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1.
Codas ; 32(1): e20190010, 2020.
Artigo em Espanhol, Inglês | MEDLINE | ID: mdl-31859819

RESUMO

PURPOSE: Describe the attitudes towards ageing of senior undergraduate Speech-language Pathology students in a Chilean University. METHODS: This is a cross-sectional study in which the validated Spanish version of the Kogan's Attitudes Toward Old People Scale (KAOP) was applied to 43 students in the aforementioned course. The average scores were compared for the variables gender and interaction with the elderly. RESULTS: A trend towards a positive attitude was observed. No differences were found for the variables described. An analysis was carried out with the items in which trends towards negative attitude were reported, and the implications were discussed. CONCLUSION: Although a positive attitude was reported, aspects of student academic training should be more comprehensively studied with a view to improving the quality of assistance provided to the elderly.


Assuntos
Envelhecimento , Atitude do Pessoal de Saúde , Conhecimentos, Atitudes e Prática em Saúde , Relação entre Gerações , Estudantes , Adulto , Idoso , Chile , Estudos Transversais , Feminino , Humanos , Masculino , Fatores Socioeconômicos , Patologia da Fala e Linguagem , Inquéritos e Questionários , Universidades , Adulto Jovem
2.
Codas ; 32(2): e20180242, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31855224

RESUMO

PURPOSE: To identify the parameters that influences the decision of singing teachers to seek speech-language pathology (SLP) assistance for their students. METHODS: The study sample comprised 48 popular-music singing teachers, male and female, aged 37.96 years on average. The participants responded to a 10 closed-question questionnaire prepared by the researchers via the SurveyMonkey platform. The questions referred to the reasons why singing teachers seek SLP assistance, as well as to the knowledge of these teachers regarding chronic hoarseness as a risk symptom to identify other lesions in the larynx. RESULTS: Singing teachers seek SLP assistance for their students in the presence of hoarseness complaints and impaired speech sound articulation. The singing teachers assessed did not consider vocal tiredness complaint as a determining factor for referral to SLP evaluation. Most study participants were not aware that a hoarseness complaint for over 15 days can be indicative of larynx tumor. There was no influence of the variables age and time of professional experience in the referral to SLP assistance. CONCLUSION: Most of the singing teachers who participated in this study sought SLP assistance for their students when they presented hoarseness complaints and impaired speech sound articulation.


Assuntos
Canto , Distúrbios da Voz/diagnóstico , Qualidade da Voz , Adulto , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Percepção da Fala , Patologia da Fala e Linguagem , Estudantes , Inquéritos e Questionários , Distúrbios da Voz/terapia
3.
Codas ; 31(5): e20190004, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31664371

RESUMO

PURPOSE: To review the Speech-Language Pathology literature studies from the epidemiology and causality perspective. RESEARCH STRATEGIES: A national and international literature survey was carried out with searches from PubMed, SciELO and gray literature bases, conducted according to the instructions of the Cochrane Collaboration and published until January 9th, 2019. The review guiding question asks if Speech-Language Pathology uses methods in their evidence to infer causality. SELECTION CRITERIA: All studies that presented a causal epidemiological approach in speech therapy were included, as well as excluded those that did not present an appropriate methodological approach for cause and effect analysis. DATA ANALYSIS: Two authors of this study independently reviewed all citations. A priori determined form was used to extract the following data: author, year of publication, country of origin, theoretical conception, application or not of the study and central discussion addressed in the article. RESULTS: From the search performed 3842 articles were found. However, none of them investigated their outcomes from the causality point of view, not allowing cause and effect inference. CONCLUSION: There is a shortage of studies that evidence causality in Speech-Language Pathology, which may alter the effectiveness and reliable handling of diagnosis and speech-language therapy, since it is still based on association and not on cause and effect based on studies designed to that.


Assuntos
Distúrbios da Fala/epidemiologia , Distúrbios da Fala/etiologia , Patologia da Fala e Linguagem , Causalidade , Métodos Epidemiológicos , Humanos , Fonoterapia
4.
BMC Neurol ; 19(1): 241, 2019 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-31629403

RESUMO

BACKGROUND: Amyotrophic lateral sclerosis (ALS) is a fatal degenerative disease of a rapid course. In 25% of ALS sufferers, speech disorders occur as prodromal symptoms of the disease. Impaired communication affects physical health and has a negative impact on mental and emotional condition. In this study, we assessed which domains of speech are particularly affected in ALS. Subsequently, we estimated possible correlations between the ALS patients' subjective perception of their speech quality and an objective assessment of the speech organs carried out by an expert. METHODS: The study group consisted of 63 patients with sporadic ALS. The patients were examined for articulatory functions by means of Voice Handicap Index (VHI) and the Frenchay Dysarthria Assessment (FDA). RESULTS: On the basis of the VHI scores, the entire cohort was divided into 2 groups: group I (40 subjects) with mild speech impairment, and group II (23 subjects) displaying moderate and profound speech deficits. In an early phase of ALS, changes were typically reported in the tongue, lips and soft palate. The FDA and VHI-based measurements revealed a high, positive correlation between the objective and subjective evaluation of articulation quality. CONCLUSIONS: Deterioration of the articulatory organs resulted in the reduction of social, physical and emotional functioning. The highly positive correlation between the VHI and FDA scales seems to indicate that the VHI questionnaire may be a reliable, self-contained tool for monitoring the course and progression of speech disorders in ALS. TRIAL REGISTRATION: NCT02193893 .


Assuntos
Esclerose Amiotrófica Lateral/complicações , Distúrbios da Fala/diagnóstico , Distúrbios da Fala/etiologia , Patologia da Fala e Linguagem/métodos , Adulto , Idoso , Progressão da Doença , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fala/fisiologia
5.
Codas ; 31(5): e20180299, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31618318

RESUMO

PURPOSE: To investigate the association of variables gender, year of the thesis defense, type and location of the teaching institution, the thesis subject and the program in which the thesis was developed. METHODS: Data were collected through consultation of the Lattes Platform of the National Council for Scientific and Technological Development (1976-2017). Filters were activated to follow the inclusion criteria: is Brazilians with a degree in Speech-Language Therapy, and also with a PhD degree. The established variables were recorded in the STATA/IC 14.2 software, and a descriptive analysis of the data and trend of them were performed. RESULTS: Most of the 1,125 subjects who composed the sample were female, graduated in a public higher education institution, located in the Southeast region, and defended their thesis in a Program related to ​​Health Sciences, or in Speech-language therapy. CONCLUSION: The profile found is similar to the profile of previous studies, and it shows the significant growth of speech-language therapists with PhD degrees in research activities and qualified scientific production.


Assuntos
Educação de Pós-Graduação/história , Patologia da Fala e Linguagem/educação , Brasil , Educação de Pós-Graduação/estatística & dados numéricos , Feminino , História do Século XX , História do Século XXI , Humanos , Masculino , Patologia da Fala e Linguagem/história , Patologia da Fala e Linguagem/estatística & dados numéricos , Fatores de Tempo
6.
Codas ; 31(4): e20180143, 2019 Sep 12.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31531555

RESUMO

PURPOSE: To verify the effects of vocal warm-up (VWU) and vocal cool-down (VCD) strategies on teachers. METHODS: A quasi-experimental exploratory blind-evaluator study with control group that included teachers from a public secondary school. Teachers assigned to the experimental group (EG) performed VW prior to classes and VCD after classes. Teachers in the control group (CG) did not perform VWU and simply got voice rest after classes. Intergroup (EG vs. CG) and intragroup (pre-test versus post-test) comparisons were drawn from an auditory-perceptual evaluation, acoustic analysis, and self-reported discomfort. The mean acoustic and discomfort indicators and the percentage of improvement or worsening of vocal quality were calculated with a statistically significance level of p<0.05. RESULTS: EG and CG did not differ from each other in the intergroup analysis. The intragroup analysis showed that VWU improved voice quality and decreased the degree of body-related discomfort. VCD decreased both the fundamental frequency (f0) and the degree of discomfort, particularly in relation to the voice aspects. Vocal rest did not show any statistical difference. CONCLUSION: VWU showed positive effects on the auditory-perceptual evaluation and self-reported discomfort (body). VCD impacted f0 and self-reported discomfort (voice). Due to the exploratory nature of the research, the statistical power was not enough to demonstrate a difference in the comparison between EG and CG. However, the results indicate a potential for protecting teachers' voice and may be incorporated into daily work settings. Further controlled studies with random samples and greater numbers of participants should be conducted to confirm these results.


Assuntos
Doenças Profissionais/prevenção & controle , Patologia da Fala e Linguagem/métodos , Distúrbios da Voz/prevenção & controle , Treinamento da Voz , Adulto , Brasil , Método Duplo-Cego , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Setor Público , Professores Escolares , Autoavaliação , Medida da Produção da Fala , Inquéritos e Questionários , Qualidade da Voz
7.
J Allied Health ; 48(3): 167-171, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31487354

RESUMO

AIMS: Faculty in the healthcare professions are engaging their students in a variety of interprofessional education (IPE) experiences. One such experience is a one-time IPE event, performed over 2 consecutive years by 2 different cohorts, involving 342 students in occupational therapy, physical therapy, speech-language pathology, and therapeutic recreation. The aim was to provide students with the opportunity to learn about the impact of a stroke, the rehabilitation process, the rehabilitation team and their own profession, as well as incorporating the Core Competencies for Interprofessional Collaborative Practice. METHODS: The event had 3 separate components: a small group discussion on a pre-assigned case of a patient who had a stroke, a patient panel, and a clinician panel. RESULTS: All answers to the survey questions taken by students who attended the IPE event improved significantly at posttest (p<0.001). The IPE event was well received by the students (89.0% reported that the overall experience was good-excellent). CONCLUSION: This one-time event involving four health professions was successful in exposing the students to IPE.


Assuntos
Ocupações em Saúde/educação , Relações Interprofissionais , Reabilitação do Acidente Vascular Cerebral , Comportamento Cooperativo , Humanos , Patologia da Fala e Linguagem , Inquéritos e Questionários
8.
Int J Pediatr Otorhinolaryngol ; 126: 109609, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31374387

RESUMO

PURPOSE: There has not been any valid method for the clinical diagnosis of Childhood Apraxia of Speech (CAS) up to now, and the golden standard for diagnosis is the expert's opinion. The current research was conducted to obtain criteria used by the Iranian Speech-Language Pathologists (SLPs) to establish speech characteristics and co-occurring problems of CAS based on their knowledge and clinical experience. METHODS: This research used a questionnaire-based survey design for data collection. The questionnaire was filled out by 260 anonymous participants, both physically and online. RESULTS: The nine top speech characteristics reported with 75.6% agreement as the core symptoms of CAS included: inconsistency (86.9%), consonant sequencing problems (75%), low intelligibility (75%), groping (72.7%), slow diadochokinetic (DDK) (72.3%), articulatory configuration problems (66.2%), difficulty with multisyllabic words (62.7%), suprasegmental disturbances (56.2%) and metathesis (53.5%). The consent of the Iranian practicing SLPs was consistent with the American Speech-Language-Hearing Association (ASHA) diagnostic criteria, Strand's 10-point checklist, and Ozanne's cluster model. More than half of the respondents have been identified with fine motor deficit and language impairment as the most common co-occurring problems of CAS. CONCLUSIONS: The results of this study are in accordance with the findings of previous practicing SLPs' surveys in different languages. Carrying out researches on the speech characteristics of Persian-speaking children suspected of CAS and compare with the results of clinicians' surveys will help us to find a reliable standard for differential diagnosis of Persian-speaking children in Iran.


Assuntos
Apraxias/diagnóstico , Patologia da Fala e Linguagem , Apraxias/complicações , Criança , Estudos Transversais , Humanos , Transtornos do Desenvolvimento da Linguagem/complicações , Transtornos das Habilidades Motoras/complicações , Distúrbios da Fala/complicações , Inquéritos e Questionários
9.
Otolaryngol Clin North Am ; 52(5): 949-956, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31353144

RESUMO

Pediatric dysphonia is common; however, not all vocal fold pathology in children is due to nodules. Laryngeal stroboscopy (transoral or transnasal) often is essential for the diagnosis of other not-nodule lesions. As in adults, multidisciplinary care with a speech language pathologist helps with patient buy-in for therapy. Breathy dysphonia due to glottic incompetence may be related to vocal fold movement impairment (VFMI) or posterior glottic insufficiency. There are several medialization procedures available for children with VFMI due to recurrent laryngeal nerve injury.


Assuntos
Disfonia/diagnóstico , Disfonia/terapia , Laringe/patologia , Prega Vocal/patologia , Criança , Humanos , Equipe de Assistência ao Paciente , Traumatismos do Nervo Laríngeo Recorrente/terapia , Patologia da Fala e Linguagem , Estroboscopia
10.
BMC Health Serv Res ; 19(1): 530, 2019 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-31358002

RESUMO

BACKGROUND: Aphasia is a communication disorder affecting participation. Although there are evidence-based practice recommendations about participation and aphasia rehabilitation, it may be challenging for speech-language pathologists to ensure that rehabilitation activities have an impact on the person's participation, in part due to time limitations. Participation remains limited after rehabilitation for persons who have aphasia. Communities of practice (CoPs) are a collaborative knowledge transfer strategy that can be used for evidence-based practice implementation. The aim of this study was to describe the components and evaluate a CoP for speech-language pathologists about participation and aphasia rehabilitation. METHODS: Logic analysis was used to determine the adequacy between resources, implemented activities, outputs and short-term outcomes of the CoP. Qualitative and quantitative descriptive data were collected through observation and participants' logbooks. Outputs and outcomes of the CoP were revealed through thematic analysis and interpretation of descriptive statistics. RESULTS: Resources including CoP design and educational aims, human and material resources were combined to create various web-based, online and offline activities. Participants invested more time per week than expected in the CoP, shared and created clinical tools and appreciated the array of suggested activities. Participant engagement allowed them to reflect, interact and collaborate with each other. All 13 participants reported they acquired knowledge about clinical tools and 12 mentioned they reflected on their practice. While the CoP was ongoing, six participants noticed evidence-practice gaps, seven prepared to change their practice, and three changed their practice towards including more participation-based considerations. CONCLUSIONS: This study showed that speech-language pathologists can include more participation-based approaches in aphasia rehabilitation as a result of participating in a time-bound, web-based CoP.


Assuntos
Afasia/reabilitação , Comportamento Cooperativo , Modelos Teóricos , Patologia da Fala e Linguagem , Adulto , Assistência à Saúde , Prática Clínica Baseada em Evidências , Feminino , Humanos , Lógica , Masculino , Pessoa de Meia-Idade , Quebeque , Patologia da Fala e Linguagem/educação , Patologia da Fala e Linguagem/organização & administração
11.
Br J Community Nurs ; 24(7): 323-327, 2019 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-31265346

RESUMO

There is an increase in the demand for community services to provide care closer to home, and care teams are placing a growing emphasis on admission avoidance and early discharge. Community and district nurses are key professionals in this care delivery and are required to be alert to the risk factors for clinical deterioration, such as dysphagia (swallowing problems). Especially in older adults and those with frailty, dysphagia can cause a wide range of problems, from dehydration and malnutrition to respiratory tract infections that warrant antibiotic use and even hospitalisation. This article describes how dysphagia can be identified and managed in the community setting and explains the benefits and impact of speech and language therapy and wider multidisciplinary team intervention.


Assuntos
Enfermagem em Saúde Comunitária , Serviços de Saúde Comunitária , Transtornos de Deglutição/enfermagem , Transtornos de Deglutição/complicações , Transtornos de Deglutição/diagnóstico , Desidratação/etiologia , Desidratação/prevenção & controle , Dietoterapia , Fragilidade , Humanos , Desnutrição/etiologia , Desnutrição/prevenção & controle , Equipe de Assistência ao Paciente , Encaminhamento e Consulta , Infecções Respiratórias/etiologia , Infecções Respiratórias/prevenção & controle , Medição de Risco , Patologia da Fala e Linguagem , Medicina Estatal , Reino Unido
14.
Int J Speech Lang Pathol ; 21(3): 275-285, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31159597

RESUMO

Purpose: The Squirrel Story Narrative Comprehension Assessment (NCA) was used to investigate the literal and inferential comprehension skills of young typically developing (TD) children aged between 4 and 6 years and to compare the performance of 5-year-old TD children and those with developmental language disorder (DLD). Method: A total of 132 typically developing children across three age groups between 4 to 6 years (4;0-4;11, 5;0-5;11, 6;0-6;11, years;months), and 94 children with DLD aged 5 years, were assessed using the NCA. Result: There was a significant increase in both literal and inferential scores for TD children from 4 to 6 years. The TD children aged 4;0 to 4;11 scored significantly lower than the two older age groups for both literal and inferential comprehension, while there was no significant difference between the 5;0 to 5;11 and 6;0 to 6;11 TD groups. The 5;0 to 5;11 TD group scored significantly higher than the age-matched DLD group for literal and inferential comprehension. Conclusion: The findings indicate that the Squirrel Story NCA is a clinically useful task which is sensitive to developmental improvement in literal and inferential comprehension in young typically developing children and confirm previous research findings of poor narrative comprehension in children with DLD.


Assuntos
Compreensão , Transtornos do Desenvolvimento da Linguagem , Percepção da Fala , Patologia da Fala e Linguagem/métodos , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Narração
15.
Int J Speech Lang Pathol ; 21(3): 252-262, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31181968

RESUMO

Speech Pathology Australia, through its landmark project for the profession, "Speech Pathology 2030 - making futures happen" (SP 2030), calls for speech-language pathologists to "respond (to presenting clients) in ways that respect each person's culture, language, life experiences, and preferences" (Speech Pathology Australia, 2016, p. viii). Such engagement, it holds, is central to successful practice. Meeting the needs of Aboriginal and/or Torres Strait Islander (Indigenous) clients and communities, however, requires a skilled response to client wholeness, to their indissoluble, and unique, immersion in their: indigeneity; lived cultural experience; and the social, geographical, economic and political realities that surround them. Equally, the achievement of a truly-effective engagement, one able to engender desired outcomes, is also dependent on the challenging achievement of culturally-safe practice. Given that the relevant literature is, historically, based on a privileging of western purviews, this article asserts the validity of incorporating (pan-)Indigenous epistemologies and perspectives. As well as the Indigenous health and cultural safety literature, then, this article draws on particular Indigenous professional experience as a locus of good-practice evidence, one capable of contributing additional insights to best address the question: "How might Non-Indigenous speech-language pathologists really engage, effectively, with Indigenous Australia?". It introduces a guiding rubric, "Meet People in their Own Reality", as a tool with which to examine how engagement, in the service of more-effective practice, can be optimised in four exemplar domains of SP 2030.


Assuntos
Competência Cultural , Serviços de Saúde do Indígena , Patologia da Fala e Linguagem/métodos , Austrália , Competência Cultural/educação , Humanos , Grupo com Ancestrais Oceânicos , Patologia da Fala e Linguagem/educação
16.
Int J Speech Lang Pathol ; 21(3): 295-304, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31122069

RESUMO

Purpose: A number of studies have been published that have investigated the practices of speech-language pathologists in relation to speech sound disorder intervention; however, specific research about the treatment of childhood apraxia of speech is not available. This study aimed to describe the treatment approaches being used by speech-language pathologists, explore their perspectives of evidence-based practice and identify perceived barriers to implementing empirical research recommendations. Method: An online survey was distributed to speech-language pathologists in Australia and New Zealand. In total, 109 valid surveys were completed by participants who answered a series of multiple choice, yes/no, short answer and Likert-scaled questions. Result: Speech-language pathologists demonstrated a strong preference for eclectic interventions to treat childhood apraxia of speech. When asked to identify the primary treatment approach they used (whether as a stand-alone; or as the primary approach within an eclectic intervention), the most frequently used intervention was the Nuffield Dyspraxia Programme. Many speech-language pathologists reported valuing empirical research evidence, despite identifying a range of barriers that impact their ability to implement evidence-based practice in childhood apraxia of speech treatment. Conclusion: Although many speech-language pathologists use the Nuffield Dyspraxia Programme as their primary intervention, most clinicians use it as part of an eclectic/hybrid intervention. The effectiveness of eclectic interventions for childhood apraxia of speech has not been empirically evaluated.


Assuntos
Apraxias/terapia , Fonoterapia/métodos , Patologia da Fala e Linguagem/métodos , Austrália , Humanos , Nova Zelândia , Inquéritos e Questionários
17.
Res Dev Disabil ; 90: 92-100, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31085452

RESUMO

BACKGROUND: The deficit on segmental phonology in developmental dyslexia is well established and according to recent studies this deficit extends to suprasegmental phonology or prosody. However, these studies have focused on word-level prosody. Further research is needed concerning prosodic deficit in dyslexia, especially with a Spanish-speaking population. AIMS: The aim of this study was to investigate the role of linguistic (word and phrase-level) and non-linguistic prosodic skills in Spanish children with developmental dyslexia. METHOD AND PROCEDURE: 48 Spanish children (8-9 years of age) from ten primary education schools were selected (24 children with developmental dyslexia and 24 chronological age-control children). Non-linguistic rhythm, word and phrase-level prosody, phonological awareness, nonverbal intelligence and reading aloud were assessed. RESULTS: The results obtained show that children with developmental dyslexia scored lower than typically developing readers on non-linguistic rhythm and word and phrase-level prosody tasks. The differences remained statistically significant at the phrase level after controlling for word-level processing (phonological or prosodic), phonological awareness, non-linguistic rhythm and reading skills. CONCLUSIONS: Children with developmental dyslexia in Spanish exhibit a core deficit in suprasegmental phonology, at linguistic and non-linguistic levels. The implications of suprasegmental phonology skills for reading acquisition disabilities are discussed.


Assuntos
Dislexia , Desenvolvimento da Linguagem , Fonética , Comportamento Verbal , Criança , Dislexia/diagnóstico , Dislexia/epidemiologia , Dislexia/psicologia , Feminino , Humanos , Testes de Linguagem , Masculino , Espanha/epidemiologia , Patologia da Fala e Linguagem/métodos
18.
Folia Phoniatr Logop ; 71(2-3): 83-93, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31085926

RESUMO

BACKGROUND: The purpose of this paper is to describe the content and process of a literacy and language support model that was implemented with young children from marginalised communities, where no access to speech and language pathologist (SLP) services exists. The importance of language for literacy development is emphasised with explicit strategies for classroom application. METHOD: The SLP introduced an intervention programme to Early Childhood Development (ECD) kindergarten teachers, as part of a pre- and post-test literacy study. The strategies included oral reading, one-on-one reading and paired-reading. The participants provided informed consent. The intervention was presented to the experimental (Exp) group during the study process and to the comparison group after the study was completed. RESULTS: Post-intervention findings revealed a significant improvement in the Exp group scores on concepts about print. The ECD teachers reported a difference in the children's awareness of printed materials, confirming that the approaches introduced by the SLP are central in teachers' instruction. This finding supports the contribution that emergent literacy and language support models would have for children, especially those from marginalised communities, where access to resources are limited. Furthermore, the collaboration between SLP and the ECD staff will strengthen these support structures. Thus, explicit early intervention develops skills for school-readiness and academic success; this forms part of the solution in providing early access to language and literacy programmes in developing countries.


Assuntos
Educação , Marginalização Social , Capacitação de Professores/organização & administração , Pré-Escolar , Estudos de Avaliação como Assunto , Feminino , Humanos , Renda , Masculino , Leitura , Fatores de Risco , Professores Escolares , Fatores Socioeconômicos , África do Sul , Patologia da Fala e Linguagem , Capacitação de Professores/métodos , Materiais de Ensino
19.
Folia Phoniatr Logop ; 71(2-3): 71-82, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31085927

RESUMO

OBJECTIVE: This article examines the efficacy of language intervention services for monolingual and immigrant children in a public clinic in Montreal, Canada. Intervention is provided in French for a preset number of sessions regardless of intervention needs. The study assessed immediate gains after intervention, their maintenance over 2 months, and their effect on diagnostic status at both time points. METHODS: Participants included 15 children (57.7 months SD 7.8) diagnosed with developmental language disorder: 3 monolinguals and 12 bilingual immigrants. Intervention targeted vocabulary and syntax. Assessment of intervention targets and standardized testing was conducted before, after, and 2 months after treatment. Diagnostic status and severity level were assessed at each time point. RESULTS: Intervention was highly efficacious with large effect sizes for intervention targets. However, for diagnostic status, efficacy was more questionable. Seven children improved their diagnostic status from pre- to posttest; but many dropped back at maintenance point. For 3 children, all test time showed scores within the non-impaired range, indicating misdiagnosis or change in status while waiting for treatment. Amount of pain was not correlated with any background variable. CONCLUSIONS: Results suggest that intervention could be more efficacious by giving more therapy sessions and conducting evaluation and treatment closer in time.


Assuntos
/organização & administração , Eficiência Organizacional , Emigrantes e Imigrantes , Transtornos do Desenvolvimento da Linguagem/terapia , Multilinguismo , Patologia da Fala e Linguagem/organização & administração , Pré-Escolar , Diagnóstico Tardio , Estudos de Avaliação como Assunto , Feminino , Programas Governamentais , Humanos , Transtornos do Desenvolvimento da Linguagem/diagnóstico , Masculino , Quebeque , Fatores Socioeconômicos , Patologia da Fala e Linguagem/métodos , Inquéritos e Questionários , Vocabulário
20.
Folia Phoniatr Logop ; 71(2-3): 116-126, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31085930

RESUMO

Speech, language, and communication needs are particularly common among multilingual and migrant children. More than every third child in Germany has a migrant background. In the city of Bremen, this figure is even higher, including refugee children. The availability of comprehensive data on the provision and uptake of speech and language therapy (SLT) services is still inadequate, especially for multilingual children. However, health-monitoring programs report that migrants differ in many health-related areas from the majority population, mainly in barriers in health care. This study examines the current provision of SLT services for multilingual children following a medical prescription for the specific case of suspected language disorder. Information was obtained from speech-language pathologists (SLPs) representing 28 practices in different districts across one of the moderately largest cities affected by sociospatial polarization. The SLT practices were clustered according to the proportion of minor migrants and minor welfare recipients in the district. The survey included the number and proportion of multilingual children on the SLT caseloads, as well as the age of children by time of referral, physician and SLP diagnoses, application and type of assessment materials, intervention goals, and sociodemographic data of practicing SLPs. Questionnaire responses were analyzed using descriptive statistics and an explanatory interpretive approach. Findings suggest that multilingual children experience later referral compared to monolingual German-speaking children, with approximately half of the multilingual children demonstrating a developmental language disorder (DLD). The SLP's level of experience determines the accuracy of differential diagnosis between communication disorders and typical linguistic variations. Consequently, participation in continuing education focusing on service provision of the multilingual and multicultural clientele is essential. This study highlights the obstacles and the needs for increased multiprofessional awareness and an enhanced professional knowledge to provide effective and swift diagnosis earlier to allow multilingual children with a DLD to access relevant services on equal terms with native resident children.


Assuntos
Emigrantes e Imigrantes , Terapia da Linguagem/organização & administração , Multilinguismo , Fonoterapia/organização & administração , Estudos Transversais , Diversidade Cultural , Diagnóstico Diferencial , Alemanha , Pesquisas sobre Serviços de Saúde , Necessidades e Demandas de Serviços de Saúde , Humanos , Transtornos do Desenvolvimento da Linguagem/diagnóstico , Transtornos do Desenvolvimento da Linguagem/etnologia , Pessoa de Meia-Idade , Patologia da Fala e Linguagem/educação
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