BackgroundCollaboration and partnership are key issues for modern health systems seeking to implement quality integrated care that meets the needs of the population. The Carrefour Communautaire-Institutionnel-Usagers (Connecting Community organisations-Institutions-Users, CCIU), involving community- and institution-based mental health workers, carers and users, is an innovative normative integrated care group (group for shared values, culture and vision) established by the Canadian Mental Health Association-Montreal Branch. A programme evaluation approach was used to conduct a logic analysis of the CCIU in order to understand the relationships between its resources, activities and outcomes, build a common understanding and, allow for its replication.MethodsFive steps were involved in the creation of a programme logic model. A non-exhaustive literature search for similar initiatives, a review of documents related to the CCIU process and direct observations led to the development of a first model. Then, following a participatory and reflexive process, this model was validated with CCIU participants.ResultsA comprehensive model and a simplified model were created. Participants’ experiential knowledge and scientific knowledge helped to identify the essential components of the successful operation of the CCIU.ConclusionsThe CCIU, with its eight essential components, including relations based on equality and mutual respect, corresponds to an essential step in normative integration and integrated care that lead to improved quality services.
BackgroundIndividuals with affective‐prosodic deficits have difficulty understanding or expressing emotions and attitudes through prosody. Affective prosody disorders can occur in multiple neurological conditions, but the limited knowledge about the clinical groups prone to deficits complicates their identification in clinical settings. Additionally, the nature of the disturbance underlying affective prosody disorder observed in different neurological conditions remains poorly understood.AimsTo bridge these knowledge gaps and provide relevant information to speech‐language pathologists for the management of affective prosody disorders, this study provides an overview of research findings on affective‐prosodic deficits in adults with neurological conditions by answering two questions: (1) Which clinical groups present with acquired affective prosodic impairments following brain damage? (2) Which aspects of affective prosody comprehension and production are negatively affected in these neurological conditions?Methods & ProceduresWe conducted a scoping review following the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses Extension for Scoping Reviews guidelines. A literature search was undertaken in five electronic databases (MEDLINE, PsycINFO, EMBASE, CINAHL and Linguistics, and Language Behavior Abstracts) to identify primary studies reporting affective prosody disorders in adults with neurological impairments. We extracted data on clinical groups and characterised their deficits based on the assessment task used.Outcomes & ResultsThe review of 98 studies identified affective‐prosodic deficits in 17 neurological conditions. The task paradigms typically used in affective prosody research (discrimination, recognition, cross‐modal integration, production on request, imitation and spontaneous production) do not target the processes underlying affective prosody comprehension and production. Therefore, based on the current state of knowledge, it is not possible to establish the level of processing at which impairment occurs in clinical groups. Nevertheless, deficits in the comprehension of affective prosody are observed in 14 clinical groups (mainly recognition deficits) and deficits in the production of affective prosody (either on request or spontaneously) in 10 clinical groups. Neurological conditions and types of deficits that have not been investigated in many studies are highlighted.Conclusions & ImplicationsThe aim of this scoping review was to provide an overview on acquired affective prosody disorders and to identify gaps in knowledge that warrant further investigation. Deficits in the comprehension or production of affective prosody are common to numerous clinical groups with various neurological conditions. However, the underlying cause of affective prosody disorders across them is still unknown. Future studies should implement standardised assessment methods with specific tasks based on a cognitive model to identify the underlying deficits of affective prosody disorders.WHAT THIS PAPER ADDSWhat is already known on the subject What is already known on the subjectAffective prosody is used to share emotions and attitudes through speech and plays a fundamental role in communication and social interactions. Affective prosody disorders can occur in various neurological conditions, but the limited knowledge about the clinical groups prone to affective‐prosodic deficits and about the characteristics of different phenotypes of affective prosody disorders complicates their identification in clinical settings. Distinct abilities underlying the comprehension and production of affective prosody can be selectively impaired by brain damage, but the nature of the disturbance underlying affective prosody disorders in different neurological conditions remains unclear.What this study adds Affective‐prosodic deficits are reported in 17 neurological conditions, despite being recognised as a core feature of the clinical profile in only a few of them. The assessment tasks typically used in affective prosody research do not provide accurate information about the specific neurocognitive processes impaired in the comprehension or production of affective prosody. Future studies should implement assessment methods based on a cognitive approach to identify underlying deficits. The assessment of cognitive/executive dysfunctions, motor speech impairment and aphasia might be important for distinguishing primary affective prosodic dysfunctions from those secondarily impacting affective prosody.What are the potential clinical implications of this study? Raising awareness about the possible presence of affective‐prosodic disorders in numerous clinical groups will facilitate their recognition by speech‐language pathologists and, consequently, their management in clinical settings. A comprehensive assessment covering multiple affective‐prosodic skills could highlight specific aspects of affective prosody that warrant clinical intervention.
La stimulation cérébrale profonde des noyaux sous-thalamiques utilisée dans le traitement des symptômes moteurs de la maladie de Parkinson engendre fréquemment des effets secondaires sur l’intelligibilité de la parole. Aucune évaluation objective de la parole n’est actuellement administrée lors de la chirurgie d’implantation des électrodes malgré que le site de contact des électrodes influence grandement les résultats postopératoires. L’objectif de cette revue systématique des écrits scientifiques est de documenter et d’identifier les éléments pertinents pour prendre position quant à une procédure d’évaluation de la parole applicable au contexte peropératoire de stimulation cérébrale profonde dans la maladie de Parkinson. Grâce à une recherche effectuée sur les bases de données Medline, Cinahl et Google Scholar, 28 articles ont été analysés et de courtes tâches de répétition de mots, de répétition de syllabes rapide, de tenue vocalique et d’auto-évaluation ont été retenues. Ces quatre tâches permettent d’évaluer les effets directs du site d’implantation pour la stimulation sur la parole grâce aux mesures acoustiques, soit le temps maximal de phonation, la pente de transition du F2 et le débit articulatoire. Cette revue a permis d’identifier un protocole d’évaluation qui pourrait guider la pratique clinique.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.