Toward a speech rehabilitation model for linguistically and culturally minor groups: Foreign born immigrants

为语言和文化上的少数群体建立言语康复模式：外国出生的移民

• 批准号: 10660443
• 负责人: Yunjung Kim
• 金额: $ 32.17万
• 依托单位: FLORIDA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-03-01 至 2026-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10660443
• 关键词: Acoustics; Address; Adult; Aftercare; Aging; Attention; Censuses; Classification; Clinical; Clinical Trials; Communication; Communication impairment; Communities; Counseling; Cultural Diversity; Decision Making; Disease; Distress; Dysarthria; East Asian; Environmental Risk Factor; Ethics; Ethnic Origin; Exclusion; Family; Generations; Goals; Group Therapy; Health; Health Personnel; Health Services; Heterogeneity; Hour; Immigrant; International; Intervention; Korea; Koreans; Language; Linguistics; Literature; Measures; Medical; Methodology; Minor; Minority; Modeling; Morals; Multilingualism; Multiple Sclerosis; Outcome Measure; Parkinson Disease; Participant; Patients; Personal Satisfaction; Persons; Physical therapy; Population; Population Projection; Quality of life; Rehabilitation therapy; Reporting; Research; Role; Services; Social Distance; Speech; Speech Acoustics; Speech Intelligibility; Speech Therapy; Techniques; Time; Training; United States; Voice; bilingualism; clinical practice; disability; ethnic diversity; follow-up; health care availability; health care disparity; health care quality; health literacy; improved; innovation; intervention effect; intervention participants; intervention program; neurological rehabilitation; poor health outcome; primary outcome; programs; racial diversity; rehabilitation service; secondary outcome; skills; telehealth; treatment program

PROJECT SUMMARY/ABSTRACT Despite the increasing attention to the “culturally and linguistically diverse (CLD)” communities in research and clinical practice, monolingual speakers of minority languages living in the United States (US), such as foreign- born populations who speak a language other than English, have been nearly excluded from speech rehabilitation. This is mainly because of the assumption that the target language of intervention is English regardless of the cultural and linguist background of the patients. The goal of the proposed project, framed by the International Classification of Functioning, Disability, and Health ICF), is (1) to address missing personal and environmental factors of the foreign-born populations who are in need of speech rehabilitation and (2) to develop and conduct a small-scale clinical trial that incorporates these missing factors into a speech intervention program. For an initial effort, a total of 32 Korean-speakers with Parkinson’s disease (PD) and their families will participate in the study. To overcome the primary obstacles of delivering speech therapy in Korean, such as the availability of Korean speech rehabilitation programs in US, we employ two recent rehabilitation delivery models: telepractice and group therapy. PD participants will receive speech therapy consisting of 16 sessions of 60 minutes duration delivered over four weeks using a telehealth platform. PD families will attend weekly, 1-hour, family training and support sessions, which will provide family counseling and conversation training. Primary (speech intelligibility, acoustic measures) and secondary (communication participation, health and well-being) outcome measures will be obtained from Pre-, Post-, and Follow-up timepoints. The primary deliverable will be the initial stage for an interdisciplinary speech intervention model for speakers with communication disorders who cannot receive speech therapy in English. Further, health literacy among linguistically and culturally diverse groups will be enhanced. The long-term goal is to expand the number and scope of populations with quality health care access and to develop speech intervention programs that incorporate sophisticated attention to personal and environmental factors specific to the target clinical populations.

项目摘要/摘要 尽管在研究和研究中越来越关注“文化和语言多样性”社区， 临床实践，生活在美国（US）的少数民族语言的单语扬声器，如外国- 说英语以外语言的出生人口几乎被排除在语言之外， 康复活动.这主要是因为假设干预的目标语言是英语 无论患者的文化和语言背景如何。拟议项目的目标是， 国际功能、残疾和健康分类（ICF）的目的是（1）解决失踪的个人 和环境因素的外国出生的人口谁是需要语言康复和（2）， 开发并进行一项小规模的临床试验，将这些缺失的因素纳入演讲中 干预方案。 在最初的努力中，共有32名患有帕金森病（PD）的韩国人及其家人将 参与这项研究。为了克服韩语语言治疗的主要障碍，如 韩国语言语康复计划在美国的可用性，我们采用了两种最新的康复交付模型： 远程练习和团体治疗。PD受试者将接受包括16个疗程（60人）的言语治疗 使用远程保健平台，在四周内提供10分钟的服务。PD家庭将参加每周，1小时， 家庭培训和支持课程，将提供家庭咨询和谈话培训。初级 （语言清晰度、声学测量）和次级（交流参与、健康和福祉） 将从术前、术后和随访时间点获得结局指标。 主要交付成果将是跨学科言语干预模型的初始阶段， 无法接受英语语言治疗的沟通障碍者。此外，卫生知识普及 将加强语言和文化多样性群体之间的交流。长期目标是扩大 获得高质量卫生保健的人口数量和范围，并制定言语干预计划 该方法结合了对目标临床特定的个人和环境因素的复杂关注， 人口。