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Managing Breakdowns During Aphasia Conversation Groups.

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Title: Managing Breakdowns During Aphasia Conversation Groups.
Authors: Kidd, Ashley H.1 ashley@louisiana.edu, Azios, Jamie H.1
Source: American Journal of Speech-Language Pathology. 2025 Supplement, Vol. 34, p3574-3592. 19p.
Subject Terms: *Speech therapists, *Conversation, *Phonological awareness, *Aphasia, *Speech-language pathology, *Decision making, *Communication, *Quality of life, *Interpersonal relations, *Comparative studies, Support groups, Questionnaires, Group dynamics, Psychological well-being, Descriptive statistics, Linguistics, Psychosocial factors, Video recording, Reliability (Personality trait)
Abstract: Purpose: Conversation groups aim to improve communication and well-being in people with aphasia. One critical but often overlooked aspect of group interaction is repair. Group facilitators play an important role in allowing the person with aphasia time to engage in self-repair while also addressing errors to maintain conversation flow. The aim of this study is to understand the facilitator’s role during repair sequences, including specific strategies for managing repair on a moment-to-moment basis during aphasia conversation groups. Method: Data were collected from video-recorded conversation groups. Sessions were transcribed and analyzed through conversation analysis, focusing on sequences that involved repair and how breakdowns were resolved. Results: Conversation analysis revealed various types of sequences related to word-finding barriers. The facilitator made instant decisions on how and when to aid in repair, balancing the need to help the person with aphasia fix their own errors while also moving the conversation forward. We present six sequences that highlight this decision making, pointing to facilitator strategies that promote both self-repair and progressivity of the conversation. Conclusions: Our analysis suggests that facilitators must weigh competing priorities of self-repair and progressivity during aphasia groups in real time, attending to multiple aspects of conversation including group engagement. Facilitators appear to adapt actions based upon conversation turns occurring during the repair, including monitoring the understanding of the group as a whole and individual linguistic needs in the moment of repair. These data are integral for training facilitators and enhancing aphasia group conversations. [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: Managing Breakdowns During Aphasia Conversation Groups.
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  Data: <searchLink fieldCode="AR" term="%22Kidd%2C+Ashley+H%2E%22">Kidd, Ashley H.</searchLink><relatesTo>1</relatesTo><i> ashley@louisiana.edu</i><br /><searchLink fieldCode="AR" term="%22Azios%2C+Jamie+H%2E%22">Azios, Jamie H.</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. 2025 Supplement, Vol. 34, p3574-3592. 19p.
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  Data: Purpose: Conversation groups aim to improve communication and well-being in people with aphasia. One critical but often overlooked aspect of group interaction is repair. Group facilitators play an important role in allowing the person with aphasia time to engage in self-repair while also addressing errors to maintain conversation flow. The aim of this study is to understand the facilitator’s role during repair sequences, including specific strategies for managing repair on a moment-to-moment basis during aphasia conversation groups. Method: Data were collected from video-recorded conversation groups. Sessions were transcribed and analyzed through conversation analysis, focusing on sequences that involved repair and how breakdowns were resolved. Results: Conversation analysis revealed various types of sequences related to word-finding barriers. The facilitator made instant decisions on how and when to aid in repair, balancing the need to help the person with aphasia fix their own errors while also moving the conversation forward. We present six sequences that highlight this decision making, pointing to facilitator strategies that promote both self-repair and progressivity of the conversation. Conclusions: Our analysis suggests that facilitators must weigh competing priorities of self-repair and progressivity during aphasia groups in real time, attending to multiple aspects of conversation including group engagement. Facilitators appear to adapt actions based upon conversation turns occurring during the repair, including monitoring the understanding of the group as a whole and individual linguistic needs in the moment of repair. These data are integral for training facilitators and enhancing aphasia group conversations. [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=190287148
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              Text: 2025 Supplement
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