about feeding tubes in people with advanced dementia are highlighted.","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139782986","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

Noise-induced hearing loss and hearing protection: Attitudes at a South African coal mine 噪音导致的听力损失与听力保护：南非一家煤矿的态度

IF 1.1

SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2024-01-17 DOI: 10.4102/sajcd.v71i1.966

Kavitha Naicker

{"title":"Noise-induced hearing loss and hearing protection: Attitudes at a South African coal mine","authors":"Kavitha Naicker","doi":"10.4102/sajcd.v71i1.966","DOIUrl":"https://doi.org/10.4102/sajcd.v71i1.966","url":null,"abstract":"Background: Negative attitudes and beliefs are major contributing factors to the rising numbers of noise-induced hearing loss (NIHL) cases in coal mines both locally and internationally. International literature confirms limited knowledge surrounding employees’ attitudes and beliefs regarding NIHL and hearing protection devices (HPDs), hence the need for the study.Objectives: To ascertain the attitudes and beliefs about NIHL and HPD use among employees at a large scale underground coal mine in Mpumalanga.Method: A descriptive and exploratory cross-sectional study was conducted using a self-administered questionnaire, developed by the National Institute for Occupational Safety and Health (NIOSH) on Beliefs about Hearing Protection and Hearing Loss (BHPHL). Participants (n = 241) included employees from a coal mine in Mpumalanga, South Africa.Results: Out of 241 completed surveys, this study found that 84% were aware of when to replace earmuffs; 95% believed wearing HPDs could prevent hearing loss in noisy environments; 83% felt their hearing was impacted by loud noise. Additionally, 86% mentioned discomfort from earmuff pressure; 95% emphasised HPD importance; and 95% used HPDs around loud sounds. Moreover, 98% knew how to properly wear earplugs, while lower education levels were linked to higher susceptibility to NIHL.Conclusion: The study identified positive attitudes towards NIHL and HPD use, but existing NIHL cases must be acknowledged. Organisations can use the findings to develop tailored hearing conservation programmes (HCP), including education, involving employees in protection decisions and promoting diligent HPD usage.Contribution: This study contributes to the limited literature on noise perceptions, NIHL, and HPD use in mining, emphasising the impact attitude has on HPD use and assessing the effect of miners NIHL knowledge on compliance. The findings, unique to coal mining, hold significance for enhancing hearing conservation and reducing NIHL.","PeriodicalId":44003,"journal":{"name":"SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139527217","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

Context-specific advancements in service delivery for communication disorders in South Africa 根据具体情况推进南非交流障碍服务的提供

IF 1.1

SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS Pub Date : 2023-12-20 DOI: 10.4102/sajcd.v70i1.1021

Anita Edwards, F. Mahomed-Asmail, Anna-Mari Olivier, J. van der Linde

引用次数: 0