scholarly journals Face-to-Face Communication in Aphasia: The Influence of Conversation Partner Familiarity on a Collaborative Communication Task

2021 ◽  
Vol 6 ◽  
Author(s):  
Willemijn Doedens ◽  
Arpita Bose ◽  
Lydia Lambert ◽  
Lotte Meteyard
Keyword(s):  
Language Impairment ◽  
Common Ground ◽  
Collaborative Communication ◽  
Face To Face ◽  
Communication Task ◽  
Instructor Role ◽  
Set Up ◽  
Similar Accuracy ◽  
Conversation Partner ◽  
Everyday Communication

Aphasia is language impairment due to acquired brain damage. It affects people’s ability to communicate effectively in everyday life. Little is known about the influence of environmental factors on everyday communication for people with aphasia (PWA). It is generally assumed that for PWA speaking to a familiar person (i.e. with shared experiences and knowledge) is easier than speaking to a stranger (Howard, Swinburn, and Porter). This assumption is in line with existing psycholinguistic theories of common ground (Clark, 1996), but there is little empirical data to support this assumption. The current study investigated whether PWA benefit from conversation partner (CP) familiarity during goal-directed communication, and how this effect compared to a group of neurologically healthy controls (NHC). Sixteen PWA with mild to severe aphasia, sixteen matched NHC, plus self-selected familiar CPs participated. Pairs were videotaped while completing a collaborative communication task. Pairs faced identical Playmobile rooms: the view of the other’s room was blocked. Listeners attempted to replicate the 5-item set-up in the instructor’s room. Roles were swapped for each trial. For the unfamiliar condition, participants were paired with another participant’s CP (PWA were matched with another PWA’s CP based on their aphasia profile). The outcomes were canonical measures of communicative efficiency (i.e. accuracy, time to complete, etc.). Results showed different effects in response to the unfamiliar partner for PWA compared to NHC: In the instructor role, PWA showed faster trial times with the unfamiliar partner, but similar accuracy scores in both conditions. NHC, on the other hand, showed similar trial times across CPs, but higher accuracy scores with the unfamiliar partner. In the listener role, PWA showed a pattern more similar to NHC: equal trial times across conditions, and an improvement in accuracy scores with the unfamiliar partner. Results show that conversation partner familiarity significantly affected communication for PWA dyads on a familiar task, but not for NHC. This research highlights the importance of identifying factors that influence communication for PWA and understanding how this effect varies across aphasia profiles. This knowledge will ultimately inform our assessment and intervention of real-world communication.

scholarly journals 923 Accuracy of Assessment in Hand Trauma; Pre COVID-19 Face to Face Assessment Compared to Virtual Assessment During COVID-19 Lockdown

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
S Westley ◽  
H Creasy ◽  
R Mistry
Keyword(s):  
Telephone Call ◽  
Initial Assessment ◽  
Accurate Assessment ◽  
Hand Trauma ◽  
Face To Face ◽  
Queen Victoria ◽  
Set Up ◽  
Operation Note ◽  
Similar Accuracy ◽  
Virtual Clinic

Abstract Introduction The Queen Victoria Hospital (QVH) was designated a cancer and trauma hub during the COVID-19 pandemic. With this, a new virtual hand trauma clinic was set up. We assess accuracy of assessment within this virtual set-up with comparison to pre COVID-19 face-to-face assessment. Method Two weeks of clinic sessions during and pre lockdown were analysed. Initial assessment was compared with the patient's operation note. Results In the pre COVID-19 two-week period 129 face-to-face appointments were analysed. Of 99 patients that required surgery 77 (78%) had an accurate assessment. 6 were overestimated, 12 were underestimated. 189 patients were seen over two weeks during lockdown via telephone or video call. Accuracy of assessment increased with seniority of the clinician. Of 126 patients that required an operation 109 (87%) had an accurate assessment; all structures injured were correctly predicted. 12 were overestimated, 5 had their injury underestimated. Conclusions The new virtual clinic allowed patients to be remotely assessed during lockdown, reducing footfall and unnecessary journeys. We found that virtual clinic assessments are accurate, and no patient underwent an unnecessary procedure. Using a telephone call plus photo gave similar accuracy as a video call. Virtual assessment was more accurate than face-to-face assessment.

scholarly journals 829 Is There an Ongoing Role For 'Telephone Triage Clinics' Post COVID-19?

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
B Holmes ◽  
U Mirza ◽  
C Manning ◽  
R Cooke ◽  
R Jugdey
Keyword(s):  
Common Theme ◽  
Telephone Triage ◽  
Telephone Consultation ◽  
Face To Face ◽  
Clinician Satisfaction ◽  
Set Up ◽  
Local Protocol ◽  
Telephone Questionnaire

Abstract Introduction COVID-19 has placed unprecedented demand on services at ELHT and it has become necessary to have telephone clinics to reduce the number of face-to-face clinics. A ‘telephone triage clinic’ was set up for referrals from A&E. Our project evaluated patient and clinician satisfaction on this. Method We carried out a retrospective telephone questionnaire with patients over a one-week period during the pandemic. We focussed on overall satisfaction of the consultation and quality of communication. Consultants were also surveyed for their opinion on the clinics. Results From 30 patients, 77% said they were ‘very satisfied’ with the overall experience. 80% of patients were ‘very satisfied’ with the overall length of the telephone consultation. 50% of patients felt the clinician was only ‘adequately’ able to assess them over the telephone. The consultants were less satisfied with the overall experience of telephone consultation. A common theme was that they felt ED documentation could be improved to help inform ongoing management. Conclusions Overall, patients were satisfied with the consultations. It has been successful in minimising face to face consultations however some presentations necessitate further evaluation. We need to identify those injuries appropriate for virtual follow up and design a local protocol for these.

Linguistic influences on gesture’s form

Gesture ◽  
2005 ◽  
Vol 4 (2) ◽  
pp. 157-195 ◽  
Author(s):  
Jennifer Gerwing ◽  
Janet Bavelas
Keyword(s):  
Common Ground ◽  
Symbolic Form ◽  
Communicative Function ◽  
Face To Face ◽  
Original Action ◽  
New Information ◽  
Physical Form ◽  
The Common ◽  
The Given ◽  
Linguistic Influences

Hand gestures in face-to-face dialogue are symbolic acts, integrated with speech. Little is known about the factors that determine the physical form of these gestures. When the gesture depicts a previous nonsymbolic action, it obviously resembles this action; however, such gestures are not only noticeably different from the original action but, when they occur in a series, are different from each other. This paper presents an experiment with two separate analyses (one quantitative, one qualitative) testing the hypothesis that the immediate communicative function is a determinant of the symbolic form of the gesture. First, we manipulated whether the speaker was describing the previous action to an addressee who had done the same actions and therefore shared common ground or to one who had done different actions and therefore did not share common ground. The common ground gestures were judged to be significantly less complex, precise, or informative than the latter, a finding similar to the effects of common ground on words. In the qualitative analysis, we used the given versus new principle to analyze a series of gestures about the same actions by the same speaker. The speaker emphasized the new information in each gesture by making it larger, clearer, etc. When this information became given, a gesture for the same action became smaller or less precise, which is similar to findings for given versus new information in words. Thus the immediate communicative function (e.g., to convey information that is common ground or that is new) played a major role in determining the physical form of the gestures.

scholarly journals The potential impacts of a digital preoperative assessment service on appointments, travel-related CO2 emissions, and user experience: a case study (Preprint)

2021 ◽  
Author(s):  
Madison Milne-Ives ◽  
John Leyden ◽  
Inocencio Maramba ◽  
Ray Jones ◽  
Arunangsu Chatterjee ◽  
...  
Keyword(s):  
Co2 Emissions ◽  
Preoperative Assessment ◽  
Service Evaluation ◽  
Primary Objective ◽  
Face To Face ◽  
Patient Feedback ◽  
Potential Benefits ◽  
Set Up ◽  
Evaluation Of Data

BACKGROUND The NHS cannot keep up with the demand for operations and procedures. Preoperative assessments, which can last 30 minutes to 2 hours, could be conducted online to save patient and clinician time, reducing wait times for operations. MyPreOp is a cloud-based platform where patients can set up an account and complete their preoperative questionnaires. This data is reviewed by a nurse, who determines if they need a subsequent face-to-face appointment. OBJECTIVE The primary objective was to describe the potential impact of MyPreOp® (Ultramed Ltd, Penryn, UK) the number of face-to-face appointments. Secondary objectives were to examine the time spent on preoperative assessments completed using MyPreOp in everyday use in NHS Trusts and user ratings of usability and acceptability. METHODS A case study service evaluation of data collected by the MyPreOp system from two NHS Trusts (Guy’s and St Thomas’ and Royal United Hospitals Bath) and the private BMI Bath Clinic during the four-month period of September to December 2020. MyPreOp is delivered by the hospital conducting the preoperative assessment but is typically completed at home at the patients’ convenience. Participants were adults of any age and health status at the participating hospitals who used MyPreOp to complete a preoperative assessment before a scheduled surgery. The primary outcome was the number of face-to-face appointments avoided by patients who used MyPreOp. Secondary outcomes were the length of time spent by nurses completing preoperative assessments, associated travel-related CO2 emissions, and quantitative user feedback. RESULTS Data from 2,500 participants was included. Half of the patients assessed did not need a further face-to-face appointment and required a median of only 5.3 minutes of nurses’ time. The reduction in appointments was associated with a small saving of CO2e emissions (9.05 tonnes). Patient feedback was generally positive: 80% of respondents rated MyPreOp as easy or very easy to use and 85% thought the overall experience was good or very good. CONCLUSIONS This evaluation demonstrated potential benefits of MyPreOp. However, further research using rigorous scientific methodology and a larger sample of NHS Trusts and users is needed to provide strong evidence of MyPreOp’s efficacy, usability, and cost-effectiveness.

Building consensus on user participation in social work: A conversation analysis

2018 ◽  
Vol 19 (1) ◽  
pp. 20-40
Author(s):  
Terry TF Leung ◽  
Barry CL Lam
Keyword(s):  
Conversation Analysis ◽  
Service Management ◽  
Panel Discussion ◽  
User Participation ◽  
Service Users ◽  
Welfare Service ◽  
Face To Face ◽  
Communicative Ethics ◽  
The Face ◽  
Set Up

Summary In order to understand how mutual understanding was achieved in discursive interactions between the welfare service users and service practitioners, conversation analysis was conducted in four discussion panels set up for building consensus on the appropriate structure for user participation in service management. Conversations in eight panel discussion meetings were audio-taped for analysing the talks-in-interaction therein. Drawing on the conversation analysis, the article uncovers the dynamics of consensus building among participants from different epistemic communities. Findings The study identifies the extent of divergence in views among stakeholders, which could have been obscured by the pressure to acquiesce in platform of face-to-face coordination. In the contest for truth between the welfare service users and service practitioners, personal experience has not been accepted as legitimate resource for supporting truth claims. Having limited argument resources on issues of service management, the welfare service users perceived argumentation in panel discussion a threatening venture that they chose to avoid. Avoidance was also a strategy that panel participants employed to maintain mundane interactions in the face of looming dissents. The article argues that the Habermasian communicative ethics are not panacea to the problem of coordination between the welfare service users and service practitioners. An agonistic model of democracy is called for to shift the objective of communication from gauging consensus to encouraging articulation of disagreements in the intricate user participation project. Application The article provides a new direction for developing the user participation imperative to address necessary pluralities among stakeholders of welfare services.

Smartphone-based DIY home microsurgical training with 3D printed microvascular clamps and Japanese noodles

2021 ◽  
Author(s):  
Zhi Yang Ng ◽  
Calum Honeyman ◽  
Alexandre G Lellouch ◽  
Ankur Pandya ◽  
Theodora Papavasiliou
Keyword(s):  
Back Wall ◽  
Internal Validation ◽  
Middle Income ◽  
Face To Face ◽  
Middle Income Countries ◽  
Video Recordings ◽  
Low Middle Income Countries ◽  
Konjac Flour ◽  
3D Printed ◽  
Set Up

We have recently incorporated simple modifications of the konjac flour noodle model to enable DIY home microsurgical training by (i) placing a smartphone on a mug to act as a microscope with at least 3.5-5x magnification, and (ii) rather than cannulating with a 22G needle as described by others, we have found that cannulation with a 23G needle followed by a second pass with an 18G needle will create a lumen (approx. 0.83 mm) without an overly thick and unrealistic “vessel” wall. The current set-up however, did not allow realistic evaluation of anastomotic patency as the noodles became macerated after application of standard microvascular clamps, which also did not facilitate practice of back-wall anastomoses. In order to simulate the actual operative environment as much as possible, we introduced the use of 3D printed microvascular clamps. These were modified from its previous iteration (suitable for use in silastic and chicken thigh vessels) and video recordings were submitted for internal validation by senior surgeons. A “wet” operative field where the knojac noodle lumen can be distended or collapsed, unlike other non-living models, was noted by senior surgeons. With the 3D clamps, the noodle could now be flipped over for back-wall anastomosis and allowed patency testing upon completion as it did not become macerated, unlike that from clinical microvascular clamps. The perceived advantages of this model are numerous. Not only does it comply with the 3Rs of simulation-based training, it can also reduce the associated costs of training by up to a hundred-fold or more when compared to a traditional rat course, and potentially, be extended to low-middle income countries (LMICs) without routine access to microsurgical training for capacity development. That it can be utilised remotely also bodes well with the current limitations on face to-face training due to COVID restrictions and lockdowns.

Mobile Communication Tools as Morality-Building Devices

2015 ◽  
pp. 25-45 ◽  
Author(s):  
André H. Caron ◽  
Letizia Caronia
Keyword(s):  
Mobile Communication ◽  
The Other ◽  
Communication Tools ◽  
Public Places ◽  
Vast Number ◽  
Face To Face ◽  
The Social ◽  
The Individual ◽  
And Function ◽  
Everyday Communication

The rise of Mobile Devices (MD) in the last two decades is noteworthy not only for the unprecedented rate at which they have spread, but for the vast number of countries in which they have so quickly been adopted, blind to both culture and economic stature. Moreover, the accelerated nature of their constantly-evolving design and function adds additional layers of complexity to the already-complicated topic of behavior in public places and during face-to-face communication. Drawing on extant literature and research, this article focuses on a specific but underexplored consequence of the mobile turn in everyday communication: MDs enhance the stage dimension of the social interactions they are embedded in, and therefore elicit a moral reasoning on the rights and duties of the individual in public places. They cooperate in building the bases of intersubjectivity: a sense of the other.

A systematic review of the factors that influence the quality and effectiveness of telesupervision for health professionals

2017 ◽  
Vol 24 (4) ◽  
pp. 271-281 ◽  
Author(s):  
Priya Martin ◽  
Lucylynn Lizarondo ◽  
Saravana Kumar
Keyword(s):  
Systematic Review ◽  
Clinical Supervision ◽  
Communication Technology ◽  
Grey Literature ◽  
Final Analysis ◽  
Limited Information ◽  
Supervisory Relationship ◽  
Face To Face ◽  
Set Up ◽  
Relationship Communication

Introduction Whilst telesupervision (clinical supervision undertaken using communication technology) is being used more frequently, there is limited information on what factors influence its effectiveness and quality. We undertook this systematic review to address this gap. Methods Eligible telesupervision studies were identified following targeted search of electronic databases and the grey literature. Data were synthesised thematically, resulting in development of core themes. Results We identified 286 papers for initial relevancy screening by title and abstract. The full text of 36 papers were then retrieved and assessed for further relevance. A total of 11 papers were included in the final analysis. We identified eight themes that contribute to effective and high-quality telesupervision: supervisee characteristics, supervisor characteristics, supervision characteristics, supervisory relationship, communication strategies, prior face-to-face contact, environmental factors and technological considerations. Conclusion From the available evidence, telesupervision can be a feasible and acceptable form of clinical supervision if set up well. Further studies with robust designs are required to strengthen the existing evidence on what makes telesupervision effective, as well as to examine its cost-effectiveness.

scholarly journals ¿Qué es un recurso turístico? Un análisis Delphi a la Academia Hispana

2019 ◽  
pp. 39-68
Author(s):  
Ruben Arnandis-i-Agramunt
Keyword(s):  
Common Ground ◽  
Three Dimensions ◽  
Raw Material ◽  
First Approximation ◽  
Tourism Resource ◽  
Third Dimension ◽  
Set Up ◽  
High Level ◽  
Shed Light ◽  
Level Of Agreement

Tras más de cincuenta años estudiando el desplazamiento de las personas con fines de ocio, argumentando por ello el desarrollo de equipamientos, infraestructuras e instalaciones, implementando políticas y planificaciones turísticas, evaluando programas y actuaciones, todavía la materia prima de la actividad turística, la que justifica la existencia de todos los elementos anteriores, sigue sin tener un espacio consensuado entre la academia. Esta investigación, tras una amplia revisión bibliográfica que evidencia esta situación descrita, implementa un Delphi entre veinticinco personas de la academia hispana cuyas investigaciones están directamente asociadas al tema de estudio. El objeto no era otro que encontrar los puntos de confluencia en torno al concepto de recurso y su relación con el turismo para, posteriormente, articular una propuesta que identifique los elementos básicos de todo recurso turístico. Los resultados obtenidos, tras dos rondas y un cuestionario de treinta y cuatro afirmaciones encontradas en la literatura valoradas con una escala Likert de 1 a 5, muestran un alto grado de acuerdo (hacia el consenso o el disenso), en la mayoría de aspectos evaluados en las tres dimensiones. Estos hallazgos aportan luz a algunos temas de debate. Sin embargo, también se manifiestan ciertas discrepancias, sobre todo alrededor de la tercera dimensión (la relación recurso–adaptación al uso turístico). Es, pues, una primera aproximación a la conceptualización de recurso turístico. After more than fifty years of looking into people's movement due to leisure purposes, and therefore arguing the development of equipment, infrastructures, and facilities, implementing policies and tourism planning, evaluating programs and actions, the raw material of tourism, which justifies the existence of the previous elements, has not still reached an agreement among researchers. This investigation, which demonstrates the previous evidence after a wide bibliographical review, set up a Delphi among twenty-five Hispanic researchers whose works are directly related to this matter. The aim was to seek areas of common ground, regarding the concept of resource and its relationship to tourism, in order to articulate a proposal to identify the key elements of a tourism resource. Results (after two rounds, a questionnaire with thirty-four statements found in literature, and a Likert 1–5 scale) have revealed a high level of agreement (towards consensus or dissent), in most assessed aspects of the three dimensions. These findings shed light on some points of discussion. Nevertheless, discrepancies about the third dimension (resource and adaptation to tourism purpose) have been observed. This is thus a first approximation of what tourism resource should be considered.

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