Augmentative and Alternative Communication最新文献

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"They aren't waiting for an SLP, they think 'what can I as a parent do now?'" course leaders' perceptions of AAC interventions targeting parents. “他们不是在等待SLP,他们想的是‘作为父母,我现在能做什么?课程负责人对针对家长的AAC干预的看法。
IF 2 3区 医学
Augmentative and Alternative Communication Pub Date : 2023-12-01 Epub Date: 2023-07-20 DOI: 10.1080/07434618.2023.2233033
Hanna Nordlund, Anna Fäldt
{"title":"\"They aren't waiting for an SLP, they think 'what can I as a parent do now?'\" course leaders' perceptions of AAC interventions targeting parents.","authors":"Hanna Nordlund, Anna Fäldt","doi":"10.1080/07434618.2023.2233033","DOIUrl":"10.1080/07434618.2023.2233033","url":null,"abstract":"<p><p>Parental interventions can help parents use strategies to support their child's language and communication development. The ComAlong courses are parental interventions that focus on responsive communication, enhanced milieu teaching, and augmentative and alternative communication. This interview study aimed to investigate the course leaders' perceptions of the three ComAlong courses, ComAlong Habilitation, ComAlong Developmental Language Disorder, and ComAlong Toddler, and to evaluate their experiences of the implementation of the courses. Qualitative content analysis was used to analyze the interview data. Thereafter, three categories resulted from the findings: Impact on the Family, A Great Course Concept, and Accessibility of the Courses. The results indicate that participants perceived that the courses had positive effects on both parents and themself. Furthermore, it was described that parents gained knowledge about communication and strategies in how to develop their child's communication; however, the courses were not accessible to all parents. The collaboration between the parents and course leaders improved, and course leaders viewed the courses as an important part of their work. The following factors had an impact on the implementation: several course leaders in the same workplace, support from colleagues and management, and recruitment of parents to the courses.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9838230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Nurse perspectives on supporting children and youth who use augmentative and alternative communication (AAC) in the pediatric intensive care unit. 护士对在儿科重症监护室使用辅助和替代沟通(AAC)的儿童和青少年的支持观点。
IF 2 3区 医学
Augmentative and Alternative Communication Pub Date : 2023-11-30 DOI: 10.1080/07434618.2023.2284269
Lauren E Zaylskie, Elizabeth E Biggs, Kaitlyn J Minchin, Zoe K Abel
{"title":"Nurse perspectives on supporting children and youth who use augmentative and alternative communication (AAC) in the pediatric intensive care unit.","authors":"Lauren E Zaylskie, Elizabeth E Biggs, Kaitlyn J Minchin, Zoe K Abel","doi":"10.1080/07434618.2023.2284269","DOIUrl":"10.1080/07434618.2023.2284269","url":null,"abstract":"<p><p>Many children who require hospitalization in the pediatric intensive care unit (ICU) are unable to or have difficulty communicating through speech, whether because of preexisting or acute conditions. Children who are unable to be heard and understood using only speech benefit from aided augmentative and alternative communication (AAC), including in hospital settings. This qualitative interview study sought to understand the perspectives of nurses on care and support for children who use or would benefit from aided AAC in the pediatric ICU. Participants were six nurses who worked in pediatric intensive care at a tertiary care unit of a children's hospital in the United States. Three main themes were identified related to nurses' views about supporting children's communication: (a) Caring for the Whole Child, (b) Needing Support from Others and Moving between Roles, and (c) Working with Available Resources and Demands. Nurses emphasized the importance of a holistic approach to care, the impact of others' support and knowledge, and a desire for building greater capacity for promoting children's access to effective communication. Findings offer insight that could improve patient-centered care for children with complex communication needs and support for nurses themselves, particularly within the broader context of ICU liberation.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11136883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 0
Implementation of the C-BiLLT, an accessible instrument to assess language comprehension in children with limited motor and speech function: an international clinician survey. C-BiLLT的实施,一种评估运动和言语功能受限儿童语言理解能力的可访问工具:一项国际临床调查。
IF 2 3区 医学
Augmentative and Alternative Communication Pub Date : 2023-09-01 DOI: 10.1080/07434618.2023.2197060
Jael N Bootsma, Kristine Stadskleiv, Michelle Phoenix, Johanna J M Geytenbeek, Jan Willem Gorter, Dayle McCauley, Sara Fiske, Fiona Campbell, Natasha Crews, Barbara Jane Cunningham
{"title":"Implementation of the C-BiLLT, an accessible instrument to assess language comprehension in children with limited motor and speech function: an international clinician survey.","authors":"Jael N Bootsma,&nbsp;Kristine Stadskleiv,&nbsp;Michelle Phoenix,&nbsp;Johanna J M Geytenbeek,&nbsp;Jan Willem Gorter,&nbsp;Dayle McCauley,&nbsp;Sara Fiske,&nbsp;Fiona Campbell,&nbsp;Natasha Crews,&nbsp;Barbara Jane Cunningham","doi":"10.1080/07434618.2023.2197060","DOIUrl":"https://doi.org/10.1080/07434618.2023.2197060","url":null,"abstract":"<p><p>This study assessed implementation of the Computer-based Instrument for Low-motor Language Testing (C-BiLLT). The C-BiLLT is an accessible language comprehension assessment tool originally developed for children with cerebral palsy and complex communication needs. The purpose of the current study was to understand the clinical contexts in which the C-BiLLT is used in the Netherlands, Belgium, and Norway and assess barriers and facilitators to implementation. An online survey was distributed to rehabilitation clinicians working in the Netherlands, Dutch-speaking parts of Belgium, and Norway. A total of 90 clinicians reported their training in and use of the C-BiLLT; assessed its acceptability, appropriateness, and feasibility; and commented on perceived barriers as well as advantages of the tool. Acceptability, appropriateness, and feasibility were all rated highly. The C-BiLLT was used with various populations and age groups but most often with children who were younger than 12 years of age, and those with cerebral palsy. The main implementation facilitator was clinicians' motivation; the main barriers were related to resources and complexity of cases. Findings suggest implementation of new assessment tools is an ongoing process that should be monitored following initial training, in order to understand clinical contexts in which the tools are being used.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9940755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Something for everybody? Assessing the suitability of AAC systems for children using stated preference methods. 每个人都有?使用声明偏好方法评估AAC系统对儿童的适用性。
IF 2 3区 医学
Augmentative and Alternative Communication Pub Date : 2023-09-01 DOI: 10.1080/07434618.2023.2206582
Edward J D Webb, David Meads, Yvonne Lynch, Nicola Randall, Simon Judge, Juliet Goldbart, Stuart Meredith, Liz Moulam, Stephane Hess, Janice Murray
{"title":"Something for everybody? Assessing the suitability of AAC systems for children using stated preference methods.","authors":"Edward J D Webb,&nbsp;David Meads,&nbsp;Yvonne Lynch,&nbsp;Nicola Randall,&nbsp;Simon Judge,&nbsp;Juliet Goldbart,&nbsp;Stuart Meredith,&nbsp;Liz Moulam,&nbsp;Stephane Hess,&nbsp;Janice Murray","doi":"10.1080/07434618.2023.2206582","DOIUrl":"https://doi.org/10.1080/07434618.2023.2206582","url":null,"abstract":"<p><p>Little is known about what features of AAC systems are regarded by AAC professionals as more suitable for children with different characteristics. A survey was conducted in which participants rated the suitability of hypothetical AAC systems on a Likert scale from 1 (<i>very unsuitable</i>) to 7 (<i>very suitable</i>) alongside a discrete choice experiment. The survey was administered online to 155 AAC professionals in the United Kingdom of Great Britain and Northern Ireland. Statistical modeling was used to estimate how suitable 274 hypothetical AAC systems were for each of 36 child vignettes. The proportion of AAC systems rated at least 5 out of 7 for suitability varied from 51.1% to 98.5% for different child vignettes. Only 12 out of 36 child vignettes had any AAC systems rated at least 6 out of 7 for suitability. The features of the most suitable AAC system depended on the characteristics of the child vignette. The results show that, while every child vignette had several systems that had a good suitability rating, there were variations, that could potentially lead to inequalities in provision.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10317512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Measuring impact of augmentative and alternative communication interventions: adapting the family impact of assistive technology scale for augmentative and alternative communication (FIATS-AAC-No) for use in Norway. 测量辅助和替代沟通干预措施的影响:调整辅助技术量表对辅助和替代沟通的家庭影响(FIATS-AAC-No)在挪威的使用。
IF 2 3区 医学
Augmentative and Alternative Communication Pub Date : 2023-09-01 DOI: 10.1080/07434618.2023.2170276
Ragnhild Therese Fjeldvang, Marit Giske Nordaas, Stephen von Tetzchner, Kristine Stadskleiv
{"title":"Measuring impact of augmentative and alternative communication interventions: adapting the family impact of assistive technology scale for augmentative and alternative communication (FIATS-AAC-No) for use in Norway.","authors":"Ragnhild Therese Fjeldvang,&nbsp;Marit Giske Nordaas,&nbsp;Stephen von Tetzchner,&nbsp;Kristine Stadskleiv","doi":"10.1080/07434618.2023.2170276","DOIUrl":"https://doi.org/10.1080/07434618.2023.2170276","url":null,"abstract":"<p><p>Individuals who require augmentative and alternative communication (AAC) comprise a heterogeneous group, but all need follow-up to assure the appropriateness of implemented interventions. To enable this, outcome measures such as the Family Impact of Assistive Technology Scale for Augmentative and Alternative Communication (FIATS-AAC) may be used. However, instrument must be adapted to the language and culture in which they are to be used. The aim of the study was to therefore to explore the suitability of the Norwegian short-form version (FIATS-AAC-No) by investigating the reliability, validity, and perceived clinical usefulness. The study utilized a mixed-method design, including an online survey and two small group interviews. In total, 47 parents responded to the online survey. The online survey was comprised of three questionnaires, where FIATS-AAC-No was one of the questionnaires. Two group interviews, with two parents and two clinicians, were conducted. Findings show satisfactorily reliability, construct validity and content validity. The interviews revealed a need for specification of key concepts, that there are challenges involved in being parents of a child needing AAC, and that completing questionnaires was perceived as stressful by many parents. The clinicians viewed the FIATS-AAC-No as a potentially useful clinical tool and expressed that it brought to attention the need for follow-up parents have.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9942911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Teletherapy, AAC & COVID-19: the experiences of speech language pathologists providing teletherapy during a global pandemic. 远程治疗,AAC和COVID-19:全球大流行期间语音语言病理学家提供远程治疗的经验。
IF 2 3区 医学
Augmentative and Alternative Communication Pub Date : 2023-09-01 DOI: 10.1080/07434618.2022.2159871
Danielle T Nader, Karen A Erickson
{"title":"Teletherapy, AAC & COVID-19: the experiences of speech language pathologists providing teletherapy during a global pandemic.","authors":"Danielle T Nader,&nbsp;Karen A Erickson","doi":"10.1080/07434618.2022.2159871","DOIUrl":"https://doi.org/10.1080/07434618.2022.2159871","url":null,"abstract":"<p><p>The COVID-19 pandemic required many speech-language pathologists (SLPs) to transition to teletherapy service delivery. This study was designed to explore the experiences and perceptions of SLPs who made this transition with children with disabilities who used aided augmentative and alternative communication (AAC). Semi-structured interviews were conducted virtually with 10 SLPs who provided regular teletherapy services to children who used AAC during but not before the pandemic. Interview transcripts were analyzed thematically using immersion, reduction, and constant comparison to understand SLP experiences and perceptions individually and across the group. Results reveal that despite the challenges faced transitioning to teletherapy, there were benefits. Furthermore, many of the participating SLPs developed successful strategies and solutions for the challenges they faced. Participants in this study highlighted the unique and important role that caregivers and parents played in the success of the teletherapy they provided. This study suggests that SLPs, caregivers, and children demonstrated resilience in the face of a large-scale, unforeseen change. SLPs consistently reported the ability to maintain continuity of care during a stressful transition period, while meeting the unique needs of the children who used AAC they served.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9942758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Rethinking device abandonment: a capability approach focused model. 重新思考设备放弃:一个以能力方法为中心的模型。
IF 2 3区 医学
Augmentative and Alternative Communication Pub Date : 2023-09-01 DOI: 10.1080/07434618.2023.2199859
Andy Smidt, Roxanna N Pebdani
{"title":"Rethinking device abandonment: a capability approach focused model.","authors":"Andy Smidt,&nbsp;Roxanna N Pebdani","doi":"10.1080/07434618.2023.2199859","DOIUrl":"https://doi.org/10.1080/07434618.2023.2199859","url":null,"abstract":"<p><p>It is estimated that approximately 97 million people in the world have complex communication needs and may benefit from alternative and augmentative communication (AAC). Although AAC is considered an evidenced-based intervention, device abandonment remains common, and researchers have attempted to analyze the causes of people abandoning devices. These devices have been prescribed following extensive assessment and often a protracted period of negotiation with a funding body. In this paper, we present the process of AAC prescription using a new model called the Communication Capability Approach by adding the Capability Approach from Amartya Sen to the widely used Participation Model. This allows clinicians to see individual daily decision-making as a valid choice of the individual. We propose reframing the concept of device abandonment as the person and their family making a choice to use a full range of multimodal communication to meet their own needs. This changes the tone of the narrative to viewing the person using AAC as competent and able to exercise self-determination and agency in this decision rather than as abandoning the device. AAC choices can be made on a day-to-day basis, according to the context of use so that people do not abandon devices but rather use whichever mode of communication is appropriate to the context.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9940238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Barriers and facilitators to accommodations in the workplace for adults who use augmentative and alternative communication (AAC): a systematic review. 使用辅助和替代沟通(AAC)的成年人在工作场所住宿的障碍和促进因素:系统综述。
IF 2 3区 医学
Augmentative and Alternative Communication Pub Date : 2023-09-01 DOI: 10.1080/07434618.2023.2170277
Stephanie Lackey, Glenda Watson Hyatt, Beata Batorowicz, Sydney van Engelen, Shuangxi Li, Shane Pinder, T Claire Davies
{"title":"Barriers and facilitators to accommodations in the workplace for adults who use augmentative and alternative communication (AAC): a systematic review.","authors":"Stephanie Lackey,&nbsp;Glenda Watson Hyatt,&nbsp;Beata Batorowicz,&nbsp;Sydney van Engelen,&nbsp;Shuangxi Li,&nbsp;Shane Pinder,&nbsp;T Claire Davies","doi":"10.1080/07434618.2023.2170277","DOIUrl":"https://doi.org/10.1080/07434618.2023.2170277","url":null,"abstract":"<p><p>Workplace accommodations can reduce barriers to employment for people who use augmentative and alternative communication (AAC), however, the lack of accommodations continues to challenge participation in employment. This systematic review identified and analyzed barriers and facilitators to implementing workplace accommodations for adults (19 years and over) who use AAC. A systematic search of nine databases was conducted to identify relevant studies using the search terms <b>\"</b>AAC<b>\"</b> and <b>\"</b>workplace accommodations<b>\"</b> and variations of each term. Results were imported into Covidence. Seventeen studies met the inclusion criteria. Results were presented using the International Classification of Functioning, Disability, and Health (ICF) framework. The Oxford levels of evidence and Confidence in Evidence from Review of Qualitative Research (GRADE-CERQual) were used to assess the quality of the studies and confidence in findings, respectively. Environmental barriers related mainly to attitudes and technology, and personal barriers related to job qualifications, education, and work-related skills. A combination of facilitators such as personal strengths, access to technology, and supportive relationships contributed to successful implementation of accommodations. The findings of this review suggest that implementing workplace accommodations for adults who use AAC strategies is complex and further research is needed to advance practices and policies that support the implementation of workplace accommodations.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9943255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
The effect of aided language stimulation on the acquisition of receptive vocabulary in children with complex communication needs and severe intellectual disability: a comparison of two dosages. 辅助语言刺激对复杂交流需要和严重智力障碍儿童接受性词汇习得的影响:两种剂量的比较。
IF 2 3区 医学
Augmentative and Alternative Communication Pub Date : 2023-06-01 DOI: 10.1080/07434618.2022.2155566
Zakiyya Laher, Shakila Dada
{"title":"The effect of aided language stimulation on the acquisition of receptive vocabulary in children with complex communication needs and severe intellectual disability: a comparison of two dosages.","authors":"Zakiyya Laher,&nbsp;Shakila Dada","doi":"10.1080/07434618.2022.2155566","DOIUrl":"https://doi.org/10.1080/07434618.2022.2155566","url":null,"abstract":"<p><p>Aided language stimulation is an augmented input strategy that facilitates the expressive and receptive language skills of persons who require augmentative and alternative communication (AAC). The aim of this study was to determine and compare the acquisition of receptive vocabulary items during implementation of aided language stimulation with dosages of 40% and 70%, respectively. An adapted alternating treatment design was replicated across six participants with complex communication needs and severe intellectual disability. All participants demonstrated receptive vocabulary acquisition when aided language stimulation was provided with a dosage of 70%, and two participants demonstrated acquisition when a dosage of 40% was provided. Receptive vocabulary acquisition was maintained following a 6-day withdrawal period. The dosage of augmented input may impact receptive vocabulary acquisition for children with complex communication needs and severe intellectual disability, with higher dosages being more effective for some participants. The findings indicate that clinicians should be aware that dosage is an important consideration when providing aided language stimulation to facilitate receptive vocabulary acquisition in children with complex communication needs and severe intellectual disability.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
The usability of an AAC pain description system for patients with acquired expressive communication disorders. 获得性表达性沟通障碍患者的AAC疼痛描述系统的可用性。
IF 2 3区 医学
Augmentative and Alternative Communication Pub Date : 2023-06-01 Epub Date: 2023-05-12 DOI: 10.1080/07434618.2023.2206895
Chen-Li Kuo, Tsai-Hsuan Tsai, Shen-Mei Tung, Yueh-E Lin
{"title":"The usability of an AAC pain description system for patients with acquired expressive communication disorders.","authors":"Chen-Li Kuo,&nbsp;Tsai-Hsuan Tsai,&nbsp;Shen-Mei Tung,&nbsp;Yueh-E Lin","doi":"10.1080/07434618.2023.2206895","DOIUrl":"10.1080/07434618.2023.2206895","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":49234,"journal":{"name":"Augmentative and Alternative Communication","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9694391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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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