Exam 3 Part 3 Flashcards
What are the goals of an initial assessment (3)?
Determine communication demands, evaluate impact of hearing loss, identify problem settings
What are the goals of a final assessment (4)?
Improved conversational fluency, decrease communication difficulties, repeat of initial assessment materials, critique of AR program
What are factors that define conversational fluency (4)?
Sharing of speaking time, time spent in silence, exchange of information and ideas, time spent repairing communication breakdowns
Minimal communication breakdowns, ideas easily exchanged, no dominance amongst one speaker, minimal silence
High conversational fluency
Numerous communication breakdowns, minimal exchange of ideas, one speaker dominates, awkward silence
Low conversational fluency
Period spent delivering a contribution to a conversation
Conversational turn
Average words spoken during turn
Mean length of speaking turn (MLT)
A way to assess the sharing of speaking time
Mean length turn ratio (MLT ratio)
What measures do we need to consider to assess conversational fluency (3)?
Conversational setting and situation, complexity of topic, creation of conversation that elicits difficulty
What are some procedures to measure conversational fluency and communication difficulties?
Interview, questionnaire, daily log, group discussion, structured communication interaction
Used to garner subjective responses regarding communication breakdown, difficulty to quantify information, informally elicit specific information
Interview
What are some factors required to be a good interviewer?
Good listener, attentive, non-judgemental, encouraging of conversation, committed to helping individuals
____ ____affects conversational fluency
Conversational difficulties
Quick and easy to administer, may provide rating scale for ranking difficulty, use assessment instrument to elicit specific information, may miss important patient specific information, patient rates their own difficulty, gives us qualitative or quantitative information
Questionnaire
What is the most popular way to assess conversational fluency and conversational difficulties?
Questionnaires
What are some types of questionnaires that are used in assessing conversational fluency and conversational difficulties?
Abbreviated profile of hearing aid benefit, Client oriented scale of improvement, etc.
Implement method to self-monitor progress, rate amount of conversations understood, record difficulties in listening situations, provides quantitative information in a long period, records types of repair strategies
Daily log
Group of people identify concerns, group leader facilitates discussion, establish ground rules, everyone is encouraged to participate, some patients may be reluctant to participate
Group discussion
Stimulate conversational exchanges to depict difficulties, clinician and client evaluate stimulated conversation, discuss flow, turn-taking, and person’s understanding of conversation, can be time-consuming
Structured communication interaction
Carry out spontaneous exchange between communication partners that mimics real life situations, clinician uses elicitation techniques to create breakdown, assess client’s repair strategies, results may vary as a function of communication partner
Unstructured communication interaction
