Seminars in Speech and Language最新文献

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Usability and Acceptability of a Computer-Based Social Communication Intervention for Persons with Traumatic Brain Injury: A Mixed-Methods Study. 外伤性脑损伤患者计算机社会沟通干预的可用性和可接受性:一项混合方法研究。
IF 1 4区 医学
Seminars in Speech and Language Pub Date : 2022-06-01 Epub Date: 2022-07-20 DOI: 10.1055/s-0042-1750346
Peter Meulenbroek, Leora R Cherney
{"title":"Usability and Acceptability of a Computer-Based Social Communication Intervention for Persons with Traumatic Brain Injury: A Mixed-Methods Study.","authors":"Peter Meulenbroek,&nbsp;Leora R Cherney","doi":"10.1055/s-0042-1750346","DOIUrl":"https://doi.org/10.1055/s-0042-1750346","url":null,"abstract":"<p><p>Computer-based interventions for persons with traumatic brain injury (TBI) are a rapidly developing treatment modality. However, the usability and acceptability of such treatments have not been thoroughly studied. We describe the user-experience of a computerized intervention in persons with TBI called the Work-Related Communication (WoRC) program. Two coders used qualitative analysis of semi-structured interviews to complete a thematic content analysis along with a cost-benefit analysis. Ten participants with severe TBI more than 1-year postinjury were interviewed. Seven participants were male, and three were female. Their mean age was 41.6 years (standard deviation: 13.1). All had 4 years of college or less and experienced severe TBIs. A qualitative analysis of the WoRC program usability resulted in the categories of <i>Content</i> (aspects of treatment approach), <i>Interface</i> (aspects of presentation), and <i>Abilities</i> (aspects of the cognitive disorder). WoRC program acceptability categories emerged as <i>Specific</i> (trained strategies can be applied to specific scenarios) and <i>Personal</i> (individual factors related to willingness to implement the trained strategies). The cost-benefit analysis demonstrated a 50.2% reduction in treatment costs, indicating that computer-enhanced interventions are a potentially cost-effective way to increase behavioral outcomes. We discuss these findings as they relate to future development of computer-enhanced programs for persons with TBI.</p>","PeriodicalId":48772,"journal":{"name":"Seminars in Speech and Language","volume":"43 3","pages":"218-232"},"PeriodicalIF":1.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40608507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Analyzing a Cost-Effectiveness Dataset: A Speech and Language Example for Clinicians. 分析成本效益数据集:临床医生的语音和语言示例。
IF 1 4区 医学
Seminars in Speech and Language Pub Date : 2022-06-01 Epub Date: 2022-07-20 DOI: 10.1055/s-0042-1750347
Jeffrey S Hoch, Sarah C Haynes, Shannon M Hearney, Carolyn S Dewa
{"title":"Analyzing a Cost-Effectiveness Dataset: A Speech and Language Example for Clinicians.","authors":"Jeffrey S Hoch,&nbsp;Sarah C Haynes,&nbsp;Shannon M Hearney,&nbsp;Carolyn S Dewa","doi":"10.1055/s-0042-1750347","DOIUrl":"https://doi.org/10.1055/s-0042-1750347","url":null,"abstract":"<p><p>Cost-effectiveness analysis, the most common type of economic evaluation, estimates a new option's additional outcome in relation to its extra costs. This is crucial to study within the clinical setting because funding for new treatments and interventions is often linked to whether there is evidence showing they are a good use of resources. This article describes how to analyze a cost-effectiveness dataset using the framework of a net benefit regression. The process of creating estimates and characterizing uncertainty is demonstrated using a hypothetical dataset. The results are explained and illustrated using graphs commonly employed in cost-effectiveness analyses. We conclude with a call to action for researchers to do more person-level cost-effectiveness analysis to produce evidence of the value of new treatments and interventions. Researchers can utilize cost-effectiveness analysis to compare new and existing treatment mechanisms.</p>","PeriodicalId":48772,"journal":{"name":"Seminars in Speech and Language","volume":"43 3","pages":"244-254"},"PeriodicalIF":1.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3f/b6/10-1055-s-0042-1750347.PMC9300047.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40608509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Health Economics in Speech-Language Pathology. 语言病理学中的健康经济学。
IF 1 4区 医学
Seminars in Speech and Language Pub Date : 2022-06-01 Epub Date: 2022-07-20 DOI: 10.1055/s-0042-1748191
{"title":"Health Economics in Speech-Language Pathology.","authors":"","doi":"10.1055/s-0042-1748191","DOIUrl":"https://doi.org/10.1055/s-0042-1748191","url":null,"abstract":"","PeriodicalId":48772,"journal":{"name":"Seminars in Speech and Language","volume":"43 3","pages":"173-175"},"PeriodicalIF":1.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40620543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Investigation of Pulse Oximetry Levels during Swallowing in Healthy Adults and in Individuals with Severe and Very Severe Chronic Obstructive Pulmonary Disease. 健康成人及重度和极重度慢性阻塞性肺疾病患者吞咽时脉搏血氧测定水平的研究
IF 1 4区 医学
Seminars in Speech and Language Pub Date : 2022-03-11 DOI: 10.1055/s-0042-1743486
Salim S Alani, J. Stierwalt, L. Lapointe, R. Morris, Allan C Jeong, Jennifer Filson Moses, Thomas D. Upton
{"title":"An Investigation of Pulse Oximetry Levels during Swallowing in Healthy Adults and in Individuals with Severe and Very Severe Chronic Obstructive Pulmonary Disease.","authors":"Salim S Alani, J. Stierwalt, L. Lapointe, R. Morris, Allan C Jeong, Jennifer Filson Moses, Thomas D. Upton","doi":"10.1055/s-0042-1743486","DOIUrl":"https://doi.org/10.1055/s-0042-1743486","url":null,"abstract":"To compare pulse oximetry (PO) levels during swallowing in healthy adults and adults with severe chronic obstructive pulmonary disease (COPD). Participants included two groups of 60 healthy adults, balanced for gender. The young group ranged from 18 to 38 years, and the older group from 60 to 87 years. In addition, there were 11 participants with COPD aged 43 to 82 years. PO levels were collected as each participant swallowed 10 mL of water, 10 mL of applesauce, and a piece of diced pear (three trials each). Analyses for the healthy groups revealed neither statistically significant main effects for bolus type nor interactions between gender and age. For between-subject effects, there was no main effect for gender, but there was a large main effect for age, and a gender and age interaction. In the group with COPD, there were no significant differences across bolus types; however, PO measures were consistently lower than the healthy groups for all bolus types. Healthy adults exhibited stable PO levels across bolus types. Adults with COPD, although exhibiting significantly lower PO levels, also remained stable. For clinicians who monitor PO measures, these results offer a more comprehensive understanding of the nature of these measures during swallowing in these groups.","PeriodicalId":48772,"journal":{"name":"Seminars in Speech and Language","volume":"1 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46096518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Avoidance Reduction Therapy for School-Age Children Who Stutter. 学龄儿童口吃的避免减少疗法。
IF 1 4区 医学
Seminars in Speech and Language Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1742695
Vivian Sisskin, Benjamin Goldstein
{"title":"Avoidance Reduction Therapy for School-Age Children Who Stutter.","authors":"Vivian Sisskin, Benjamin Goldstein","doi":"10.1055/s-0042-1742695","DOIUrl":"https://doi.org/10.1055/s-0042-1742695","url":null,"abstract":"Avoidance Reduction Therapy for Stuttering (ARTS) is a behavioral therapy for children and adults that incorporates speech therapy and counseling to reduce learned physical and socioemotional struggle that constitute the problem for the stutterer.a While stuttering is a neurodevelopmental difference, efforts to mask a stigmatized identity can contribute to avoidance, shame, and fear of speaking. This article provides theoretical foundations for therapy principles, describes the processes of self-acceptance and change, and outlines therapy goals and activities using child-friendly explanations and case study vignettes.","PeriodicalId":48772,"journal":{"name":"Seminars in Speech and Language","volume":"43 2 1","pages":"147-160"},"PeriodicalIF":1.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43368022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Lexipontix Program: Facilitating Change toward "Best Hopes" of the School-Age Child Who Stutters and the Family. Lexipontix项目:促进口吃学龄儿童和家庭的“最大希望”转变。
IF 1 4区 医学
Seminars in Speech and Language Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1743208
G. Fourlas, K. Ntourou, Dimitris Marousos
{"title":"Lexipontix Program: Facilitating Change toward \"Best Hopes\" of the School-Age Child Who Stutters and the Family.","authors":"G. Fourlas, K. Ntourou, Dimitris Marousos","doi":"10.1055/s-0042-1743208","DOIUrl":"https://doi.org/10.1055/s-0042-1743208","url":null,"abstract":"Lexipontix is a structured therapy program for school-age children who stutter. It is based on theoretical principles and clinical practices of cognitive behavioral therapy, parent-child interaction therapy, solution-focused brief therapy, fluency shaping, and stuttering modification. A case example of a school-age child who stutters and his family who participated in the Lexipontix program is illustrated to highlight the theoretical principles, structure, content, and clinical tools of the assessment and therapy process of the program. The Lexipontix program addresses the stuttering experience of the child and family in a holistic way. The child and family are assisted in facilitating changes in all components of the International Classification of Functioning, Disability, and Health model (i.e., body function, personal factors, activity and participation, environmental factors), which help them move toward their \"best hopes\" (i.e., personally meaningful change) from therapy. The role of the clinician in facilitating change is also considered. Therapy outcomes for the specific case example are presented and discussed in relation to data from a retrospective chart review. The mechanisms underlying the effectiveness of the program are explored and discussed.","PeriodicalId":48772,"journal":{"name":"Seminars in Speech and Language","volume":"43 2 1","pages":"82-100"},"PeriodicalIF":1.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46665243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A Multidimensional Approach for School-Aged Children who Stutter. 学龄期口吃儿童的多维方法。
IF 1 4区 医学
Seminars in Speech and Language Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1742667
Sarah Caughter, E. Kelman, Sarah Delpeche
{"title":"A Multidimensional Approach for School-Aged Children who Stutter.","authors":"Sarah Caughter, E. Kelman, Sarah Delpeche","doi":"10.1055/s-0042-1742667","DOIUrl":"https://doi.org/10.1055/s-0042-1742667","url":null,"abstract":"Therapy for school-aged children who stutter (CWS) and their parents should be holistic, individualized, and multidimensional, considering the child within their real-life context and using a solution rather than problem-focused approach; highlighting and drawing on the strengths, resources, values; and coping skills that each family brings. Therapy at the Michael Palin Centre draws on a number of psychological approaches, including solution-focused brief therapy, cognitive behavior therapy, acceptance and commitment therapy, and compassion-focused therapy. Aspects of these approaches are discussed in this article to describe the therapeutic intervention for two school-aged CWS (aged 8 and 15 years). The Palin Model (2019) is used to conceptualize the factors that influence stuttering, as well as the different components of therapy that may be relevant for each individual family. The overarching aim of therapy, for children to become competent and effective communicators, whether they stutter or not, is described through a range of practical therapeutic activities, including exploring communication skills, openness and desensitization, exploring thoughts and feelings around stuttering, building confidence, expanding comfort zones, and developing self-efficacy. Qualitative and quantitative outcomes are presented for each clinical case.","PeriodicalId":48772,"journal":{"name":"Seminars in Speech and Language","volume":"43 2 1","pages":"67-81"},"PeriodicalIF":1.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48121648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cluttering in a School-Aged Child: Tackling the Challenges Step by Step. 蹒跚学步的学龄儿童:一步一步应对挑战。
IF 1 4区 医学
Seminars in Speech and Language Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1743537
Kathleen Scaler Scott
{"title":"Cluttering in a School-Aged Child: Tackling the Challenges Step by Step.","authors":"Kathleen Scaler Scott","doi":"10.1055/s-0042-1743537","DOIUrl":"https://doi.org/10.1055/s-0042-1743537","url":null,"abstract":"The purpose of this article is to highlight and provide solutions for the complexities of the communication disorder of cluttering. The article includes a 12-part case study of a school-aged child who is referred for an evaluation due to decreased speech intelligibility. The case is woven throughout the article to illustrate all aspects of client management: initial referral, evaluation and differential diagnosis, treatment, and discharge. The case reflects the challenges of increasing client awareness and the importance of advocating for client's needs throughout the process. This article provides background on myths about cluttering and current research findings to debunk these myths. Additionally, methods for evaluation, differential diagnosis, and treatment of cluttering are presented. An indirect approach to increasing client awareness and family and client education is included. The overall focus is to help the clinician better understand how to evaluate, treat, discharge, and advocate for clients with cluttering in ways that meet clients where they are.","PeriodicalId":48772,"journal":{"name":"Seminars in Speech and Language","volume":"43 2 1","pages":"130-146"},"PeriodicalIF":1.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46112874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Treating Concomitant Language and/or Phonology Impairment in Children Who Stutter. 治疗口吃儿童伴发的语言和/或语音障碍。
IF 1 4区 医学
Seminars in Speech and Language Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1744515
N. Hall, Cara M. Singer, Jean Sawyer
{"title":"Treating Concomitant Language and/or Phonology Impairment in Children Who Stutter.","authors":"N. Hall, Cara M. Singer, Jean Sawyer","doi":"10.1055/s-0042-1744515","DOIUrl":"https://doi.org/10.1055/s-0042-1744515","url":null,"abstract":"Stuttering can co-occur with phonological and/or language impairment in a nontrivial number of children. This article provides a framework for addressing concomitant phonology/language impairment and stuttering through the application of the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework. Described is a multifactorial approach to understanding stuttering, the application of the ICF to treating children who stutter with concomitant disorders, and models for structuring-related therapy. A case study is explored to illustrate this process and includes a sample treatment plan with goals, short-term objectives, and sample activities.","PeriodicalId":48772,"journal":{"name":"Seminars in Speech and Language","volume":"43 2 1","pages":"101-116"},"PeriodicalIF":1.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43848663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Stuttering and Autism Spectrum Disorders: Assessment and Treatment. 口吃和自闭症谱系障碍:评估和治疗。
IF 1 4区 医学
Seminars in Speech and Language Pub Date : 2022-03-01 DOI: 10.1055/s-0042-1745715
J. Tetnowski, Joseph G. Donaher
{"title":"Stuttering and Autism Spectrum Disorders: Assessment and Treatment.","authors":"J. Tetnowski, Joseph G. Donaher","doi":"10.1055/s-0042-1745715","DOIUrl":"https://doi.org/10.1055/s-0042-1745715","url":null,"abstract":"Dual diagnoses of autism spectrum disorders (ASDs) and stuttering have been reported in the literature, but little is known about how often they co-occur, the best practices for assessment, and even less about intervention. In this article, we gathered the data available on these issues and compiled and analyzed the sparse findings to offer suggestions for assessment and treatment. This article begins with a glossary of terms to promote consistency and understanding. Next, suggestions for assessment are provided along with a work sheet to document fluency breakdowns and monitor change. Suggestions for language and cognitive issues are also provided with a sample worksheet. Finally, an outline and explanation of stuttering/fluency goals for clients with these dual diagnoses are included. Case studies of two individuals who stutter and are diagnosed with ASD are presented to provide exemplars of how to assess and treat individuals with these dual diagnoses. Caveats on how to work with individuals with ASD and fluency disorders, based on our current understanding, are presented in the conclusion.","PeriodicalId":48772,"journal":{"name":"Seminars in Speech and Language","volume":"43 2 1","pages":"117-129"},"PeriodicalIF":1.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43050541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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