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照顾者、教师和助手在使用高科技言语生成设备与严重脑瘫儿童交流中使用和学习伙伴策略。

Caregivers', teachers', and assistants' use and learning of partner strategies in communication using high-tech speech-generating devices with children with severe cerebral palsy.

机构信息

Department of Public Health and Caring Sciences, Disability and Habilitation, Uppsala University , Uppsala, Sweden.

Health and Habilitation Services, Uppsala County Council , Uppsala, Sweden.

出版信息

Assist Technol. 2021 Jan 2;33(1):17-25. doi: 10.1080/10400435.2019.1581303. Epub 2019 Mar 7.

DOI:10.1080/10400435.2019.1581303
PMID:30843763
Abstract

Communication with speech generating devices (SGDs) with children with severe physical, communicative and cognitive impairments, such as children with cerebral palsy (CP), can be difficult. Use of partner strategies facilitates the communication and instructional approaches such as feedback and role play facilitate communication partners' learning in how to use partner strategies. To describe communication partners' use and learning about partner strategies in SGD-mediated communication with children with severe CP. Questionnaires ( = 65) were sent to caregivers ( = 30), teachers ( = 17), and teaching or personal assistants ( = 18) of children with severe CP. Response rate was 80%. To ask  was the most frequently used partner strategy and  the least frequently used partner strategy. Most commonly, participants learned partner strategies from speech and language pathologists (SLPs) who used verbal instructions when teaching partner strategies but seldom or never feedback, role play or video examples. Communication partners' learning about partner strategies in SGD-mediated communication is inadequate and needs to be improved. SLPs, who are the main prescribers of SGDs and responsible for training and support in using them, should consider using instructional approaches when teaching communication partners about partner strategies in communication with an SGD.

摘要

与严重身体、沟通和认知障碍的儿童(如脑瘫儿童)进行言语生成设备(SGD)的交流可能很困难。使用伙伴策略可以促进沟通,而反馈和角色扮演等教学方法则有助于沟通伙伴学习如何使用伙伴策略。描述在 SGD 介导的严重脑瘫儿童的交流中,沟通伙伴如何使用和学习伙伴策略。向严重脑瘫儿童的照顾者(=30)、教师(=17)和教学或个人助理(=18)发送了调查问卷(=65)。回复率为 80%。问题是最常使用的伙伴策略和最不常使用的伙伴策略。参与者最常从言语治疗师(SLP)那里学习伙伴策略,SLP 在教授伙伴策略时使用口头指令,但很少或从不提供反馈、角色扮演或视频示例。在 SGD 介导的交流中,沟通伙伴对伙伴策略的学习是不够的,需要改进。SLP 是 SGD 的主要处方者,负责培训和支持 SGD 的使用,他们在教授沟通伙伴有关 SGD 交流中的伙伴策略时,应该考虑使用教学方法。

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