Using Visual Scene Displays to Create a Shared Communication Space - PowerPoint

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					                                  Using Visual Scene Displays to Create a Shared Communication Space
                                                 Karen Hux, Ph.D.        Megan Buechter, M.S.      Sarah Wallace, M.A.            Kristy Weissling, SLP.D.

Purpose                                                Visual Scene Displays         Number of Conversational Turns           Conceptual Complexity Score      Summary
• To determine the effect of shared                                                                                                                         Using VSDs to establish a shared
  communication spaces established through                                                                                                                  communication space between RL and his
  the use of low-tech visual scene displays                                                                                                                 communication partners had a visible
  (VSDs) on the content and quality of                                                                                                                      effect on the manner and extent to which
  communicative interactions between a                                                                                                                      the individuals contributed to
  person with aphasia and unfamiliar partners                                                                                                               conversational interactions:
                                                                                                                                                               • Improved perceptions regarding
Participants                                                                                                                                                     information transfer, communication
• Participant with Aphasia: RL                                                                                                                                   ease, and partner understanding
   • 61-year-old male                                                                                                                                          • Increased production of utterances
   • 2 years post-CVA                                                                                                                                          • Increased relaying of correct
   • Western Aphasia Battery Aphasia                                                                                                                             information by the person with
     Quotient:76.2                                                                                                                                               aphasia
   • Relied primarily on natural speech and a                                                                                                                  • Shifted leadership burden even
     low-technology communication book to                                                                                                                        though person with aphasia had
     communicate                                                                                                                                                 greater knowledge of targeted topic
• Communication Partner Participants
   • Nine adult speakers of American-English
   • 4 males, 5 females
   • Age range: 33 - 62 years (M = 48; SD =                                                                                                                    Clinical Implications
     11.57)                                                                                                                                                 Aphasia persists as a chronic condition for
   • Education range: 14 - 21 years (M = 17;                                                                                                                many individuals despite extensive
     SD = 2.32)                                                                                                                                             rehabilitation efforts. Because of this,
                                                                                   Number of Initiations and Responses                                      clinicians need to help people with aphasia
Procedures                                                                                                                                                  and the individuals who interact with them
• 4.5-minute, digitally-recorded conversations          Likert-scale Responses                                                                              master compensatory strategies to
  between RL and each communication partner                                                                                      Content Unit Analysis      maximize communication strengths and
  in one of three conditions:                                                                                                                               minimize communication breakdowns.
    • Shared-VSDs                                                                                                                                           Using VSDs to create shared
    • Non-shared VSDs                                                                                                                                       communication spaces is one way of
    • No-VSDs                                                                                                                                               promoting this type of compensation,
• Communication partners instructed to discuss                                                                                                              because VSDs rely on residual strengths of
  RL’s antique car and find out as much as                                                                                                                  people with aphasia—such as intact
  possible about car’s history and RL’s                                                                                                                     memory for life events, a pool of general
  restoration of it                                                                                                                                         knowledge information, normal visual-
• Following interaction:                                                                                                                                    perceptual skills, and adequate
    • RL responded to Likert-scale questions                                                                                                                cognitive/intellectual functioning—that are
      regarding amount, ease, and success of                                                                                                                likely to foster improved communicative
      information transfer                                                                                                                                  interactions.
    • Debriefing session with communication
        • Detailed recitation of all information RL
        • Responses to 43 information probe
          questions to elicit additional details not
          related spontaneously
• All interaction and debriefing sessions
  transcribed verbatim                                                                    RL         Communication Partners