Optimal intervention intensity
Optimal intervention intensity
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DOI：
10.3109/17549507.2012.700323
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发表时间：
2012-10-01
影响因子：
1.8
通讯作者：
Baker, Elise
中科院分区：
文献类型：
--
作者：
Baker, Elise
言语病理学中的许多不同干预措施都有经验证据。然而，人们对这些干预措施的最佳强度知之甚少。为了使言语病理学服务既有效又高效，言语病理学家需要知道如何忠实地给予干预活性成分的理想剂量、以什么形式、频率和持续时间。这是关于这一基本但尚未充分研究的临床实践问题的科学论坛的主要论文。借鉴 Warren、Fey 和 Yoder 的工作，描述了干预强度的概念。确定了建立最佳干预强度所涉及的问题，包括干预目标的目标是什么以及如何目标。鉴于言语病理学干预可能涉及提供治疗输入（例如，对话重述、问题）和/或客户执行某种行为（例如，言语产生、发声、理解、命名、吞咽），因此提出了一个框架来测量可能有助于计算干预强度的所有潜在输入和行为。还讨论了可能影响最佳干预强度的调查和实际应用的客户、临床医生、病情和服务相关变量。
Empirical evidence exists for many of the different interventions in speech-language pathology. However, relatively little is known about the optimal intensity of those interventions. In order for speech-language pathology services to be both effective and efficient speech-language pathologists need to know how to faithfully administer ideal doses of the active ingredients of interventions, in what forms, how often and for how long. This is the lead paper to a scientific forum on this fundamental yet under-studied issue of clinical practice. Borrowing from the work of Warren, Fey, and Yoder, the concept of intervention intensity is described. Issues involved in establishing the optimal intensity of interventions are identified, including what and how intervention goals are targeted. Given that speech-language pathology interventions can involve the delivery of therapeutic inputs (e.g., conversational recasts, questions) and/or clients carrying out an act (e.g., speech production, voice production, comprehending, naming, swallowing), a framework is proposed for measuring all potential inputs and acts that might contribute to the calculation of an intervention intensity. Client-, clinician-, condition-, and service-related variables that could influence the investigation and practical application of an optimal intervention intensity are also discussed.