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家长对儿童言语失用症快速音节转换(ReST)治疗服务提供差异的体验。

Parent experiences of variations in service delivery of Rapid Syllable Transition (ReST) treatment for childhood apraxia of speech.

作者信息

Thomas Donna C, McCabe Patricia, Ballard Kirrie J, Bricker-Katz Geraldine

机构信息

a Faculty of Health Sciences , The University of Sydney , Lidcombe , Australia.

b Health Sciences Clinic , La Trobe University , Melbourne , Australia.

出版信息

Dev Neurorehabil. 2018 Aug;21(6):391-401. doi: 10.1080/17518423.2017.1323971. Epub 2017 May 23.

DOI:10.1080/17518423.2017.1323971
PMID:28534689
Abstract

PURPOSE

To understand parents' perceptions of Rapid Syllable Transition (ReST) treatment and their experience of either telehealth or combined parent-clinician delivery of speech-language pathology.

METHOD

Thematic analyses of semi-structured interviews were conducted with 10 parents (5 telehealth, 5 parent-clinician) after their child completed 12 sessions of ReST treatment.

RESULTS

Three themes were unique to telehealth: "telehealth was a million times easier," "technical problems weren't deal breakers," and "telehealth therapy has different boundaries." Three themes were unique to parent-clinician delivery: "therapy is something to get over and done with," "I wasn't very good at doing therapy," and "my child doesn't like me as his therapist." Both groups had themes related to the significance of childhood apraxia of speech, the importance of specialist treatment, and ReST being a "different way forward."

CONCLUSIONS

Speech-language pathologists should carefully consider the suitability of caregiver-provided ReST treatment, and increase telehealth delivery of ReST treatment.

摘要

目的

了解家长对快速音节转换(ReST)治疗的看法,以及他们对远程医疗或家长-临床医生联合提供言语语言病理学服务的体验。

方法

在10名家长(5名接受远程医疗,5名接受家长-临床医生联合服务)的孩子完成12次ReST治疗后,对他们进行了半结构化访谈的主题分析。

结果

远程医疗有三个独特主题:“远程医疗轻松百万倍”“技术问题并非决定性因素”“远程医疗治疗有不同界限”。家长-临床医生联合服务有三个独特主题:“治疗是要完成的事情”“我不太擅长做治疗”“我的孩子不喜欢我作为他的治疗师”。两组都有与儿童言语失用症的重要性、专科治疗的重要性以及ReST是“一条不同的前进道路”相关的主题。

结论

言语语言病理学家应仔细考虑照顾者提供ReST治疗的适用性,并增加ReST治疗的远程医疗服务。

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