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PubMed1996

AAC systems: obstacles to effective use.

This paper investigates some of the issues which contribute to the lack of use of Augmentative and Alternative Communication (AAC) systems. It presents findings from a two-year research study which examined the communication of 93 adolescent and adult AAC users with cerebral palsy and 186 of their communication partners. The methods of data collection were questionnaires, interviews and field notes. The results show that some of the obstacles to effective use of AAC systems include lack of availability and accessibility of AAC systems, communication partners' lack of knowledge of AAC systems, insufficient amount of therapy provided, type of vocabulary in AAC systems and other modes of communication available to AAC user.

Adolescent↗
PubMed1982

Pragmatic analysis of the communicative behavior of an autistic child.

Differential responsiveness by social stimuli was demonstrated in the communicative performance of an 8-year-old autistic boy. The pragmatic behavior of the subject varied with different communicative settings (waiting vs. interaction conditions) as well as with different communicative partners (mother, stranger, clinician). Communicative intentions, relational communication, topic strategies and differential responding to adults to communicative and non-communicative utterances were analyzed. Results indicated that the adults' communicative performance was a function of their relationships with the subject (mother, stranger, clinician) as well as the different experimental conditions (waiting, interacting). The child's communicative behavior showed greater consistency in conditions with the same interlocutor than over comparable experimental settings. Conclusions were drawn on how to facilitate communicative behavior and how to enhance generalization of remedial effects to the subject's natural environment.

Autistic Disorder↗
PubMedDate not supplied

Sexual behavior, communication, and chlamydial infections among college women.

The sexual practices, partner communication patterns, and prevalence of chlamydial infection were determined in a sample of college women. Specific inclusion criteria were used to screen 146 participants. The presence of a mucopurulent cervical discharge was the only criterion significantly associated with infection. Only 12% of the sample used condoms alone or in combination with another birth control method, and only 31% of the women discussed with their partner their own or their partner's sexual history. Thirty-eight percent of the sample reported a history of one to four episodes of a sexually transmitted disease, and 21% of the women stated they had had two or more sexual partners within the past 6 months. Health providers, counselors, and women themselves must address this health issue with more assertive behavior and communication skills.

Adolescent↗
PubMed2001

Trust and communicated attributions in close relationships.

The attributional statements intimate partners communicate to one another were examined as a function of trust. In discussions by 35 married couples, 850 attributions and corresponding events were coded on dimensions of valence, globality, and locus. Results of regression and contingency analyses indicate that attributional statements expressed in high-trust relationships emphasized positive aspects of the relationship. Medium-trust couples actively engaged issues but focused more on negative events and explanations. Low-trust couples expressed more specific, less affectively extreme attributional statements that minimized the potential for increased conflict. Results could not be accounted for by relationship satisfaction. These findings also highlight the importance of focusing on features of the events for which attributions are expressed.

Adult↗
PubMed2005

Development of shared information in communication despite hippocampal amnesia.

This study investigated the ability of individuals with amnesia to acquire referential labels across a series of collaborative, dynamic interactions with a communication partner. Despite their inability to learn arbitrary relations in paired-associate learning, the amnesic patients showed remarkably robust collaborative learning across trials, at a rate equal to that of normal comparison subjects. The amnesic participants' learning resulted in their arriving at labels for a set of abstract shapes (tangrams), thus facilitating rapid and efficient communication. The labels generated and used by the amnesics during interactions with their partners became simpler across trials, with most labels stabilizing long before the end of training and then being used consistently throughout; moreover, they endured long after the task had ended. These findings have important implications for understanding the memory systems involved in semantic learning and in acquiring shared knowledge ('common ground') among communication partners, and the nature of hippocampal-dependent versus hippocampal-independent learning.

Adult↗
PubMed1992

Communication aids for children: procedures and problems.

This paper describes the organisation and procedures of the Communication Aids Centre for children at the Wolfson Centre, London, including a model for assessment and recommendation of appropriate aids, such as symbol charts, switches and speech synthesisers. Of the children seen over an 18-month period, most had cerebral palsy and two-thirds were wheelchair-dependent. Almost half were assessed before the age of five years. A detailed follow-up of nine children is presented which reveals how long children may have to wait for the provision of an aid in the UK. Possible problems in establishing use of an aid are discussed; these include inadequate training of children and their communication partners. Suggestions for future improvements of communication-aids services are explored.

Adolescent↗
PubMed2002

Condom use and correlates of African American adolescent females' infrequent communication with sex partners about preventing sexually transmitted diseases and pregnancy.

This study of 522 African American female adolescents, ages 14 to 18, investigated associations between condom use and infrequently communicating with sex partners about sexually transmitted diseases (STDs) and pregnancy prevention. Correlates of infrequent communication were identified. Sexually active adolescents were recruited from schools and adolescent medicine clinics in low-income neighborhoods of Birmingham, Alabama. Adolescents completed a self-administered survey and face-to-face interview. Communication frequency was assessed using a five-item scale. Infrequent communication was significantly associated with lower odds of condom use. Multivariate correlates of infrequent communication were less frequent communication with parents about STD/pregnancy prevention, recent sex with a nonsteady partner, low perceived ability to negotiate condom use and fear of this negotiation, and low motivation to use condoms. Given the importance of partner communication in promoting safer sex behaviors, STD and pregnancy prevention programs may benefit adolescents by addressing the identified psychosocial correlates of infrequent communication with their partners.

Adolescent↗
PubMed1998

Attitudes of men towards family planning in Mbeya region, Tanzania: a rural-urban comparison of qualitative data.

Family planning programmes in Tanzania date back to the 1950s. By the early 1990s, however, only 5-10% of women of childbearing age used contraceptives in the country. Low contraceptive prevalence in Tanzania is reportedly attributable to men's opposition to family planning. This paper employs focus groups to explore the role of Tanzanian men in family planning. More specifically, it presents a rural-urban comparison of the attitudes of men in Mbeya region, Tanzania, to family size preference, sex composition, partners' communication on family planning matters and contraceptive behavior. Findings indicate that men express positive attitudes towards fertility-regulating methods. There is, moreover, little rural-urban variation in male attitudes towards family planning in the study area. Possible reasons for this normative convergence (including structural similarities and rural-urban migration between the two communities) are discussed.

Adolescent↗
PubMed2003

The same but different: clinician-patient communication with gay and lesbian patients.

Surveys estimate that 3-6% of the patients seen by physicians are gay or lesbian. There are unique health risks of gays and lesbians that are important to the clinician in determining an accurate diagnosis, providing patient education, and arriving at an appropriate treatment plan. One of the most significant medical risks of these populations includes avoidance of routine health care and dissatisfaction with healthcare. Many of these healthcare risks are not addressed because of lack of communication based on a number of common assumptions including the assumption that the patient is heterosexual. This article includes a summary of the medical literature through computerized searches to March 2002 in MEDLINE, PsychInfo, HEALTHSTAR, and bibliographies in articles on health care with gay and lesbian patients. The search strategy included health care of gays and lesbians and clinician-patient communication, partner and family issues. Secondly, it will examine common communication barriers and provide strategies for enhancing communication with patients in a gender-neutral, non-judgmental manner including suggestions for enlisting the inclusion of patients' families.

Attitude of Health Personnel↗
PubMed1978

[Communicative and social behavior of speech disordered children].

The spheres covering behaviour disorders, social behaviour and communicative behaviour of speech impaired pupils which until now have been analyzed on a more theoretical level, ought to be studied using psychometric testing procedures and an esperimental observational situation in order to gain base data with which to set up a concrete catalogue of aims (learning program) based on the deficits thereby obtained. The study took place at the special school in Esslinger-Berkheim (Baden-Wurttemberg). By taking into account relevant specialized literature and the results of other studies, the following general hypotheses were advanced, namely, that the communication of speech handicapped children is troubled in respect of its content and relation, and that their social behaviour shows more egoistic than cooperative features. In order to determine social motivations and attitudes, we used Muller's "Social Motivation Test" (SMT) and Jorger's "Group test for the social attitude" (S-E-T). Due to the inconsistency between the attitudes measured by means of psychometric methods and the sbusequent free and genuine behaviour, an observational situation was developed during which the pupils, either in pairs or in groups of four and using puppets, took turns in thinking up a story, discussing the plot, roles, etc. and finally putting on the play. The whole was then analyzed by means of tape recordings and film shots, the interaction of the communicating partners being analyzed and categorized in two separate assessment stages: communicative behaviour and social behaviour. The pragmatic axioms of P. Watzlawick, the communication researcher, functioned as theoretical background. Flanders's linear time diagram was used as assessment system. Communicative and social learning aims were prepared in accordance with confirming hypotheses to enable a "preliminary area" for the practical work in (special) education to be defined. In addition, a rough outline was made of the conditional areas pertaining to social and communicative education of the speech impaired for the purpose of carrying out a systematic change.

Child↗
PubMed1999

Communication disorders and children with mental retardation.

Within both the pragmatics orientation and the revised definition of MR, the discussion of communication disorders for children with MR has begun to de-emphasize a developmental content-form protocol for assessment and intervention. Instead, the current model suggests the importance of communication stimulation and support in daily routines, the nature of which includes the perceptions and expectations of communication partners, and the characteristics of the social interaction that affect communication style.

Child↗
PubMed2006

Validation of a Parent-Adolescent Communication Scale for use in STD/HIV prevention interventions.

This study reports on the validation of a scale to assess adolescent girls' frequency of sexual communication with their parents. The Parent-Adolescent Communication Scale (PACS) was administered to 522 African American female adolescents ranging in age from 14 to 18. The PACS demonstrated satisfactory internal consistency (across multiple administrations) and acceptable test-retest reliability over a 12-month follow-up period. Concurrently, scores on the PACS were correlated with frequency of sexual communication with partner, sexual communication self-efficacy (boyfriend), perceived parental knowledge, family support, depression, and condom use with steady male sex partners. Prospectively, baseline PACS scores were correlated with frequency of sexual communication with partner and condom use. The present investigation indicates that the PACS is a reliable and valid measure of frequency of sexual communication between female adolescents and their parents. Utility of the PACS for researchers and practitioners is discussed.

Adolescent↗
PubMed2002

Is there a natural order for expressing semantic relations?

All languages rely to some extent on word order to signal relational information. Why? We address this question by exploring communicative and cognitive factors that could lead to a reliance on word order. In Study 1, adults were asked to describe scenes to another using their hands and not their mouths. The question was whether this home-made "language" would contain gesture sentences with consistent order. In addition, we asked whether reliance on order would be influenced by three communicative factors (whether the communication partner is permitted to give feedback; whether the information to be communicated is present in the context that recipient and gesturer share; whether the gesturer assumes the role of gesture receiver as well as gesture producer). We found that, not only was consistent ordering of semantic elements robust across the range of communication situations, but the same non-English order appeared in all contexts. Study 2 explored whether this non-English order is found only when a person attempts to share information with another. Adults were asked to reconstruct scenes in a non-communicative context using pictures drawn on transparencies. The adults picked up the pictures for their reconstructions in a consistent order, and that order was the same non-English order found in Study 1. Finding consistent ordering patterns in a non-communicative context suggests that word order is not driven solely by the demands of communicating information to another, but may reflect a more general property of human thought.

Adult↗
PubMed1993

[Improvement of communication behavior of laryngectomized and voice-rehabilitated patients by a psychological training program].

An important goal of laryngectomee rehabilitation is achieving the best possible result in voice restoration. In addition to good voice quality, efficient intelligibility in daily conversation requires specific communication skills, which are very often neglected in speech therapy. In this study 51 male laryngectomees were randomized to an intervention group or an attention control group. After hospital discharge the intervention group participated in a psychological training program aimed at improving the communication behavior of the laryngectomees. This training was part of a comprehensive rehabilitation program (lasting over six months) and consisted of four modules: Improvement of communication over the disability; Discrimination of factors affecting intelligibility; Development of behavioral strategies for improving intelligibility in daily conversation; Transferring the strategies to daily live. The effectiveness of training was evaluated by a questionnaire which covered three important aspects of communication behavior. As a result of the intervention the patients influenced more effectively their own communication behavior and also influenced more adequately the behavior of typical communication partners. Present finding with the psychological training program demonstrated that the communication behavior of laryngectomees can be significantly improved.

Adaptation, Psychological↗
PubMed2003

[Communication with sexual partners about the risk of HIV/AIDS infection in seamstress apprentices in Benin].

Communication with sexual partners on the risk of HIV/AIDS infection and its relation to risk-taking was examined in a group of young single women who have been removed from school and apprenticed to a seamstress in Cotonou, Benin. Twenty women aged 15 to 24 were interviewed. Results showed that more than half the women had already discussed HIV/AIDS with their partners. This discussion, always initiated by the woman, progresses until the ultimate goal is achieved: discussion of practicing safer sex. Women who openly communicated with their partners possessed certain common characteristics (e.g. they were born in Cotonou, seeking marriage or financial assistance, had a perception of risk, had discussions with friends). Those who communicated the most reported that practicing safer sex consisted of using a condom, which still remains an occasional practice at best.

Acquired Immunodeficiency Syndrome↗
PubMed2002

The role of self-efficacy and relationship quality in partner notification by adolescents with sexually transmitted infections.

OBJECTIVE: To evaluate the role of self-efficacy, anticipated negative consequences, and relationship quality in patient-initiated sex partner notification following treatment for sexually transmitted infections. SUBJECTS: Two hundred forty-one 13- to 20-year-old subjects (83% women; 83% African American) diagnosed with gonorrhea, chlamydia, trichomonas, or nongonococcal urethritis. Subjects were patients at a public sexually transmitted diseases clinic or primary care adolescent clinics. METHODS: Structured interviews at enrollment and 1 month following treatment. At enrollment, recent sexual partners were identified. Coital frequency, partner-specific sexually transmitted infection notification self-efficacy, anticipated consequences of notification, and relationship quality were measured with multi-item scales. At 1 month, subjects were asked whether partners had been notified and about the timing of notification relative to treatment. RESULTS: Subjects reported 279 partners. Of these, 61% of women's partners and 52% of men's partners were notified. Multiple logistic regression adjusted by generalized estimating equations showed that notification was predicted by antecedent notification self-efficacy (adjusted odds ratio, 1.16; 95% confidence interval, 1.03-1.30) and relationship quality (adjusted odds ratio, 1.17; 95% confidence interval, 1.08-1.27). Age, sex, race/ethnicity, prior sexually transmitted infection, coital frequency, and anticipated consequences were not related to partner notification. CONCLUSIONS: Partner notification is increased among persons with higher levels of self-efficacy and in relationships with stronger affiliative and emotional ties. Self-efficacy and partner communication could be especially amenable to interventions to increase patient-initiated partner notification for curable sexually transmitted infections.

Adolescent↗