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“Is All in All”: Exploring Spirituality with People with Expressive Aphasia Using a Phenomenological Approach
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Is mere exposure enough? The effects of bilingual environments on infant cognitive development
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Treatment for improving discourse in aphasia: a systematic review and synthesis of the evidence base
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Expressive vocabulary predicts non-verbal executive function: a 2-year longitudinal study of deaf and hearing children
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Reflections on COVID -19 and the potential impact on preterm infant feeding and speech, language and communication development
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The City Gesture Checklist: The development of a novel gesture assessment
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Abstract:
Background People with aphasia rely on gesture more than healthy controls to get their message across, but use a limited range of gesture types. Gesture therapy is thus a potential avenue of intervention for people with aphasia. However, currently no gesture assessment evaluates how they use gesture. Such a tool could inform therapy targets and measure outcomes. In gesture research, many different coding categories are used to describe gesture forms and functions. These coding methods are prohibitively time‐consuming to use in clinical practice. There is therefore a need for a ‘quick and dirty’ method of assessing gesture use. Aims To investigate current practice among UK‐based clinicians (speech and language therapists) in relation to gesture assessment and therapy, to synthesize gesture‐coding frameworks used in aphasia research, to develop a gesture checklist based on the synthesized coding frameworks suitable for use in clinical practice, and to investigate the interrater reliability (IRR) of the checklist among experienced and unfamiliar users. Methods & Procedures The research team synthesized seven gesture‐coding frameworks and trialled three resulting prototype checklists at a co‐design workshop with 20 clinicians. Attending clinicians were also consulted about their current clinical gesture practice using a questionnaire. A final City Gesture Checklist (CGC) was developed based upon outcomes and feedback from the workshop. The IRR of the CGC was evaluated between the research team and 11 further clinicians within a second workshop. Both groups used the CGC to count gestures in video clips of people with aphasia talking to a conversation partner. Main Contribution A total of 18 workshop attendees completed the current practice questionnaire. Of these, 10 reported assessing gesture informally and five also used formal assessment. Gesture‐coding synthesis highlighted six main categories of gesture form. Clinicians at the co‐design workshop provided feedback on prototype checklists regarding the relevance and usability of the gesture categories, layout, use of images and instructions. A final version of the CGC was created incorporating their recommendations. The IRR for the CGC was moderate between both the researchers and clinicians. Conclusions & Implications The CGC can be used to assess the types of gesture that people with aphasia produce. The IRR was moderate amongst both experienced users and new users who had received no training. Future research directions include investigating how to improve IRR, evaluating intra‐rater reliability and sensitivity to change, and exploring use of the CGC in clinical practice.
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Keyword:
P Philology. Linguistics; R Medicine
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URL: https://openaccess.city.ac.uk/id/eprint/25092/
https://openaccess.city.ac.uk/id/eprint/25092/8/1460-6984.12579.pdf
https://doi.org/10.1111/1460-6984.12579
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Language, literacy and cognitive skills of young adults with Developmental Language Disorder (DLD)
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A comprehensive assessment of reading-related skills in typically developing 4;0- to 7;0-year-old Saudi Arabian children
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Establishing consensus on a definition of aphasia: an e-Delphi study of international aphasia researchers
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UK speech and language therapists’ views and reported practices of discourse analysis in aphasia rehabilitation
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| 12 |
Over vlugge spraak en vluchtige sjwa’s De relatie tussen spreektempo en de duur van Nederlandse svarabhaktivocalen
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| 13 |
Preliminary outcomes from a pilot study of personalised online supported conversation for participation intervention for people with Aphasia
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| 15 |
The effects of a dialogue-based intervention to promote psychosocial well-being after stroke: a randomized controlled trial
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"Nice, threat-free, and child-friendly": Gendered discourses in the speech and language therapy profession
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Adaptation of the British Sign Language Receptive Skills Test into Polish Sign Language
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| 18 |
"El nen s'ha menjat una aranya": The development of narratives in Catalan speaking children
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| 20 |
Anterior temporal lobe is necessary for efficient lateralised processing of spoken word identity
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