Working with Māori adults with aphasia: an online professional development course for speech-language therapists

Brewer, Karen; McCann, Clare; Harwood, Matire

doi:10.1080/02687038.2020.1738329

Cited by 7 publications

(27 citation statements)

References 21 publications

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“…A smaller number (n=4) took place in Canada 38 41 45 51. Of the last two studies, one was conducted in the United States37 and the other was conducted in New Zealand 39…”

Section: Resultsmentioning

confidence: 99%

“…One of these was a randomised trial that incorporated a participatory action research approach, in which the research team cooperated with the communities, supporting institutions and participants 49. Two studies were qualitative 39 47. Another two were quantitative 40 51.…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies incorporated preintervention/postintervention surveys 38 40 41 45 48 49 51 52. Six of the studies incorporated some measure of longer-term impact as part of the evaluation with varied follow-up periods: across 3 years44; 12 months49; 6 months39 48 and 3 months 38 41. The remainder of the studies (n=7) collected postintervention data immediately following the intervention.…”

Section: Resultsmentioning

confidence: 99%

“…One intervention was described and evaluated across multiple publications as part of a larger research programme 48 49. Most (n=10) but not all of the studies, provided access to and/or a detailed description of their evaluation tools 37–41 44 48 49 51 52. Of the 11 studies that used survey tools, 8 employed previously validated evaluation tools,38 40 41 45 48 49 51 52 2 of these, although validated, were adapted by the research team 41 51…”

Section: Resultsmentioning

confidence: 99%

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Systematic review of Indigenous cultural safety training interventions for healthcare professionals in Australia, Canada, New Zealand and the United States

Hardy,

Filipenko,

Smylie

et al. 2023

BMJ Open

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ObjectiveTo synthesise and appraise the design and impact of peer-reviewed evaluations of Indigenous cultural safety training programmes and workshops for healthcare workers in Australia, Canada, New Zealand and/or the United States.DesignSystematic review.Data sourcesOvid Medline, Embase, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Bibliography of Indigenous Peoples in North America, Applied Social Sciences Index & Abstracts, ERIC (Education Resources Information Center), International Bibliography of the Social Sciences, ProQuest Dissertations & Theses Global, Sociological Abstracts, and Web of Science’s Social Sciences Citation Index and Science Citation Index from 1 January 2006 to 12 May 2022.Eligibility criteriaStudies that evaluated the outcomes of educational interventions for selecting studies: designed to improve cultural safety, cultural competency and/or cultural awareness for non-Indigenous adult healthcare professionals in Canada, Australia, New Zealand or the United States.Data extraction and synthesisOur team of Indigenous and allied scientists tailored existing data extraction and quality appraisal tools with input from Indigenous health service partners. We synthesised the results using an iterative narrative approach.Results2442 unique titles and abstracts met screening criteria. 13 full texts met full inclusion and quality appraisal criteria. Study designs, intervention characteristics and outcome measures were heterogeneous. Nine studies used mixed methods, two used qualitative methods and two used quantitative methods. Training participants included nurses, family practice residents, specialised practitioners and providers serving specific subpopulations. Theoretical frameworks and pedagogical approaches varied across programmes, which contained overlapping course content. Study outcomes were primarily learner oriented and focused on self-reported changes in knowledge, awareness, beliefs, attitudes and/or the confidence and skills to provide care for Indigenous peoples. The involvement of local Indigenous communities in the development, implementation and evaluation of the interventions was limited.ConclusionThere is limited evidence regarding the effectiveness of specific content and approaches to cultural safety training on improving non-Indigenous health professionals’ knowledge of and skills to deliver quality, non-discriminatory care to Indigenous patients. Future research is needed that advances the methodological rigour of training evaluations, is focused on observed clinical outcomes, and is better aligned to local, regional,and/or national Indigenous priorities and needs.

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“…A smaller number (n=4) took place in Canada 38 41 45 51. Of the last two studies, one was conducted in the United States37 and the other was conducted in New Zealand 39…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Systematic review of Indigenous cultural safety training interventions for healthcare professionals in Australia, Canada, New Zealand and the United States

Hardy,

Filipenko,

Smylie

et al. 2023

BMJ Open

View full text Add to dashboard Cite

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“…Armstrong et al (2020) discuss the assessment of a future screening instrument for the culturally and linguistically non-biased evaluation of post-morbid language skills in Australian Aboriginal individuals. Likewise, Brewer et al (2020) describe the evaluation of a pilot professional development program that aims to enhance culturally-grounded services for Māori adults with aphasia in New Zealand. Finally, using the illustrative South African context, Watermeyer (2020) proposes a novel community-based framework for ecologically realistic intervention protocols to work with an extensively multilingual aphasia population beyond the therapy room.…”

mentioning

confidence: 99%

Aphasia management in growing multiethnic populations

2020

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Aphasia management in growing multiethnic populations Multiethnic aphasia caseloads in post-stroke services are estimated to grow extensively. The convergence of a larger prevalence of chronic neurogenic complications in a rapidly aging world population with the exponential growth of global ethno-racial diversity is estimated to considerably expand ethno-geriatric caseloads in neurorehabilitation services worldwide (Cummings-Vaughn, 2017; Kristiansen et al., 2016; Prince et al., 2015). A global demographic transition into larger multiethnic older groups, while having a tremendous impact on local social and healthcare services in many world regions, will particularly require increased research and workforce to meet the clinical demands of burgeoning multiethnic adult groups in post-stroke caseloads (Centeno, 2017; Centeno & Harris, in press; Dwolatzky et al., 2017; Yeo et al., 2017). As the number of people aged 60 years or over continuously grows from 901 million to 1.4 billion between 2015 and 2030 worldwide (United Nations, Department of Economic and Social Affairs, Population Division, 2017), a parallel steady growth in international migration has steadily expanded numerous local multiethnic scenarios, consisting of multiple ethno-racial groups including Indigenous populations, across the world. Global migration has progressively grown from 173 to 258 million individuals between 2000 and 2017 (United Nations, Department of Economic and Social Affairs, Population Division, 2016). Continuous worldwide increase in ethno-geriatric populations already constitutes a global healthcare priority, especially in high-migration regions (Centeno & Harris, in press; Kristiansen et al., 2016; Sheets & Gallagher, 2013; Yeo, 2009). With increased vulnerability to cardiovascular complications in an aging population, including stroke (Prince et al., 2015), stroke survivors are anticipated to number 73 million by 2030, consistent with global geriatric growth (Feigin et al., 2014). A large minority representation in adult stroke caseloads is expected. Minority elders in ethno-racially diverse environments have been reported to have a high incidence and prevalence of cardiovascular disease from the multifactorial interaction of social, economic, political, cultural, and institutional elements (Australian Institute of Health and Welfare, 2016; Mozaffarian et al., 2016). Many of these stroke survivors will have aphasia, a frequent poststroke disability that has been ranked to occur from 21% to 38% among stroke patients (Engelter et al., 2006). This innovative issue is an international effort to advance the evidential and clinical foundations needed to support aphasia services for the growing ethno-racially diverse adult populations. With expanded stroke ethno-geriatric groups, linguistic and sociocultural heterogeneity in neurorehabilitation programs, including aphasia services, will grow considerably (Centeno et al., 2017). Particularly, language diversity has crucial impact on aphasia management. Because there are about 7,111 langu...

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Does Native Language Matter in Perceptual Ratings of Dysarthria?

Kim,

Thompson,

Lee

2024

J Speech Lang Hear Res

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Purpose: Despite the general agreement that dysarthria characteristics are largely language-independent, few efforts have attempted a systematic comparison across languages. To examine the role of native languages in the perception of speech characteristics of dysarthria secondary to Parkinson's disease (PD), auditory-perceptual ratings of dysarthria, and confidence level of the judgments were compared between two listener groups: language-matched and language-crossed. Method: A total of 60 listeners (35 native speakers of Korean and 25 native speakers of American English) estimated speech abnormality for 20 speech dimensions using a visual analog scale method for both language-matched and language-crossed speech stimuli. Speech stimuli were passage readings of the respective languages obtained from individuals with and without PD. Results: For speech dimension ratings, eight of 20 speech dimensions revealed significant differences in response to PD speech between the two listener groups, for most of which, language-crossed listeners' estimation was lower (i.e., more impaired) than language-matched listeners. For confidence-level ratings, language-matched listeners were less confident in the ratings of speakers with PD compared to the language-crossed listeners. Conclusions: The data support both language-universal and language-specific aspects in perceiving dysarthria characteristics, such that native language plays a role, especially when rating articulatory- and rhythmic-related characteristics. The findings are discussed with respect to the role of linguistic information, such as phonetic inventories and prosodic structures, in perceiving dysarthria characteristics.

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Working with Māori adults with aphasia: an online professional development course for speech-language therapists

Cited by 7 publications

References 21 publications

Systematic review of Indigenous cultural safety training interventions for healthcare professionals in Australia, Canada, New Zealand and the United States

Systematic review of Indigenous cultural safety training interventions for healthcare professionals in Australia, Canada, New Zealand and the United States

Aphasia management in growing multiethnic populations

Does Native Language Matter in Perceptual Ratings of Dysarthria?

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