Toward a speech rehabilitation model for linguistically and culturally minor groups: Foreign born immigrants

为语言和文化上的少数群体建立言语康复模式：外国出生的移民

• 批准号: 10660443
• 负责人: Yunjung Kim
• 金额: $ 32.17万
• 依托单位: FLORIDA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-03-01 至 2026-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10660443
• 关键词: Acoustics; Address; Adult; Aftercare; Aging; Attention; Censuses; Classification; Clinical; Clinical Trials; Communication; Communication impairment; Communities; Counseling; Cultural Diversity; Decision Making; Disease; Distress; Dysarthria; East Asian; Environmental Risk Factor; Ethics; Ethnic Origin; Exclusion; Family; Generations; Goals; Group Therapy; Health; Health Personnel; Health Services; Heterogeneity; Hour; Immigrant; International; Intervention; Korea; Koreans; Language; Linguistics; Literature; Measures; Medical; Methodology; Minor; Minority; Modeling; Morals; Multilingualism; Multiple Sclerosis; Outcome Measure; Parkinson Disease; Participant; Patients; Personal Satisfaction; Persons; Physical therapy; Population; Population Projection; Quality of life; Rehabilitation therapy; Reporting; Research; Role; Services; Social Distance; Speech; Speech Acoustics; Speech Intelligibility; Speech Therapy; Techniques; Time; Training; United States; Voice; bilingualism; clinical practice; disability; ethnic diversity; follow-up; health care availability; health care disparity; health care quality; health literacy; improved; innovation; intervention effect; intervention participants; intervention program; neurological rehabilitation; poor health outcome; primary outcome; programs; racial diversity; rehabilitation service; secondary outcome; skills; telehealth; treatment program

PROJECT SUMMARY/ABSTRACT Despite the increasing attention to the “culturally and linguistically diverse (CLD)” communities in research and clinical practice, monolingual speakers of minority languages living in the United States (US), such as foreign- born populations who speak a language other than English, have been nearly excluded from speech rehabilitation. This is mainly because of the assumption that the target language of intervention is English regardless of the cultural and linguist background of the patients. The goal of the proposed project, framed by the International Classification of Functioning, Disability, and Health ICF), is (1) to address missing personal and environmental factors of the foreign-born populations who are in need of speech rehabilitation and (2) to develop and conduct a small-scale clinical trial that incorporates these missing factors into a speech intervention program. For an initial effort, a total of 32 Korean-speakers with Parkinson’s disease (PD) and their families will participate in the study. To overcome the primary obstacles of delivering speech therapy in Korean, such as the availability of Korean speech rehabilitation programs in US, we employ two recent rehabilitation delivery models: telepractice and group therapy. PD participants will receive speech therapy consisting of 16 sessions of 60 minutes duration delivered over four weeks using a telehealth platform. PD families will attend weekly, 1-hour, family training and support sessions, which will provide family counseling and conversation training. Primary (speech intelligibility, acoustic measures) and secondary (communication participation, health and well-being) outcome measures will be obtained from Pre-, Post-, and Follow-up timepoints. The primary deliverable will be the initial stage for an interdisciplinary speech intervention model for speakers with communication disorders who cannot receive speech therapy in English. Further, health literacy among linguistically and culturally diverse groups will be enhanced. The long-term goal is to expand the number and scope of populations with quality health care access and to develop speech intervention programs that incorporate sophisticated attention to personal and environmental factors specific to the target clinical populations.

项目摘要/摘要 尽管越来越关注研究和语言上多元化（CLD）的社区 临床实践，居住在美国（美国）的少数族裔语言的单语言者，例如外国 天生的人群会说英语以外的其他语言，几乎被排除在演讲之外 康复。这主要是因为干预的目标语言是英语的假设 无论患者的文化和语言学家背景如何。拟议项目的目标，由 国际功能，残疾和健康ICF的分类是（1）解决丢失的个人 以及需要语音康复的外国出生人群的环境因素，（2） 开发和进行小型临床试验，将这些缺失因素纳入语音 干预计划。 为了初步努力，总共有32名韩国言论者患有帕金森氏病（PD）及其家人 参加研究。要克服在韩语中提供语音疗法的主要障碍，例如 在美国，韩国言语康复计划的可用性，我们采用了两种近期康复交付模式： 远程治疗和小组治疗。 PD参与者将接受语音疗法，包括16个课程的60个课程 使用远程医疗平台，持续时间为四个星期。 PD家庭将每周1小时参加 家庭培训和支持会议将提供家庭咨询和对话培训。基本的 （语音清晰度，声学措施）和次要（沟通参与，健康与福祉） 结果指标将从前，后和随访时间点获得。 主要交付将是跨学科语音干预模型的初始阶段 无法接受英语语音疗法的沟通障碍的演讲者。此外，健康素养 在语言和文化上不同的群体中，将得到增强。长期目标是扩展 人口的数量和范围，具有优质的医疗保健访问并开发语音干预计划 这纳入了针对目标临床特有的个人和环境因素的复杂关注 人群。