Patterns of Conversation Trouble Source and Repair as Indices of Improved Conversation in Aphasia: A Multiple-Case Study Using Conversation Analysis

Author(s):  
Jennifer Thompson Tetnowski ◽  
John A. Tetnowski ◽  
Jack S. Damico

Purpose Social approaches to intervention for aphasia are being increasingly employed to address the functional communication barriers experienced by persons with aphasia. One specific approach is the use of conversation-based treatment in both group and two-person dyads. Although there are several methods to measure improvement for stimulation and cognitive neurolinguistic approaches, researchers have consistently indicated a need for outcome measures that can objectively demonstrate improved communication following conversation treatment. This study aims to demonstrate the utility for examining the patterns of conversation trouble source and repair as indices for improved communication as a positive response to intervention. Method The conversations of 20 consecutive participants, before and after 3 months, or 40 hr, of group and individual conversation-based treatment, were transcribed using conventions of conversation analysis, and sociolinguistic discourse analysis was applied. Measures of trouble source and repair were aggregated and subjected to statistical analysis. Results Persons with aphasia demonstrated statistically significant improvement in patterns of conversation trouble source and repair posttreatment for the rate of conversation trouble source and the length of repair. However, measures of self-initiation and self-completion of repair did not reach significance. Conclusion The study indicates that, following conversation-based treatment, the conversations of persons with aphasias were more efficient, experiencing fewer trouble sources and shorter repair sequences. These findings suggest that measures of conversation for the rate of trouble source and length of the repair sequence are valid indices of improved conversation.

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Ariek Tri Ariani

This research aims to find out the meaning or nature; process; and the causal relationship between the school zoning system in the suburbs of Tulungagung Regency. This thesis was made using a qualitative descriptive approach with a multiple case study approach; to then associate research findings with several practical and empirical theories. These research objects are SMPN 2 Campurdarat, SMPN 1 Tanggunggunung, and SMPN 1 Besuki Tulungagung. The qualitative analysis technique used was the Multiple Case Study, with the research instrument interviewing with school principals and PPDB operators. This research was prepared based on several studies of the problem that the periphery school is one of the parties who benefit in implementing this zoning system compared to urban schools in Tulungagung Regency in terms of the ceiling's fulfillment. The findings of the study show that determination of the amount of ceiling in PPDB with the zoning system in schools in rural areas is following the regulations regarding the tensile strength of PPDB in Tulungagung Regency as stipulated in the Decree of the Head of the Youngest and Sports Education Office in Tulungagung Regency number: 188/1035/104,010/2019 concerning Determination of Schedule and Capability of Acceptance of New, Kindergarten, Elementary and Middle School Students in 2019/2020 Academic Year. The preparation of high human resources has well supported the process. The series of PPDB activities with the zoning system in rural areas in Tulungagung Regency has been carried out well by PPDB committees in each school. Evaluation of the implementation of PPDB with the zoning system in the outskirts of Tulungagung Regency has fulfilled aspects of effectiveness, efficiency, adequacy, equity, and responsiveness and accuracy; and an evaluation system has been carried out based on the principle of policy impact; i.e., comparing conditions before and after the policy is carried out.


2016 ◽  
Vol 15 (2) ◽  
pp. ar12 ◽  
Author(s):  
Caleb M. Trujillo ◽  
Trevor R. Anderson ◽  
Nancy J. Pelaez

When undergraduate biology students learn to explain biological mechanisms, they face many challenges and may overestimate their understanding of living systems. Previously, we developed the MACH model of four components used by expert biologists to explain mechanisms: Methods, Analogies, Context, and How. This study explores the implementation of the model in an undergraduate biology classroom as an educational tool to address some of the known challenges. To find out how well students’ written explanations represent components of the MACH model before and after they were taught about it and why students think the MACH model was useful, we conducted an exploratory multiple case study with four interview participants. We characterize how two students explained biological mechanisms before and after a teaching intervention that used the MACH components. Inductive analysis of written explanations and interviews showed that MACH acted as an effective metacognitive tool for all four students by helping them to monitor their understanding, communicate explanations, and identify explanatory gaps. Further research, though, is needed to more fully substantiate the general usefulness of MACH for promoting students’ metacognition about their understanding of biological mechanisms.


2016 ◽  
Vol 7 (1) ◽  
pp. 62-72
Author(s):  
Martin Blok Johansen

The words ‘children’ (Danish: ’børn’) and ‘young people’ (Danish: ’unge’) are so often combined that they almost have the character of idiomatic expressions. But what differences in the use of the words can be found? This article seeks to study the prevalent, dominant discourses about children and young people. In particular, it endeavours to answer the following question: What is thematized, and how are the thematizations created and maintained? The study is theoretically inspired by Foucault’s discourse analysis. The methodological approach is that of a multiple case study. Thus, it provides examples of how children are typically referred to in positive terms such as innocent, imaginative, cheerful, spontaneous, creative and competent (a surplus discourse), while young people are typically referred to in negative terms such as irresponsible, rootless, violent, dysfunctional, hedonistic and unaccountable (a deficit discourse).


Pflege ◽  
2020 ◽  
pp. 1-9
Author(s):  
Carola Maurer ◽  
Heidrun Gattinger ◽  
Hanna Mayer

Zusammenfassung. Hintergrund: Einrichtungen der stationären Langzeitpflege investieren seit Jahren Ressourcen in die Entwicklung der Kinästhetikkompetenz der Pflegenden. Aus aktuellen Studien geht hervor, dass die Implementierung, bzw. die nachhaltige Förderung der Kinästhetikkompetenz problematisch ist, vertiefte Erkenntnisse zu den Ursachen fehlen jedoch. Fragestellung: Welche Hemmnisse verhindern eine nachhaltige Implementierung von Kinästhetik in Einrichtungen der stationären Langzeitpflege? Methode: Es wurde eine Multiple Case-Study in drei Einrichtungen der deutschsprachigen Schweiz durchgeführt. Aus leitfadengestützten Interviews und (fallbezogener) Literatur zum externen Kontext wurden in den Within-Case-Analysen die Daten induktiv verdichtet und diese Ergebnisse in der Cross-Case-Synthese miteinander verglichen und abstrahierend zusammengeführt. Ergebnisse: Die Synthese zeigt, dass die Implementierung von Kinästhetik innerhalb der Einrichtung auf drei verschiedenen Ebenen – der Leitungs-, Pflegeteam- und Pflegeperson-Ebene – als auch durch externe Faktoren negativ beeinflusst werden kann. Schlussfolgerungen: In der Pflegepraxis und -wissenschaft sowie im Gesundheitswesen benötigt es ein grundlegendes Verständnis von Kinästhetik und wie dieses im Kontext des professionellen Pflegehandelns einzuordnen ist. Insbesondere Leitungs- und implementierungsverantwortliche Personen müssen mögliche Hemmnisse kennen, um entsprechende Strategien entwickeln zu können.


2020 ◽  
Vol 1 (3) ◽  
pp. 103-132
Author(s):  
Rungamirai Matiure ◽  
Erick Nyoni

This study explored the utility of the learner autonomy concept in the Zimbabwean O Level English as a Second Language (ESL) classroom focusing on three Gweru urban high schools of the Midlands Province. The researchers intended to establish whether learner autonomy was a reality or just a myth in Zimbabwean classrooms. A qualitative multiple case study design was applied focusing on teaching strategies, availability of resources, challenges faced and ways of optimising it. Questionnaires and document analysis were used for data collection. The findings revealed that the concept did not manifest in explicit terms, the learners did not participate in decision making, and the teachers were not adequately prepared to administer autonomous processes with students. For it to be a reality, the Education Ministry is recommended to establish a comprehensive framework of how autonomous learning should be implemented. Teacher training should explicitly focus on how to develop autonomous learners. Teachers ought to be flexible enough to accommodate learners' contributions towards their learning.


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