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

项目摘要/摘要 尽管越来越多的人关注“文化和语言多样化(CLD)”社区的研究和 临床实践中，居住在美国(US)的少数族裔语言的单语者，如外国- 出生时说英语以外的语言的人几乎被排除在语言之外 康复。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，由 国际功能、残疾和健康分类(ICF)是(1)解决个人失踪问题 以及需要言语康复的外国出生人口的环境因素和(2) 开发和进行一项小规模的临床试验，将这些缺失的因素纳入演讲 干预计划。 在最初的努力中，总共32名说韩语的帕金森氏症(PD)患者及其家人将 参与研究。要克服用韩语进行语言治疗的主要障碍，例如 为了在美国提供韩语语言康复计划，我们采用了两种最新的康复交付模式： 远程练习和团体治疗。帕金森病患者将接受16次语言治疗，每次60次 使用远程医疗平台在四周内提供数分钟的持续时间。帕金森州警察局的家庭每周参加一次，每次1小时， 家庭培训和支持课程，将提供家庭咨询和对话培训。主要 (语言清晰度、声学测量)和次级(沟通参与、健康和福祉) 结果衡量标准将从治疗前、治疗后和治疗后的时间点获得。 主要交付成果将是跨学科言语干预模式的初始阶段 不能接受英语语言治疗的有沟通障碍的发言者。此外，健康素养 将加强不同语言和文化群体之间的交流。长期目标是扩大 拥有优质保健服务的人口数量和范围，并制定言语干预方案 这包含了对特定于目标临床的个人和环境因素的复杂关注 人口。

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.