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社区服务提供者在支持多数世界背景下的沟通障碍康复方面的角色:来自加纳的一个例子。

Community service providers' roles in supporting communication disability rehabilitation in Majority World contexts: An example from Ghana.

机构信息

School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Perth, Australia.

Department of Audiology and Speech Pathology, The University of Melbourne, Parkville, Australia.

出版信息

Int J Speech Lang Pathol. 2020 Aug;22(4):414-424. doi: 10.1080/17549507.2019.1651395. Epub 2019 Aug 22.

DOI:10.1080/17549507.2019.1651395
PMID:31438722
Abstract

: In Majority World countries, where speech-language pathology services are extremely limited, people with communication disabilities (PWCD) may seek help from a range of service providers. This qualitative research aimed to explore the nature of community services offered to people with communication disabilities who seek help in Accra, Ghana.: Semi-structured interviews were conducted with nine individuals from three professions: pastors (3), doctors (3), and herbalists (3) exploring services that they may offer to PWCD seeking help. Interviews were analysed using Thematic Network Analysis.: Six global themes described beliefs about communication disability, types of intervention, explanations provided to people with communication disabilities, promoting communication, processes for selecting treatments, and links between service providers. Interventions encompassed physical, spiritual, psychosocial and environmental approaches, with the notion of plural beliefs interwoven through a number of themes.: In Ghana, and other Majority World contexts, service providers in sectors not commonly associated with communication disability rehabilitation may have important roles to play in supporting people with communication disabilities. Understanding the contributions of other service providers may assist the growing profession of speech-language pathology to collaborate across sectors, to develop specific, culturally responsive approaches to service development.

摘要

在多数发展中国家,言语-语言病理学服务极其有限,有沟通障碍的人(PWCD)可能会向一系列服务提供者寻求帮助。这项定性研究旨在探索加纳阿克拉寻求帮助的 PWCD 所接受的社区服务的性质。

采用半结构化访谈,对来自三个职业的九个人进行了访谈:牧师(3 人)、医生(3 人)和草药医生(3 人),探讨他们可能为寻求帮助的 PWCD 提供的服务。使用主题网络分析对访谈进行了分析。

六个全球主题描述了对沟通障碍的信念、干预类型、向沟通障碍者提供的解释、促进沟通、治疗选择过程以及服务提供者之间的联系。干预措施包括身体、精神、心理社会和环境方法,多种主题交织着多元信仰的概念。

在加纳和其他多数发展中国家,通常与沟通障碍康复无关的部门的服务提供者可能在支持沟通障碍者方面发挥着重要作用。了解其他服务提供者的贡献可以帮助日益壮大的言语-语言病理学专业在跨部门合作方面发挥作用,制定针对特定文化的服务发展方法。

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