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通过远程实践进行的土耳其口吃治疗:混合方法研究。

Stuttering therapy through telepractice in Turkey: A mixed method study.

机构信息

Department of Speech and Language Therapy, Üsküdar University, İstanbul, Turkey.

Department of Speech and Language Therapy, Anadolu University, Eskişehir, Turkey.

出版信息

J Fluency Disord. 2020 Dec;66:105793. doi: 10.1016/j.jfludis.2020.105793. Epub 2020 Sep 28.

Abstract

PURPOSE

The effectiveness of telepractice in stuttering therapy in Turkey may be unclear, but there is good evidence for the efficaciousness of it from other countries, e.g., Australia. The purpose of the present study is to compare the outcomes of telepractice and in-person therapy delivery on traditional stuttering treatment and explore telepractice stuttering therapy experience in Turkey.

METHODS

20 adults who stutter participated in the study. Half the participants received treatment via telepractice, while the others were provided with services in-clinic. Based on a convergent parallel mixed-method research, quantitative (Study 1) and qualitative data (Study 2) were collected in parallel, analyzed separately, and then combined. Study 1 included a non-inferiority controlled trial, repeated measures, quasiexperimental design. Within the scope of the quantitative research, the objective clinical data, including the scale and assessment scores, were collected from two groups in three stages. Study 2 used the phenomenology approach to assess the qualitative aspects of our study.

RESULTS

According to the quantitative findings in Study 1, the effectiveness of telepractice and in-person in the post-test and follow up is not significantly different. The following themes emerged out of the qualitative data analysis in Study 2: expectation, telepractice-participant suitability and advantages of telepractice, technology, therapy techniques and clinician skills, therapeutic components, satisfaction, and preference.

CONCLUSION

The triangulation of quantitative and qualitative findings indicated that these data sets were compatible in general. The results show that telepractice is equally effective as the in-person method as a service delivery method for adults who stutter.

摘要

目的

土耳其的口吃治疗中的远程实践的效果可能还不清楚,但其他国家(例如澳大利亚)有很好的证据证明其有效性。本研究的目的是比较远程实践和现场治疗在传统口吃治疗中的效果,并探索土耳其的远程实践口吃治疗经验。

方法

20 名口吃者参加了这项研究。一半的参与者通过远程实践接受治疗,而另一半则在诊所接受服务。基于汇聚平行混合方法研究,同时收集定量(研究 1)和定性数据(研究 2),分别进行分析,然后进行组合。研究 1 包括非劣效性对照试验、重复测量、准实验设计。在定量研究的范围内,包括量表和评估分数在内的客观临床数据从两个组在三个阶段进行收集。研究 2 使用现象学方法评估我们研究的定性方面。

结果

根据研究 1 的定量发现,远程实践和现场实践在测试后和随访中的效果没有显著差异。研究 2 的定性数据分析得出了以下主题:期望、远程实践参与者的适用性和远程实践的优势、技术、治疗技术和临床医生技能、治疗成分、满意度和偏好。

结论

定量和定性数据的三角分析表明,这些数据集总体上是兼容的。结果表明,远程实践作为一种服务提供方法,与现场方法一样,对成年人的口吃治疗同样有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1caf/7521915/9b61f3e512a8/gr1_lrg.jpg

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