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Clinician training on prelinguistic communication: Investigating techniques within an online approach
Abstract: Thesis (Ph.D.)--University of Washington, 2015-12 ; Translating research evidence into clinical practice is a challenging process that requires careful examination through the lens of implementation science. Clinician training is one core component of implementation science research. While training can take different forms, an online, self-guided approach may be particularly advantageous for delivering training that is effective, efficient, and appealing to a large number of clinicians across a range of geographic areas. For early intervention speech-language pathologists (EI SLPs) who treat young children with physical disabilities, training is needed to support the integration of current evidence surrounding prelinguistic assessment and treatment for this complex clinical population into clinical practice. This dissertation study investigated three training techniques embedded within a self-guided, online training designed to teach EI SLPs one key ingredient (recognizing and recording child behaviors) of two evidence-based protocols for prelinguistic communication assessment. Forty-five EI SLPs from six states across the Pacific Northwest participated in the study. Subjects were randomly assigned to one of three practice conditions (identification, reflection, control), each designed to examine the differential impact of training technique on three primary outcomes: (1) effectiveness (measures of subjects’ knowledge and skill), (2) efficiency (time to complete training modules), and (3) appeal (subjects’ perceptions of training). Results indicated that overall, the training was effective in improving clinician knowledge and skill, but no statistically significant differences were observed by training condition on either measure. A significant effect of condition on time to complete training was observed, with subjects assigned to the control condition requiring significantly less time to complete the training than subjects in the reflection condition. Finally, across conditions all subjects reported high ratings on the overall appeal of the training. Taken together, these results document that the most efficient version of the training (no practice, control condition) was as effective as the more time intensive versions (practice under identification or reflection conditions), but more appealing to EI SLPs who participated in the study. Results from the present study suggest the importance of efficiency and appeal in achieving successful clinician training for moving evidence into practice. Additional considerations for designing online training are offered.
Keyword: children; early intervention; physical disability; speech; Speech therapy; training
URL: http://hdl.handle.net/1773/35319
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2
The Impact of Child-Directed Treatment for Young Children with Motor Impairments on Their Caregivers' Facilitative Behaviors
Ristow, Joanna. - 2012
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3
Clinical Forum - A State of Double Jeopardy: Impact of Prenatal Alcohol Exposure and Adverse Environments on the Social Communicative Abilities of School-Age Children With Fetal Alcohol Spectrum Disorder
In: Language, speech and hearing services in schools. - Rockville, Md. : Assoc. 38 (2007) 2, 117
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4
Investigating requests for information in children with autism spectrum disorders: static versus dynamic assessment
In: Advances in speech language pathology. - London [u.a.] : Taylor & Francis 9 (2007) 4, 297-311
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5
Understanding children who have been affected by maltreatment and prenatal alcohol exposure
Hyter, Yvette D.; Henry, Jim; Sloane, Mark. - Rockville, Md. : American Speech, Language, Hearing Assoc., 2007
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6
Assessing social communication in the classroom : observing manner and duration of performance
In: Social communication problems and peer interactions. - New York, NY [u.a.] : Lippincott Williams & Wilkins (2007), 111-127
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7
Reliability issues and solutions for coding social communication performance in classroom settings
In: Journal of speech, language, and hearing research. - Rockville, Md. : American Speech-Language-Hearing Association 49 (2006) 5, 1058-1071
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8
Language - Articles and Reports - Reliability Issues and Solutions for Coding Social Communication Performance in Classroom Settings
In: Journal of speech, language, and hearing research. - Rockville, Md. : American Speech-Language-Hearing Association 49 (2006) 5, 1058
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9
"Do I know what I need to do?" : A social communication intervention for children with complex clinical profiles
In: Language, speech and hearing services in schools. - Rockville, Md. : Assoc. 36 (2005) 1, 73-85
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10
33rd clinical aphasiology conference : Orcas Island, Washington, USA, May 27th to May 31st, 2003
Doyle, Patrick J. (Hrsg.); McNeil, Malcolm R. (Mitarb.); Hula, William D. (Mitarb.)...
In: Aphasiology. - London [u.a.] : Routledge, Taylor & Francis Group 18 (2004) 5-7, 405-652
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11
Reports - Facilitating Peer-Group Entry in Kindergartners With Impairments in Social Communication
In: Language, speech and hearing services in schools. - Rockville, Md. : Assoc. 34 (2003) 2, 154
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12
Facilitating peer-group entry in kindergartners with impairments in social communication
In: Language, speech and hearing services in schools. - Rockville, Md. : Assoc. 34 (2003) 2, 154-166
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13
Alternative measures for evaluating treatment outcomes
Kovarsky, Dana (Hrsg.); Culatta, Barbara (Mitarb.); Franklin, Amber (Mitarb.)...
In: Topics in language disorders. - Hagerstown, Md. : Lippincott Williams & Wilkins 22 (2001) 1, 1-87
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14
Alternative Measures for Evaluating Treatment Outcomes - Outcome Measures for School-Age Children with Social Communication Problems
In: Topics in language disorders. - Hagerstown, Md. : Lippincott Williams & Wilkins 22 (2001) 1, 50-73
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15
Verbs in the emergence of word combinations in young children with specific expressive language impairment
In: International journal of language & communication disorders. - Oxford : Wiley-Blackwell 32 (1997) 2, 15-34
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16
Evaluating intervention for language impaired children : a review of the literature
Law, James (Mitarb.); Olswang, Lesley B. (Mitarb.); Long, Steven H. (Mitarb.)...
In: European journal of disorders of communication. - London : Whurr 32 (1997) 2, 1-175
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17
Assessment Information for Predicting Upcoming Change in Language Production
In: Journal of speech, language, and hearing research. - Rockville, Md. : American Speech-Language-Hearing Association 39 (1996) 2, 414-423
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18
Assessment information for predicting upcoming change in language production
In: Journal of speech and hearing research. - Rockville, Md. : American Speech-Language-Hearing Association 39 (1996) 2, 414-423
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19
Treatment Efficacy Research: A Paradigm for Investigating Clinical Practice and Theory
In: Journal of fluency disorders. - New York, NY : Elsevier 18 (1993) 2-3, 125-132
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20
Analyzing spontaneous language : new methods, measures, and meanings
Hughes, Diana L. (Mitarb.); Fey, Marc E. (Mitarb.); Long, Steven H. (Mitarb.)...
In: Topics in language disorders. - Hagerstown, Md. : Lippincott Williams & Wilkins 12 (1992) 2, iv-viii, 1-82
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