Facilitator Behaviors Leading to Engagement and Disengagement in Aphasia Conversation Groups
Facilitator Behaviors Leading to Engagement and Disengagement in Aphasia Conversation Groups
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DOI：
10.1044/2019_ajslp-cac48-18-0220
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发表时间：
2020-02-01
影响因子：
2.6
通讯作者：
Azios, Jamie H.
中科院分区：
文献类型：
--
作者：
Lee, Jaime B.;Azios, Jamie H.
目的：研究人员已经确定了成功的失语对话小组和临床医生行为导致参与和小组凝聚力的特征。文献中对阻碍参与或导致脱离的促进行为的关注较少。本研究旨在探讨研究生引导者的行为对失语会话小组参与的影响。方法：数据来自2所不同大学的4个会话组。小组包括1名研究生辅导员和3名或以上失语症患者。社会语言学话语分析应用于小组会议的记录。结果：确定了三种详细描述促进者行为的广泛模式。几个促进参与的行动被注意到，包括战略性地使用话题引出者，多模态通信支持，以及避免互动不对称的技术。与参与者脱离相关的行为也被注意到，包括受限的话语行为和难以管理参与者的竞争需求。参与和脱离参与是促进者和小组成员若干协调行动的产物，它们共同影响了对话的参与。结论：研究结果表明，在失语会话小组中，新手引导者表现出有利于和不利于参与者参与的行为。研究结果在管理良好的小组的文献背景下进行了讨论，强调了管理失语症参与者的需求所需的技能，以及知道如何以及何时采用临床主导的策略。
Purpose: Researchers have identified features of successful aphasia conversation groups and clinician behaviors leading to engagement and group cohesion. There has been less focus in the literature on facilitator behaviors that hinder participation or result in disengagement. This study aims to explore the behaviors of graduate student facilitators that contribute to and detract from engagement in aphasia conversation groups.Method: Data were drawn from 4 conversation group sessions from 2 different university settings. Groups included 1 graduate student facilitator and 3 or more persons with aphasia. Sociolinguistic discourse analysis was applied to transcripts of group sessions.Results: Three broad patterns detailing facilitator behaviors were identified. Several facilitator actions contributing to engagement were noted, including strategic use of topic elicitors, multimodal communication supports, and techniques to avoid interactional asymmetry. Behaviors associated with participant disengagement were also noted across sessions, including restricted discourse behaviors and difficulty managing the competing needs of participants. Engagement and disengagement were the product of several coordinating actions of the facilitator and group members that together influenced participation in conversation.Conclusion: Results suggest that novice facilitators exhibit behaviors that contribute to and detract from participant engagement in aphasia conversation groups. Findings, discussed within the context of the literature on well-managed groups, highlight the skill required in managing the needs of participants with aphasia and knowing how and when to employ clinician-led strategies.