SLT styles and indications of parent adherence in the clinical encounter regarding home training activities for children with speech/ language disorders

Authors

  • Dorthe Hansen Hammel Neuro-rehabilitation Centre
  • Catherine E. Brouwer University of Southern Denmark

DOI:

https://doi.org/10.1558/jircd.32080

Keywords:

child speech and language disorders, intervention, parent participation, conversation analysis, interactional style

Abstract

Homework is often the parents’ primary task when they are involved in SLT intervention for their child with speech/language disorders. However, little work has been done to examine real-life clinical encounters between parents and SLTs regarding home training activities. This study, employing Conversation Analysis (CA), focuses on whether and how SLTs and parents interactionally establish agreement on the training activities to be performed at home with the child. Video recordings of clinical encounters between five different Danish SLTs and parents of children with speech/ language disorders were analysed. Analyses revealed what seem to be two different interactional styles with regard to the ways parents participated in the talk, and each style exhibited specific interactional features. These findings contribute to an understanding of SLTs’ methods for putting forward recommendations and for providing opportunities for the parents to show their understanding and acceptance of the recommendations and their willingness to take future actions.

Author Biographies

  • Dorthe Hansen, Hammel Neuro-rehabilitation Centre

    Dorthe Hansen, PhD, is a speech and language therapist at Hammel Neurorehabilitation Centre, Central Denmark Region. Her research interests focus on professional and clinical issues in speech and language therapy with different qualitative approaches. For a number of years she has been teaching at the Audiology and Speech Language Pathology department, University of Southern Denmark, in child speech/language disorders and professional/clinical topics. All previous publications are published in Danish.

  • Catherine E. Brouwer, University of Southern Denmark

    Catherine E. Brouwer, PhD, is a conversation analyst and associate professor at the University of Southern Denmark, and a member of SoPraCon. Catherine’s research interests focus on interactions in which there is a challenge in relation to participants’ competencies, i.e. interactions involving second language users, and persons with impairments, which may affect communication (e.g. hearing impairment, aphasia, dementia). She teaches at the Audiology and Speech Language Pathology department in language and communication related topics. Two recent publications on communication disorders are: (1) Isaksen J. K. and Brouwer C. E. (2015). Assessments in outcome evaluation in aphasia therapy: Substantiating the claim. Journal of interactional Research in Communication Disorders 6 (1), 71–95; (2) Brouwer C. E. (2012). Notes on talking cognition in the audiology clinic. In G. Rasmussen, C. E. Brouwer, and D. Day (Eds), Evaluating Cognition, 189–210. Amsterdam: John Benjamins.

References

Antaki, C. and Wilkinson, R. (2013) Conversation analysis and the study of atypical populations. In J. Sidnell and T. Stivers (eds), Handbook of Conversation Analysis, 533--550. Oxford: Blackwell-Wiley.

Baxendale, J. and Hesketh, A. (2003) Comparison of the effectiveness of the Hanen parent programme and traditional clinic therapy. International Journal of Language & Communication Disorders, 38 (4): 397--415. DOI: 10.1080/1368282031000121651.

Bowen, C. (2009) Working with PACT. In C. Bowen (ed.), Children’s speech sound disorders, 296--340. Chichester, West Sussex: Wiley-Blackwell.

Buschmann, A. and Ritter, E. (2013) Heidelberg parent-based language intervention in daily practice: Satisfaction of parents in study and daily practice. Sprache, Stimme, Gehör, 37 (1): 24--29. DOI: 10.1055/s-0033-1334906.

Buschmann, A., Jooss, B., Rupp, A., Feldhausen, F., Pietz, J. and Philippi, H. (2009) Parent based language intervention for 2-year-old children with specific expressive language delay: A randomised controlled trial. Archives of Disease in Childhood, 94 (2): 110--116. DOI: 10.1136/adc.2008.

Collins, S., Drew, P., Watt, I. and Entwistle, V. (2005) ‘Unilateral’ and ‘bilateral’ practitioner approaches in decision-making about treatment. Social Science & Medicine, 61 (12): 2611-2627. DOI: 10.1016/j.socscimed.2005. 04.047.

Drew, P. and Heritage, J. (1992) Analyzing talk at work: an introduction. In P. Drew and J. Heritage (eds.), Talk at work. Interaction in institutional settings, 3--65. Cambridge: Cambridge University Press.

Hansen, D. (2012) Forældre på banen! Om logopæders forståelser af forældres medvirken i sprogarbejdet. Dansk Audiologopædi 2: 25--30.

Hansen, D. (2010) Modernisering i logopædisk praksis: En undersøgelse af tre logopædiske faggruppers fremstillinger af deres praksis vedrørende børn med sproglige vanskeligheder – set i relation til moderniseringen af den offentlige sektor (Unpublished PhD Thesis) Department of Language and Communication, University of Southern Denmark.

Haskard Zolnierek, K. B. and DiMatteo, M. R. (2009) Physician communication and patient adherence to treatment: A meta-analysis. Medical Care, 47 (8): 826--834. URL: http://www.jstor.org/stable/40221984.

Heritage, J. and Maynard, D. W. (2006) Introduction: Analyzing interaction between doctors and patients in primary care encounters. In J. Heritage and D. W. Maynard (eds.), Communication in Medical Care. Interaction between Primary Care Physicians and Patients, 1--21. Cambridge: Cambridge University Press.

Heritage, J. and Sefi, S. (1992) Dilemmas of advice: Aspects of the delivery and reception of advice in interactions between health visitors and first-time mothers. In P. Drew and J. Heritage (eds), Talk at Work. Interaction in Institutional Settings, 359--417. Cambridge: Cambridge University Press.

Jefferson, G. (1984) Transcription notation. In: M. Atkinson and J. Heritage (eds), Structures of Social Interaction: Studies in Conversation Analysis, ix--xvi. Cambridge: Cambridge University Press.

Joffe, V. and Pring, T. (2008) Children with phonological problems: A survey of clinical practice. International Journal of Language and Communication Disorders, 43 (2): 154--164. DOI: 10.1080/13682820701660259.

Jones, A. and Collins, S. (2007) Nursing assessments and other tasks. Influence on participation in interactions between patients and nurses. In S. Collins, N. Britten, J. Ruusuvuori and A. Thompson (eds), Patient Participation in Health Care Consultations. Qualitative Perspectives, 143--163. Maidenhead: Open University Press.

Kent, A. (2012) Compliance, resistance and incipient compliance when responding to directives. Discourse Studies, 14 (6): 711--730. DOI: 10.1177/1461445612457485.

Klok Jensen, S. (forthcoming) Gaining access to naturally occurring interaction. Koss, M. M. and Platou, F. S. (2011) Foreldre som ressurs i språkutvikling og språk-stimulering. Oslo: Statped.

McCormack, J., McLeod, S., Harrison, L. J., and McAllister, L. (2010) The impact of speech impairment in early childhood: Investigating parents’ and speech-language pathologists’ perspectives using the ICF-CY. Journal of Communication Disorders, 43 (5), 378--396. DOI:10.1016/j.jcomdis.2010.04.009

McKean, K., Phillips, B. and Thompson, A. (2012) A family-centred model of care in paediatric speech-language pathology. International Journal of Speech-Language Pathology, 14 (3): 235--246. DOI:10.3109/17549507.2011.604792.

Mehan, H. (1979) Learning Lessons: Social Organization in the Classroom. Cambridge, Mass.: Harvard University Press.

Pilnick, A. (1999) "Patient counselling" by pharmacists: Advice, information, or instruction? The Sociological Quarterly, 40 (4): 613--622. DOI: 10.1111/j.1533-8525.1999.tb00570.x.

Pring, T., Flood, E., Dodd, B. and Joffe, V. (2012) The working practices and clinical experiences of pediatric speech and language therapists: A national UK survey. International Journal of Language and Communication Disorders, 47 (6): 696--708. DOI: 10.1111/j.1460-6984.2012.00177.x.

Roberts, M. Y. and Kaiser, A. P. (2011) The Effectiveness of parent-implemented language interventions: A meta-analysis. American Journal of Speech-Language Pathology, 20 (3): 180--199. DOI: 10.1044/1058-0360(2011/10-0055).

Robinson, J. H., Callister, L. C., Berry, J. A. and Dearing, K. A. (2008) Patient-centred care and adherence: Definitions and applications to improve outcomes. Journal of the American Academy of Nurse Practitioners, 20 (12): 600--607. DOI: 10.1111/j.1745-7599.2008.00360.x.

Ronkainen, R., Tykkyläinen, T., Lonka, E. and Laakso, M. (2014) Involving parents in the speech and language therapy of children with cochlear implants. Journal of Interactional Research in Communication Disorders, 5 (2): 167--192. DOI: 10.1558/jircd.v5i2.167.

Samuelsson, C. and Plejert, C. (2015) On the use of conversation analysis and retrospection in intervention for children with language impairment. Child Language Teaching and Therapy, 31 (1): 19--36. DOI: 10.1177/0265659014532477.

Sandman, L., Granger, B. B., Ekman, I. and Munthe, C. (2012) Adherence, shared decision-making and patient autonomy. Medicine, Health Care and Philosophy, 15 (2): 115--127. DOI: 10.1007/s11019-011-9336-x.

Schegloff, E. A. (2007) Sequence Organization in Interaction. A Primer in Conversation Analysis. Cambridge etc.: Cambridge University Press.

Sidnell, J. (2010) Conversation Analysis: An Introduction. Chichester, West Sussex: Wiley-Blackwell.

Stivers, T. (2005) Parent resistance to physicians’ treatment recommendations: One resource for initiating a negotiation of the treatment decision. Health Communication, 18 (1): 41--74. DOI: 10.1207/s15327027hc1801_3.

Watts Pappas, N., McLeod, S., McAllister, L. and McKinnon, D. H. (2008) Parental involvement in speech intervention: A national survey. Clinical Linguistics & Phonetics, 22 (4-5): 335--344. DOI: 10.1080/02699200801919737.

West, C. (1990) Not just ’doctors’ orders’: Directive-response sequences in patients’ visits to women and men physicians. Discourse & Society, 1 (1): 85--112. DOI: 10.1177/0957926590001001005.

Published

2017-02-01

Issue

Section

Articles

How to Cite

Hansen, D., & Brouwer, C. (2017). SLT styles and indications of parent adherence in the clinical encounter regarding home training activities for children with speech/ language disorders. Journal of Interactional Research in Communication Disorders, 8(1), 72-95. https://doi.org/10.1558/jircd.32080