Http Dx Doi Org 10 3109 17518423 2014 989461, Dec 30, 2014
Abstract Purpose: To describe the creation and validation of six simulations concerned with effec... more Abstract Purpose: To describe the creation and validation of six simulations concerned with effective listening and interpersonal communication in pediatric rehabilitation. Methods and findings: The simulations involved clinicians from various disciplines, were based on clinical scenarios related to client issues, and reflected core aspects of listening/communication. Each simulation had a key learning objective, thus focusing clinicians on specific listening skills. The article outlines the process used to turn written scenarios into digital video simulations, including steps taken to establish content validity and authenticity, and to establish a series of videos based on the complexity of their learning objectives, given contextual factors and associated macrocognitive processes that influence the ability to listen. A complexity rating scale was developed and used to establish a gradient of easy/simple, intermediate, and hard/complex simulations. Conclusions: The development process exemplifies an evidence-based, integrated knowledge translation approach to the teaching and learning of listening and communication skills.
To prepare for an RCT by examining the effects of an educational intervention on the listening sk... more To prepare for an RCT by examining the effects of an educational intervention on the listening skills of pediatric rehabilitation clinicians, piloting study procedures, and investigating participants' learning experiences. Six experienced clinicians received the intervention, consisting of video simulations and solution-focused coaching regarding personal listening goals. Self- and observer-rated measures of listening skill were completed and qualitative information was gathered in interviews and a member checking session. Significant change on self-reported listening skills was found from pre- to post-test and/or follow-up. The pilot provided useful information to improve the study protocol, including the addition of an initial orientation to listening skills. Participants found the intervention to be a highly valuable and intense learning experience, and reported immediate changes to their clinical and interprofessional practice. The educational intervention has the potential ...
Augmentative and alternative communication (Baltimore, Md. : 1985), Jan 10, 2015
The production of new knowledge in augmentative and alternative communication (AAC) requires effe... more The production of new knowledge in augmentative and alternative communication (AAC) requires effective processes to leverage the different perspectives of researchers and knowledge users and improve prospects for utilization in clinical settings. This article describes the motivation, planning, process, and outcomes for a novel knowledge translation workshop designed to influence future directions for AAC outcomes research for children with complex communication needs. Invited knowledge users from 20 pediatric AAC clinics and researchers engaged in the collaborative development of research questions using a framework designed for the AAC field. The event yielded recommendations for research and development priorities that extend from the early development of language, communication, and literacy skills in very young children, to novel but unproven strategies that may advance outcomes in transitioning to adulthood.
Purpose: To describe the creation and validation of six simulations concerned with effective list... more Purpose: To describe the creation and validation of six simulations concerned with effective listening and interpersonal communication in pediatric rehabilitation. Methods and findings: The simulations involved clinicians from various disciplines, were based on clinical scenarios related to client issues, and reflected core aspects of listening/communication. Each simulation had a key learning objective, thus focusing clinicians on specific listening skills. The article outlines the process used to turn written scenarios into digital video simulations, including steps taken to establish content validity and authenticity, and to establish a series of videos based on the complexity of their learning objectives, given contextual factors and associated macrocognitive processes that influence the ability to listen. A complexity rating scale was developed and used to establish a gradient of easy/simple, intermediate, and hard/complex simulations. Conclusions: The development process exemp...
The Team Decision Making Questionnaire (TDMQ) demonstrated internal consistency, stability over t... more The Team Decision Making Questionnaire (TDMQ) demonstrated internal consistency, stability over time, and construct validity. Internal consistencies were excellent and Cronbach's Alphas (N = 102) for the 4 components ranged from 0.83 to 0.91. The internal consistency for the total instrument was 0.96. Test re-test reliability (N = 22) measured with Intraclass Correlation Coefficient was good. Transdisciplinary teamwork is widely practiced in health care. However, specific measures to evaluate transdisciplinary team decision-making are not described in the literature. The purpose of this study was to develop and psychometrically test a scale to measure the quality of transdisciplinary teamwork. A multi-method approach using focus groups, field testing, and quantitative instrument development procedures was used to develop and evaluate TDMQ. Principal component analysis (PCA) with a varimax rotation (N = 102) revealed a four-component solution resulting in a 19-item measure consisting of 4 subscales including Decision Making, Team Support, Learning, and Developing Quality Services. This study's findings support the use of the TDMQ for measuring the benefits of transdisciplinary teamwork. The four subscales of the measure provide insight into the nature of such benefits. To validate the TDMQ research is required with a greater number of health care professionals and in other clinical fields.
This article outlines the benefits of engaging health care professionals in interprofessional gro... more This article outlines the benefits of engaging health care professionals in interprofessional groups to discuss complex clinical scenarios with a focus on listening and communication. Three focus groups (n=16) highlighted the utility of carefully crafted clinical scenarios relevant to paediatric health care to elicit and explore the thought processes of interprofessional groups about listening rather than trying to address the problem. The focus groups revealed several themes. Scenario discussion was valuable to clinical learning and assisted professional development by broadening perspectives, providing a safe environment, and offering opportunities to learn and share. Participants reflected on listening and communication in the therapy process, pointed out differences in listening in a group versus with a single individual, and also discussed barriers to listening and communicating. The scenario discussions enhanced participants’ awareness of being family-centred and building relationships with families. Use of carefully constructed clinical scenarios within interprofessional peer discussion groups has benefits for learning, reflection, and enhanced family-centred care. This type of approach can be implemented as a method for professional development within pediatric service organizations.
Therapists&am... more Therapists' listening and communication skills are fundamental to the delivery of children's rehabilitation services but few measures comprehensively assess these skills. The 24-item Effective Listening and Interactive Communication Scale (ELICS) was developed to reflect a multifaceted conceptualization based on evidence in the literature. Data from 41 pediatric rehabilitation therapists (occupational, physical, speech-language, recreation, and behavioural therapists; psychologists and social workers) were used to determine the factor structure, internal consistency, and construct validity of the subscales. The measure contains four subscales with very good to excellent reliability: Consensus-oriented, Exploratory, Receptive, and Action-oriented Listening. Content validity was ensured by the development process. The ELICS portrays listening as a purposeful, goal-oriented, and relational activity. The measure allows clinicians to assess and reflect on their listening/communication skills, and can be used to evaluate professional development activities and interventions geared to improving these skills.
Libraries for All is a community-based program that aims to enhance communication access to the l... more Libraries for All is a community-based program that aims to enhance communication access to the library for individuals who use augmentative and alternative communication (AAC), by providing resources and instruction. The goals are to (a) provide communication boards, (b) complete facilitator training, and (c) promote the program. To accomplish these goals, four communication boards were created and provided to all public libraries in London, Ontario. A train-the-trainer model was employed to ensure that all members of the library staff were familiar with the boards and aware of strategies to communicate more effectively with individuals who use AAC. Marketing materials were sent to potential stakeholders. The success of the program in meeting these three goals is highlighted.
The purpose of this study was to examine two methods for teaching Blissymbols with 40 nonhandicap... more The purpose of this study was to examine two methods for teaching Blissymbols with 40 nonhandicapped 6 and 12 year olds. In the first method, subjects were taught composite symbols by paired association, while in the second method, they were taught both the ...
The Life Needs Model (LNM) of service delivery emphasizes the importance of community participati... more The Life Needs Model (LNM) of service delivery emphasizes the importance of community participation in children's development and quality of life. This article is a case illustration of two community partnership programs based on the LNM. StoryTime and Dress Up and Drama provide participation opportunities in the community for children who use Augmentative and Alternative Communication (AAC). The authors describe the development and implementation of both programs. Regardless of level of functioning, each child who participated in the programs did so by communicating, interacting socially, and controlling the environment. Multiple benefits for children, parents/caregivers, community partners, and AAC clinicians are highlighted. The authors hope that this article will assist others in developing partnerships and implementing inclusive practices within their communities.
Individuals who use augmentative and alternative communication (AAC) depend on technology to meet... more Individuals who use augmentative and alternative communication (AAC) depend on technology to meet their daily needs and form relationships. Speech generating devices (SGDs) are integral components of communication systems. Reliability of SGDs is critical for effective use in everyday life. This study examined the reliability of new SGDs and found that mean time to first failure was 42.7 (SD = 41.2) weeks and at least 40% required repairs within the first year of use. The components that most frequently broke down were touch screens, wiring, main boards, batteries, memory cards, and AC adaptors. The costs of repairing SGDs were analyzed. The clinical implications of device breakdown are identified for key stakeholders, including clients, families, service providers, funding agencies, and manufacturers.
Augmentative and alternative communication (Baltimore, Md. : 1985), 2011
This study examines Prescription Review (PR), a model of teamwork practiced in Augmentative and A... more This study examines Prescription Review (PR), a model of teamwork practiced in Augmentative and Alternative Communication (AAC) centres in Ontario, Canada. PR is a process in which teams make decisions about AAC system recommendations. For this study, 92 out of 141 professionals working on AAC teams completed questionnaires measuring the benefits of PR. Findings suggest that PR is beneficial in the areas of learning, providing quality services, team support, and decision making. Participants reported satisfaction with the quality of treatment plan, the PR results, and process. Perceptions of PR were related to size of the teams, participants' years of experience, and the range of experience on teams. This study supports PR and highlights the importance of healthy working relationships.
Evidence-Based Communication Assessment and Intervention, 2008
Abstract In this article, we consider what is known about how to work effectively with families o... more Abstract In this article, we consider what is known about how to work effectively with families of children with disabilities, including those with little or no functional speech. Existing evidence about what families want from services is considered, along with information about how ...
Http Dx Doi Org 10 3109 17518423 2014 989461, Dec 30, 2014
Abstract Purpose: To describe the creation and validation of six simulations concerned with effec... more Abstract Purpose: To describe the creation and validation of six simulations concerned with effective listening and interpersonal communication in pediatric rehabilitation. Methods and findings: The simulations involved clinicians from various disciplines, were based on clinical scenarios related to client issues, and reflected core aspects of listening/communication. Each simulation had a key learning objective, thus focusing clinicians on specific listening skills. The article outlines the process used to turn written scenarios into digital video simulations, including steps taken to establish content validity and authenticity, and to establish a series of videos based on the complexity of their learning objectives, given contextual factors and associated macrocognitive processes that influence the ability to listen. A complexity rating scale was developed and used to establish a gradient of easy/simple, intermediate, and hard/complex simulations. Conclusions: The development process exemplifies an evidence-based, integrated knowledge translation approach to the teaching and learning of listening and communication skills.
To prepare for an RCT by examining the effects of an educational intervention on the listening sk... more To prepare for an RCT by examining the effects of an educational intervention on the listening skills of pediatric rehabilitation clinicians, piloting study procedures, and investigating participants' learning experiences. Six experienced clinicians received the intervention, consisting of video simulations and solution-focused coaching regarding personal listening goals. Self- and observer-rated measures of listening skill were completed and qualitative information was gathered in interviews and a member checking session. Significant change on self-reported listening skills was found from pre- to post-test and/or follow-up. The pilot provided useful information to improve the study protocol, including the addition of an initial orientation to listening skills. Participants found the intervention to be a highly valuable and intense learning experience, and reported immediate changes to their clinical and interprofessional practice. The educational intervention has the potential ...
Augmentative and alternative communication (Baltimore, Md. : 1985), Jan 10, 2015
The production of new knowledge in augmentative and alternative communication (AAC) requires effe... more The production of new knowledge in augmentative and alternative communication (AAC) requires effective processes to leverage the different perspectives of researchers and knowledge users and improve prospects for utilization in clinical settings. This article describes the motivation, planning, process, and outcomes for a novel knowledge translation workshop designed to influence future directions for AAC outcomes research for children with complex communication needs. Invited knowledge users from 20 pediatric AAC clinics and researchers engaged in the collaborative development of research questions using a framework designed for the AAC field. The event yielded recommendations for research and development priorities that extend from the early development of language, communication, and literacy skills in very young children, to novel but unproven strategies that may advance outcomes in transitioning to adulthood.
Purpose: To describe the creation and validation of six simulations concerned with effective list... more Purpose: To describe the creation and validation of six simulations concerned with effective listening and interpersonal communication in pediatric rehabilitation. Methods and findings: The simulations involved clinicians from various disciplines, were based on clinical scenarios related to client issues, and reflected core aspects of listening/communication. Each simulation had a key learning objective, thus focusing clinicians on specific listening skills. The article outlines the process used to turn written scenarios into digital video simulations, including steps taken to establish content validity and authenticity, and to establish a series of videos based on the complexity of their learning objectives, given contextual factors and associated macrocognitive processes that influence the ability to listen. A complexity rating scale was developed and used to establish a gradient of easy/simple, intermediate, and hard/complex simulations. Conclusions: The development process exemp...
The Team Decision Making Questionnaire (TDMQ) demonstrated internal consistency, stability over t... more The Team Decision Making Questionnaire (TDMQ) demonstrated internal consistency, stability over time, and construct validity. Internal consistencies were excellent and Cronbach's Alphas (N = 102) for the 4 components ranged from 0.83 to 0.91. The internal consistency for the total instrument was 0.96. Test re-test reliability (N = 22) measured with Intraclass Correlation Coefficient was good. Transdisciplinary teamwork is widely practiced in health care. However, specific measures to evaluate transdisciplinary team decision-making are not described in the literature. The purpose of this study was to develop and psychometrically test a scale to measure the quality of transdisciplinary teamwork. A multi-method approach using focus groups, field testing, and quantitative instrument development procedures was used to develop and evaluate TDMQ. Principal component analysis (PCA) with a varimax rotation (N = 102) revealed a four-component solution resulting in a 19-item measure consisting of 4 subscales including Decision Making, Team Support, Learning, and Developing Quality Services. This study's findings support the use of the TDMQ for measuring the benefits of transdisciplinary teamwork. The four subscales of the measure provide insight into the nature of such benefits. To validate the TDMQ research is required with a greater number of health care professionals and in other clinical fields.
This article outlines the benefits of engaging health care professionals in interprofessional gro... more This article outlines the benefits of engaging health care professionals in interprofessional groups to discuss complex clinical scenarios with a focus on listening and communication. Three focus groups (n=16) highlighted the utility of carefully crafted clinical scenarios relevant to paediatric health care to elicit and explore the thought processes of interprofessional groups about listening rather than trying to address the problem. The focus groups revealed several themes. Scenario discussion was valuable to clinical learning and assisted professional development by broadening perspectives, providing a safe environment, and offering opportunities to learn and share. Participants reflected on listening and communication in the therapy process, pointed out differences in listening in a group versus with a single individual, and also discussed barriers to listening and communicating. The scenario discussions enhanced participants’ awareness of being family-centred and building relationships with families. Use of carefully constructed clinical scenarios within interprofessional peer discussion groups has benefits for learning, reflection, and enhanced family-centred care. This type of approach can be implemented as a method for professional development within pediatric service organizations.
Therapists&am... more Therapists' listening and communication skills are fundamental to the delivery of children's rehabilitation services but few measures comprehensively assess these skills. The 24-item Effective Listening and Interactive Communication Scale (ELICS) was developed to reflect a multifaceted conceptualization based on evidence in the literature. Data from 41 pediatric rehabilitation therapists (occupational, physical, speech-language, recreation, and behavioural therapists; psychologists and social workers) were used to determine the factor structure, internal consistency, and construct validity of the subscales. The measure contains four subscales with very good to excellent reliability: Consensus-oriented, Exploratory, Receptive, and Action-oriented Listening. Content validity was ensured by the development process. The ELICS portrays listening as a purposeful, goal-oriented, and relational activity. The measure allows clinicians to assess and reflect on their listening/communication skills, and can be used to evaluate professional development activities and interventions geared to improving these skills.
Libraries for All is a community-based program that aims to enhance communication access to the l... more Libraries for All is a community-based program that aims to enhance communication access to the library for individuals who use augmentative and alternative communication (AAC), by providing resources and instruction. The goals are to (a) provide communication boards, (b) complete facilitator training, and (c) promote the program. To accomplish these goals, four communication boards were created and provided to all public libraries in London, Ontario. A train-the-trainer model was employed to ensure that all members of the library staff were familiar with the boards and aware of strategies to communicate more effectively with individuals who use AAC. Marketing materials were sent to potential stakeholders. The success of the program in meeting these three goals is highlighted.
The purpose of this study was to examine two methods for teaching Blissymbols with 40 nonhandicap... more The purpose of this study was to examine two methods for teaching Blissymbols with 40 nonhandicapped 6 and 12 year olds. In the first method, subjects were taught composite symbols by paired association, while in the second method, they were taught both the ...
The Life Needs Model (LNM) of service delivery emphasizes the importance of community participati... more The Life Needs Model (LNM) of service delivery emphasizes the importance of community participation in children's development and quality of life. This article is a case illustration of two community partnership programs based on the LNM. StoryTime and Dress Up and Drama provide participation opportunities in the community for children who use Augmentative and Alternative Communication (AAC). The authors describe the development and implementation of both programs. Regardless of level of functioning, each child who participated in the programs did so by communicating, interacting socially, and controlling the environment. Multiple benefits for children, parents/caregivers, community partners, and AAC clinicians are highlighted. The authors hope that this article will assist others in developing partnerships and implementing inclusive practices within their communities.
Individuals who use augmentative and alternative communication (AAC) depend on technology to meet... more Individuals who use augmentative and alternative communication (AAC) depend on technology to meet their daily needs and form relationships. Speech generating devices (SGDs) are integral components of communication systems. Reliability of SGDs is critical for effective use in everyday life. This study examined the reliability of new SGDs and found that mean time to first failure was 42.7 (SD = 41.2) weeks and at least 40% required repairs within the first year of use. The components that most frequently broke down were touch screens, wiring, main boards, batteries, memory cards, and AC adaptors. The costs of repairing SGDs were analyzed. The clinical implications of device breakdown are identified for key stakeholders, including clients, families, service providers, funding agencies, and manufacturers.
Augmentative and alternative communication (Baltimore, Md. : 1985), 2011
This study examines Prescription Review (PR), a model of teamwork practiced in Augmentative and A... more This study examines Prescription Review (PR), a model of teamwork practiced in Augmentative and Alternative Communication (AAC) centres in Ontario, Canada. PR is a process in which teams make decisions about AAC system recommendations. For this study, 92 out of 141 professionals working on AAC teams completed questionnaires measuring the benefits of PR. Findings suggest that PR is beneficial in the areas of learning, providing quality services, team support, and decision making. Participants reported satisfaction with the quality of treatment plan, the PR results, and process. Perceptions of PR were related to size of the teams, participants' years of experience, and the range of experience on teams. This study supports PR and highlights the importance of healthy working relationships.
Evidence-Based Communication Assessment and Intervention, 2008
Abstract In this article, we consider what is known about how to work effectively with families o... more Abstract In this article, we consider what is known about how to work effectively with families of children with disabilities, including those with little or no functional speech. Existing evidence about what families want from services is considered, along with information about how ...
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