Browsing by Subject "puheterapia"
Now showing items 21-40 of 63
-
(2019)Objective. The proportion of clients with immigrant background among clients receiving speech therapy has grown following an increase in immigration to Finland over the past few decades. Today, parents’ role in a child’s speech therapy is considered significant thus examination of their views is important for developing the services. In the city of Espoo, children’s habilitation services have discovered that there’s a need for surveying the views of the immigrant parents concerning therapy. The objective of this study was to investigate what kind of experiences and perceptions immigrant parents have about the speech therapy which their child has received in the city of Espoo’s habilitation services for children. In addition to the entirety of speech therapy, the study focused especially on the speech therapy material and the guidance in using the material and to support child’s speech and language development. Furthermore, the study investigated parent’s experiences and perceptions about cultural sensitivity in speech therapy and multi-professional cooperation between parents, speech therapist and personnel in early childhood education. Additionally, parents’ wishes and suggestions for development concerning the above-mentioned themes were examined. Moreover, parents’ experiences and perceptions of child’s speech and language development and difficulties related to them were investigated. Method. This study used a semi-structured theme interview as the data collection method. The interviewees were first generation immigrants whose children had received speech therapy in the city of Espoo’s habilitation services for children. The interview process included seven separate interviews and six of these required interpreters. Recorded interview data was transcribed, and the data was analyzed with inductive content analysis method with the help of the ATLAS.ti 7 software. Results and conclusions. Parents were mainly satisfied with speech therapy and speech therapy material as well with the guidance in using the material and supporting child’s speech and language development. Parents considered speech therapy as culturally sensitive. They experienced multi-professional cooperation mainly as functional and important. Parents had very little information about the cooperation between speech therapist and personnel in early childhood education, but they didn’t express a need for additional information concerning the cooperation. Parents emphasized the importance of wide social environment in child’s speech and language development and didn’t underline their own role as much. Parents expressed very little wishes and suggestions for development. Most of all they suggested utilizing technology in providing speech therapy and in speech therapy exercises. They also expressed a wish about using an interpreter in speech therapy, who would know the same language and dialect than the child. Parents also wished more social contacts for their children in their spare time, which would improve child’s speech and language development. This study indicates that immigrant parents would also benefit from information related to speech therapy and child’s speech and language development emphasizing especially the parents’ role in the development of child’s mother tongue.
-
(2019)Objective. The proportion of clients with immigrant background among clients receiving speech therapy has grown following an increase in immigration to Finland over the past few decades. Today, parents’ role in a child’s speech therapy is considered significant thus examination of their views is important for developing the services. In the city of Espoo, children’s habilitation services have discovered that there’s a need for surveying the views of the immigrant parents concerning therapy. The objective of this study was to investigate what kind of experiences and perceptions immigrant parents have about the speech therapy which their child has received in the city of Espoo’s habilitation services for children. In addition to the entirety of speech therapy, the study focused especially on the speech therapy material and the guidance in using the material and to support child’s speech and language development. Furthermore, the study investigated parent’s experiences and perceptions about cultural sensitivity in speech therapy and multi-professional cooperation between parents, speech therapist and personnel in early childhood education. Additionally, parents’ wishes and suggestions for development concerning the above-mentioned themes were examined. Moreover, parents’ experiences and perceptions of child’s speech and language development and difficulties related to them were investigated. Method. This study used a semi-structured theme interview as the data collection method. The interviewees were first generation immigrants whose children had received speech therapy in the city of Espoo’s habilitation services for children. The interview process included seven separate interviews and six of these required interpreters. Recorded interview data was transcribed, and the data was analyzed with inductive content analysis method with the help of the ATLAS.ti 7 software. Results and conclusions. Parents were mainly satisfied with speech therapy and speech therapy material as well with the guidance in using the material and supporting child’s speech and language development. Parents considered speech therapy as culturally sensitive. They experienced multi-professional cooperation mainly as functional and important. Parents had very little information about the cooperation between speech therapist and personnel in early childhood education, but they didn’t express a need for additional information concerning the cooperation. Parents emphasized the importance of wide social environment in child’s speech and language development and didn’t underline their own role as much. Parents expressed very little wishes and suggestions for development. Most of all they suggested utilizing technology in providing speech therapy and in speech therapy exercises. They also expressed a wish about using an interpreter in speech therapy, who would know the same language and dialect than the child. Parents also wished more social contacts for their children in their spare time, which would improve child’s speech and language development. This study indicates that immigrant parents would also benefit from information related to speech therapy and child’s speech and language development emphasizing especially the parents’ role in the development of child’s mother tongue.
-
(2017)Aims. The aim of this study was to find out how speech and language pathologists use musical methods in speech therapy in Finland. The purpose of the survey was to gather experiences and opinions about this subject. The data was collected in spring 2016. Methods. The survey was made with web-based survey-tool provided by Helsinki University. It was sent to 1209 members of Finnish association of Speech Therapists. The questionnaire was answered by 122 responders (response rate was 10%). There were 25 questions in the survey, with open, closed and combined question types. Open questions were analysed with qualitative methods: answers were categorized and sorted into themes. Closed questions were analysed by quantitative methods by calculating means and frequencies with SPSS-program. Combined questions types were analysed with both methods. Results and conclusions. The responders who had direct speech therapy as part of their job de-scription (N=112) did use diverse musical methods as part of the therapy, but the amount of utilization varied considerably. The methods were used all around Finland, by therapists from different kind of backgrounds concerning the age and the graduate university. Musical methods were used in many patient groups. According to the answers, these methods were especially important if the patient didn’t have any kind of speaking ability to use. The most common mu-sical method mentioned was MIT (melodic intonation therapy) which was used by 32% of the responders who did direct speech therapy. The MIT was also the most popular method from which responders would like to have more education of. In the whole sample (N=122), musical methods were used widely in the part of so called indirect or consultative speech therapy, meaning that the speech and language therapists gave recommendations of using music as part of the rehabilitation process at homes, during day care and in the rehabilitation centres. Some responders utilized musical methods also as part of the speech-language assessments. In addi-tion, based on answers the collaboration between speech therapists and music therapists is al-most non-existent in Finland. Collaboration with music therapists was hoped. Many responders were interested in the practical education of this subject.
-
(2017)Aims. The aim of this study was to find out how speech and language pathologists use musical methods in speech therapy in Finland. The purpose of the survey was to gather experiences and opinions about this subject. The data was collected in spring 2016. Methods. The survey was made with web-based survey-tool provided by Helsinki University. It was sent to 1209 members of Finnish association of Speech Therapists. The questionnaire was answered by 122 responders (response rate was 10%). There were 25 questions in the survey, with open, closed and combined question types. Open questions were analysed with qualitative methods: answers were categorized and sorted into themes. Closed questions were analysed by quantitative methods by calculating means and frequencies with SPSS-program. Combined questions types were analysed with both methods. Results and conclusions. The responders who had direct speech therapy as part of their job description (N=112) did use diverse musical methods as part of the therapy, but the amount of utilization varied considerably. The methods were used all around Finland, by therapists from different kind of backgrounds concerning the age and the graduate university. Musical methods were used in many patient groups. According to the answers, these methods were especially important if the patient didn't have any kind of speaking ability to use. The most common musical method mentioned was MIT (melodic intonation therapy) which was used by 32% of the responders who did direct speech therapy. The MIT was also the most popular method from which responders would like to have more education of. In the whole sample (N=122), musical methods were used widely in the part of so called indirect or consultative speech therapy, meaning that the speech and language therapists gave recommendations of using music as part of the rehabilitation process at homes, during day care and in the rehabilitation centres. Some responders utilized musical methods also as part of the speech-language assessments. In addition, based on answers the collaboration between speech therapists and music therapists is almost non-existent in Finland. Collaboration with music therapists was hoped. Many responders were interested in the practical education of this subject.
-
(2016)Tavoitteet. Tämän integroivan kirjallisuuskatsauksen tavoitteena oli koota yhteen tietoa siitä, auttaako musiikin käyttäminen terapiamenetelmänä puheterapiassa kehittämään puheilmaisua henkilöillä, joil-la on autisminkirjon häiriö. Tutkimuskysymyksenä oli: ” Auttaako musiikin käyttäminen terapiaväli-neenä puheterapiassa kehittämään puheilmaisua henkilöillä, joilla on autisminkirjon häiriö?” Menetelmät. Tutkimuksen aineisto kerättiin tietokannasta ProQuest. Tutkimukseen ei otettu mukaan tutkimusartikkeleita, jotka käsittelivät musiikkiterapeuttisia menetelmiä tai musiikin käyttämistä te-rapiamenetelmänä jonkin muun häiriön kuin autisminkirjon häiriön kuntoutuksessa. Tutkimuksen ulkopuolelle jätettiin myös sellaiset tutkimusartikkelit, joissa käsiteltiin musiikin käyttämistä kuntou-tusvälineenä henkilöillä, joilla on autisminkirjon häiriö, jonkin muun osa-alueen kuin puheilmaisun kehittämisessä. Tulokset ja johtopäätökset. Tämän integroivan kirjallisuuskatsauksen perusteella vaikuttaa siltä, että musiikista voi olla hyötyä puheilmaisun kehittämisessä henkilöillä, joilla on autisminkirjon häiriö. Tutkimustietoa aiheesta on kuitenkin vielä niukasti käytettävissä. Musiikin käyttämisellä saavutettiin positiivisia tuloksia puheilmaisun kehittämisessä erityisesti silloin, kun käytetty menetelmä sisälsi laulamista, motorista toimintaa sekä imitointia. Myös oman musiikillisen toiminnan yhteensovittami-nen toisen musisoinnin kanssa edisti puheilmaisun kehittymistä henkilöillä, joilla on autisminkirjon häiriö.
-
(2015)Aims: Repair is one the three structures that organizes conversation. Repair organization is used for solving problems in speaking, hearing and understanding in conversation. Self-repair is initiated by the person who has produced the trouble source turn. Language deficits affect person's possibilities to communicate with speech. Different kinds of language deficits affect in different ways to person's possibilities to participate in conversation and to be understood. Self-repair is a way to maintain intersubjectivity in conversation. If one of the participants in conversation can't self-repair his speech because of the language deficit, the intersubjectivity between the participants might be endangered. The aim of this study is to describe self-repairs made by a 4-year-old boy and how his language deficits affect on his self-repairs. Methods: The main approach to this study was conversation analytic. Conversation analysis is a qualitative method. It is used for finding recurrent structures in conversation. The study examined self-repairs made by a 4-year-old boy who has deficits in speech understanding, naming and inflection. The material for the study was from speech therapy sessions. Speech therapy was held 20 times and a partner in the conversations was a logopedics student. The study observes three types of situations in speech therapy. The conversation topics were limited in different ways. Results & Conclusions: The participant made lots of fluent self-repairs despite his language deficits. He also made self-repairs when they were started by the other. The deficits of speech understanding and naming caused self-repairs. The deficits of naming caused multiple self-repairs one after the other. To the inflection the participant made just few self-repairs. The participant had not acquired the language skills of inflection at the time.
-
(2021)Tiivistelmä - Referat – Abstract Objectives. Previous research has shown that different types of speech and language impediments are very common amongst young offenders. These difficulties can affect different linguistic subskills, such as speaking, understanding, reading and writing. They are often undiagnosed and can be confused with other afflictions, for example, behavioural problems. Difficulties can affect education and can weaken an offender’s ability to cope in different situations during the judicial process and prison sentences. In previous international studies, speech and language difficulties have been apparent both using objective measurements and also according to the offenders’ own opinions of their capabilities. In Finland, this is the first study of its kind. The objective of this study was to investigate Finnish-speaking young adult offenders’ own perspectives of their language and literacy skills. In addition, the aim was to investigate how possible language and literacy difficulties have had an effect on them in different situations, and whether these young adult offenders are willing to improve their skills. This study also investigated whether they are interested in receiving external support, such as speech and language therapy Methods. This was an empirical, qualitative research project, and the data was collected using semi-structured interviews. In total, ten Finnish-speaking young adult (male) offenders aged between 18 and 29 from two prisons in Finland participated in this study. Findings and conclusions. Young adult offenders mostly assessed their own language and literacy skills to be average, though they also mentioned different problems affecting their speech, understanding, reading and writing skills. Such difficulties had an impact on their interactions with different authorities, but also their abilities to cope within the judicial process and any prison sentence. They felt that their lawyers had provided important help in linguistically challenging situations. Most of the participants were keen to develop their language and literacy skills with external support. The results show that it is important to recognise offenders with language and literacy difficulties in the Finnish legal system, and to train authorities and staff working with them to recognise these difficulties more effectively. This could be a task for a speech-language therapist (SLT) or a special legal interpreter with the guidance of an SLT. Recognising language and literacy difficulties and supporting offenders who struggle with them can help to create a non-discriminatory judicial process, improving offenders’ commitment to rehabilitative activities and promoting their integration in society.
-
(2021)Tavoitteet. Tutkimukset ovat osoittaneet kielellisten vaikeuksien olevan yleisiä nuorilla rikostaustaisilla henkilöillä. Vaikeudet voivat näkyä monessa kielellisessä osataidossa, kuten puhumisessa, ymmärtämisessä, lukemisessa ja kirjoittamisessa. Kielelliset vaikeudet ovat alidiagnosoituja, ja ne sekoitetaan usein esimerkiksi käytösongelmiin. Heikot kielelliset taidot kuitenkin vaikuttavat muun muassa koulutukseen, minkä lisäksi niillä on suuri merkitys rikostaustaisten henkilöiden pärjäämiseen oikeusprosessissa ja vankeusaikana. Heikot kielelliset taidot ovat tulleet aikaisemmissa tutkimuksissa esille niin objektiivisesti kielellisin testein mitattuina kuin myös rikostaustaisten itse subjektiivisesti arvioimina. Suomessa tutkimusta rikostaustaisten henkilöiden kielellisistä taidoista ei ole aikaisemmin tehty. Tämän tutkimuksen tarkoituksena on selvittää suomenkielisten, vankilassa rikostuomiotaan suorittavien nuorten aikuisten omia kokemuksia heidän kielellisistä taidoistaan. Tämän lisäksi selvitetään, miten mahdolliset kielelliset vaikeudet ovat vaikuttaneet erilaisissa tilanteissa. Näiden ohella tutkitaan heidän omaa halukkuuttaan kehittää taitojaan sekä halukkuutta ulkopuolisen tuen, kuten puheterapian saamiseen. Menetelmät. Menetelmänä tässä empiirisessä laadullisena tutkimuksessa käytettiin puolistrukturoitua teemahaastattelua. Tutkimukseen osallistui kymmenen miespuolista, iältään 18–29 –vuotiasta suomenkielistä nuorta aikuisvankia kahdesta suomalaisesta vankilasta. Tulokset ja johtopäätökset. Nuoret rikostaustaiset aikuiset arvioivat omat kielelliset taitonsa pääsääntöisesti keskitasoisiksi, mutta esittivät perusteluissaan erilaisia puhumisen, ymmärtämisen, lukemisen tai kirjoittamisen vaikeuksia. Näillä oli ollut vaikutuksia heidän ollessaan vuorovaikutuksessa eri viranomaistahojen kanssa, mutta myös oikeusprosessin onnistumiseen ja pärjäämiseen vankeusaikana. Nuoret rikostaustaiset aikuiset kokivat oman asianajajansa tuen tärkeäksi kielellisesti haastavissa tilanteissa. Valtaosa tutkittavista oli halukkaita kehittämään omia kielellisiä taitojaan ulkopuolisen tahon kanssa. Tulokset osoittavat, että suomalaisessa oikeusjärjestelmässä tulisi pyrkiä tunnistamaan paremmin rikostaustaisten henkilöiden kielelliset vaikeudet. Heidän kanssaan työskentelevien ammattihenkilöiden tietämystä kielellisistä vaikeuksista ja niiden ilmenemismuodoista tulisi lisätä. Tehtävää voisi hoitaa puheterapeutti tai esimerkiksi oikeustulkki puheterapeutin ohjannassa. Kielellisten vaikeuksien tunnistaminen ja niistä kärsivien rikostaustaisten henkilöiden tukeminen voi auttaa tasavertaisen oikeusprosessin saavuttamisessa, lisätä sitoutumista kuntouttavaan toimintaan ja edesauttaa yhteiskuntaan integroitumista.
-
(2019)Tavoitteet. Parkinsonin tauti on keskushermostoon ja erityisesti aivojen mustatumakkeeseen sekä dopamiiniratoihin vaikuttava etenevä sairaus. Se vaikuttaa laajasti motoriikkaan ja sitä myötä myös puheeseen ja ääneen. Jopa 90 % Parkinson-potilaista kokee erilaisia puheen ja äänen muutoksia, jotka heikentävät heidän sekä heidän läheistensä elämänlaatua. Tämän kandidaatintutkielman tarkoituksena on tutkia Parkinsonin tautiin liittyvien puheen ja äänen muutosten puheterapeuttisia kuntoutusmuotoja sekä niiden vaikuttavuutta. Menetelmät. Tämän tutkielman menetelmänä käytettiin integroivaa kirjallisuuskatsausta. Tutkimusaineisto kerättiin kahta elektronisista tietokantaa apuna käyttäen, jotka olivat Ovid Medline ja PubMed. Käytetty hakulauseke oli Parkinson* AND speech AND voice AND (“speech therapy” OR ”language therapy” AND (efficacy OR effectiveness OR impact). Lopullinen tutkimusaineisto koostui kuudesta tieteellisestä, vertaisarvioidusta artikkelista. Tulokset ja johtopäätökset. Aineistosta nousi esille kolme erilaista tapaa kuntouttaa Parkinsonin taudin myötä ilmeneviä puheen ja äänen muutoksia. Ne olivat perinteinen Lee Silverman -ääniterapia, laulaminen ja tietokonevälitteinen etäkuntoutus. Etäkuntoutuksessa käytettiin kuntoutusmenetelmänä perinteisestä LSVT -ääniterapiasta johdettua pidemmälle aikavälille jakautuvaa LSVT X -ääniterapiamenetelmää. Tulokset vahvistivat aikaisempaa tutkimustietoa LSVT:n ja etäkuntoutuksen vaikuttavuudesta puheterapeuttisessa kuntoutuksessa Parkinsonin taudissa. Laulamistutkimusten osalta tulokset erosivat toisistaan, sillä vain toisessa niistä laulaminen osoittautui vaikuttavaksi kuntoutusmuodoksi.
-
(2020)Tavoitteet. Parkinsonin taudin puheterapeuttinen kuntoutus ja tutkimus on perinteisesti keskittynyt motorisiin vaikeuksiin, kuten puheen, äänen ja nielemisen ongelmiin. Sairaus voi kuitenkin aiheuttaa myös kielellis-kognitiivisia vaikeuksia, kuten ongelmia sananlöytämisessä ja pragmatiikassa. Ongelmat voivat vaikuttaa suuresti tautia sairastavan elämänlaatuun. Tutkimustietoa tarvitaan myös kliinisen kuntoutustyön tueksi. Tämän tutkielman tavoitteena oli selvittää Parkinsonin tautiin liittyvien kielellis-kognitiivisten vaikeuksien puheterapeuttisen kuntoutuksen nykytilaa ja tulevaisuuden mahdollisuuksia. Tutkielmassani selvitän, saavatko Parkinsonin tautia sairastavat henkilöt puheterapiaa kielellis-kognitiivisiin vaikeuksiinsa. Lisäksi tutkin, millaisia menetelmiä Parkinsonin taudin kielellis-kognitiivisessa puheterapiassa käytetään ja miten tätä tulisi kehittää. Menetelmät. Tutkielman menetelmänä oli integroiva kirjallisuuskatsaus. Aineiston keräsin Ovid Medline -tietokannasta. Muodostin hakulausekkeen termeistä Parkinson* (Parkinsonin tauti), language (kieli), speech therapy/language therapy (puheterapia) ja practice (käytäntö). Lisäksi käytin manuaalista hakua. Valikoin aineistoon seitsemän vertaisarvioitua artikkelia. Analysoin aineiston esimerkiksi tarkastelemalla artikkelien yhtäläisyyksiä ja eroja, ja jäsensin tulokset tutkimuskysymysten mukaan. Tulokset ja johtopäätökset. Parkinson-potilaat jäivät usein ilman puheterapiaa, ja kuntoutusresurssit olivat vähäisiä. Kielellis-kognitiivisia vaikeuksia kuntoutettiin huomattavasti vähemmän kuin motorisia vaikeuksia. Käytettyjä menetelmiä olivat yleisimmin erilaisten kompensatoristen keinojen harjoittelu, mutta menetelmiä ei tutkimuksissa avattu tarkemmin. Menetelmien vaikuttavuudesta ei ollut tietoa saatavilla, sillä tutkimusta aiheesta ei ole. Kielellis-kognitiivisten vaikeuksien kuntoutukselle oli kuitenkin tarvetta ja halua sekä potilaiden että puheterapeuttien keskuudessa. Syitä terapian toteutumattomuuteen olivat esimerkiksi terapia-ajan rajallisuus ja puheterapeuttien tiedonpuute. Parkinsonin taudin puheterapiaa kehitettiin esimerkiksi soveltamalla afaattisille henkilöille suunniteltua kuntoutusta ja hyödyntämällä läheisten osallistumista. Arkikeskustelu oli kuntoutuksen keskeisenä tavoitteena. Tulevaisuuden menetelmissä yksilöllinen ja holistinen lähestymistapa sekä taudin psykososiaalisten vaikutusten huomioiminen esitettiin tärkeiksi huomion kohteiksi. Myös monimuototerapia tuotiin esiin mahdollisena kuntoutusmenetelmänä. Jatkotutkimusta olisi hyödyllistä tehdä muun muassa Parkinsonin taudin puheterapeuttisen kuntoutuksen saatavuudesta ja menetelmistä Suomessa.
-
(2019)Aims and objectives. Feeding difficulties are complex and multifactorial disorders that cause multiple challenges for children and their families. Previous studies have focused on parents’ experiences and treatment in specialised healthcare, but speech and language pathologists’ perspectives in the primary healthcare have not been studied. The incidence of feeding difficulties is expected to increase and the number of children with feeding difficulties is likely to increase in primary healthcare. The intervention requires multidisciplinary collaboration. However, clinicians across disciplines lack common working practices. The objective of this study was to increase the knowledge about feeding difficulties that speech and language pathologists encounter in primary healthcare. The aim was also to describe speech and language pathologists’ experiences and perspectives on multidisciplinary work and their readiness to work with the children. In addition, the assessment and intervention methods they use were studied. Therefore, it would be possible to pay more attention to the experiences of speech and language pathologists and to create more functional working practices based on these experiences. Method. The method in this qualitative study was a semi-structured interview. Seven speech and language pathologists working in primary healthcare were interviewed for the study, and they all had worked children with feeding difficulties in the past year. Speech and language pathologists’ work experience in primary healthcare varied from 1 to 25 years. Themes for the interview were formed based on the previous research. The interviews were carried out in November and December 2018. The interviews were recorded and transcribed into Word-files, and the data were analysed using content analysis. The data were divided into thematic groups and the results were examined in the light of earlier studies and literature. Results and conclusions. Based on this study, speech and language pathologists’ work with children with feeding difficulties is diverse in primary healthcare. Work requires the ability to detect several different areas and special features compared to many other disorders. When talking about assessment and intervention during the interviews, speech and language pathologists did point out various challenges. Complexity of feeding disorders, working with multilingual and multicultural families, speech and language pathologists’ insecurity and lack of common working practices hinder the work. The most important factors developing their readiness were work experience, multidisciplinary collaboration, collegial support and additional education. The findings of this study indicate that the speech and language pathologist working in primary healthcare play a major role in the treatment of children with feeding difficulties but the division of disciplines should be clearer. This study suggests that multidisciplinary collaboration has a positive effect on supporting the family and work readiness of speech and language pathologists. Feeding difficulties can be positively affected in primary healthcare and family welfare can also be supported. Due to the responsibility of speech and language pathologists’ work, active learning and maintaining professional skills with the help of clinical and theoretical knowledge are required.
-
(2019)Aims and objectives. Feeding difficulties are complex and multifactorial disorders that cause multiple challenges for children and their families. Previous studies have focused on parents’ experiences and treatment in specialised healthcare, but speech and language pathologists’ perspectives in the primary healthcare have not been studied. The incidence of feeding difficulties is expected to increase and the number of children with feeding difficulties is likely to increase in primary healthcare. The intervention requires multidisciplinary collaboration. However, clinicians across disciplines lack common working practices. The objective of this study was to increase the knowledge about feeding difficulties that speech and language pathologists encounter in primary healthcare. The aim was also to describe speech and language pathologists’ experiences and perspectives on multidisciplinary work and their readiness to work with the children. In addition, the assessment and intervention methods they use were studied. Therefore, it would be possible to pay more attention to the experiences of speech and language pathologists and to create more functional working practices based on these experiences. Method. The method in this qualitative study was a semi-structured interview. Seven speech and language pathologists working in primary healthcare were interviewed for the study, and they all had worked children with feeding difficulties in the past year. Speech and language pathologists’ work experience in primary healthcare varied from 1 to 25 years. Themes for the interview were formed based on the previous research. The interviews were carried out in November and December 2018. The interviews were recorded and transcribed into Word-files, and the data were analysed using content analysis. The data were divided into thematic groups and the results were examined in the light of earlier studies and literature. Results and conclusions. Based on this study, speech and language pathologists’ work with children with feeding difficulties is diverse in primary healthcare. Work requires the ability to detect several different areas and special features compared to many other disorders. When talking about assessment and intervention during the interviews, speech and language pathologists did point out various challenges. Complexity of feeding disorders, working with multilingual and multicultural families, speech and language pathologists’ insecurity and lack of common working practices hinder the work. The most important factors developing their readiness were work experience, multidisciplinary collaboration, collegial support and additional education. The findings of this study indicate that the speech and language pathologist working in primary healthcare play a major role in the treatment of children with feeding difficulties but the division of disciplines should be clearer. This study suggests that multidisciplinary collaboration has a positive effect on supporting the family and work readiness of speech and language pathologists. Feeding difficulties can be positively affected in primary healthcare and family welfare can also be supported. Due to the responsibility of speech and language pathologists’ work, active learning and maintaining professional skills with the help of clinical and theoretical knowledge are required.
-
(2019)Tavoitteet. Tämän kandidaatintutkielman tarkoituksena on luoda katsaus psykogeenis-ten äänihäiriöiden kuntoutusmenetelmiin sekä niiden vaikuttavuuteen. Tässä kirjalli-suuskatsauksessa pyrin kartoittamaan psykogeenisten äänihäiriöiden syntymekanisme-ja, interventioita sekä puheterapian roolia häiriön hoidossa. Lisäksi pyrin selvittämään erilaisten kuntoutusmenetelmien vaikuttavuutta. Menetelmät. Tutkimus toteutettiin integroivana kirjallisuuskatsauksena, jonka aineisto on koostettu tieteellisistä artikkeleista. Artikkelit ovat valikoituneet hakulausekkeen pe-rusteella. Hakulausekkeeni ovat: (psychogenic AND speech disorders) AND (speech therapy). Tulokset ja johtopäätökset. Psykogeenisiä äänihäiriöitä arvioidaan ja hoidetaan monitie-teellisesti. Äänen arvioinnissa käytetään endoskooppisia tutkimuksia, äänen akustista analyysia sekä erilaisia kyselylomakkeita. Psykologisten taustatekijöiden arviointi suori-tetaan potilashaastatteluin ja kyselylomakkein. Psykogeenisten äänihäiriöiden kuntou-tuksessa yhdistyvät ääniterapia sekä psykologinen kuntoutus. Ääniterapiaa toteutetaan fonaatiota tavoittelevilla konservatiivisilla ääniharjoituksilla. Psyykkisiä taustatekijöitä hoidetaan keskustelemalla asiakkaan kanssa äänihäiriön synnyttäneistä sekä ylläpitä-vistä tekijöistä sekä kognitiivisen käyttäytymisterapian menetelmiä hyödyntäen. Ääniterapia tehoaa hyvin psykogeenisten äänihäiriöiden hoidossa edellyttäen, että terapiaan sisältyy äänihäiriötä ylläpitävän psyykkisen kuormituksen lievittäminen. Erityisesti kognitiivinen käyttäytymisterapia on osoittautunut tässä tehokkaaksi. Lisää tutkimusta tarvittaisiin siitä, millä ehdoin puheterapeutti voi toimia hoitavana ammattilaisena psykogeenisen äänihäiriön hoidossa ja riittääkö esimerkiksi Suomessa opiskellun logopedian opintokokonaisuuteen sisältyvän psykologian oppimäärä häiriön hoitoon.
-
(2015)Aims: Public health care in Finland has the main responsibility of rehabilitation, which means that public health care has to provide for persons with the severe disabilities the therapy or the rehabilitation needed. If a person fulfills the criteria of having severe disablity he is admitted Disability Allowance at its middle or highest rate. This is required for getting medical rehabilitation for persons with severe disabilities, which in Finland is financed by KELA. The speech therapy for the severely disabled organized by KELA is mainly carried out by private sector. There were approximately 500 private speech therapists under the contract of KELA during 2011-2014. Altogether 7439 persons were receiving speech therapy by KELA in 2014. The speech therapists under the contract of KELA are divided somewhat unevenly in Finland, therefore the availability of speech therapy is not equal in the whole land. Particularly areas with less inhabitants seem to suffer from inequality. The UN Convention on the Rights of Persons with Disabilities in 3.5.2008 was aimed at guaranteeing equal human rights to disabled people and to promote and support their human value. Methods: This Master's thesis looks at the availability of speech therapy in Finland both quantitatively based on open statistics by KELA and qualitatively on the nature of positive and negative decisions in the Medical District of Kanta-Häme. Results and Conclusions: The availability of speech therapy for persons with severe disabilities is not by KELAs statistics fully equal in Finland. The uneven division of speech therapists has lead to the fact that there are for example, at the insurance district of Oulu considerably more speech therapists than at the insurance district of Satakunta.The speech therapists under contract of KELA are like many other highly educated people situated close by the universities and other schooling areas, By U.N agreement the persons with disabilities should have rehabilitation near where they live and timing it optimally.The severity of language impairment was the main reason in positive decisions in the Medical District of Kanta-Häme and the insufficiency of arguments in the negative ones, which seem to refer to the fact that there, with an adequate application, speech therapy is guaranteed for the persons with most severe disabilities. One of the aims of the future social welfare and health care reform is to improve the availability of speech therapy in Finland. It remains to be seen how successfully it will answer the growing need.
-
(2015)Background and aim. Bilingualism is a worldwide and old phenomenon. It is also a current topic in speech therapy. Bilingualism can be defined in many ways, for example by the age when a person has been exposed to his/her languages. Bilingual children are common clients in Finnish speech therapy field due to increased immigration. When evaluating the linguistic skills of a bilingual child the speech therapist might need to co-operate with an interpreter. In this research the aim was to identify how the SLT's feel the co-operance with the interpreters in evaluation situations. There is only few former studies about this subject, especially in Finland. Some studies have been made to examine the co-operation of the interpreter and another healthcare provider. In this study we also asked if there are some typical challenges in the co-operation and could something be done to develop this liaison. Methods. In this study 12 SLT's were interviewed. They worked in the capital area of Finland. I contacted the leading SLT's to recruit the examinees. The SLT's had been working 2-34 years and they all had evaluated bilingual children in co-operation with an interpreter. The semistructured interview material was gathered and transcribed in the autumn 2014. After transcribing the material was separated into four main themes for reporting the results. Results and discussion. Co-operation between SLT and interpreter shows out to be working mainly fine. Typical challenge mentioned is for example achieving a natural interaction. There are still some lacks in the language skills of the interpreters and the SLT's hope to develop the co-operation with a better guidance (also in the training program of logopedics) and diverse co-operation opportunities. The SLT's seem to appreciate interpreters' social skills, language proficiency, natural interaction with children and flexibility in diverse therapy situations.
-
(2021)Tavoitteet. Moniammatillinen yhteistyö on tärkeä osa puheterapeutin työtä. Vaikka kommunikaatio-ohjaaja ja tulkki ovat puheterapeutille hyvin erilaiset yhteistyötahot, tähtää yhteistyö heidän kanssaan asiakkaan kommunikaation onnistumiseen. Aiempaa tutkimusta puheterapeutin, kommunikaatio-ohjaajan ja tulkin yhteistyöstä on vähän, mutta se korostavaa sujuvan yhteistyön merkitystä. Tutkimuksen tavoitteena on eritellä puheterapeutin, kommunikaatio-ohjaajan ja tulkin moniammatilliseen yhteistyöhön vaikuttavia edistäviä ja estäviä tekijöitä sekä työnkuvien rajapintoja, joissa voi esiintyä päällekkäisyyksiä. Tutkimus luo pohjaa puheterapeutin ja kommunikaatio-ohjaajan sekä puheterapeutin ja tulkin yhteistyön kehittämiselle. Menetelmät. Tutkimus toteutettiin integroivan kirjallisuuskatsauksen keinoin. Systemaattinen haku suoritettiin helmikuussa 2021 Scopus, Ovid Medline ja Pubmed -tietokannoista. Hakulauseke muodostettiin yhdistämällä puheterapia ja puhetta tukeva ja korvaava kommunikaatio sekä puheterapia ja tulkkaus roolijakoon tai moniammatilliseen yhteistyöhön. Lopulliseen aineistoon otettiin mukaan englanninkieliset alkuperäistutkimukset, jotka olivat saatavilla ilman erillistä maksua ja jotka vastasivat tutkimuskysymyksiin. Näin valikoidut artikkelit analysoitiin tutkimuskysymyksistä luotujen teemojen avulla. Tulokset ja johtopäätökset. Puheterapeutin ja kommunikaatio-ohjaajan sekä puheterapeutin ja tulkin yhteistyöhön vaikuttavat tekijät olivat samankaltaisia tutkimusten kesken ja jakautuivat neljään eri osa-alueeseen. Osa-alueet olivat kokemus ja tieto, käytettävissä oleva aika, roolijako sekä yhteistyötaidot ja kommunikaatio. Työnkuvien rajapintoja ei tutkimusaineistossa eritelty, mutta yhteistyötahojen ammattien ja roolien tunteminen olivat yhteistyötä edistäviä tekijöitä. Tietoisuutta tässä tutkimuksessa käsitellyistä ammattiryhmistä ja yhteistyöhön liittyvistä tekijöistä tulee lisätä jo koulutusohjelmissa. Puheterapeutin ja kommunikaatio-ohjaajan välisen yhteistyön tueksi tulisi luoda kansallinen malli tai suositus, jotta yhteistyö toteutuisi tasavertaisesti alueesta riippumatta. Puheterapeutin ja tulkin välistä yhteistyötä edistää kolmivaiheinen toimintatapa, jossa tulkki ja puheterapeutti keskustelevat ennen ja jälkeen varsinaisen tulkkaustilan-teen. Tutkimusta puheterapeutin, kommunikaatio-ohjaajan ja tulkin yhteistyöstä tarvitaan lisää, jotta moniammatillisen yhteistyön käytänteitä voidaan kehittää.
-
(2018)Aim: Due to the plasticity of the brain of a child under three years old early intervention can be very effective and affect the growth and development of the child extensively. As a concept early intervention is as yet unestablished within our healthcare system. The purpose of this study was to find out what kind of experiences Finnish speech-language therapists (SLTs) have about the assessment and the rehabilitation of children under three years old and the readiness of SLTs to work with these small children. The study also aimed to find out the reasons why small children are being sent to speech-language therapists. Methods: This study was done by a questionnaire and the material was gathered using an electrical survey with the E-lomake -program of the University of Helsinki between April and May 2016. The questionnaire was delivered to Finnish SLTs via the Finnish Assocation of Speech Therapists and four corporations that employ SLTs. The data was analysed with the IBM SPSS Statistics 24 -program using nonparameterized statistical tests and qualitative grouping. Results and conclusions: The questionnaire was answered by 194 SLTs out of which 111 worked regulary and 73 occasionally with children under three. The SLTs’ know-how about working with small children was mostly based on work experience. The professional capabilities were maintained and developed by additional trainings and literature. A degree in logopedics was considered to provide only minor capabilities toward working with small children. The results indicate that small children are sent to SLTs mostly because of disabilities and delayed speech development. The most popular assessment methods were tests, free observation and interviewing the child’s parents. AAC methods and playing were popular methods of rehabilitation. The practices in rehabilitating small children were varying and based on the available resources. According to the SLTs other healthcare professionals are not aware of what an SLT does and therefore their know-how is not utilized to it’s full extent.
-
(2018)Aim: Due to the plasticity of the brain of a child under three years old early intervention can be very effective and affect the growth and development of the child extensively. As a concept early intervention is as yet unestablished within our healthcare system. The purpose of this study was to find out what kind of experiences Finnish speech-language therapists (SLTs) have about the assessment and the rehabilitation of children under three years old and the readiness of SLTs to work with these small children. The study also aimed to find out the reasons why small children are being sent to speech-language therapists. Methods: This study was done by a questionnaire and the material was gathered using an electrical survey with the E-lomake -program of the University of Helsinki between April and May 2016. The questionnaire was delivered to Finnish SLTs via the Finnish Assocation of Speech Therapists and four corporations that employ SLTs. The data was analysed with the IBM SPSS Statistics 24 -program using nonparameterized statistical tests and qualitative grouping. Results and conclusions: The questionnaire was answered by 194 SLTs out of which 111 worked regulary and 73 occasionally with children under three. The SLTs’ know-how about working with small children was mostly based on work experience. The professional capabilities were maintained and developed by additional trainings and literature. A degree in logopedics was considered to provide only minor capabilities toward working with small children. The results indicate that small children are sent to SLTs mostly because of disabilities and delayed speech development. The most popular assessment methods were tests, free observation and interviewing the child’s parents. AAC methods and playing were popular methods of rehabilitation. The practices in rehabilitating small children were varying and based on the available resources. According to the SLTs other healthcare professionals are not aware of what an SLT does and therefore their know-how is not utilized to it’s full extent.
-
(2022)Tavoitteet. Aiempi tutkimus osoittaa puheterapeuteilla olevan rooli osana palliatiivisia hoitotyöryhmiä. Ttutkimuksen mukaan puheterapeuttien työnkuvaan kuuluu nielemistoimintojen ja kommunikaatiokyvyn tukeminen. Tämän kandidaatintutkielman tavoitteena oli selvittää puheterapeuttien kokemuksia roolista ja työskentelystä osana moniammatillisia palliatiivisia hoitotyöryhmiä ja kartoittaa työnkuvaan liittyviä mahdollisia haasteita. Tavoitteena oli myös tarkastella, ovatko puheterapeuttien kokemukset yhteneviä suhteessa toisiinsa ja aiempaan kirjallisuuteen. Menetelmät. Kandidaatintutkielmassa käytettiin menetelmänä integroivaa kirjallisuuskatsausta. Tiedonhaku suoritettiin Scopus-, Ovid MedLine- ja PsycInfo-tietokannoissa helmikuussa 2022. Hakulausekkeeksi muodostui (palliativ* OR “end-of-life care” OR “hospice care”) AND (logopedic* OR slp OR “speech-language patholog*” OR “speech-language therap*”). Katsaukseen sisältyi viisi alkuperäistutkimusta, joista yksi valittiin mukaan käsinpoiminnalla. Tutkimusaineisto analysoitiin systemaattisesti muistiinpanoja ja taulukoita tehden. Tulokset ja johtopäätökset. Puheterapeuttien kokemukset työnkuvastaan olivat melko yhteneviä sekä analysoitujen tutkimusten että aiemman kirjallisuuden välillä. Puheterapeutit kokivat roolinsa tärkeänä, mutta osin sivuutettuna. Työnkuvaan liitetyt haasteet olivat myös yhteneviä aineiston sisällä, haasteet koskivat etenkin eri resurssien ja yhtenevien toimintalinjausten vähäisyyttä, koulutuksen puutetta ja roolin laajuuden ja sisällön epäselvyyttä. Katsauksen perusteella voidaan muodostaa johtopäätös, että puheterapeutit itse kokevat roolinsa palliatiivisessa hoitotyöryhmässä merkittävänä. Lisää tutkimusta kaivataan, jotta puheterapeuttien asiantuntijuutta osana palliatiivista hoitoa voitaisiin hyödyntää vielä tehokkaammin ja esiin nousseita haasteita voitaisiin ratkaista.
-
(2015)Objective: Previous studies suggest that outcomes in aphasia therapy are not often routinely measured in the clinical practice. On the other hand, there has been little research on the views of speech and language therapists (SLT) on the outcome evaluation. The objective of this study was to gather information about the opinions of SLT's when it comes to the role, need and value of the outcome evaluation in the clinical practice. Methods: A conceptual framework called theory of alignment was used in this study. The data were collected by interviewing ten SLTs practicing aphasia therapy. The interviews were transcribed and the data were analyzed using qualitative content analysis. Results and conclusions: According to the results SLTs evaluate the outcomes of aphasia therapy for themselves, for the patients and their significant others and for external stakeholders. The role of the outcome evaluation is different depending on the stakeholder needing evaluation. SLTs may consider routine evaluation of the outcomes unnecessary since the different stakeholders do not always create a need for the outcome evaluation. When it comes to the outcomes of aphasia therapy, STLs found it important to get information on their patient's improvement in different contexts. SLTs also valued other persons' opinions of the outcomes as well as information on the patient's symptoms and their further need for aphasia therapy. Furthermore, SLTs considered that the extent and form of information were important when assessing outcomes. Acknowledging the views of SLTs on the outcome evaluation may help to develop the evaluation practices by resolving some problems relating to the evaluation. In case the routine evaluation of outcomes is desired nationally in aphasia therapy, the SLTs should find that there are different stakeholders needing evaluation for a certain reason. When new tests and assessment tools are developed and translated into Finnish language, it should be considered that they will provide information SLTs find worth collecting.
Now showing items 21-40 of 63