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.

项目概要/摘要 尽管研究和领域越来越关注“文化和语言多样性（CLD）”社区 临床实践中，居住在美国（US）的单语少数民族语言使用者，例如外国人 出生时说英语以外语言的人群几乎被排除在言语之外 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背景如何，拟议项目的目标都是由以下内容构成的。 国际功能、残疾和健康分类 ICF），是 (1) 解决个人失踪问题 需要语言康复的外国出生人群的环境因素和（2） 开发并进行一项小规模临床试验，将这些缺失的因素纳入演讲中 干预计划。 作为初步努力，共有 32 名患有帕金森病 (PD) 的韩语人士及其家人将 参与这项研究，克服用韩语进行言语治疗的主要障碍，例如 由于韩国语言康复项目在美国的可用性，我们采用了两种最新的康复实施模式： PD 参与者将接受由 16 个疗程（每期 60 人）组成的言语治疗。 使用远程医疗平台在四个星期内提供几分钟的持续时间，家庭将每周参加一次，每次 1 小时。 家庭培训和支持课程，将提供家庭咨询和对话培训。 （言语清晰度、声学测量）和次要（沟通参与、健康和福祉） 结果测量将从前、后和随访时间点获得。 主要交付成果将是跨学科言语干预模型的初始阶段 患有沟通障碍且无法接受英语言语治疗的人士。 此外，还包括健康素养。 长期目标是扩大语言和文化多元化群体之间的交流。 获得优质医疗保健的人口数量和范围，并制定言语干预计划 结合了对特定于目标临床的个人和环境因素的高度关注 人口。