A single case study of a family-centred intervention with a young girl with cerebral palsy who is a multimodal communicator

Background  This paper describes the impact of a family‐centred intervention that used video to enhance communication in a young girl with cerebral palsy. This single case study describes how the video‐based intervention worked in the context of multimodal communication, which included high‐tech aug...

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Veröffentlicht in:Child : care, health & development health & development, 2012-01, Vol.38 (1), p.87-97
Hauptverfasser: Wadnerkar, M. B., Pirinen, T., Haines-Bazrafshan, R., Rodgers, J., James, D.
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container_start_page 87
container_title Child : care, health & development
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creator Wadnerkar, M. B.
Pirinen, T.
Haines-Bazrafshan, R.
Rodgers, J.
James, D.
description Background  This paper describes the impact of a family‐centred intervention that used video to enhance communication in a young girl with cerebral palsy. This single case study describes how the video‐based intervention worked in the context of multimodal communication, which included high‐tech augmentative and alternative communication (AAC) device use. This paper includes the family's perspective of the video intervention and they describe the impact of it on their family. Methods  This single case study was based on the premise that the video interaction guidance intervention would increase attentiveness between participants during communication. It tests a hypothesis that eye gaze is a fundamental prerequisite for all communicative initiatives, regardless of modality in the child. Multimodality is described as the range of communicative behaviours used by the child and these are coded as AAC communication, vocalizations (intelligible and unintelligible), sign communication, nodding and pointing. Change was analysed over time with multiple testing both pre and post intervention. Data were analysed within INTERACT, a computer software to analyse behaviourally observed data. Behaviours were analysed for frequency and duration, contingency and co‐occurrence. Results  Results indicated increased duration of mother's and girl's eye gaze, increased frequency and duration in AAC communication by the girl and significant change in frequency [χ2 (5, n = 1) = 13.25, P 
doi_str_mv 10.1111/j.1365-2214.2011.01214.x
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B. ; Pirinen, T. ; Haines-Bazrafshan, R. ; Rodgers, J. ; James, D.</creator><creatorcontrib>Wadnerkar, M. B. ; Pirinen, T. ; Haines-Bazrafshan, R. ; Rodgers, J. ; James, D.</creatorcontrib><description>Background  This paper describes the impact of a family‐centred intervention that used video to enhance communication in a young girl with cerebral palsy. This single case study describes how the video‐based intervention worked in the context of multimodal communication, which included high‐tech augmentative and alternative communication (AAC) device use. This paper includes the family's perspective of the video intervention and they describe the impact of it on their family. Methods  This single case study was based on the premise that the video interaction guidance intervention would increase attentiveness between participants during communication. It tests a hypothesis that eye gaze is a fundamental prerequisite for all communicative initiatives, regardless of modality in the child. Multimodality is described as the range of communicative behaviours used by the child and these are coded as AAC communication, vocalizations (intelligible and unintelligible), sign communication, nodding and pointing. Change was analysed over time with multiple testing both pre and post intervention. Data were analysed within INTERACT, a computer software to analyse behaviourally observed data. Behaviours were analysed for frequency and duration, contingency and co‐occurrence. Results  Results indicated increased duration of mother's and girl's eye gaze, increased frequency and duration in AAC communication by the girl and significant change in frequency [χ2 (5, n = 1) = 13.25, P &lt; 0.05] and duration [χ2 (5, n = 1) = 12.57, P &lt; 0.05] of the girl's multimodal communicative behaviours. Contingency and co‐occurrence analysis indicated that mother's eye gaze followed by AAC communication was the most prominent change between the pre‐ and post‐intervention assessments. Conclusions  There was a trend for increased eye gaze in both mum and girl and AAC communication in the girl following the video intervention. 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B.</creatorcontrib><creatorcontrib>Pirinen, T.</creatorcontrib><creatorcontrib>Haines-Bazrafshan, R.</creatorcontrib><creatorcontrib>Rodgers, J.</creatorcontrib><creatorcontrib>James, D.</creatorcontrib><title>A single case study of a family-centred intervention with a young girl with cerebral palsy who is a multimodal communicator</title><title>Child : care, health &amp; development</title><addtitle>Child Care Health Dev</addtitle><description>Background  This paper describes the impact of a family‐centred intervention that used video to enhance communication in a young girl with cerebral palsy. This single case study describes how the video‐based intervention worked in the context of multimodal communication, which included high‐tech augmentative and alternative communication (AAC) device use. This paper includes the family's perspective of the video intervention and they describe the impact of it on their family. 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Results  Results indicated increased duration of mother's and girl's eye gaze, increased frequency and duration in AAC communication by the girl and significant change in frequency [χ2 (5, n = 1) = 13.25, P &lt; 0.05] and duration [χ2 (5, n = 1) = 12.57, P &lt; 0.05] of the girl's multimodal communicative behaviours. Contingency and co‐occurrence analysis indicated that mother's eye gaze followed by AAC communication was the most prominent change between the pre‐ and post‐intervention assessments. Conclusions  There was a trend for increased eye gaze in both mum and girl and AAC communication in the girl following the video intervention. 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B.</creator><creator>Pirinen, T.</creator><creator>Haines-Bazrafshan, R.</creator><creator>Rodgers, J.</creator><creator>James, D.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>201201</creationdate><title>A single case study of a family-centred intervention with a young girl with cerebral palsy who is a multimodal communicator</title><author>Wadnerkar, M. B. ; Pirinen, T. ; Haines-Bazrafshan, R. ; Rodgers, J. ; James, D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5154-e2349975369824274700f8bf756afdabdb9a73446f931eefb035de2715b6dbb63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>attunement</topic><topic>Augmentative and Alternative Communication</topic><topic>augmentative and alternative communication (AAC)</topic><topic>Cerebral palsy</topic><topic>Cerebral Palsy - psychology</topic><topic>Cerebral Palsy - rehabilitation</topic><topic>Child</topic><topic>Communication</topic><topic>Communication (Thought Transfer)</topic><topic>Communication Disorders - etiology</topic><topic>Communication Disorders - rehabilitation</topic><topic>Contingencies</topic><topic>Eye fixation</topic><topic>eye gaze</topic><topic>Eye Movements</topic><topic>Families &amp; family life</topic><topic>Family (Sociological Unit)</topic><topic>Family Health</topic><topic>Female</topic><topic>Females</topic><topic>Girls</topic><topic>Humans</topic><topic>Intervention</topic><topic>multimodal communication</topic><topic>Parent-Child Relations</topic><topic>video interaction guidance</topic><topic>Video Technology</topic><topic>Videotapes</topic><topic>Young girls</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wadnerkar, M. B.</creatorcontrib><creatorcontrib>Pirinen, T.</creatorcontrib><creatorcontrib>Haines-Bazrafshan, R.</creatorcontrib><creatorcontrib>Rodgers, J.</creatorcontrib><creatorcontrib>James, D.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Child : care, health &amp; development</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wadnerkar, M. B.</au><au>Pirinen, T.</au><au>Haines-Bazrafshan, R.</au><au>Rodgers, J.</au><au>James, D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A single case study of a family-centred intervention with a young girl with cerebral palsy who is a multimodal communicator</atitle><jtitle>Child : care, health &amp; development</jtitle><addtitle>Child Care Health Dev</addtitle><date>2012-01</date><risdate>2012</risdate><volume>38</volume><issue>1</issue><spage>87</spage><epage>97</epage><pages>87-97</pages><issn>0305-1862</issn><eissn>1365-2214</eissn><coden>CCHDDH</coden><abstract>Background  This paper describes the impact of a family‐centred intervention that used video to enhance communication in a young girl with cerebral palsy. This single case study describes how the video‐based intervention worked in the context of multimodal communication, which included high‐tech augmentative and alternative communication (AAC) device use. This paper includes the family's perspective of the video intervention and they describe the impact of it on their family. Methods  This single case study was based on the premise that the video interaction guidance intervention would increase attentiveness between participants during communication. It tests a hypothesis that eye gaze is a fundamental prerequisite for all communicative initiatives, regardless of modality in the child. Multimodality is described as the range of communicative behaviours used by the child and these are coded as AAC communication, vocalizations (intelligible and unintelligible), sign communication, nodding and pointing. Change was analysed over time with multiple testing both pre and post intervention. Data were analysed within INTERACT, a computer software to analyse behaviourally observed data. Behaviours were analysed for frequency and duration, contingency and co‐occurrence. Results  Results indicated increased duration of mother's and girl's eye gaze, increased frequency and duration in AAC communication by the girl and significant change in frequency [χ2 (5, n = 1) = 13.25, P &lt; 0.05] and duration [χ2 (5, n = 1) = 12.57, P &lt; 0.05] of the girl's multimodal communicative behaviours. Contingency and co‐occurrence analysis indicated that mother's eye gaze followed by AAC communication was the most prominent change between the pre‐ and post‐intervention assessments. Conclusions  There was a trend for increased eye gaze in both mum and girl and AAC communication in the girl following the video intervention. The family's perspective concurs with the results.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21392057</pmid><doi>10.1111/j.1365-2214.2011.01214.x</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects attunement
Augmentative and Alternative Communication
augmentative and alternative communication (AAC)
Cerebral palsy
Cerebral Palsy - psychology
Cerebral Palsy - rehabilitation
Child
Communication
Communication (Thought Transfer)
Communication Disorders - etiology
Communication Disorders - rehabilitation
Contingencies
Eye fixation
eye gaze
Eye Movements
Families & family life
Family (Sociological Unit)
Family Health
Female
Females
Girls
Humans
Intervention
multimodal communication
Parent-Child Relations
video interaction guidance
Video Technology
Videotapes
Young girls
title A single case study of a family-centred intervention with a young girl with cerebral palsy who is a multimodal communicator
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