Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R....
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Transcript of Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R....
![Page 1: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/1.jpg)
Performance in People with Chronic Aphasia Using a Visual Scenes Display
Miechelle McKelvey
Aimee R. Dietz
Karen Hux
Kristy Weissling
David Beukelman
Funded in part by: AAC-RERC, NIDRR, USDE
![Page 2: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/2.jpg)
PURPOSE• Develop a personalized Visual Scenes Display (VSD)
for a person with chronic aphasia (Ron)
• During interaction with unfamiliar partners, document changes: • As Ron became increasingly familiar with the
themes • Before and after intervention
• Investigate generalization with second theme
![Page 3: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/3.jpg)
![Page 4: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/4.jpg)
METHODS
ParticipantsPerson with Aphasia (Ron)– 61-year-old male with chronic aphasia– 8 years post left hemisphere stroke– Lives independently– WAB Aphasia Quotient = 24.2
![Page 5: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/5.jpg)
• Speech Characteristics– Dysfluencies – Word retrieval difficulties– Stereotypic phrases – Paraphasias– Tends to dominate conversations– Inappropriate turn taking– Perseveration on disability
Communication Partners-20 adults without communication challenges
• Age range 21-72• Gender 16 females, 4 males
![Page 6: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/6.jpg)
DEPENDENT MEASURES• Instances of disability talk
– Any utterance Ron makes in an attempt to explain his problem communicating • “Sometimes it is hard to say it.”
• Instances of navigation and organization talk– Any utterance Ron makes to himself, or listener
concerning device navigation.• “Let’s see here.”
• Percentage of inappropriate question and answer exchanges
![Page 7: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/7.jpg)
PROCEDURES• Experimental Design: Multiple Baseline Across
Themes
• Theme Development– Ron and AAC facilitator constructed two themes
• Measurement– Bi-weekly data collection– Videotaped– All utterances, gestures, device navigation, and
device output transcribed
![Page 8: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/8.jpg)
• Instruction– Bi-weekly intervention session
• Analyses– Tallied instances of Disability talk
• Interobserver agreement = 93.7%– Tallied instances of Navigation and
Organization talk• Interobserver agreement = 97.3%
– Tallied number of inappropriate turns following a question
![Page 9: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/9.jpg)
RESULTSDisability Talk
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20Session
Insta
nces
Theme 1Pain
Fell/Pain Pain
Fatigued
![Page 10: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/10.jpg)
0
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20Session
Inst
ance
s
Theme 2
Fell/Pain Fatigued
Fell Broke Arm/No Glasses
![Page 11: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/11.jpg)
Gender Differences in Disability Talk
![Page 12: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/12.jpg)
Navigation & Organization Talk
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20Session
Ins
tan
ce
s
Theme 1
PainPain
Pain
Fatigued
![Page 13: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/13.jpg)
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20Session
Ins
tan
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Theme 2
Fell Broke Arm/ No Glasses
Fatigued
![Page 14: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/14.jpg)
Gender Differences in Navigation & Organization Talk
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Session
Inst
ance
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Female Listener
Male Listener
Theme 1
![Page 15: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/15.jpg)
Percentage of Inappropriate Turn-Taking following Questions
0102030405060708090
100
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Session
% Q
ue
sti
on
s A
ns
we
red
Theme 1
![Page 16: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/16.jpg)
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Session
% Q
ue
sti
on
s S
elf
-An
sw
ere
d
Theme 2
Fatigued
Fell Broke Arm/ No Glasses
Pain
![Page 17: Performance in People with Chronic Aphasia Using a Visual Scenes Display Miechelle McKelvey Aimee R. Dietz Karen Hux Kristy Weissling David Beukelman Funded.](https://reader030.fdocuments.us/reader030/viewer/2022032723/56649d135503460f949e67fd/html5/thumbnails/17.jpg)
DISCUSSION• Generalization to Theme 2 prior to intervention
– Disability Talk– Navigation and Organization Talk– Turn-taking following questions
• Increased efficiency
• Increased reciprocity
• Qualitative interaction differences across genderhttp://aac.unl.edu/