为痴呆症患者确定以人为本的辅助和替代性交流干预措施的组成部分:国际专家组的意见。

IF 2.3 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Adele A May, Shakila Dada, Janice Murray
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引用次数: 0

摘要

目的:尽管语言病理学界普遍认同以人为本的重要性,但针对痴呆症患者制定以人为本干预措施的指南却十分有限。本研究旨在就以人为本的痴呆症患者辅助和替代性交流(AAC)干预措施的组成部分征求专家意见:方法:采用经过修改的电子德尔菲技术进行单轮讨论。方法:采用改良的电子德尔菲技术进行单轮研究,邀请有目的抽样的专家小组就以下三个开放式问题发表意见:(a) 以人为本的护理要素;(b) 沟通支持;(c) 以人为本干预措施的互动结果。来自 9 个国家的 31 位专家参加了小组讨论。其中大部分是主要从事研究工作的语言病理学家。采用内容分析法对定性书面数据进行了编码和分析:在三个开放式问题中确定了九个组成部分:(a) 痴呆症患者的独特特征,(b) 与痴呆症患者合作,(c) 维护人格,(d) 以人为本的护理的不同观点,(e) 一系列交流支持,(f) 支持性对话伙伴,(g) 设计交流支持,(h) 互动结果测量,以及 (i) 有意义的互动结果:本研究确定了九项内容,这些内容有助于指导言语病理学家今后为痴呆症患者制定以人为本的辅助交流干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identifying Components of a Person-Centered Augmentative and Alternative Communication Intervention for People With Dementia: Opinions of an International Expert Panel.

Purpose: Despite general agreement on the importance of person-centered care in speech-language pathology, guidelines for developing person-centered interventions for those with dementia are limited. This study aimed to obtain expert opinion on the components of a person-centered augmentative and alternative communication (AAC) intervention for persons with dementia.

Method: A modified electronic Delphi technique was employed in a single round. A purposively sampled panel of experts was invited to provide their opinion on three open-ended questions related to (a) the elements of person-centered care, (b) communication supports, and (c) the interaction outcomes of a person-centered intervention. Thirty-one experts from nine countries participated on the panel. The majority were speech-language pathologists primarily involved in research. Qualitative written data were coded and analyzed using content analysis.

Results: Nine components were identified across the three open-ended questions: (a) the unique characteristics of the person with dementia, (b) working with a person with dementia, (c) preserving personhood, (d) a different view on person-centered care, (e) a range of communication supports, (f) supportive conversational partners, (g) designing communication supports, (h) interaction outcome measure, and (i) meaningful interaction outcomes.

Conclusion: This study identified nine components that are useful in guiding speech-language pathologists in crafting future person-centered AAC interventions for people with dementia.

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来源期刊
American Journal of Speech-Language Pathology
American Journal of Speech-Language Pathology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION
CiteScore
4.30
自引率
11.50%
发文量
353
审稿时长
>12 weeks
期刊介绍: Mission: AJSLP publishes peer-reviewed research and other scholarly articles on all aspects of clinical practice in speech-language pathology. The journal is an international outlet for clinical research pertaining to screening, detection, diagnosis, management, and outcomes of communication and swallowing disorders across the lifespan as well as the etiologies and characteristics of these disorders. Because of its clinical orientation, the journal disseminates research findings applicable to diverse aspects of clinical practice in speech-language pathology. AJSLP seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of speech-language pathology, including aphasia; apraxia of speech and childhood apraxia of speech; aural rehabilitation; augmentative and alternative communication; cognitive impairment; craniofacial disorders; dysarthria; fluency disorders; language disorders in children; speech sound disorders; swallowing, dysphagia, and feeding disorders; and voice disorders.
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