Kidwai Juhi, Brumberg Jonathan, Gatts Julie
Department of Communicative Sciences & Disorders, New York University, New York, NY, USA.
Department of Speech-Language-Hearing: Sciences and Disorders, University of Kansas, Lawrence, KS, USA.
Disabil Rehabil Assist Technol. 2024 Apr;19(3):566-575. doi: 10.1080/17483107.2022.2109072. Epub 2022 Aug 16.
This survey was conducted to investigate American and Indian clinician's preference and usage of high-tech communication supports (HTCS) for aphasia rehabilitation to identify factors in each country that support the use of HTCS for improving post-aphasia communicative outcomes. In this study, HTCS include speech-generating augmentative and alternative communication (AAC) devices with varying methods of access.
The survey exploring clinically practicing speech-language pathologists' (SLPs) training, assessment and aphasia rehabilitation practices using HTCS, was electronically distributed in both countries. The raw responses from the US SLPs ( = 56) and Indian SLPs ( = 43) were collected, segregated and then converted into percentages for all 41 survey questions.
The responses from SLPs indicated higher (70%) and lower use (58%) of HTCS for aphasia in a developed country (USA) and developing country (India), respectively. In the US, identifiable factors for successful use of HTCS for aphasia rehabilitation were familiarity in procuring and programming the device, caregiver training and effectiveness in reducing the time of communicating through the device. In India, factors leading to successful inclusion of HTCS were AAC coursework and clinical training for clinicians and availability of HTCS at affordable prices for clients.
There is a considerable difference in the educational and clinical practice of AAC as SLPs in the US tend to have more clinical AAC experience with a stronger network for device dissemination in comparison to SLPs in India leading to higher usage of high-tech AAC for aphasia rehabilitation in a developed country.Implications for RehabilitationFor the SLPs,Improve exposure to programming AAC devices in developed countries and increase coursework, clinical training and exposure to programming AAC devices in developing countries.Enhance awareness about integrating high-tech AAC devices in intervention programs.Improve efficiency by minimizing the time in message creation on high-tech AAC device in developed countries. For the bioengineers,Develop AAC application interfaces in regional languages for easier usage in developing countries.
开展此项调查以探究美国和印度临床医生对用于失语症康复的高科技通信支持（HTCS）的偏好及使用情况，从而确定每个国家中支持使用HTCS以改善失语症后交流结果的因素。在本研究中，HTCS包括具有不同访问方式的言语生成辅助和替代沟通（AAC）设备。
一项关于临床执业言语语言病理学家（SLP）使用HTCS进行培训、评估及失语症康复实践的调查在两国以电子方式分发。收集了美国SLP（n = 56）和印度SLP（n = 43）的原始回复，进行分类，然后将所有41个调查问题的回复转换为百分比。
SLP的回复表明，在发达国家（美国）和发展中国家（印度），HTCS用于失语症康复的使用率分别较高（70%）和较低（58%）。在美国，成功使用HTCS进行失语症康复的可识别因素包括对设备采购和编程的熟悉程度、照顾者培训以及减少通过该设备交流时间的有效性。在印度，成功纳入HTCS的因素包括针对临床医生的AAC课程作业和临床培训，以及为客户提供价格可承受的HTCS。
AAC的教育和临床实践存在相当大的差异，因为与印度的SLP相比，美国的SLP往往有更多的临床AAC经验，且设备传播网络更强，这导致发达国家中高科技AAC在失语症康复中的使用率更高。
康复启示
在发达国家提高对AAC设备编程的接触机会，在发展中国家增加AAC课程作业、临床培训以及对AAC设备编程的接触机会。
增强在干预项目中整合高科技AAC设备的意识。
在发达国家通过尽量减少在高科技AAC设备上创建信息的时间来提高效率。
开发以地区语言为基础的AAC应用界面，以便在发展中国家更方便地使用。
