Abstract:
BACKGROUND:Communication training for parents of young children with neurodisability is often delivered in groups and includes video coaching. Group teaching is problematic when there is wide variation in the characteristics and needs amongst participants. AIMS:To assess the potential feasibility and acceptability of delivering one-to-one parent training supported by remote coaching using smartphone apps and of conducting further trials of the intervention. METHODS & PROCEDURES:We aimed to recruit eight children aged 12-48 months with motor disorders and communication difficulties and to provide families with individual parent training in six weekly home visits supplemented by remote coaching via smartphone apps. For outcome measurement, parents recorded their interaction with their child thrice weekly during baseline (3 weeks), intervention, post-intervention (3 weeks) and follow-up (1 week). Measures comprised parent responsiveness and counts of children's communication and vocalization. Research design feasibility was measured through rates of recruitment, attrition, outcome measure completion and agreement between raters on outcome measurement. Intervention feasibility was assessed through the proportion of therapy sessions received, the number of videos and text messages shared using the apps in remote coaching, and message content. Parents were interviewed about the acceptability of the intervention and trial design. Interviews were transcribed and analyzed using inductive thematic analysis. OUTCOMES & RESULTS:Nine children were recruited over 16 weeks. All fitted the inclusion criteria. Four families withdrew from the study. Five families completed the intervention. No family submitted the target number of video recordings for outcome measurement. Interrater agreement was moderate for child communication (K = 0.46) and vocalization (K = 0.60) and high for The Responsive Augmentative and Alternative Communication Style scale (RAACS) (rs = 0.96). Parents who completed the intervention reported positive experiences of the programme and remote coaching via the apps. Therapist messages via the app contained comments on parent and child behaviour and requests for parental reflection/action; parental messages contained reflections on children's communication. CONCLUSIONS & IMPLICATIONS:The intervention and study design demanded high levels of parental involvement and was not suitable for all families. Recording shorter periods of interaction via mobile phones or using alternative methods of data collection may increase feasibility of outcome measurement.
journal_name
Int J Lang Commun Disordauthors
Stockwell K,Alabdulqader E,Jackson D,Basu A,Olivier P,Pennington Ldoi
10.1111/1460-6984.12468subject
Has Abstractpub_date
2019-03-01 00:00:00pages
265-280issue
2eissn
1368-2822issn
1460-6984journal_volume
54pub_type
杂志文章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
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更新日期:2014-03-01 00:00:00
abstract::A group of eight right hemisphere brain damaged (RHBD) individuals' use of gesture during discourse was explored at two points post stroke. Three topic structured conversational and three procedural discourse samples were elicited at one and six months post stroke. Gestures were analysed in terms of communicative gest...
journal_title:International journal of language & communication disorders
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journal_title:International journal of language & communication disorders
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journal_title:International journal of language & communication disorders
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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pub_type: 杂志文章
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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
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journal_title:International journal of language & communication disorders
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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
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journal_title:International journal of language & communication disorders
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journal_title:International journal of language & communication disorders
pub_type: 杂志文章,多中心研究,随机对照试验
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pub_type: 杂志文章,随机对照试验
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abstract:BACKGROUND:Those who stutter have a proclivity to social anxiety. Yet, to date, there is no comprehensive measure of thoughts and beliefs about stuttering that represent the cognitions associated with that anxiety. AIMS:The present paper describes the development of a measure to assess unhelpful thoughts and beliefs a...
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