Guidance for Providers of Speech and Language Therapy Services: Dysarthria

Enderby, Pam; Cantrell, Anna; John, Alex St.; Pickstone, Caroline; Fryer, Kate; Palmer, Rebecca

doi:10.1179/136132810805335047

Cited by 7 publications

(11 citation statements)

References 13 publications

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“…A lack of rigorous evidence on how to best assess and provide AAC systems for children has previously been identified,25 34 44 as well as a gap between research and current practice 11. In light of this, the current study’s results are encouraging, as it shows AAC professionals following best practice in many areas, for example, ensuring AAC systems suit individual needs, and having high expectations for many children.…”

Section: Resultsmentioning

confidence: 70%

“…There is currently a lack of documented evidence for assessment and decision-making processes,33–35 and what does exist is largely individual case studies 3 25 36. AAC professionals must often make difficult and complex decisions in a complicated, heterogeneous and rapidly evolving environment, balancing the needs of an individual child and available resources 30 37.…”

Section: Introductionmentioning

confidence: 99%

“…They must also take account of the cultural and contextual influences shaping each assessment 13 38. While there have been studies which have highlighted some important factors in decision-making,6 33 39 available guidelines have tended to focus on the organisational structure of services, rather than decision-making as such 29 34 40…”

Section: Introductionmentioning

confidence: 99%

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Finding the best fit: examining the decision-making of augmentative and alternative communication professionals in the UK using a discrete choice experiment

et al. 2019

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Strengths and limitations of this study► This was the first discrete choice experiment (DCE), and only the second stated preference study in the field of augmentative and alternative communication (AAC). ► The study used unusual and innovative methodology by (1) using a Best-worst Scaling case 1 study in attribute selection, (2) having AAC system choices be made in the context of a child vignette formed from a set of attributes and (3) introducing a new measure termed relative interaction attribute importance to interpret results. ► Child vignettes were relatively simple, and a single vignette could represent children with very different needs. ► In some ways, the DCE task differed from how augmentative and alternative professionals make decisions in practice. AbStrACtObjectives Many children with varied disabilities, for example, cerebral palsy, autism, can benefit from augmentative and alternative communication (AAC) systems. However, little is known about professionals' decision-making when recommending symbol based AAC systems for children. This study examines AAC professionals' preferences for attributes of AAC systems and how they interact with child characteristics.Design AAC professionals answered a discrete choice experiment survey with AAC system and child-related attributes, where participants chose an AAC system for a child vignette.Setting The survey was administered online in the UK.Participants 155 UK-based AAC professionals were recruited between 20 October 2017 and 4 March 2018.Outcomes The study outcomes were the preferences of AAC professionals' as quantified using a mixed logit model, with model selection performed using a step-wise procedure and the Bayesian Information Criterion. results Significant differences were observed in preferences for AAC system attributes, and large interactions were seen between child attributes included in the child vignettes, for example, participants made more ambitious choices for children who were motivated to communicate using AAC, and predicted to progress in skills and abilities. These characteristics were perceived as relatively more important than language ability and previous AAC experience.Conclusions AAC professionals make trade-offs between attributes of AAC systems, and these trade-offs change depending on the characteristics of the child for whom the system is being provided.

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Section: Resultsmentioning

confidence: 70%

Section: Introductionmentioning

confidence: 99%

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Finding the best fit: examining the decision-making of augmentative and alternative communication professionals in the UK using a discrete choice experiment

et al. 2019

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“…6 Given the indications for the beneficial effects of intensive speech training after stroke in chronic neurologic patients, 11,14 the potential applications of telemedicine in dysarthria are obvious. 12 Most studies reported on telemedicine for dysarthria concern videoconferencing and are primarily aimed at speech training in patients with PD 31 according to the LSVT (Lee Silverman Voice Treatment), which aims at increased vocal loudness.…”

Section: Telemedicine In Dysarthriamentioning

confidence: 99%

“…The incidence of aphasia after stroke is estimated to be one third among those who survive. 7 Dysarthria after stroke occurs in about 50% of cases, 11 and the reported incidence of dysarthria in PD varies from 50% to 90%. With these considerable incidences in mind, it is obvious that, in a time of limited therapeutic and financial resources, the potential benefits of telemedicine for aphasic and dysarthric patients are appealing.…”

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confidence: 99%

Asynchronous telemedicine applications in rehabilitation of acquired speech-language disorders in neurologic patients

Beijer¹,

Rietveld²

2015

SHTT

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Abstract:In this time of an aging population in the Western world and a concomitant need for cost reduction, there is an obvious need for innovative health care delivery. One of the consequences is that a growing number of telemedicine applications are emerging in different health care domains. Also in the area of speech-language (SL) disorders, particularly neurogenic disorders, telemedicine is rapidly gaining interest. In this paper, we place applications for neurogenic SL disorders in a telemedicine taxonomy in order to establish common features along the dimensions of functionality, application, and technology, and their components. Thus, we aim at identifying common features in a wide variety of telemedicine applications and to establish common interests of stakeholders in health care for classified groups of telemedicine applications. This may facilitate decision-making with regard to expansion of innovative products, and give directions to measures needed for upscaling and structural embedding of feasible and effective SL telemedicine applications in health care. Common interests of stakeholders in health care, established using telemedicine taxonomy, is a key factor in decision-making with regard to which telemedicine applications should be given priority for genuine utilization. Priorities of health care institutions, patients, and reimbursement companies are also leading for researchers aiming at solid scientific evidence for the beneficial effects of target applications. That is, although research results tend to indicate the potential of telemedicine in the area of SL pathology, the alleged benefits of most applications have not been confirmed according to the accepted standards for clinical outcome testing as yet. Methodologic obstacles and the lack of adequate speech materials and suitable outcome measures for efficacy and effectiveness testing partially account for this. From the perspective of scientific evidence, the benefits of asynchronous SL telemedicine applications concern data storage and data analyses. To facilitate implementation of telemedicine, there is a call for development of information and communication technology infrastructures that allow feasible applications which meet requirements with regard to licensure and medical privacy laws. For applications with evidence for beneficial effects, we are challenged to develop new business models that apply to a new health care environment.

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Improving speech characteristics of young adults with congenital dysarthria: An exploratory study comparing articulation training and the Beatalk method

Icht

2021

Journal of Communication Disorders

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Guidance for Providers of Speech and Language Therapy Services: Dysarthria

Cited by 7 publications

References 13 publications

Finding the best fit: examining the decision-making of augmentative and alternative communication professionals in the UK using a discrete choice experiment

Finding the best fit: examining the decision-making of augmentative and alternative communication professionals in the UK using a discrete choice experiment

Asynchronous telemedicine applications in rehabilitation of acquired speech-language disorders in neurologic patients

Improving speech characteristics of young adults with congenital dysarthria: An exploratory study comparing articulation training and the Beatalk method

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