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Communicative Accessibility in Aphasia: An Investigation of the Interactional Context of Long-Term Care Facilities.

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Title: Communicative Accessibility in Aphasia: An Investigation of the Interactional Context of Long-Term Care Facilities.
Authors: Azios, Jamie H.1 jhartwell@lamar.edu, Damico, Jack S.2, Roussel, Nancye2
Source: American Journal of Speech-Language Pathology. Nov2018, Vol. 27 Issue 4, p1474-1490. 17p.
Subject Terms: *Aphasia, *Communication, *Health services accessibility, *Interpersonal relations, *Research methodology, *Speech therapists, *Qualitative research, *Occupational roles, *Access to information, Interviewing, Long-term health care, Nursing care facilities, Ethnology research, Judgment sampling, Social support, Health literacy
Abstract: Purpose: The purpose of this study was to examine the ability of persons with aphasia to access interaction and be included in social encounters in long-term care facilities (LTCFs). Method: Four persons with aphasia were the focus of this investigation. A qualitative research approach using ethnographic methods was used to conduct participant observation, semistructured interviews, and artifact analysis. Expanded field notes from observations, transcribed interviews, and artifacts were then coded to identify patterns in the data. Results: The interactional context of LTCFs negatively influenced the ability of persons with aphasia to communicate with others and develop meaningful relationships. Three major themes emerged from the data detailing the contextual elements leading to communication accessibility and inclusion: (a) lack of support, (b) social hierarchy, and (c) focus on performance. Conclusions: Findings highlighted several barriers in LTCFs that worked to discourage persons with aphasia from living social and expressive lives. Specific obstacles included a misunderstanding of aphasia and its influence on communicative exchanges and performance-oriented environment that overlooked psychosocial needs. Speechlanguage pathologists have an important role for advocacy in LTCFs. Clinical implications for assessment and treatment in institutions are discussed. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Communicative Accessibility in Aphasia: An Investigation of the Interactional Context of Long-Term Care Facilities.
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  Data: <searchLink fieldCode="AR" term="%22Azios%2C+Jamie+H%2E%22">Azios, Jamie H.</searchLink><relatesTo>1</relatesTo><i> jhartwell@lamar.edu</i><br /><searchLink fieldCode="AR" term="%22Damico%2C+Jack+S%2E%22">Damico, Jack S.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Roussel%2C+Nancye%22">Roussel, Nancye</searchLink><relatesTo>2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. Nov2018, Vol. 27 Issue 4, p1474-1490. 17p.
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  Data: *<searchLink fieldCode="DE" term="%22Aphasia%22">Aphasia</searchLink><br />*<searchLink fieldCode="DE" term="%22Communication%22">Communication</searchLink><br />*<searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br />*<searchLink fieldCode="DE" term="%22Interpersonal+relations%22">Interpersonal relations</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br />*<searchLink fieldCode="DE" term="%22Speech+therapists%22">Speech therapists</searchLink><br />*<searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br />*<searchLink fieldCode="DE" term="%22Occupational+roles%22">Occupational roles</searchLink><br />*<searchLink fieldCode="DE" term="%22Access+to+information%22">Access to information</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Long-term+health+care%22">Long-term health care</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+care+facilities%22">Nursing care facilities</searchLink><br /><searchLink fieldCode="DE" term="%22Ethnology+research%22">Ethnology research</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+sampling%22">Judgment sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink>
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  Data: Purpose: The purpose of this study was to examine the ability of persons with aphasia to access interaction and be included in social encounters in long-term care facilities (LTCFs). Method: Four persons with aphasia were the focus of this investigation. A qualitative research approach using ethnographic methods was used to conduct participant observation, semistructured interviews, and artifact analysis. Expanded field notes from observations, transcribed interviews, and artifacts were then coded to identify patterns in the data. Results: The interactional context of LTCFs negatively influenced the ability of persons with aphasia to communicate with others and develop meaningful relationships. Three major themes emerged from the data detailing the contextual elements leading to communication accessibility and inclusion: (a) lack of support, (b) social hierarchy, and (c) focus on performance. Conclusions: Findings highlighted several barriers in LTCFs that worked to discourage persons with aphasia from living social and expressive lives. Specific obstacles included a misunderstanding of aphasia and its influence on communicative exchanges and performance-oriented environment that overlooked psychosocial needs. Speechlanguage pathologists have an important role for advocacy in LTCFs. Clinical implications for assessment and treatment in institutions are discussed. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=133216848
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        Value: 10.1044/2018_AJSLP-17-0099
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        Text: English
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    Subjects:
      – SubjectFull: Aphasia
        Type: general
      – SubjectFull: Communication
        Type: general
      – SubjectFull: Health services accessibility
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      – SubjectFull: Interpersonal relations
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      – SubjectFull: Speech therapists
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      – SubjectFull: Nursing care facilities
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      – SubjectFull: Judgment sampling
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      – SubjectFull: Social support
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      – SubjectFull: Health literacy
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      – TitleFull: Communicative Accessibility in Aphasia: An Investigation of the Interactional Context of Long-Term Care Facilities.
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              Text: Nov2018
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