Speech-Language Pathologists' Practice Patterns When Designing Home Practice Programs for Persons With Aphasia: A Survey

2021 ◽  
pp. 1-11
Author(s):  
Elena V. Donoso Brown ◽  
Sarah E. Wallace ◽  
Qianwen Liu
Keyword(s):  
Home Practice ◽  
Speech Language Pathologists ◽  
Web Based ◽  
Home Program ◽  
Environmental Support ◽  
Guided Practice ◽  
Daily Routines ◽  
Client Factors ◽  
Facilitators And Barriers ◽  
Program Creation

Purpose We aimed to describe the current practices of speech-language pathologists regarding the creation and implementation of home practice programs for persons with poststroke aphasia. Method Survey participants were American Speech-Language-Hearing Association–certified speech-language pathologists, had 30% of their caseload include persons with aphasia, and had recently created at least two home programs for persons with aphasia. Respondents completed a web-based survey on home program creation, training, technology, and methods for tracking adherence with closed and open-ended questions. Results We analyzed 80 complete surveys. Most of the participants ( n = 56) created home programs for greater than 75% of their caseload. Common interventions in home programs addressed functional practice and spoken expression. Participants describe instructional techniques including building skill practice in daily routines and guided practice. Applications of technology and formal mechanisms to monitor adherence were less frequently reported. Various factors were identified as facilitators and barriers to home program creation with environmental support from others and client factors (i.e., motivation, impairments) most evident. Conclusions This study provides insight into speech-language pathologists' home program creation and implementation. Results can be used to consider mechanisms to improve use of and adherence to home programs to further support recovery. Supplemental Material https://doi.org/10.23641/asha.16840204

scholarly journals Facilitators and barriers to the utilization of the ACT SMART Implementation Toolkit in community-based organizations: a qualitative study

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Aksheya Sridhar ◽  
Amy Drahota ◽  
Kiersten Walsworth
Keyword(s):  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Autism Spectrum ◽  
Ease Of Use ◽  
Science Literature ◽  
Community Based ◽  
Web Based ◽  
Community Based Organizations ◽  
Facilitators And Barriers ◽  
Acceptance Model

Abstract Background Evidence-based practices (EBPs) have been shown to improve behavioral and mental health outcomes for children diagnosed with autism spectrum disorder (ASD). Research suggests that the use of these practices in community-based organizations is varied; however, the utilization of implementation guides may bridge the gap between research and practice. The Autism Community Toolkit: Systems to Measure and Adopt Research-Based Treatments (ACT SMART) Implementation Toolkit is a web-based implementation toolkit developed to guide organization-based implementation teams through EBP identification, adoption, implementation, and sustainment in ASD community-based organizations. Methods This study examined the facilitators and barriers (collectively termed “determinants”) to the utilization of this toolkit, based on the perspectives of implementation teams at six ASD community-based organizations. Two independent coders utilized the adapted EPIS framework and the Technology Acceptance Model 3 to guide qualitative thematic analyses of semi-structured interviews with implementation teams. Results Salient facilitators (e.g., facilitation teams, facilitation meetings, phase-specific activities) and barriers (e.g., website issues, perceived lack of ease of use of the website, perceived lack of resources, inner context factors) were identified, highlighting key determinants to the utilization of this toolkit. Additionally, frequent determinants and determinants that differed across adapted EPIS phases of the toolkit were noted. Finally, analyses highlighted two themes: (a) Inner Context Determinants to use of the toolkit (e.g., funding) and (b) Innovation Determinants (e.g., all website-related factors), indicating an interaction between the two models utilized to guide study analyses. Conclusions Findings highlighted several factors that facilitated the utilization of this implementation guide. Additionally, findings identified key areas for improvement for future iterations of the ACT SMART Implementation Toolkit. Importantly, these results may inform the development, refinement, and utilization of implementation guides with the aim of increasing the uptake of EBPs in community-based organizations providing services to children with ASD and their families. Finally, these findings contribute to the implementation science literature by illustrating the joint use of the EPIS framework and Technology Acceptance Model 3 to evaluate the implementation of a web-based toolkit within community-based organizations.

Breadth and Depth of Diversity in Minnesota

2003 ◽  
Vol 12 (3) ◽  
pp. 259-272 ◽  
Author(s):  
Kathryn Kohnert ◽  
Mary R. T. Kennedy ◽  
Leslie Glaze ◽  
Pui Fong Kan ◽  
Edward Carney
Keyword(s):  
Service Delivery ◽  
Linguistically Diverse ◽  
Diverse Population ◽  
Diverse Populations ◽  
Speech Language Pathologists ◽  
Web Based ◽  
Professional Experiences ◽  
Professional Challenges ◽  
Survey Results ◽  
The Impact

This study explored the impact of recent demographic changes on clinical service delivery in the state of Minnesota. A Web-based survey was used to ask speech-language pathologists in Minnesota about their training, clinical caseloads, and professional experiences with respect to diversity. Primary survey goals were to (a) determine if, and how, recent changes in the overall state demographics were reflected on caseloads of speech-language pathologists, and (b) identify challenges clinicians faced in meeting the needs of an increasingly diverse population. The authors considered the breadth or range of economically, racially, ethnically, and linguistically diverse populations represented on caseloads, relative to depth of diversity. Survey results are discussed with respect to challenges inherent in providing services to a diverse caseload, together with the competencies needed in order to meet these professional challenges.

Enhancing the Daily Routines of Equine Veterinarians Using Mobile Technology

2018 ◽  
pp. 194-213
Author(s):  
Sonja Leskinen
Keyword(s):  
Influenza Vaccination ◽  
Mobile Technology ◽  
Support System ◽  
The Other ◽  
Web Based ◽  
Daily Routines ◽  
Future Developments ◽  
Mobile Interface ◽  
Horse Owners ◽  
The Web

The goal of this paper is to introduce and understand the equine veterinarians' needs in their daily routines and develop a web-based support system to promote their work. An equine veterinarian works in both clinic and stable environments, which requires resilience and smart functionality from the support system's interfaces. Especially when horse treatment is in the stable environment, a mobile interface is required. The development of the system must also take into account the needs of the other stakeholders around horses. This paper introduces the requirements to develop a mobile interface for the web-based support system, m-equine. The trial of m-equine will start with an influenza vaccination protocol that is used by veterinarians, horse owners and riders as well as competition organizers. In conclusion the future developments and added values of the system are introduced.

scholarly journals Enhancing interactions during daily routines: A randomized controlled trial of a web-based tutorial for parents of young children with ASD

2018 ◽  
Vol 11 (4) ◽  
pp. 667-678 ◽  
Author(s):  
Lisa V. Ibañez ◽  
Kenneth Kobak ◽  
Amy Swanson ◽  
Lisa Wallace ◽  
Zachary Warren ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Young Children ◽  
Controlled Trial ◽  
Web Based ◽  
Daily Routines ◽  
Randomized Controlled ◽  
Children With Asd

scholarly journals Depression Associated With COVID-19 and its Impact on Physical Activities of Young Adults of Pakistan

2021 ◽  
Author(s):  
Bakhtawar Samejo ◽  
Sajida Bibi Noonari ◽  
Sikander Munir Memon ◽  
Dua-e- Noor
Keyword(s):  
Physical Activity ◽  
Young Adults ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Physical Activities ◽  
Unknown Etiology ◽  
Cross Sectional ◽  
Web Based ◽  
Respiratory Illnesses ◽  
Daily Routines

Introduction: Coronavirus Disease 2019 (COVID-19) is a cluster of acute respiratory illnesses with unknown etiology, which firstly appeared in Wuhan, Hubei Province, China, in December 2019. All educational institutes of Pakistan were completely closed from March 13, 2020, to August 15, 2020. This condition disturbs the daily routines of children with mental health needs. This sudden closure limited their physical activities in their routine life. This study aims to observe the depression associated with COVID-19 and its impact on the physical activities of young adults of Pakistan. Materials and Methods: A web-based cross-sectional study was conducted on 384 young adults. A modified depression scale was used to assess depression, and the revised physical activity questionnaire was used to evaluate the physical activity of Pakistani young adults in the past month. Results: About 57.8% of the samples were sometimes  sad; 44.5% sometimes  felt grouchy in the mood; 43.8% never felt hopeless about the future. Also, 32.6% sometimes slept less or more than usual, 35.9% sometimes had difficulty concentrating on their work, 48.7% slept 6-8 hours per day. Besides, 49% engaged 1-3 hours in work or study per day; 43.2% watched TV, sat quietly, or listened to music for 1-3 hours. About 57.8% engaged less than 1 hour per week in light physical activities. Also, 77.9% engaged for less than 1 hour per week in moderately strenuous activities. Conclusion: Depression could be highly associated with the COVID-19 outbreak, and it might affect the physical activities of young adults.

scholarly journals Promoting outdoor recreation among older adults in Sweden – a theoretical and empirical foundation for the development of an intervention

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Magnus Zingmark ◽  
Rosemarie Ankre ◽  
Sandra Wall-Reinius
Keyword(s):  
Older Adults ◽  
Outdoor Recreation ◽  
Well Being ◽  
Structured Interviews ◽  
Theoretical Frameworks ◽  
Environmental Support ◽  
Daily Routines ◽  
Health Decline ◽  
And Gender

Abstract Background Disengagement from outdoor recreation may diminish the positive benefits on health and well-being in old age. The purpose of this study is to present a contextual, theoretical, and empirical rationale for an intervention, aiming to promote continued engagement in outdoor recreation for older adults in a Swedish context. Methods The paper includes a contextualization of outdoor recreation in Sweden, a presentation of evidence on health benefits related to engagement in outdoor recreation, together with theoretical frameworks that may guide future intervention designs. To add empirical knowledge, a mixed methods approach was applied, including an empirical data collection based on a quantitative survey (n = 266) and individual semi-structured interviews with older adults (n = 12). Survey data were presented with descriptive statistics. Associations between disengagement from previously performed activities and age and gender was analyzed with Chi2 tests. Transcripts and handwritten notes from the interviews were analyzed qualitatively to identify key themes, as well as patterns and disparities among respondents. Results Outdoor recreation was rated as important/very important by 90% of respondents of the survey. The interviews highlighted that engagement in outdoor recreation aided respondents to keep fit but had also relevance in terms of identity, experiences, and daily routines. Outdoor recreation close to the place of residence was most common and walking was the most frequently reported activity. While 80% considered their health to be good/very good, disability and long-term diseases were common and during the previous year, more than half of all respondents had disengaged from activities previously performed. Reasons for disengagement were mainly related to health decline or that activities were too demanding but also due to social loss. The interviews indicated that continued engagement was important but challenging, and that disengagement could be considered as a loss or accepted due to changing circumstances. Conclusions In the design of an intervention aiming to promote engagement in outdoor recreation for older adults, the following features are proposed to be considered: person-centeredness, promoting functioning, addressing self-ageism, providing environmental support, promoting subjective mobility needs and adaptation to find new ways to engage in outdoor recreation.

scholarly journals Internet Mindfulness Meditation Intervention for the General Public: Pilot Randomized Controlled Trial

2016 ◽  
Vol 3 (3) ◽  
pp. e37 ◽  
Author(s):  
Helané Wahbeh ◽  
Barry S Oken
Keyword(s):  
Quality Of Life ◽  
Health Outcomes ◽  
Mindfulness Meditation ◽  
Controlled Trial ◽  
Meditation Practice ◽  
Home Practice ◽  
Web Based ◽  
Randomized Controlled ◽  
Practice Behavior

Background Mindfulness meditation interventions improve a variety of health conditions and quality of life, are inexpensive, easy to implement, have minimal if any side effects, and engage patients to take an active role in their treatment. However, the group format can be an obstacle for many to take structured meditation programs. Internet Mindfulness Meditation Intervention (IMMI) is a program that could make mindfulness meditation accessible to all people who want and need to receive it. However, the feasibility, acceptability, and ability of IMMI to increase meditation practice have yet to be evaluated. Objectives The primary objectives of this pilot randomized controlled study were to (1) evaluate the feasibility and acceptability of IMMIs in the general population and (2) to evaluate IMMI’s ability to change meditation practice behavior. The secondary objective was to collect preliminary data on health outcomes. Methods Potential participants were recruited from online and offline sources. In a randomized controlled trial, participants were allocated to IMMI or Access to Guided Meditation arm. IMMI included a 1-hour Web-based training session weekly for 6 weeks along with daily home practice guided meditations between sessions. The Access to Guided Meditation arm included a handout on mindfulness meditation and access to the same guided meditation practices that the IMMI participants received, but not the 1-hour Web-based training sessions. The study activities occurred through the participants’ own computer and Internet connection and with research-assistant telephone and email contact. Feasibility and acceptability were measured with enrollment and completion rates and participant satisfaction. The ability of IMMI to modify behavior and increase meditation practice was measured by objective adherence of daily meditation practice via Web-based forms. Self-report questionnaires of quality of life, self-efficacy, depression symptoms, sleep disturbance, perceived stress, and mindfulness were completed before and after the intervention period via Web-based surveys. Results We enrolled 44 adults were enrolled and 31 adults completed all study activities. There were no group differences on demographics or important variables at baseline. Participants rated the IMMI arm higher than the Access to Guided Meditation arm on Client Satisfaction Questionnaire. IMMI was able to increase home practice behavior significantly compared to the Access to Guided Meditation arm: days practiced (P=.05), total minutes (P=.01), and average minutes (P=.05). As expected, there were no significant differences on health outcomes. Conclusions In conclusion, IMMI was found to be feasible and acceptable. The IMMI arm had increased daily meditation practice compared with the Access to Guided Meditation control group. More interaction through staff and/or through built-in email or text reminders may increase daily practice even more. Future studies will examine IMMI’s efficacy at improving health outcomes in the general population and also compare it directly to the well-studied mindfulness-based group interventions to evaluate relative efficacy. Trial Registration Clinicaltrials.gov NCT02655835; http://clinicaltrials.gov/ct2/show/NCT02655835 (Archived by WebCite at http://www.webcitation/ 6jUDuQsG2)

scholarly journals Feasibility of Using Commercially Available Accelerometers to Monitor Upper Extremity Home Practice With Persons Post-stroke: A Secondary Data Analysis

2021 ◽  
Vol 2 ◽  
Author(s):  
Kate N. de Castro ◽  
Elena V. Donoso Brown ◽  
Rachael Miller Neilan ◽  
Sarah E. Wallace
Keyword(s):  
Data Analysis ◽  
Upper Extremity ◽  
Secondary Data ◽  
Initial Study ◽  
Secondary Data Analysis ◽  
Single Subject ◽  
Accelerometer Data ◽  
Home Practice ◽  
Home Program ◽  
Post Stroke

Background: Adherence to home practice rehabilitation programs is important for efficacy; however, adherence is challenging for many individuals post-stroke. Accelerometers have emerged as a potential means to support home practice. This secondary data analysis explored the use of a commercially available accelerometer with custom software to collect and analyze data to corroborate self-reported practice collected during a home program.Methods: The initial study was a single subject design trial that investigated the effect of preferred music listening on adherence to an upper extremity home practice program (Trial Number NCT02906956. ClinicalTrials.gov). The participants (n = 7) were post-stroke adults with aphasia and hemiparesis of the upper extremity. Participants completed home program exercises while wearing accelerometers and recorded practice times in a logbook. Data were collected, cleaned, processed, and analyzed to facilitate descriptive comparisons and clinical interpretations of accelerometer output data.Results: Across all participants, an average of 47% of data were captured and usable for analysis. Five out of seven participants self-reported longer practice times compared to accelerometer duration output by a mean of 66.5 s. Individual exercise set mean total angular velocity and standard deviation of acceleration demonstrated potential for use across time to monitor change.Conclusions: One challenge of integrating accelerometers into clinical practice is the amount of data loss and the steps for data processing. The comparisons of available accelerometer data to the self-reported logs, however, were generally representative. Future investigations should explore ways to increase data capture and accessibility of the data for feedback to the client and practitioner.

Writing Measurable and Academically Relevant IEP Goals With 80% Accuracy Over Three Consecutive Trials

2017 ◽  
Vol 2 (16) ◽  
pp. 34-44 ◽  
Author(s):  
Emily Diehm
Keyword(s):  
Academic Success ◽  
Graduate Training ◽  
Language Intervention ◽  
Academic Standards ◽  
Speech Language Pathologists ◽  
Web Based ◽  
The Road ◽  
Speech Language Pathologist ◽  
Road Map ◽  
Writing Goals

Although one would hope that the magic of goal writing is somehow bestowed upon each speech-language pathologist during their graduate training, or at a minimum upon graduation, pre-service speech-language pathologists, as well as practicing speech-language pathologists, report that goal writing is challenging. This difficulty experienced while writing goals may result in SLPs and other special education providers searching the internet or IEPs of other students with similar needs to find a pre-written goal to use. Unfortunately, an over-reliance on web-based or software-based goal banks is problematic, as these resources still contain poorly written goals that are not measurable and vague and may ultimately decrease the individualization of the goal and treatment to a student's specific needs. Because goals are the “road map” for a student's speech-language intervention, it is not surprising that researchers have hypothesized, and more recently observed, that poorly written IEPs goals are negatively related to growth and progress in the curriculum. The purpose of this article is to remind SLPs of the importance of writing goals that are relevant to the findings of assessments, aligned to state academic standards, contain specific and measurable outcomes, and encourage growth in the skills needed to have academic success.

Enhancing the Daily Routines of Equine Veterinarians using Mobile Technology

2012 ◽  
Vol 3 (4) ◽  
pp. 1-19
Author(s):  
Sonja Leskinen
Keyword(s):  
Influenza Vaccination ◽  
Mobile Technology ◽  
Support System ◽  
The Other ◽  
Web Based ◽  
Daily Routines ◽  
Future Developments ◽  
Mobile Interface ◽  
Horse Owners ◽  
The Web

The goal of this paper is to introduce and understand the equine veterinarians’ needs in their daily routines and develop a web-based support system to promote their work. An equine veterinarian works in both clinic and stable environments, which requires resilience and smart functionality from the support system’s interfaces. Especially when horse treatment is in the stable environment, a mobile interface is required. The development of the system must also take into account the needs of the other stakeholders around horses. This paper introduces the requirements to develop a mobile interface for the web-based support system, m-equine. The trial of m-equine will start with an influenza vaccination protocol that is used by veterinarians, horse owners and riders as well as competition organizers. In conclusion the future developments and added values of the system are introduced.

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