RESTART-DCM Flashcards

1
Q

What order should the domains be targeted in?

A
  1. Motoric
  2. Linguistic
  3. Emotional
  4. Cognitive
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2
Q

What are some indicators of the need to reduce demand in the motor domain?

A
  • Parent speaks too quickly
  • Child speaks too quickly
  • Parent/child interrupts each other
  • Rushed family life
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3
Q

What are some ways to reduce demands in the motor domain?

A
  • Parent speaks slowly, calmly and follows the fluent articulation rate of the child
  • Parent implements a long response time latency
  • Give child enough time to tell their story
  • Monitoring pace of family life
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4
Q

What are some indicators of the need to reduce demand in the linguistic domain?

A
  • Child has advanced language development
  • Child doesn’t use any natural pauses when telling a story
  • Parents ask high number of questions and few statements
  • Parent’s language is complex
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5
Q

What are some ways to reduce demands in the linguistic domain?

A
  • Parents to use statements, rather than questions when speaking and words which are appropriate for the child’s level
  • Ask forced choice/closed questions instead of open questions
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6
Q

What are some indicators of the need to reduce demands in the emotional domain?

A
  • Child is afraid to make mistakes
  • Parent/child interact is very emotional
  • Parents seem stressed/anxious/tense when child stutters
  • Parents don’t talk about stuttering
  • Child has strong emotions
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7
Q

What are some ways to reduce demands in the emotional domain?

A
  • Provide structure and stability through routine
  • Parents react in a calm and non-judgmental way to the child’s stutter
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8
Q

What are some indicators of the need to reduce demands in the cognitive domain?

A
  • Child wants to know everything
  • Parents ask cognitively complex questions
  • “demand speech” e.g., tell me about…
  • Parent introduces topics outside the here and now
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9
Q

What are some ways to reduce demands in the cognitive domain?

A
  • Ask one question at a time that is appropriate level
  • Avoid demand speech, instead make statements and wait and see if the child wants to comment
  • Follow the child’s initiative and not introduce new subjects
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