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Aided Communication in Everyday Interaction
- 2013
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Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- This book argues for the importance of the participants' perspective within both theory and practice on the function of augmentative and alternative communication (AAC) aids in everyday talk-in-interaction. Interactional approaches such as Conversation Analysis (CA) and Topical episode analysis are used to analyze and demonstrate the way participants make sense and display their understanding of AAC-mediated action. The book documents various practices and methods of the everyday use of AAC which can be applied clinically when establishing evidence-based assessment and intervention procedures. The book aims to bridge the gap between research and clinical practice, analyzes and explains the use of AAC aids, uses video recordings and transcriptions of naturally occurring, everyday talk-in-interacton, and demonstrates how the communicative context of the user's home is a powerful environment for learning and developing AAC use.
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| 2. |
- Axelsson, Anna Karin, et al.
(författare)
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Strategies to Facilitate Social Interaction with Adults with Congenital Deafblindness : Communication Partner's Perceptions
- 2024
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Ingår i: International journal of disability, development and education. - : Taylor & Francis. - 1034-912X .- 1465-346X.
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Tidskriftsartikel (refereegranskat)abstract
- In the study of communication, meaning-making may be explained as a process consisting of collaborative and distributed actions between participants in interaction. This view is of special importance in communication with individuals living with deafblindness. Staff working in group housing for people with congenital deafblindness can be considered as communication partners. Using a qualitative and explorative design, 18 communication partners have been individually interviewed concerning their perceptions of strategies to facilitate social interaction with adults with congenital deafblindness. The interviews were transcribed and analysed using content analysis. The analyses generated three categories of perceived strategies 1) having essential competence and qualities, 2) getting to know and understand each other, 3) use of facilitating techniques. The results indicate that staff continuity in homes for people with deafblindness is key for the well-being of the people cared for. Combinations of perceived experiences from interviews, and forthcoming video-ethnographic observations, may form the basis of training programs.
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| 3. |
- Axelsson, Anna Karin, et al.
(författare)
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Strategies to Facilitate Social Interaction with Adults with Congenital Deafblindness: Communication Partner’s Perceptions
- 2024
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Ingår i: International journal of disability, development and education. - : ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD. - 1034-912X .- 1465-346X.
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Tidskriftsartikel (refereegranskat)abstract
- In the study of communication, meaning-making may be explained as a process consisting of collaborative and distributed actions between participants in interaction. This view is of special importance in communication with individuals living with deafblindness. Staff working in group housing for people with congenital deafblindness can be considered as communication partners. Using a qualitative and explorative design, 18 communication partners have been individually interviewed concerning their perceptions of strategies to facilitate social interaction with adults with congenital deafblindness. The interviews were transcribed and analysed using content analysis. The analyses generated three categories of perceived strategies 1) having essential competence and qualities, 2) getting to know and understand each other, 3) use of facilitating techniques. The results indicate that staff continuity in homes for people with deafblindness is key for the well-being of the people cared for. Combinations of perceived experiences from interviews, and forthcoming video-ethnographic observations, may form the basis of training programs.
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| 5. |
- Ellis, Rachel, et al.
(författare)
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Combined effects of age and hearing impairment on utterances and requests for clarification in spontaneous conversation and a referential communication task
- 2024
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Ingår i: International journal of language and communication disorders. - : WILEY. - 1368-2822 .- 1460-6984. ; 59:1, s. 293-303
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundThe impact of hearing impairment is typically studied in terms of its effects on speech perception, yet this fails to account for the interactive nature of communication. Recently, there has been a move towards studying the effects of age-related hearing impairment on interaction, often using referential communication tasks; however, little is known about how interaction in these tasks compares to everyday communication. AimsTo investigate utterances and requests for clarification used in one-to-one conversations between older adults with hearing impairment and younger adults without hearing impairment, and between two younger adults without hearing impairment. Methods & ProceduresA total of 42 participants were recruited to the study and split into 21 pairs, 10 with two younger adults without hearing impairment and 11 with one younger adult without hearing impairment and one older participant with age-related hearing impairment (hard of hearing). Results from three tasks-spontaneous conversation and two trials of a referential communication task-were compared. A total of 5 min of interaction in each of the three tasks was transcribed, and the frequency of requests for clarification, mean length of utterance and total utterances were calculated for individual participants and pairs. Outcomes & ResultsWhen engaging in spontaneous conversation, participants made fewer requests for clarification than in the referential communication, regardless of hearing status/age (p & LE; 0.012). Participants who were hard of hearing made significantly more requests for clarification than their partners without hearing impairment in only the second trial of the referential communication task (U = 25, p = 0.019). Mean length of utterance was longer in spontaneous conversation than in the referential communication task in the pairs without hearing impairment (p & LE; 0.021), but not in the pairs including a person who was hard of hearing. However, participants who were hard of hearing used significantly longer utterances than their partners without hearing impairment in the spontaneous conversation (U = 8, p < 0.001) but not in the referential communication tasks. Conclusions & ImplicationsThe findings suggest that patterns of interaction observed in referential communication tasks differ to those observed in spontaneous conversation. The results also suggest that fatigue may be an important consideration when planning studies of interaction that use multiple conditions of a communication task, particularly when participants are older or hard of hearing. WHAT THIS PAPER ADDSWhat is already known on this subjectAge-related hearing impairment is known to affect communication; however, the majority of studies have focused on its impact on speech perception in controlled conditions. This indicates little about the impact on everyday, interactive, communication. What this study adds to the existing knowledgeWe investigated utterance length and requests for clarification in one-to-one conversations between pairs consisting of one older adult who is hard of hearing and one younger adult without hearing impairment, or two younger adults without hearing impairment. Results from three tasks (two trials of a referential communication task and spontaneous conversation) were compared. The findings demonstrated a significant effect of task type on requests for clarification in both groups. Furthermore, in spontaneous conversation, older adults who were hard of hearing used significantly longer utterances than their partners without hearing impairment. This pattern was not observed in the referential communication task. What are the potential or actual clinical implications of this work?These findings have important implications for generalizing results from controlled communication tasks to more everyday conversation. Specifically, they suggest that the previously observed strategy of monopolizing conversation, possibly as an attempt to control it, may be more frequently used by older adults who are hard of hearing in natural conversation than in a more contrived communication task.
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| 6. |
- Elm, Lovisa, et al.
(författare)
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Clinical practices in Swedish speech-language pathology for children with (developmental) language disorder
- 2024
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Ingår i: Clinical Linguistics & Phonetics. - : TAYLOR & FRANCIS INC. - 0269-9206 .- 1464-5076.
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Tidskriftsartikel (refereegranskat)abstract
- In Sweden, treatment for children with (developmental) language disorder ((D)LD) is traditionally carried out at a speech-language pathology (SLP) clinic, and based on formal language tests, which may not entirely represent the child's everyday language and communication skills. SLP services that include video recordings have shown positive outcomes in terms of providing information about children's linguistic and communicative abilities in everyday life, but little is known about the use of video in clinical practice. The aim of this study is therefore to investigate how Swedish SLPs link their clinical practices (assessment, treatment, and evaluation of treatment outcome) to the everyday language and communication abilities of children with (D)LD. A further aim is to explore SLPs' utilisation of video recordings as a part of their clinical practices with the target group. A web-based questionnaire was distributed to SLPs in Sweden, who work with children with (D)LD. Results demonstrate that Swedish SLPs perceive that their intervention is in alignment with children's everyday language and communication needs to a fairly high degree. However, an exception is assessment, which is considered to have a weaker alignment with children's everyday communication abilities. The use of video recordings for clinical purposes is very limited. It is suggested here that incorporating video recordings from children's everyday life would be an easy and time-efficient way to strengthen the ecological validity of SLP practices for children with (D)LD.
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| 7. |
- Elm, Lovisa, et al.
(författare)
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Swedish speech and language pathologists reflect on how their clinical practises align to everyday language and communication skills of children with developmental language disorder
- 2024
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Ingår i: Logopedics, Phoniatrics, Vocology. - : TAYLOR & FRANCIS LTD. - 1401-5439 .- 1651-2022.
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Tidskriftsartikel (refereegranskat)abstract
- This study aims to extend current knowledge about the possibilities and challenges encountered by Swedish speech and language pathologists (SLPs) in targeting everyday language and communication in children with developmental language disorder (DLD). To explore this matter, unstructured focus groups were conducted where 15 SLPs, working with children with DLD, shared their views on the alignment between their clinical practices and children's everyday lives. Thematic analysis was used to analyse the data, which resulted in five themes: It's everyday life that matters; As an SLP, you're not a part of the child's everyday life; How do we merge the different worlds?; Resources at home vary, and The employer sets the framework for clinical practices. The SLPs stressed the importance of targeting everyday skills and needs, but they experienced themselves as being detached from the children's daily context. Collaboration with caregivers and (pre)school staff was emphasised; however, the resources and capacity of the caregivers and staff varied, and this was experienced as a challenge for providing the most appropriate care. Some children and their families were situated in a multifaceted context and needed more extensive care, and this group was described as increasing. However, the services that the SLPs were able to offer varied and were largely regulated by organisational constraints. Individualised services are crucial for ensuring a positive development for children with DLD and for empowering caregivers to be effective collaborative partners in intervention. Therefore, it is essential for SLPs to have the time and resources to ensure high-quality care.
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| 8. |
- Gove, Dianne, et al.
(författare)
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The challenges of achieving timely diagnosis and culturally appropriate care of people with dementia from minority ethnic groups in Europe
- 2021
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Ingår i: International Journal of Geriatric Psychiatry. - : Wiley. - 0885-6230 .- 1099-1166. ; 36:12, s. 1823-1828
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- In a just society, everyone should have equal access to healthcare in terms of prevention, assessment, diagnosis, treatment and care. Europe is a multicultural society made up of people who identify with a wide range of ethnic groups. Many older people from minority ethnic groups also have a direct migration background. Several studies have shown that there is a lack of equity in relation to dementia diagnoses and care because equal opportunities do not necessarily translate into equal outcomes. An expert ethics working group led by Alzheimer Europe has produced an extensive report on this issue, a policy brief and a guide for health and social care workers. In this brief summary, the authors/members of the expert working group present some of the key challenges and recommendations for healthcare clinicians striving to provide timely diagnosis and good quality care and treatment to people with dementia from all ethnic groups.
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| 9. |
- Hydén, Lars-Christer, et al.
(författare)
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Feedback and common ground in conversational storytelling involvning people with Alzheimer's disease
- 2012
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Ingår i: Journal of Interactional Research in Communication Disorders/Equinox. - : Equinox Publishing. - 2040-5111 .- 2040-512X. ; 4:2, s. 211-247
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Tidskriftsartikel (refereegranskat)abstract
- The present article focuses on feedback in storytelling involving people with Alzheimer’s disease (AD), and how feedback is related to the ways participants establish a common ground (Clark 1996) in interaction. The establishment of common ground is important in all kinds of interaction and becomes an especially intricate process if participants have AD, since the achievement of common ground requires the ability to draw from knowledge and experiences relating to past as well as present events; an ability that is often hampered by the disease. Analyses show that other aspects than the actual content of the conversation are important for the participants – for instance being together, supporting the positive identities both presented in the story and embodied in the socially rewarding activity that they manage to engage in, implying that the participants create and sustain a common ground not so much about the story-layer as of the storytelling activity.
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| 10. |
- Jansson, Gunilla, et al.
(författare)
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Managing complaints in multilingual care encounters
- 2017
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Ingår i: Multilingua - Journal of Cross-cultural and Interlanguage Communication. - : DE GRUYTER MOUTON. - 0167-8507 .- 1613-3684. ; 36:3, s. 313-345
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Tidskriftsartikel (refereegranskat)abstract
- Troubles-telling and complaints are common in contexts of care for older people and need to be managed by care staff in a respectful manner. This paper examines the handling of an older persons complaints in multilingual care encounters that involve participants who do not share a common language. The data consist of video-recordings and ethnographic fieldwork in a residential home for older people in Sweden that is characterised by a variety of languages and backgrounds. The findings are based on analyses of multi-party interactions involving an Arabic-speaking resident and caregivers with different levels of knowledge in different languages. We focus on complaint sequences when the resident expresses a negative stance (displeasure, anger, etc.) towards some difficult circumstance. Using the methodology of conversation analysis, we analyse the affect-regulating work through which the caregivers attempt to turn a pressing situation into a moment of cheerfulness and intimacy. The analyses bring to light the multilingual practices that the caregivers draw upon in pursuing this work, such as translating and giving voice to the residents complaining.
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