Abstract:
BACKGROUND:Mechanical ventilatory support seriously affects speaking and communication, and earlier studies show that many ventilator-supported patients experience difficulties and frustration with their speech and voice production. Since there is a growing number of individuals who require mechanical ventilatory support and there is a paucity of studies that examine ventilator-supported communication, this research area needs to be developed to ensure adequate health services for this population. The present study focused on ventilator-supported communication from the point of view of individuals receiving home mechanical ventilation (HMV). AIMS:The specific aim was to examine the communication experience of individuals receiving HMV. METHODS & PROCEDURES:A qualitative approach was adopted for this study, and data were collected by means of semi-structured interviews. Qualitative content analysis was used to structure, condense and interpret the data. The participants were recruited from the National Respiratory Centre (NRC) in Sweden, and included 19 individuals receiving HMV. OUTCOMES & RESULTS:The main theme A long and lonely struggle to find a voice and six subthemes detailing different facets of it emerged from data analysis: Managing changed speech conditions, Prioritising voice, A third party supporting communication, Using communication to get things done, Depending on technology, and Facing ignorance. Important aspects influencing the ventilator-supported individuals' communicative performance (speech, support from others and technological solutions) are discussed. CONCLUSIONS & IMPLICATIONS:The study revealed that healthcare practitioners involved in the care of individuals receiving HMV need to improve their understanding and knowledge of issues related to ventilator-supported communication. Individuals receiving HMV encounter a needlessly long and lonely struggle to achieve effective communication. They face numerous challenges regarding their communication, and they need to be heard in both literal and figurative senses. To overcome these challenges they need support from competent healthcare practitioners and personal assistants, and continuous follow-up by speech and language therapists tailoring communicative solutions to fit individual needs.
journal_name
Int J Lang Commun Disordauthors
Laakso K,Markström A,Idvall M,Havstam C,Hartelius Ldoi
10.1111/j.1460-6984.2011.00040.xsubject
Has Abstractpub_date
2011-11-01 00:00:00pages
686-699issue
6eissn
1368-2822issn
1460-6984journal_volume
46pub_type
杂志文章abstract::The efficacy of phonological awareness intervention for children at risk for reading disorder has received increasing attention in the literature. This paper reports the follow-up data for participants in the Gillon (2000a) intervention study. The performance of twenty, 5-7-year-old New Zealand children with spoken la...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/1368282021000007776
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:Children with specific language impairment (SLI) have problems not only with language performance but also with sustained attention, which is the ability to maintain alertness over an extended period of time. Although there is consensus that this ability is impaired with respect to processing stimuli in the ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12275
更新日期:2017-05-01 00:00:00
abstract::Children were selected from schools for pupils with learning difficulties. Non-verbal ability measures classified them with what was previously termed moderate learning difficulties (MLD). A Surrey Speech, Language and Communication Profile (Surrey Profile) (Cave and McGregor 1996) was completed for each child and the...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682820109177892
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Fluent speakers and people who stutter manifest alterations in autonomic and emotional responses as they view stuttered relative to fluent speech samples. These reactions are indicative of an aroused autonomic state and are hypothesized to be triggered by the abrupt breakdown in fluency exemplified in stutte...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/j.1460-6984.2012.00162.x
更新日期:2012-09-01 00:00:00
abstract::One approach to outcome measures for speech and language therapy is to display measures of the physical, acoustic, correlates of the perceptually salient features of the structure of speech. A difficulty with this approach is that there is no simple mapping of physical correlates onto speech percepts. In this workshop...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682829809179441
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:While autism spectrum disorder (ASD) and specific language impairment (SLI) have traditionally been conceptualized as distinct disorders, recent findings indicate that the boundaries between these two conditions are not clear-cut. While considerable research has investigated overlap in the linguistic charact...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12146
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:The ability to make inferences plays a crucial role in reading comprehension and the educational success of school-aged children. However, it starts to unfold much earlier than school entry and literacy. Given that it is likely to be targeted in speech language therapy, it would be useful for clinicians to h...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,评审
doi:10.1111/1460-6984.12175
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Worldwide speech-language therapy (SLT) students are educated in evidence-based practice (EBP). For students to use EBP in their future day-to-day clinical practice, they must value EBP as positive and must feel confident in using it. For curricula developers it is therefore important to know the impact thei...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12015
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:Aphasia is an acquired language disorder that occurs secondary to brain injury, such as stroke. It causes communication difficulties that have a significant impact on quality of life and social relationships. Although the efficacy of speech-language therapy has been clearly demonstrated in this population, l...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12439
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:The speech intelligibility of children with dysarthria and cerebral palsy has been observed to increase following therapy focusing on respiration and phonation. AIMS:To determine if speech intelligibility change following intervention is associated with change in acoustic measures of voice. METHODS & PROCE...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12336
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Beyond the severity of voice, speech and language impairments, one potential predictor of communication success across adult populations with communication disorders may be perceived social support: the expectation that others will provide support if needed. Despite the preponderance of intervention approach...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12417
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:People who stutter produce speech that is characterized by intermittent, involuntary part-word repetitions and prolongations. In addition to these signature acoustic manifestations, those who stutter often display repetitive and fixated behaviours outside the speech producing mechanism (e.g. in the head, arm...
journal_title:International journal of language & communication disorders
pub_type: 临床试验,杂志文章
doi:10.1080/10610270600850036
更新日期:2007-03-01 00:00:00
abstract:BACKGROUND:In domains other than language, there is fairly consistent diagnostic terminology to refer to children's developmental difficulties. For instance, the terms 'dyslexia', 'attention deficit hyperactivity disorder' and 'autistic spectrum disorder' are used for difficulties with reading, attention or social cogn...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,评审
doi:10.1111/1460-6984.12101
更新日期:2014-07-01 00:00:00
abstract::Evidence is presented that immature perceptual strategies are a contributory factor to developmental phonological disorder. The findings endorse the current re-focusing of attention on the role of perception in disordered speech and language acquisition and also highlight the need for more precise assessment and remed...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,评审
doi:10.3109/13682829809179471
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:In an initial validation study, the Unhelpful Thoughts and Beliefs About Stuttering (UTBAS I) scale, demonstrated excellent psychometric properties as a self-report measure of the frequency of unhelpful cognitions associated with social anxiety for adults who stutter. AIMS:The aim was to further validate th...
journal_title:International journal of language & communication disorders
pub_type: 临床试验,杂志文章
doi:10.3109/13682822.2010.495369
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND:The Swedish Program for health surveillance of preschool children includes screening of language and communication abilities. One important language screening is carried out at age 4 years as part of a general screening conducted by health nurses at child health centres. The instruments presently in use for ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12374
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:Oesophageal abnormalities are common findings in a speech-language therapy videofluoroscopy clinic. Fluoroscopic screening involving oropharynx alone fails to identify these patients. Oesophageal screening as an adjunct to videofluoroscopy is gaining popularity. Yet currently, little is known about the relia...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12283
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Children with specific speech and language difficulties (SSLD) pose a challenge to the education system, and to speech and language therapists who support them, as a result of their language needs and associated educational and social-behavioural difficulties. The development of inclusion raises questions re...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820500442073
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:Although some investigations of phonological development have found that segmental accuracy is comparable in monolingual children and their bilingual peers, there is evidence that language use affects segmental accuracy in both languages. AIMS:To investigate the influence of age of first exposure to English...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12214
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:There is a noticeable publication gap in the speech-language pathology literature regarding the language abilities of children with common types of epilepsy. This paper reviews studies that suggest a high frequency of undetected language problems in this population, and it proposes the need for pragmatically...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/j.1460-6984.2012.00203.x
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Speaking rate has implications for both clinical practice and an understanding of normal and disordered communication processes. Fundamental information on speaking rate is required by the clinician for the appropriate management of those disorders with disturbances of rate or those in which rate modificatio...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/10428190500343043
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:Despite initial underreporting of language dysfunctions in corticobasal syndrome (CBS), aphasia is now recognized as a frequent feature of this disease. Aphasia in CBS seems clinically overlying to a non-fluent/agrammatic primary progressive aphasia (nfaPPA), which is also a clinical phenotype associated wit...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12559
更新日期:2020-11-01 00:00:00
abstract::Improvement or maintenance of speech intelligibility is a central aim in a whole range of conditions in speech-language therapy, both developmental and acquired. Best clinical practice and pursuance of the evidence base for interventions would suggest measurement of intelligibility forms a vital role in clinical decis...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,评审
doi:10.1111/1460-6984.12061
更新日期:2013-11-01 00:00:00
abstract::The primary aim of western-trained speech and language therapists (SLTs) working in the 'South' is not to train further SLTs but to transfer a range of practical skills to carers, health and education workers working directly with under-served populations. Considering current areas of service need in the UK, a model o...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682820109177901
更新日期:2001-01-01 00:00:00
abstract::Two experiments examined the time course of lexical information availability in 20 adults, 20 children (8;0-10;0) with typical language development, and in 20 children (8;0-10;0) with specific language impairment. A cross-modal picture-word interference paradigm was used in which participants named the pictures as qui...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820701768581
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Children with Down's syndrome seem to show a preference for the use of gestural rather than vocal productions during the first stages of language development. This 'gestural advantage' could actually be due to a developmental strategy used to compensate the difficulties in verbal production that are typical ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820802398288
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:Stuttering is prone to strike during speech initiation more so than at any other point in an utterance. The use of auditory feedback (AAF) has been found to produce robust decreases in the stuttering frequency by creating an electronic rendition of choral speech (i.e., speaking in unison). However, AAF requi...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820802546951
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:Altered auditory feedback can facilitate speech fluency in adults who stutter. However, other findings suggest that adults who stutter show anomalies in 'audiovocal integration', such as longer phonation reaction times to auditory stimuli and less effective pitch tracking. AIMS:To study audiovocal integrati...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/j.1460-6984.2011.00111.x
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:The Transsexual Voice Questionnaire (TVQMtF ) was designed to capture the voice-related perceptions of individuals whose gender identity as female is the opposite of their birth-assigned gender (MtF women). Evaluation of the psychometric properties of the TVQMtF is ongoing. AIMS:To investigate associations ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12319
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Intelligibility is a speaker's ability to convey a message to a listener. Including an assessment of intelligibility is essential in both research and clinical work relating to individuals with communication disorders due to speech impairment. Assessment of the intelligibility of spontaneous speech can be us...
journal_title:International journal of language & communication disorders
pub_type: 临床试验,杂志文章
doi:10.1111/1460-6984.12067
更新日期:2014-03-01 00:00:00