| 1. |
- Johansson, Inga-Lena, 1967-
(författare)
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Parkinson’s Disease and Communication : Intelligibility, Interaction and Participation
- 2024
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Parkinson’s disease is a neurodegenerative disorder affecting dopamine production in the basal ganglia. It is a common cause of disability among elderly people. The main symptoms are tremor, rigidity, and bradykinesia, but there is a substantial individual variation of how the disease manifests itself. Communicative changes occur frequently and motor speech impairment in the form of dysarthria is common. Other communicative abilities, such as language functions and the use of body gestures, may also be affected. Traditionally, the focus for research and clinical assessments and interventions in the context of communicative changes in Parkinson’s disease has mainly been on speech and voice impairment. However, the impact on communication is multi-faceted, and different factors may affect the ability to make oneself understood and participate in conversations. Conversation is also a collaborative activity, where all participants’ contributions would need to be considered. Although there is a growing body of research on communicative impact in Parkinson’s disease, these aspects have, so far, been less studied. In the present thesis, communicative changes in Parkinson’s disease were explored with a focus on speech intelligibility, interaction in conversations, and communicative participation.In study I, qualitative interviews with dyads consisting of a person with Parkinson’s disease and a close communication partner revealed individual variation in experiences of communicative changes. The results indicated multi-factorial disease-related impact on everyday communication and communicative participation. A change noted in almost all dyads was that the partner with Parkinson’s disease participated less in conversations. In study II, listener ratings of connected speech intelligibility showed both inter- and intra-speaker variability between different types of assessment tasks, indicating that di-verse factors may influence intelligibility for individual speakers. Listener knowledge of context significantly increased intelligibility scores. Acoustic analyses of consonant articulation in study III indicated that some measures may be more sensitive for detecting impact on speech and intelligibility for speakers with Parkinson’s disease, while other aspects of articulation may be demanding in terms of acoustic realisation also for healthy elderly speakers. Visual examination of spectrograms may provide qualitative information about speech production in relation to intelligibility. Paper IV reports a pilot trial of dyadic intervention from a self-management perspective. Qualitative exploratory interviews and video recordings of the dyads’ joint conversations formed the basis for the intervention. At follow-up, the participating dyads reported increased communicative awareness and changes in mind-set but minor changes of communicative behaviours. The results from the included studies contribute to the understanding of the complexity and individual variability of possible communicative impact in Parkinson’s disease and support a holistic perspective on communication. The thesis demonstrates that it is necessary to apply multiple methods in assessment for achieving in-depth knowledge of how Parkinson’s disease impacts on speech intelligibility and everyday communication, to optimally tailor communication interventions to the individuals’ needs. This should also include insights in the communicative habits and experiences of persons with Parkinson’s disease and their close communication partners.
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| 2. |
- Norén, Niklas, 1966-, et al.
(författare)
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Dialogical Perspectives on Aided Communication
- 2013
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Ingår i: Aided Communication in Everyday Interaction. - Guildford : J&R Press Ltd. - 9781907826115 - 1907826114 ; , s. 1-22
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- This articile is an introduction to a research anthology on aided communication, and argues for a dialogical approach to challenged interaction i research and clinical practise.
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| 3. |
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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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| 4. |
- Astell, A. J., et al.
(författare)
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Developing a pragmatic evaluation of ICTs for older adults with cognitive impairment at scale : the IN LIFE experience
- 2022
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Ingår i: Universal Access in the Information Society. - Heidelberg, Germany : Springer. - 1615-5289 .- 1615-5297. ; 21:1, s. 1-19
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Tidskriftsartikel (refereegranskat)abstract
- Implementing information and communications technology (ICT) at scale requires evaluation processes to capture the impacton users as well as the infrastructure into which it is being introduced. For older adults living with cognitive impairment, thisrequires evaluation that can accommodate diferent levels of cognitive impairment, alongside input from family and formalcaregivers, plus stakeholder organisations. The European Horizon 2020 project INdependent LIving support Functions forthe Elderly (IN LIFE) set out to integrate 17 technologies into a single digital platform for older people living with cognitive impairment plus their families, care providers and stakeholders. The IN LIFE evaluation took place across six nationalpilot sites to examine a number of variables including impact on the users, user acceptance of the individual services andthe overall platform, plus the economic case for the IN LIFE platform. The results confrmed the interest and need amongolder adults, family caregivers, formal caregivers and stakeholders, for information and communications technology (ICT).Relative to the baseline, quality of life improved and cognition stabilised; however, there was an overall reluctance to payfor the platform. The fndings provide insights into existing barriers and challenges for adoption of ICT for older peopleliving with cognitive impairment.
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| 5. |
- Blomgren, Charlotte, et al.
(författare)
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Long-term performance of instrumental activities of daily living in young and middle-aged stroke survivors-Impact of cognitive dysfunction, emotional problems and fatigue.
- 2019
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Ingår i: PloS one. - : Public Library of Science (PLoS). - 1932-6203. ; 14:5
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Tidskriftsartikel (refereegranskat)abstract
- With an upward trend in the number of people who return home to independent living after stroke, the ability to perform more complex activities is becoming an increasingly important long-term outcome after stroke. Although associations between Instrumental Activities of Daily Living (IADL) and cognitive dysfunction, emotional problems, and fatigue have been reported, less is known about the long-term impact of these stroke consequences on the performance of everyday activities in young and middle-aged stroke survivors.To explore the impact of cognitive dysfunction, emotional problems, and fatigue on long-term performance of instrumental activities of daily living in young and middle-aged stroke survivors.Data on stroke survivors, aged 18-69 at index stroke, were collected from the Sahlgrenska Academy Study on Ischaemic Stroke. IADL outcome was assessed using the Frenchay Activities Index (FAI), and the impact of chosen variables was assessed using Spearman´s rank-order correlation and logistic regression.Seven years after index stroke, 296 stroke survivors (median age of 64) were included in this study. Cognitive dysfunction showed the strongest correlations with FAI outcome and independently explained worse outcome on FAI summary score and the domain of work/leisure activities. Fatigue was independently explanatory of worse outcome on FAI summary score and domestic chores, while depressive symptoms independently explained worse outcome on work/leisure activities. In a subgroup with only those participants who had no or minimal residual neurological deficits at follow-up (NIHSS score 0), cognitive dysfunction independently explained worse outcome on FAI summary score and work/leisure activities. Depressive symptoms independently explained worse outcome on FAI summary score and domestic chores.Our results show that in young and middle-aged stroke survivors, cognitive dysfunction, depressive symptoms, and fatigue negatively impact performance of IADL even at seven years post stroke onset. Further, we have shown that an impact of both cognitive dysfunction and depressive symptoms can be found also among stroke survivors with mild or no remaining neurological deficits.
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| 6. |
- Brännmark, Cecilia, et al.
(författare)
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FIND Stroke Recovery Study (FIND): rationale and protocol for a longitudinal observational cohort study of trajectories of recovery and biomarkers poststroke
- 2023
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Ingår i: Bmj Open. - 2044-6055. ; 13:5
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Tidskriftsartikel (refereegranskat)abstract
- ntroduction Comprehensive studies mapping domain-specific trajectories of recovery after stroke and biomarkers reflecting these processes are scarce. We, therefore, initiated an exploratory prospective observational study of stroke cases with repeated evaluation, the FIND Stroke Recovery Study. We aim to capture trajectories of recovery from different impairments, including cognition, in combination with broad profiling of blood and imaging biomarkers of the recovery. Methods and analysis We recruit individuals with first-ever stroke at the stroke unit at the Sahlgrenska University Hospital, Sweden, to FIND. The inclusion started early 2018 and we aim to enrol minimum 500 patients. Neurological and cognitive impairments across multiple domains are assessed using validated clinical assessment methods, advanced neuroimaging is performed and blood samples for biomarker measuring (protein, RNA and DNA) at inclusion and follow-up visits at 3 months, 6 months, 1 year, 2 years and 5 years poststroke. At baseline and at each follow-up visit, we also register clinical variables known to influence outcomes such as prestroke functioning, stroke severity, acute interventions, rehabilitation, other treatments, socioeconomic status, infections (including COVID-19) and other comorbidities. Recurrent stroke and other major vascular events are identified continuously in national registers. Ethics and dissemination FIND composes a unique stroke cohort with detailed phenotyping, repetitive assessments of outcomes across multiple neurological and cognitive domains and patient-reported outcomes as well as blood and imaging biomarker profiling. Ethical approval for the FIND study has been obtained from the Regional Ethics Review Board in Gothenburg and the Swedish Ethics Review Board. The results of this exploratory study will provide novel data on the time course of recovery and biomarkers after stroke. The description of this protocol will inform the stroke research community of our ongoing study and facilitate comparisons with other data sets.
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| 7. |
- Ekström, Anna, 1979-, et al.
(författare)
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Communication and collaboration in dementia
- 2017
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Ingår i: Living with dementia. - : Palgrave Macmillan. - 9781137593740 - 9781137593757 ; , s. 93-115
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Bokkapitel (refereegranskat)
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| 8. |
- Ekström, Anna, et al.
(författare)
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Digital communication support and Alzheimer’s disease
- 2017
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Ingår i: Dementia. - : Sage Publications. - 1471-3012 .- 1741-2684. ; 16:6, s. 711-731
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Tidskriftsartikel (refereegranskat)abstract
- Communication is one of the areas where people with dementia and their caregivers experience most challenges. The purpose of this study is to contribute to the understanding of possibilities and pitfalls of using personalized communication applications installed on tablet computers to support communication for people with dementia and their conversational partners. The study is based on video recordings of a woman, 52 years old, with Alzheimer’s disease interacting with her husband in their home. The couple was recorded interacting with and without a tablet computer including a personalized communication application. The results from the present study reveal both significant possibilities and potential difficulties in introducing a digital communication device to people with dementia and their conversational partners. For the woman in the present study, the amount of interactive actions and the number of communicative actions seem to increase with the use of the communication application. The results also indicate that problems associated with dementia are foregrounded in interaction where the tablet computer is used.
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| 9. |
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| 10. |
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| 11. |
- Gerafi, Joel, et al.
(författare)
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Neglect and aphasia in the acute phase as predictors of functional outcome 7 years after ischemic stroke
- 2017
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Ingår i: European Journal of Neurology. - : Wiley. - 1351-5101 .- 1468-1331. ; 24:11, s. 1407-1415
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Tidskriftsartikel (refereegranskat)abstract
- © 2017 EAN Background and purpose: Visuospatial inattention (VSI) and language impairment (LI) are often present early after stroke and associations with an unfavorable short-term functional outcome have been reported. The purpose of this study was to investigate whether a screening of VSI and LI as indicators of cortical symptoms early after stroke could predict long-term functional outcomes. Methods: A consecutive cohort of 375 patients with ischemic stroke was assessed for the occurrence of VSI at a median of 7 days after admission (interquartile range, 1–5 days) using the Star Cancellation Test and for LI (within the first 7 days) with the language item in the Scandinavian Stroke Scale. Seven years later, functional outcomes were assessed by the modified Rankin scale and Frenchay Activities Index in 235 survivors without recurrent stroke. Relationships between baseline predictors and functional outcome at 7 years were analyzed with bivariate correlations and multiple categorical regressions with optimal scaling. Results: The regression model significantly explained variance in the modified Rankin scale (R 2 = 0.435, P < 0.001) and identified VSI (P = 0.001) and neurological deficits (P < 0.001; Scandinavian Stroke Scale score without the language item) as the significant independent predictors. The model for Frenchay Activities Index was also significant (R 2 = 0.269, P < 0.001) with VSI (P = 0.035) and neurological deficits (P < 0.001) as significant independent predictors. Conclusions: Visuospatial inattention at acute stroke has an independent impact on long-term functional outcomes. Early recognition may enable targeted rehabilitative interventions.
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| 12. |
- Gerafi, Joel, et al.
(författare)
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The presence and prediction of lateralized inattention 7 years post-stroke
- 2020
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Ingår i: Acta Neurologica Scandinavica. - : Hindawi Limited. - 0001-6314 .- 1600-0404. ; 141:5, s. 423-430
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Tidskriftsartikel (refereegranskat)abstract
- Objective Lateralized inattention is a typical sign of neglect and related to poor functional outcome. Knowledge of the long-term course of this phenomenon is limited. The purpose of this study was to investigate presence and predictors for signs of lateralized inattention 7 years after stroke. Methods From a cohort of acute ischemic stroke patients, aged 18-69 years (n = 297), a consecutive series of 188 survivors without recurrent stroke at follow-up 7 years later were included. Within the first week after stroke onset, stroke severity was assessed according to the Scandinavian Stroke Scale. Target omissions, asymmetry of omissions, and perceptual speed according to Star- and Letter Cancellation Tests were also assessed. Presence of lateralized inattention at the 7-year follow-up was investigated with the Star- and Letter Cancellation Tests and with the neglect item in the National Institutes of Health Stroke Scale. Results At the follow-up, 22 (11.7%) participants had lateralized inattention and the multivariable regression showed that independent significant baseline predictors were total omissions in target cancellations (P < .001) and inferior baseline performance on visual processing speed (P = .008). Conclusion About one of ten individuals exhibited signs of lateralized inattention 7 years after stroke. Baseline performance in perceptual processing speed and target omissions independently predicted presence of late signs of lateralized inattention. This is the first time processing speed is recognized as a significant predictor of lateralized inattention several years after the stroke incidence, indicating that the longitudinal course of processing speed following stroke is a critical subject for future research.
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| 13. |
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| 14. |
- Gustafson, Stefan, et al.
(författare)
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How Simple is the Simple View of Reading?
- 2013
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Ingår i: Scandinavian Journal of Educational Research. - : Routledge. - 0031-3831 .- 1470-1170. ; 57:3, s. 292-308
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Tidskriftsartikel (refereegranskat)abstract
- According to the Simple View of Reading, reading ability can be divided into decoding and language comprehension. In the present study, decoding and comprehension's contribution to reading ability was studied both in children with reading difficulties and in children with typical reading ability. Decoding and comprehension was further divided into sub-components, and the contribution from non-verbal ability and general processing speed was also studied. The results demonstrated that decoding made the largest contribution to reading ability for children with reading difficulties, while language comprehension contributed the most for children with typical reading ability. The contribution of non-verbal ability was not significant, and general processing speed only made a significant contribution to decoding for typical children. The two factors in the Simple View of Reading, decoding and comprehension, together explained less of the variance in reading ability for children with reading difficulties than for children with typical reading ability.
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| 15. |
- Hjalmarsson Österholm, Johannes, et al.
(författare)
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Orally positioning persons with dementia in assessment meetings
- 2015
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Ingår i: Ageing & Society. - Cambridge : Cambridge University Press. - 0144-686X .- 1469-1779. ; 35:2, s. 367-388
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Tidskriftsartikel (refereegranskat)abstract
- In this paper the authors study if and how persons with dementia are orally positioned by others, and how they position themselves while participating in assessment meetings held in order to discuss access to supportive services. We analysed five assessment meetings where two older persons (one diagnosed with dementia and one without a dementia diagnosis) participated to investigate whether the person with dementia is positioned differently than the other old person. Interactional phenomena used to position the person with dementia were identified by interactional analysis.The paperidentifies six phenomena that positioned the person with dementia as an individual with less interactional competence than the other participants: ignoring the person with dementia; voicing the feelings, capacity or opinion of the person with dementia; posing questions implying lack of competence; others' use of diagnosis; self-(re)positioning; and elderspeak. Persons with dementia are often orally positioned as less competent, indicating that they suffer further from discrimination than other older persons. We suggest that this has an impact on the participation of people with dementia in negotiations regarding their future care. The results indicate that social workers should be made aware that negative positioning exists and how it may affect the ability of people with dementia to contribute to discussions about their everyday life. Social workers should be encouraged to find strategies to reduce negative positioning in interaction.
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| 16. |
- Hofgren, Caisa, 1952, et al.
(författare)
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Cognitive screen and employment long-term after infratentorial stroke
- 2022
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Ingår i: Acta Neurologica Scandinavica. - : Hindawi Limited. - 0001-6314 .- 1600-0404. ; 145:5, s. 610-618
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: Motor problems are well-described neurological deficits that occur commonly after an infratentorial ischemic stroke. However, the brain stem and cerebellum are also part of the neural interconnections responsible for cognition, emotions, and behavioral responses. We lack studies on long-term cognitive outcomes and patient employment after an infratentorial stroke. In the present study, we described and compared long-term poststroke cognitive outcomes and employment between patients that experienced infratentorial and supratentorial ischemic strokes. Materials and Methods: We included consecutive patients that experienced an acute ischemic stroke at <= 58 years of age. Patients were classified according to the stroke location. At seven years poststroke, surviving participants were assessed for neurological deficits (National Institutes of Health Stroke Scale [NIHSS]), functional outcome (modified Rankin Scale [mRS]), cognitive function Barrow Neurological Institute Screen (BNIS), and employment. Results: Among 141 participants, 25 (18%) had infratentorial and 116 (82%) had supratentorial strokes. At the 7-year poststroke follow-up, there was no significant difference in BNIS total scores; with a median of 43 (IQR 40.5-46) and 41 (IQR 38-46) in the infratentorial and supratentorial groups, respectively. This result indicated that cognitive dysfunction occurred frequently in both groups. Similar employment rates were observed in the infratentorial (48%) and supratentorial (55%) groups. Both groups had a median NIHSS score of 0 and a median mRS score of 2 at the 7-year follow-up. Conclusion: Patients who survived an infratentorial or supratentorial ischemic stroke had similar rates of long-term cognitive dysfunction and difficulties in returning and/or remaining at work.
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| 17. |
- Ingebrand, Elias, 1991-
(författare)
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Dementia and learning : The use of tablet computers in joint activities
- 2023
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Living with dementia is generally associated with terms such as loss, confusion, and dependency; not development, agency and collaboration. Contributing to a growing body of research that acknowledges the remaining abilities of people living with dementia, and how they cope with challenges in their everyday lives, this thesis concerns a topic habitually framed by negative presumptions, namely learning. The risk of developing dementia increases with advancing age, and with an aging population the number of people living with dementia is expected to rise. Dementia is a complex condition that can have various underlying causes; it includes numerous diagnoses and is commonly characterized by a decline in cognitive and communicative functions. Due to its clinical connotations, people living with dementia often face negative assumptions about how they are, and what they can or cannot do. Alongside prevailing metaphors such as a return to childhood or empty shells, people living with dementia have been depicted as passive and disengaged communicators, incapable of initiating social action and asserting agency, who struggle to maintain attention in interactions. The aim of this thesis is to study novel learning in everyday activities for people living with dementia, taking the use of tablet computers as a case in point. Learning is approached from an interactionist perspective, where it is understood as a social and situated process, and conceptualized as changing participation in joint activities. The data used in this thesis comprises a collection of 50 video recordings where a person living with dementia, who has no previous experience of using touchscreen technologies, is using a tablet computer together with either a caregiver or another person living with dementia. The participants were asked to use the tablet computers according to their own interests, and did not receive any information regarding learning as an objective of their activities. Through four empirical studies, all using the methodological framework of multimodal conversation analysis, this thesis challenges the stereotypical belief that people living with dementia are incapable of novel learning. Study I shows how a woman living with dementia, over the course of six weeks, learns to perform the basic navigational steps needed to use an augmentative and alternative communication application. The analysis demonstrates how the participant's reliance on detailed information from her interlocutors gradually declined both during and across recordings. Study II highlights how people living with dementia position themselves as learners in unfamiliar joint activities. The results emphasize that the participants living with dementia publicly display their current understanding of the ongoing joint activities, introduce learning as a conversational topic, and are actively engaged in soliciting the information needed to partake. Study III shows how professional and family carers support the participants living with dementia in managing the tablet computers. The analysis reveals that the caregivers orient towards the doing of the participants with dementia, are attentive to their displayed understanding of the unfolding activities, and adapt any instructions with detailed multimodal cues if required. Study IV moves away from the dyadic constellations consisting of a person living with dementia together with a caregiver, and instead focuses on how people living with dementia manage the joint activities together with a peer. The results show that the participants treat the activities as collaborative endeavors, and orient towards the displayed competences of each other by offering or soliciting information when needed. Taken together, the findings from this thesis demonstrate that novel learning is possible for people living with dementia even without the use of structured interventions. The learning process is highly collaborative, and the participants actively support each other's conduct throughout the unfolding activities. Apart from possibilities for repeated participation in joint activities, procedural and agentive aspects of learning for people living with dementia are emphasized.
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| 18. |
- Ingebrand, Elias, 1991-, et al.
(författare)
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People living with dementia collaborating in a joint activity
- 2022
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Ingår i: Learning, Culture and Social Interaction. - : Elsevier. - 2210-6561 .- 2210-657X. ; 34
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Tidskriftsartikel (refereegranskat)abstract
- Recent research has stressed the collaborative competences of people living with dementia, showing how they are capable of participating in a multitude of everyday activities when supported by cognitively healthy individuals. However, little is known about the collaborative work between different people living with dementia. Accordingly, this study aims to explore how people living with dementia, without the support of a cognitively healthy interlocutor, collaborate with other people living with dementia in an unfamiliar activity. The study is based on video recordings of three dyads, each comprising two individuals living with dementia, as they are using tablet computers with reminiscence and communication aiding applications. Drawing on multimodal interaction analysis, we show how the participants living with dementia treat the activities as joint endeavors and, when needed, engage in problem-solving sequences where they make their knowledge about how to progress within the activities publicly visible to their interlocutor. Our findings suggest that people living with dementia do collaborate with each other, and that the interactional labor between different people living with dementia is more symmetrical than what has been described in joint activities involving people living with dementia and cognitively healthy individuals.Previous article in issue
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| 19. |
- Ingebrand, Elias, 1991-, et al.
(författare)
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Supporting people living with dementia in novel joint activities: Managing tablet computers
- 2023
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Ingår i: Journal of Aging Studies. - : Elsevier. - 0890-4065 .- 1879-193X. ; 65
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Tidskriftsartikel (refereegranskat)abstract
- A bourgeoning number of studies have demonstrated that people living with dementia are capable of participating in a wide range of everyday activities when supported by care professionals or family carers. However, little remains known about the situated practices used by carers to support people living with dementia as active co-participants in novel joint activities. Taking the use of tablet computers as an example, this study focuses on the interactional organization of instructions in joint activities involving people living with dementia, who have no previous experiences of touchscreen technologies, and their carers. The study is based on forty-one video recordings of ten dyads, each comprising a person living with dementia and a carer, as they are using tablet computers with applications suited to individual interests. Drawing on multimodal interaction analysis, we show how the carers continually foster the accomplishment of their interlocutors, and rarely take over responsibility for closing an ongoing joint project themselves. Our findings suggest that the carers' instructions, realized as verbal and embodied directives, function as a form of scaffolding practice that facilitates the coordination of visual perception and embodied conduct for the participants living with dementia.
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| 20. |
- Johansson, Inga-Lena, 1967-, et al.
(författare)
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Consonant articulation acoustics and intelligibility in Swedish speakers with Parkinson’s disease : a pilot study
- 2023
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Ingår i: Clinical Linguistics & Phonetics. - : Taylor & Francis Group. - 0269-9206 .- 1464-5076. ; 37:9, s. 845-865
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Tidskriftsartikel (refereegranskat)abstract
- Imprecise consonant articulation is common in speakers with Parkinson’s disease and can affect intelligibility. The research on the relationship between acoustic speech measures and intelligibility in Parkinson’s disease is limited, and most of the research has been conducted on English. This pilot study investigated aspects of consonant articulation acoustics in eleven Swedish speakers with Parkinson’s disease and six neurologically healthy persons. The focus of the study was on consonant cluster production, articulatory motion rate and variation, and voice onset time, and how these acoustic features correlate with speech intelligibility. Among the measures in the present study, typicality ratings of heterorganic consonant clusters /spr/ and /skr/ had the strongest correlations with intelligibility. Measures based on syllable repetition, such as repetition rate and voice onset time, showed varying results with weak to moderate correlations with intelligibility. One conclusion is that some acoustic measures may be more sensitive than others to the impact of the underlying sensory-motor impairment and dysarthria on speech production and intelligibility in speakers with Parkinson’s disease. Some aspects of articulation appear to be equally demanding in terms of acoustic realization for elderly healthy speakers and for speakers with Parkinson’s disease, such as sequential motion rate measures. Clinically, this would imply that for the purpose of detecting signs of disordered speech motor control, choosing measures with less variation among older speakers without articulation impairment would lead to more robust results.
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| 21. |
- Johansson, Inga-Lena, 1967-, et al.
(författare)
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Patients’ and communication partners’ experiences of communicative changes in Parkinson’s disease
- 2020
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Ingår i: Disability and Rehabilitation. - : Taylor & Francis. - 0963-8288 .- 1464-5165. ; 42:13, s. 1835-1843
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The aim of the present study was to investigate the experiences of people with Parkinson’s disease and their close communication partners regarding disease-related communicative changes and participation in everyday conversations.Materials and methods: Semi-structured qualitative interviews were conducted with six dyads consisting of a person with Parkinson’s disease and a close communication partner. The interview material was analysed through thematic analysis.Results: The main theme was the experiences of barriers and facilitators for participation in conversations. Subthemes were experiences related to changes in voice and articulation, language and cognition, body language and facial expressions, fatigue, self-image, communicative initiative, and familiarity with conversation partner. The results show individual variation. A change observed in almost all dyads was the person with Parkinson’s disease participating less in conversations.Conclusions: Assessment and interventions should be based on a broad perspective on communication, and individuals’ priorities should be foregrounded in intervention planning. Both the person with Parkinson’s disease and communication partners need to make adjustments for communication to work. Therefore, close communication partners should be included in assessment and intervention of communicationin Parkinson’s disease from an early stage.
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| 22. |
- Johansson, Inga-Lena, 1967-, et al.
(författare)
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Picture description in the assessment of connected speech intelligibility in Parkinson's disease : A pilot study
- 2022
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Ingår i: Folia Phoniatrica et Logopaedica. - Basel, Switzerland : S. Karger. - 1021-7762 .- 1421-9972. ; 74:5, s. 320-334
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Assessment of intelligibility in dysarthria tends to rely on oral reading of sentences or words. However, self-generated utterances are closer to a clients’ natural speech. This study investigated how transcription of utterances elicited by picture description can be used in the assessment of intelligibility in speakers with Parkinson’s disease.Methods: Speech samples from eleven speakers with Parkinson’s disease and six neurologically healthy persons were audio-recorded. Forty-two naive listeners completed transcriptions of self-generated sentences from a picture description task and orally read sentences from the Swedish Test of Intelligibility, as well as scaled ratings of narrative speech samples.Results: Intelligibility was higher in orally read than self-generated sentences and higher for content words than for the whole sentence in self-generated sentences for most of the speakers, although these within-group differences were not statistically significant at group level. Adding contextual leads for the listeners increased intelligibility in self-generated utterances significantly, but with individual variation. Although correlations between the intelligibility measures were at least moderate or strong, there was a considerable inter- and intra-speaker variability in intelligibility scores between tasks for the speakers with Parkinson’s disease, indicating individual variation of factors that impact intelligibility. Intelligibility scores from neurologically healthy speakers were generally high across tasks with no significant differences between the conditions.Conclusion: Within-speaker variability supports literature recommendations to use multiple methods and tasks when assessing intelligibility. The inclusion of transcription of self-generated utterances elicited by picture description to the intelligibility assessment has the potential to provide additional information to assessment methods based on oral reading of pre-scripted sentences and to inform the planning of interventions.
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| 23. |
- Larsson, Elias, 1991-, et al.
(författare)
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Recycling narratives as a joint accomplishment in interaction with people with dementia
- 2018
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- This presentation focuses on recycling of stories in conversations involving people with dementia. In dementia, communicative ability gradually deteriorates as the disease progresses typically leading to profound decline of communicative skills in the late stage. Of all of the domains affected by dementia diseases, communication is one of the areas where people with dementia and their caregivers experience most challenges. A significant characteristic for persons with dementia is a tendency to tell the same stories over and over (e.g. Hydén et al., 2013). While the significance conversational partners have on the organization of stories told by people with dementia are highly recognized (e.g. Hydén, et al., 2013; Hydén, 2011), how conversational partners to people with dementia orient toward recycling of stories are still in need of further investigation. In previous research, the phenomenon of recycling stories is mainly credited to the person with dementia. In our present study, we would like to propose another parallel point of view in which caregivers also tend to recycle stories repetitively in conversation with persons with dementia. We argue that recycling of stories in interaction involving people with dementia is a highly collaborative activity, and sometimes even initiated by conversational partners to people with dementia. In this presentation, we focus on how recycling of stories are sequentially organized is ordinary interaction between people with dementia and professional caregivers. The data consist of video recordings of 4 dyads (one person diagnosed with dementia and a professional caregiver in each dyad) totaling approximately 2,5 hours of recordings. In the analyses, we have focused specifically on how the telling of recycled stories is initiated in conversation, and what kind of feedback such stories receive. Our analyses show that recycled stories told by persons with dementia receive strong interactional support from conversational partners by, for example, the use of responses signaling newness and surprise (cf. Hydén et al., 2013). Conversational partners are also actively involved in the telling of recycled stories by, for example, asking guiding questions expanding the stories and use prompting techniques in cases where the person with dementia seem to have difficulties telling the whole story. In our analyses, we have also seen examples where conversational partners to people with dementia not only support the telling of recycled stories, but actually initiate such stories by instructing the person with dementia to talk about a specific topic.
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| 24. |
- Lindeberg, Sophia, 1985-
(författare)
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Dementia, Sense-making and Evaluations : Implications for Communication
- 2021
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- In Sweden, the dementia assessment takes place within primary health care or specialized care. From a clinical perspective, there are many factors to consider in the assessment process, and for the families entering the diagnostic pathways, the process can be uncertain and arduous. However, many aspects of how the assessment process is experienced by those involved, is unknown. This thesis aims at shedding light on the diagnostic pathways in dementia, by investigating the experience of clinical professionals and families living with dementia, and experiences of cognitive testing by older adults without a dementia diagnosis or documented cognitive decline. Furthermore, the thesis aims at exploring how these experiences relate to interactional abilities and challenges in daily life.Study I explored the views and experiences of clinical professionals working in Memory Clinics, General Practitioners in primary health care and Speech Language Pathologists, in regard to clinical practices in dementia diagnosis, as well as team collaborations. Resources and barriers for good practice included clinical collaboration, guidelines, knowledge, staff-continuity, and time. For example, the clinical collaboration between the different professionals was important for a holistic view of the patient. During the diagnostic pathways, both informal (e.g. observations) and formal (e.g. cognitive tests) information was obtained. What was seen as obligatory for a diagnosis varied between clinicians and clinics, in particular when there were contradictions between the different information sources. Communication did not stand out as a clinical priority, even though all clinical professionals acknowledged communication as affected in dementia.Study II investigated how persons with dementia, and their family members, make sense of the diagnostic pathways, including their encounters with health care professionals. Experiences of cognitive and communicative abilities in daily life, and potential cognitive- communicative change, were also studied, as well as how these experiences of daily function related to the clinical testing. The testing process gave rise to feelings of uncertainty, and it could be difficult to make sense of the purpose of the testing, as well as the outcomes of the testing (such as a participant being told by his physician that he could no longer drive). The participants’ experiences of function in daily lives sometimes contrasted with the experiences of the decontextualised testing in the clinical setting. In Dementia, sense-making and evaluations 2 everyday life, the participants would draw upon collaborative resources in order to address functional change, at the same time balancing their self-image and wish to be seen as competent communication partners.Study III examined how conceptualizations of ageing and cognition were manifested in evaluations and accounts during interviews with persons over 65 years of age, after testing with a cognitive screening tool. The sequential contexts of the evaluations and accounts were explored, as well as how these were related to social face-work. The evaluations and accounts were collaboratively built between the participant and the interviewer in order to manage potential face-threats. Evaluations included downplaying one’s own competence, while accounts included attributing difficulties to the test task being inherently difficult, or to lived experiences affecting the test performance, as well as cognitive change due to the normal ageing process. Participants’ reflections after completion of the screening test also revealed manifestation of dementia worry in varying degrees.Study IV investigated conversations with one married couple, where the husband had been diagnosed with dementia with Lewy bodies. Through standard clinical testing, interviews and a video recording of casual conversation, different conversation settings were explored. In the testing, the husband obtained high scores across a variety of test task. The interviews shed light on the resources and barriers, and the challenges the couple experienced in conversation, regarding for example the husband’s descriptions of difficulties in entering conversations, and the wife’s descriptions of misunderstandings. Through video-recorded observations, turn-taking practices were explored, showing how the wife would be in charge of the storytelling, whereas the husband would be in charge of monitoring the content and supporting the wife in providing details.The four studies’ results reveal how clinicians, families living with dementia, and persons over 65 years of age without suspected dementia, engage in complex sense-making processes in which they, during and after the assessment process and testing, evaluate the performances in relation to circumstances that may explain the results. For clinical professionals, both informal and formal considerations take place, in which they weigh the various information sources gathered during the assessment process. For the families in receipt of a dementia diagnosis, they may struggle in making sense of the process of the testing, the outcomes, and consequences. Regarding interaction in daily life, descriptions of change vary between families, and conversational patterns, barriers and facilitators are highly context dependent.
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| 25. |
- McAllister, Anita, 1955-, et al.
(författare)
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Röst, tal och språk ur ett genusperspektiv
- 2010. - 1:1
-
Ingår i: Genus och kön inom medicin och vårdutbildningar. - Lund : Studentlitteratur. - 9789144059501 ; , s. 429-439
-
Bokkapitel (populärvet., debatt m.m.)
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| 26. |
- Myrberg, Karin, 1982-
(författare)
-
Interaction and Language Assessment in Aphasia and Dementia : A Comparative Perspective
- 2022
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Language problems in dementia resemble the symptoms of aphasia in many respects. A growing body of research discusses the cognitive deficits associated with aphasia. Despite common denominators, very little is written with a comparative perspective on the two clinical groups. Although speech and language pathologists (SLPs) play a central role in aphasia care, they are not routinely involved in healthcare services for dementia. By tradition, language assessments tend to be test-oriented, even though there is an awareness of the advantages with informal assessment approaches. The overall aim of this thesis was to examine interaction in persons with aphasia (PWA) and persons with dementia (PWD) in test conversation and more informal conversations. The thesis has an interactional focus with a comparative perspective on the two clinical groups, on conversational contexts, and on test results with reference to SLP services. Study I, involving ten PWA, and study II, involving ten PWD, had similar approaches, investigating the organization of interaction between the participants and SLPs in test conversations and in more informal conversations. Furthermore, the participants’ interactional abilities were related to their actual test results on expressive tasks on an aphasia test battery. Study III in-volved detailed analyses of the Mini-Mental State Examination (MMSE) test interaction for both PWA and PWD. Additionally, the study set out to explore the relationship between linguistic and cognitive difficulties, in relation to assessments. Study IV investigated instances of trouble in conversations involving PWA/PWD and SLPs, with a particular focus on “trouble domain” and interactional consequences. The results of study I and II demonstrated substantial differences be-tween the organization of interaction in test conversations and informal con-versations, regardless of whom they involved. The informal conversations pro-vided opportunities for the PWA/PWD to talk more and to initiate own topics and multimodal resources were used by the PWA. This was seen to a far lesser degree among the PWD. With a few distinct exceptions, the PWD came across as rather communicatively competent. This was not necessarily reflected by the aphasia test results, since several participants struggled with a couple of test assignments. In PWA, the demonstration of aspects of communication that could be related to being a competent speaker did not fully correlate with aphasia test scores. The analyses showed that instances of trouble occurred equally often in the two conversational contexts whereas trouble characteristic differed. Mutual trouble-solving was almost solely observed in the informal conversations. Study III revealed some particularly challenging aspects of the MMSE test interaction. The study shed light on the problematic issue of separating language and cognition, since PWA and PWD had similar test results on the cognitive screening and since the “language” test items did not seem to capture linguistic problems more than the other remaining test items. Qualitative analyses of the interactional aspects of test situations may reveal information about both cognitive and linguistic abilities that otherwise would have been over-looked. The in-depth analyses of conversational trouble in study IV revealed that most troubles involving PWA were connected to primarily linguistic is-sues. Conversational trouble in PWD, however, typically labelled “lexical problems”, were many times due to primarily cognitive issues. It was also observed that the SLPs took a more passive role trouble-solving in conversations involving PWD. Less severe linguistic problems in the PWD, lack of shared personal common ground, and preconceived notions about the medical conditions alongside with SLPs’ professional culture and experience are discussed as potential motives for this behaviour. Altogether, the results of the present thesis demonstrate that formal tests that attempt to measure language or cognition do not take into account that it is problematic to separate these abilities. Within SLP services, it would be preferable to move away from a fault-finding perspective on assessment and intervention, towards an approach in which language and cognition as co-constructed acts is central.
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| 27. |
- Nettelbladt, Ulrika, et al.
(författare)
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Språkstörning hos barn utan andra funktionshinder
- 2007. - 1
-
Ingår i: Logopedi. - Lund : Studentlitteratur. - 9789144038865 ; , s. 139-149
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Logopedi definieras som läran om språk-, röst- och talstörningar och deras behandling. Detta är den första heltäckande läroboken i logopedi på svenska och består av 40 kapitel av 44 olika författare. I en introducerande del beskrivs funktion och utveckling med anknytning till de fyra logopediska huvudområdena röst, språk, tal och sväljning. Därefter beskrivs karakteristik, diagnostik och intervention vid språkstörningar, röststörningar och talstörningar hos barn, ungdomar och vuxna. Vidare behandlas alternativ och kompletterande kommunikation samt sväljningsstörningar. Boken avslutas med en del som beskriver logopedi ur ett historiskt perspektiv, i nutid och med utblickar mot framtiden. Boken är avsedd för studerande på logopedprogrammen. Den vänder sig även till verksamma logopeder i Sverige och övriga Norden. Boken kan också tjäna som uppslagsverk för personer med intresse för logopedi från andra discipliner inom såväl sjukvården som universitetsvärlden och kanske också för den intresserade allmänheten.
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| 28. |
- Nettelbladt, Ulrika, et al.
(författare)
-
Språkstörningar hos barn och ungdomar
- 2007. - 1
-
Ingår i: Logopedi. - Lund : Studentlitteratur. - 9789144038865 ; , s. 125-139
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Logopedi definieras som läran om språk-, röst- och talstörningar och deras behandling. Detta är den första heltäckande läroboken i logopedi på svenska och består av 40 kapitel av 44 olika författare. I en introducerande del beskrivs funktion och utveckling med anknytning till de fyra logopediska huvudområdena röst, språk, tal och sväljning. Därefter beskrivs karakteristik, diagnostik och intervention vid språkstörningar, röststörningar och talstörningar hos barn, ungdomar och vuxna. Vidare behandlas alternativ och kompletterande kommunikation samt sväljningsstörningar. Boken avslutas med en del som beskriver logopedi ur ett historiskt perspektiv, i nutid och med utblickar mot framtiden. Boken är avsedd för studerande på logopedprogrammen. Den vänder sig även till verksamma logopeder i Sverige och övriga Norden. Boken kan också tjäna som uppslagsverk för personer med intresse för logopedi från andra discipliner inom såväl sjukvården som universitetsvärlden och kanske också för den intresserade allmänheten.
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| 29. |
- Pedersen, Annie, 1981, et al.
(författare)
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Fatigue 7 years post-stroke: Predictors and correlated features
- 2022
-
Ingår i: Acta Neurologica Scandinavica. - : Hindawi Limited. - 0001-6314 .- 1600-0404. ; 146:3, s. 295-303
-
Tidskriftsartikel (refereegranskat)abstract
- Background Post-stroke fatigue (PSF) is common with great impact on quality of life. We explored predictive and cross-sectionally correlated features in the long term after ischemic stroke. Methods This study comprises 430 participants of the prospective Sahlgrenska Academy Study on Ischemic Stroke (SAHLSIS), aged 18-69 years at index stroke. Information on acute stroke severity and cardiovascular risk factors was collected at index stroke. After 7 years, PSF was assessed by the Daily Fatigue Impact Scale (D-FIS). Cognitive, neurological, and functional outcomes, and symptoms of depression and anxiety, pain, insomnia, and physical activity were also assessed. Associations between baseline variables and PSF were analyzed by ordinal regression. Correlations between PSF and cross-sectionally assessed variables, and between PSF and baseline variables, were analyzed with Spearman's or point-biserial correlation for the whole sample and in sex-stratified analyses. Results At 7 years post-stroke, 80% of the participants reported some impact of fatigue. Female sex and stroke severity were independently associated with PSF, whereas no associations were detected with baseline cardiovascular risk factors. In cross-sectional analyses at 7 years, we found correlations between PSF and poor functional, neurological, and cognitive outcomes, as well as depressive symptoms, anxiety, insomnia, pain, and low physical activity (p < .001 throughout). The correlation with insomnia was stronger in women than in men (two-way ANOVA interaction test, p = .03). Conclusions Our findings confirm that PSF is common in the long term after ischemic stroke and show a complex interplay with sex and several other outcomes. Future studies should address causal relationships and interventions towards fatigue and coexisting features.
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| 30. |
- Pedersen, Annie, 1981, et al.
(författare)
-
Fibrinogen concentrations predict long-term cognitive outcome in young ischemic stroke patients
- 2018
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Ingår i: Research and Practice in Thrombosis and Haemostasis. - : Elsevier BV. - 2475-0379. ; 2:2, s. 339-346
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Cognitive impairment is frequent after stroke, and young patients may live with this consequence for a long time. Predictors of cognitive outcomes after stroke represent a current gap of knowledge. Objectives: To investigate levels of three hemostatic biomarkers as predictors of long-term cognitive function after stroke. Methods: This longitudinal study included consecutively recruited patients with ischemic stroke at 18-69 years (n = 268). Blood was collected 3 months after index stroke and analyzed for plasma concentrations of fibrinogen, von Willebrand factor (VWF) and tissue-type plasminogen activator (t-PA) antigen. Cognitive function 7 years after index stroke was assessed by the Barrow Neurological Institute Screen for Higher Cerebral Functions (BNIS). Participants with stroke <50 years of age were also examined by the Trail Making Test A and B (n = 41). Associations between biomarker concentrations and cognitive scales were assessed in the whole group and in participants with stroke <50 years of age. Results: The hemostatic biomarkers fibrinogen, VWF and t-PA, were all correlated to total BNIS score, but these associations did not withstand adjustment for confounding factors in the whole group. However, in patients <50 years, we found an independent association between fibrinogen concentrations and total BNIS score (beta(std) = -.27, 95% confidence interval [CI], -0.47 to -0.07) and to performance on the Trail Making Test A (beta(std) = 31, 95% CI, 0.03-0.58). No such association was seen for the Trail Making Test B. Conclusion: High convalescent fibrinogen concentrations were associated with worse long-term cognitive outcomes in ischemic stroke <50 years of age. We propose further investigations of fibrinogen in relation to cognitive function in stroke in the young.
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| 31. |
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| 32. |
- Plejert, Charlotta, 1973-, et al.
(författare)
-
Atypisk interaktion : ämnesområde: klinisk lingvistik
- 2020
-
Ingår i: Multimodal interaktionsanalys. - Lund : Studentlitteratur AB. - 9789144127521 ; , s. 251-268
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Multimodal interaktionsanalys används och har relevans för den slags sociala samspel som ofta benämns med termen atypisk interaktion. Med detta menas interaktion som involverar en eller flera samtalsdeltagare som i något avseende, exempelvis till följd av en kommunikativ funktionsnedsättning inte har möjlighet att kommunicera på samma sätt som en person utan funktionsnedsättning. Termen atypisk är naturligtvis inte okomplicerad, eftersom den implicerar att något skulle vara mer normalt och att atypisk interaktion därmed skulle vara onormal. Det är inte så termen ska tolkas här. Atypisk interaktion är socialt samspel i sin egen rätt, men sker under förutsättningar där någon persons språkliga eller kognitiva förmågor på något vis är nedsatta.
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| 33. |
- Plejert, Charlotta, 1973-, et al.
(författare)
-
Language development in normal children and in disease : An interactional approach to typical language development and children with language impairment
- 2012. - 1
-
Ingår i: Handbook of growth and growth monitoring in health and disease. - New York : Springer. - 9781441917942 - 9781441917959 ; , s. 1363-1378
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Growth is one of the human body’s most intricate processes: each body part or region has its own unique growth patterns. Yet at the individual and population levels, growth patterns are sensitive to adverse conditions, genetic predispositions, and environmental changes. And despite the body’s capacity to compensate for these developmental setbacks, the effects may be far-reaching, even life-long. The Handbook of Growth and Growth Monitoring in Health and Disease brings this significant and complex field together in one comprehensive volume: impact of adverse variables on growth patterns; issues at different stages of prenatal development, childhood, and adolescence; aspects of catch-up growth, endocrine regulation, and sexual maturation; screening and assessment methods; and international perspectives. Tables and diagrams, applications to other areas of health and disease, and summary points help make the information easier to retain. Together, over 180 self-contained chapters in 15 sections cover every area of human growth, including:Intrauterine growth retardation.Postnatal growth in normal and abnormal situations.Cells and growth of tissues.Sensory growth and development.Effects of disease on growth.Methods and standards for assessment of growth, and more.
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| 34. |
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| 35. |
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| 36. |
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| 37. |
- Samuelsson, Christina, 1966-, et al.
(författare)
-
A person living with dementia learning to navigate an iPad : A case study
- 2022
-
Ingår i: Disability and Rehabilitation. - : Taylor & Francis. - 1748-3107 .- 1748-3115. ; 17:5, s. 570-579
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose: This study challenges the notion that people living with dementia are unable to achieve novel learning without focussed intervention techniques. The purpose of this study is to explore how a woman living with dementia (Alzheimer’s disease) learns to use a tablet computer with support from communicative partners.Method: The study is based on video recordings and the theoretical framework of learning as changing participation in joint activities. Quantitative and qualitative focus is on changes in the interactional organizationover the course of six weeks in the activity of using an augmentative and alternative communication application.Results: Over time, the participant living with dementia, relies less on the expertise and explicit instructions of her communicative partners when navigating the application, and more on the immediate feedback provided by the tablet computer.Conclusions: The findings suggest that novel learning still is possible for people living with dementia, even without the implementation of focussed interventions. This study further emphasizes the procedural nature of learning for people living with dementia as the woman’s embodied actions were carried out in an increasingly more direct fashion.
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| 38. |
- Samuelsson, Christina, 1966-, et al.
(författare)
-
Clarification requests in everyday interaction involving children with cochlear implants
- 2014
-
Ingår i: Logopedics, Phoniatrics, Vocology. - : Informa Healthcare. - 1401-5439 .- 1651-2022. ; 39:3, s. 130-138
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study is to explore the form and function of clarification request sequences in interaction involving children with cochlear implants. Clarification request sequences are investigated in everyday interaction, and it is demonstrated that children with CI use both general/open and specific requests for clarification. It is also shown that there is relatively lower frequency of requests for clarification in interactions involving children with CI with high intelligibility scores. The results may be useful in clinical assessment and intervention demonstrating the importance of assessing interactional ability in everyday interaction.
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| 39. |
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| 40. |
- Samuelsson, Christina, 1966-, et al.
(författare)
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Defusing practices as mitigation in speech and language intervention.
- 2014
-
Ingår i: Communication & Medicine. - : Equinox Publishing. - 1612-1783 .- 1613-3625. ; 11:3, s. 299-312
-
Tidskriftsartikel (refereegranskat)abstract
- In the present paper, speech and language intervention was investigated in order to explore the use and function of defusing practices. Defusing practices may be viewed as a special form of mitigation. In previous research, including studies on clinical interaction, mitigation has been described mainly as devices used in order to reduce the unwelcome effects of an utterance, or reduce the discomfort of bad news. Defusing practices, however, appear to serve somewhat different functions, which are examined here. Data comprises video and audio recordings of eight intervention sessions with children with language impairment (LI), and six intervention sessions with adults with aphasia, The analysis revealed the following kinds of defusing practices: circumscriptions/figurative language, diminutive words, words like ‘try’ or ‘test’, placing the problem outside of the patient, collective pronouns, diminishing the speech and language pathologist’s own competence, encouragement, and references to well-known phenomena. If speech and language therapists (SLPs) are made aware of the practice and function of defusing, they may make conscious use of these practices in order to reduce face-threatening situations in intervention
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| 41. |
- Samuelsson, Christina, 1966-, et al.
(författare)
-
Experiences from Two Swedish Speech and Language Pathology Education Programmes Using Different Approaches to Problem-Based Learning
- 2012
-
Ingår i: Problem-Based Learning in Clinical Education. - Dordrecht : Springer Netherlands. - 9789400725140 ; , s. 47-58
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- In many programmes within higher education, including speech language pathology (SLP) education, students are expected to develop collaborative skills alongside acquisition of theoretical knowledge. The focus of the present chapter is to evaluate SLP graduates’ opinions on how well prepared for the professional life they feel after their education. A questionnaire, focusing on perceived professional skills in relation to education, was distributed to former SLP students from two programmes with different applications of problem-based learning (PBL). A total of 55 students (69%) completed the questionnaire. PBL has been identified as one efficient way to facilitate the development of speech and language pathology students’ abilities to meet the demands of self-directed learning in everyday worklife. Moreover, it has been shown that the use of PBL throughout the programme is beneficial to the perception of attaining general competencies. It is also demonstrated that the students from both the PBL throughout and the semi-PBL curricula rated themselves high on many specific competencies.
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| 42. |
- Samuelsson, Christina, 1966-, et al.
(författare)
-
Its Our Gang
- 2021
-
Ingår i: Clinical Gerontologist. - : ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD. - 0731-7115 .- 1545-2301. ; 44:4, s. 418-429
-
Tidskriftsartikel (refereegranskat)abstract
- Objectives In the present paper we aim to contribute to the understanding of how people with dementia experience using a web-based communication support application on a tablet computer in a group activity. The specific focus of the present paper is on perception of social inclusion among people with dementia in a group activity using digital communication support. Methods The study is based on interviews with participants in a communication group for people with dementia where the application CIRCA, specifically designed to support interaction involving people with dementia, was used. Five individuals with dementia were recruited from a residential care home where they lived in different wards. Seven group interviews with the participating persons with dementia following directly after each session were carried out. Results The views of the participants were generally very positive, regarding many aspects of the activity. In the present study, the group activity seemed more important and beneficial for the participants, than the specific use of the application in itself. Conclusions Taking part in a group activity targeting communication made participants with dementia feel that they were part of a social group, that they had learnt things, and that they had been able to contribute with their expertise to others. Clinical Implications Group activities targeting communication give people with dementia the opportunity to exercise their social inclusion practices. Group activities may render a feeling of social community and a sense of belonging to the participants. The use of digital communication support may enhance such activities.
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| 43. |
- Samuelsson, Christina, 1966-, et al.
(författare)
-
Logopedi i ett historiskt perspektiv
- 2007. - 1
-
Ingår i: Logopedi. - Lund : Studentlitteratur. - 9789144038865 ; , s. 513-521
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Logopedi definieras som läran om språk-, röst- och talstörningar och deras behandling. Detta är den första heltäckande läroboken i logopedi på svenska och består av 40 kapitel av 44 olika författare. I en introducerande del beskrivs funktion och utveckling med anknytning till de fyra logopediska huvudområdena röst, språk, tal och sväljning. Därefter beskrivs karakteristik, diagnostik och intervention vid språkstörningar, röststörningar och talstörningar hos barn, ungdomar och vuxna. Vidare behandlas alternativ och kompletterande kommunikation samt sväljningsstörningar. Boken avslutas med en del som beskriver logopedi ur ett historiskt perspektiv, i nutid och med utblickar mot framtiden. Boken är avsedd för studerande på logopedprogrammen. Den vänder sig även till verksamma logopeder i Sverige och övriga Norden. Boken kan också tjäna som uppslagsverk för personer med intresse för logopedi från andra discipliner inom såväl sjukvården som universitetsvärlden och kanske
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| 44. |
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| 45. |
- Samuelsson, Christina, 1966-, et al.
(författare)
-
Orally Positioning Older People in Assessment Meetings
- 2015
-
Ingår i: Educational gerontology. - : Taylor & Francis Group. - 0360-1277 .- 1521-0472. ; 41:11, s. 767-785
-
Tidskriftsartikel (refereegranskat)abstract
- It has been demonstrated that persons with dementia may be positioned as less competent than participants of the same age without dementia, and that persons with dementia possibly also are positioned as less competent than other older persons without dementia. In the present study, we aim to explore this further by analysing Swedish assessment meetings, in which needs and preferences are investigated for older persons without dementia. The material consists five audio-recorded assessment meetings, where there were at least two conversational partners present (a spouse and/or a child) and where the older person applying for social services was not diagnosed with dementia. The ages of the older persons ranged from 81 to 88, while the age of the relatives ranged from 46 to 93. The results of the present study demonstrate that older persons without dementia mainly are positioned as competent. However, it may be related to the degree of frailty, since the frailest person in the present study appears to be positioned as less competent than the other participants. The present paper adds to existing knowledge on how professionals in assessment meetings contribute to the positioning of older persons as competent and capable of making decisions. The results of the present article may be useful to promote development of education and training of communication skills for care mangers in assessments in order to further ensure that older persons with and without cognitive impairments can be actively involved in the creation and interpretation of their applications for social services.
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| 46. |
- Samuelsson, Christina, 1966-, et al.
(författare)
-
Prosodic problems in Swedish children with language impairment : Towards a classification of subgroups.
- 2004
-
Ingår i: International journal of language and communication disorders. - : Wiley. - 1368-2822 .- 1460-6984. ; 39:3, s. 325-344
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Symptoms of prosodic problems have been found in Swedish children with language impairment at word and phrase level and possibly also at discourse level. AIMS: The aim was twofold. First, to characterize a group of children with prosodic problems compared with children with normal language development. Second, to investigate the possibilities to classify subgroups of prosodic problems. METHODS & PROCEDURES: A new Swedish assessment procedure for prosody that captures prosodic features at word, phrase and discourse level was used. Twenty-five children with prosodic problems and 25 children with typically developing language matched by age, gender and regional dialect participated in the study. Pretesting included tests of language comprehension, grammatical skills and oral motor skills. OUTCOMES & RESULTS: The difference between the experimental and control groups was highly significant in all parts of the procedure. The total score of the procedure significantly correlated with grammatical abilities measured in the pretesting procedure, but there was no correlation with the other linguistic abilities measured in the pretesting procedure. CONCLUSIONS: The results indicate a possible differentiation into two different subgroups, one with primarily phonetic and/or linguistic problems, the other with prosodic problems at discourse level possibly related to pragmatic problems.
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| 47. |
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| 48. |
- Samuelsson, Christina, 1966-
(författare)
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Prosody intervention for children
- 2010. - 1
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Ingår i: Embedding Evidence practice in Speech and Language Therapy. - Chchester : Wiley-Blackwell. ; , s. 189-195
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Like all health professionals, speech and language therapists (SLTs) need to keep themselves up-to-date with the research evidence base that is relevant to their field of practice and be able to show how this contributes to their clinical decision-making. However, it is not always clear to practitioners how evidence-based practice (EBP) can be properly embedded in their day-to-day activities. In this valuable book, Hazel Roddam and Jemma Skeat present a wealth of instructive examples by SLT contributors from around the world, showing how clinicians, educators, and researchers have risen to the EBP challenge. Embedding evidence-based practice in speech and language therapy showcases the creative ways that SLTs are developing knowledge and skills for EBP, creating contexts that support the use of evidence in practice, and working towards making evidence easily accessible and usable. It includes real-life examples of how SLTs have encountered a clinical problem or situation and have accessed and used the evidence within their day-to-day practice.The contributors come from a wide range of work settings, from services situated within large organizations to those in independent practice, and represent a range of clinical areas, from paediatric to adult and across speech, language, voice, fluency, Augmentative and Alternative Communication (AAC), and dysphagia. This book is written for an audience of clinical practitioners, at any stage of their career, and is additionally a valuable resource for SLT students and lecturers.
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| 49. |
- Samuelsson, Christina, 1966-, et al.
(författare)
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Recycling in communication involving a boy with autism using picture exchange system (PECS)
- 2013
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Ingår i: Aided communication in everyday interaction. - Guildford : J & R Press. - 9781907826115 ; , s. 324-
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Bokkapitel (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.
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| 50. |
- Samuelsson, Christina, 1966-, et al.
(författare)
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Specific and general competencies of graduates from Swedish speech and language pathology education
- 2008
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Ingår i: The Second International Conference on PBL in Speech-Language Pathology,2008.
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Konferensbidrag (refereegranskat)abstract
- The topic of the present study is the relationship between the pedagogical philosophy of education and the professional outcome, mainly regarding general competencies. The overall purpose of the study is to evaluate postgraduates- opinions on how well prepared for the professional life they feel after their speech and language pathology education. Previous research have shown differences in professional skills between problem-based learning (PBL) and non-PBL graduates (Prince, van Eijs, Boshuzien, van der Vleuten & Scherpbier, 2005). Those differences mainly concern general competencies such as organizational skills and teamwork. These findings get further support from the evaluation of the Swedish medical education programmes, where PBL-graduates report better communicational, co-operational and leadership skills than non-PBL graduates (Grundutbildningsenkäten, 2006). PBL is a student centred pedagogical philosophy where students are encouraged to be very active. In PBL real-life problems become the context in which students learn academic content as well as professional skills (Biggs, 2003). The first Swedish speech language pathology program using PBL throughout the program was completed in 2007, and the graduate students have participated in an evaluation of the program. A comprehensive questionnaire, focusing on perceived professional skills in relation to education, was distributed to the students of this program, to students from a partial PBL curriculum who graduated the same year and to students from a partial PBL curriculum who finished in 2002. Preliminary results indicate that the PBL graduates feel well prepared for meeting the demands of the professional life. The results also suggest that the students who finished their education six years ago feels more able to evaluate their education. These students also seem more satisfied. The present study adds further knowledge concerning outcomes of higher medical education. It also points to differences between PBL graduates and non-PBL graduates regarding professional experiences. The study also provides information on how the opinions of the educational experience changes over time.
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