A Qualitative Analysis of Clinician Perspectives of Ultrasound Biofeedback for Speech Sound Disorders.
A Qualitative Analysis of Clinician Perspectives of Ultrasound Biofeedback for Speech Sound Disorders.
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DOI：
10.1044/2023_ajslp-22-00194
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发表时间：
2023-03
影响因子：
2.6
通讯作者：
Sarah Dugan;S. M. Schwab;R. Seward;James Avant;Ting Zhang;Sarah R Li;Kathryn J. Eary;T. D. Mast;Michael A Riley;S. Boyce
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作者：
Sarah Dugan;S. M. Schwab;R. Seward;James Avant;Ting Zhang;Sarah R Li;Kathryn J. Eary;T. D. Mast;Michael A Riley;S. Boyce
目的 超声生物反馈疗法 (UBT) 是一种相对新型的技术辅助言语治疗，在治疗言语障碍方面已显示出前景。然而，目前从临床医生的角度对可能影响 UBT 实施的使用行为和临床决策的障碍和益处缺乏了解。在这项定性研究中，我们探讨了言语病理学家 (SLP) 的观点，他们使用技术接受和使用统一理论 (UTAUT) 模型在言语声音治疗项目中使用超声生物反馈。方法 7 名具有 UBT 治疗言语声音障碍临床经验的 SLP 参与。进行了半结构化深度访谈并进行了视频录制。两名编码员对转录数据进行编码和分类，并与第三名编码员达成共识。使用主题分析，将数据按照 UTAUT 模型的组成部分探索性地分组为主题。结果最多的代码被分类为UTAUT模型的“努力预期”主题，其次是“绩效预期”、“社会影响力”和“促进条件”主题。临床医生发现了使用超声技术的多种障碍和好处。最重要的障碍是可访问性有限，而最大的好处是能够可视化客户对显示器上提示的发音反应。结论 临床医生在考虑超声生物反馈治疗言语障碍时优先考虑“努力预期”和“表现预期”。临床医生对使用 UBT 治疗言语障碍表示赞同，但也承认组织和社会层面的制度障碍和限制。
PURPOSE Ultrasound biofeedback therapy (UBT) is a relatively new type of technology-assisted speech-language therapy and has shown promise in remediating speech sound disorders. However, there is a current lack of understanding of the barriers and benefits that may influence the usage behavior and clinical decision making for the implementation of UBT from a clinician perspective. In this qualitative study, we explore the perspectives of speech-language pathologists (SLPs) who have used ultrasound biofeedback in programs of speech sound therapy using the unified theory of acceptance and use of technology (UTAUT) model. METHOD Seven SLPs who had clinical experience treating speech sound disorders with UBT participated. Semistructured in-depth interviews were conducted and video-recorded. Two coders coded and categorized the transcribed data, with consensus established with a third coder. Using thematic analysis, the data were exploratorily grouped into themes along components of the UTAUT model. RESULTS The highest number of codes was sorted into the "effort expectancy" theme, followed by "performance expectancy," "social influence," and "facilitating conditions" themes of the UTAUT model. Clinicians identified multiple perceived barriers and benefits to the use of ultrasound technology. The top identified barrier was limited accessibility, and the top benefit was the ability to visualize a client's articulatory response to cues on a display. CONCLUSIONS Clinicians prioritized "effort expectancy" and "performance expectancy" when reflecting on the use of ultrasound biofeedback for speech sound disorders. Clinicians spoke favorably about using UBT for speech sound disorder treatment but acknowledged institutional barriers and limitations at organizational and social levels.