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      • “It’s improved the whole lifestyle”: Exploring the family perspective of participation in a Gavel Club for people with aphasia

        Grace Lyon,Clare M. McCann,Suzanne C. Purdy,Celia Moore 한국언어재활사협회 2022 Clinical Archives of Communication Disorders Vol.7 No.2

        Purpose: Aphasia impacts not just the individual with aphasia, but also their family members and friends. Known as third-party disability, it is largely hidden but can be as pervasive as aphasia itself. Gavel Clubs are a Toastmasters International-affiliated group where members participate in public-speaking tasks. Participation has been associated with improvements in quality-of-life and communication confidence but the extent to which it can impact family members of people with aphasia is not yet known. This study explored family member perspectives of participation in a Gavel Club for people with aphasia, to reveal any benefits or challenges perceived by family members and/or close friends. Methods: Semi-structured interviews were undertaken with 13 family members or close friends of people with aphasia who regularly participated in a weekly Gavel Club. The interviews were analysed using thematic analysis. Results: Three themes were identified: (1) Something to do, (2) Sense of community and (3) I can see great improvements, along with two subthemes (i) This is not just us and (ii) Support of knowing other people go through it. The themes reflected a largely positive experience of Gavel Club participation as perceived by family members. The theme names were derived from quotes from the participants. Conclusions: Regular participation in a Gavel Club for people with aphasia has a positive impact beyond just the person with aphasia, extending to their family members and close friends. This impact can be direct, if the family members themselves participate, or indirect, through the perceived benefits for the person with aphasia.

      • Error Analysis of Korean-English Bilingual Children’s Speech Productions

        Jae-Hyun Kim,Elaine Ballard,Clare McCann 한국언어재활사협회 2016 Clinical Archives of Communication Disorders Vol.1 No.1

        Purpose: Type of surface-level speech errors can be diagnostically valuable information to identify children with speech sound disorder (SSD). There is a lack of such information for bilingual children, which makes identifying bilingual children with SSD a significant challenge. This article reports on error production in Korean-English bilingual (KEB) children. Methods: Single-word samples were collected from 52 KEB children aged between 3;0 and 7;11. The word productions were analysed for error and compared to the existing date from monolingual English-speaking (ME) and monolingual Korean-speaking (MK) children. Results: While some children’s error production was similar to what would be expected in respective monolingual children, other children produced errors that would be considered delay, atypical or even advanced for their monolingual counterparts in both of their languages. No reliable factors could be identified to determine the characteristics associated with delay, atypical or advanced error production compared to monolingual children. Conclusions: There are qualitative differences in phonological development between monolingual and bilingual children. The clinical use of available monolingual normative data is likely to lead to an inaccurate diagnosis of SSD. Small cohort studies in bilingual phonological development should not be taken as normative data in clinical practice due to heterogeneity.

      • Phonological Skills in Korean-English Bilingual Children: Phonetic Inventory and Segmental Accuracy

        Jae-Hyun Kim,Elaine Ballard,Clare McCann 한국언어재활사협회 2017 Clinical Archives of Communication Disorders Vol.2 No.2

        Purpose: The purpose of this study was to describe phonological skills in Korean-English bilingual children aged between 3;0 and 7;11. The findings can contribute to our knowledge of bilingual children’s phonological development, facilitating the clinical assessment procedures for bilingual children with suspected speech sound disorders. Methods: Single word samples were collected and were analysed for phonetic inventory and segmental accuracy. The findings were compared against the available monolingual studies. Results: The age of mastery of phonological systems was similar to that expected in monolingual children in both languages. However, there were considerable differences in the trajectory towards in their phonological development in both languages. Conclusions: Phonological development in KEB children was qualitatively different from respective monolingual children. The qualitative differences in KEB children can be attributed to the cross-linguistic interaction between the two phonological systems. Cross-linguistic interactions reflect reorganisation of the two phonological systems wherein a dynamic process of re-specifying phonemes and their realisation rules for each language takes place. The clinical implications are discussed.

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