Development and evaluation of the environment and communication assessment toolkit with speech-language pathologists.
Development and evaluation of the environment and communication assessment toolkit with speech-language pathologists.
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与言语病理学家一起开发和评估环境和沟通评估工具包。
DOI：
10.1055/s-0033-1337394
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发表时间：
2013
影响因子：
1
通讯作者：
Calkins,MargaretP
中科院分区：
文献类型：
--
作者：
Bruce,Carrie;Brush,JenniferA;Sanford,JonA;Calkins,MargaretP
环境障碍可能会加剧痴呆症导致的沟通功能障碍，例如照明不足、嘈杂的环境、不良或缺乏的环境线索以及视觉混乱。言语病理学家 (SLP) 应该解决这些环境障碍，作为痴呆症患者综合治疗计划的一部分。 SLP 对痴呆症护理环境与沟通评估工具包 (ECAT) 进行了评估，以确定： (1) 培训前后环境因素意识的变化； (2) ECAT 对实践的影响，通过培训前后建议和进行的环境修改数量的变化来衡量； (3) 信息的效用，通过 ECAT 的帮助性、新信息量和有用性来衡量； (4) ECAT 材料的可用性基于易用性。 SLP 对患有痴呆症的客户使用 ECAT，这些客户有功能限制，并且在日常活动中需要大量帮助。结果表明，ECAT 是 SLP 的有效工具，它提供有关环境对沟通影响的信息，并提供足够的资源来提出建议和实施有效的干预措施。 ECAT 成功提高了人们对环境改造的认识，影响了建议环境改造的实践，并在临床实践的各个方面都有实用性。
Communication dysfunction that results from dementia can be exacerbated by environmental barriers such as inadequate lighting, noisy conditions, poor or absent environmental cues, and visual clutter. Speech-language pathologists (SLPs) should address these environmental barriers as part of a comprehensive treatment plan for clients with dementia. TheEnvironment and Communication Assessment Toolkit for Dementia Care(ECAT) was evaluated by SLPs to determine: (1) changes in awareness of environmental factors prior to and after training; (2) impact of the ECAT on practice as measured by changes in the number of environmental modifications recommended and made prior to and after training; (3) utility of the information as measured by the helpfulness, amount of new information, and usefulness of the ECAT; and (4) usability of the ECAT materials based on ease of use. The SLPs used the ECAT with clients with dementia who had functional limitations and required substantial assistance with daily activities. Results indicate that the ECAT is an effective tool for SLPs, providing information about the impact of the environment on communication and supplying sufficient resources to make recommendations and implement effective interventions. The ECAT successfully increased awareness of environmental modifications, influenced the practice of recommending environmental modifications, and had utility in diverse aspects of clinical practice.