Exploring the communication access and participation of a young adult with autism spectrum disorder with limited speech and inpatient nursing staff.

This study aimed to describe the nature of interactions between health care professionals and a young adult with autism spectrum disorder with limited speech during an inpatient stay. An observational study was conducted to describe the interactions between a young adult on the autism spectrum and 1...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 20; no. 4; pp. 939 - 948
Autores principales: Gormley, Jessica, Brittlebank, Savanna, Light, Janice
Formato: case study research tables/charts Journal Article
Publicado: Taylor & Francis Ltd May2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2025
      vid: 20
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/17483107.2024.2420179
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        atl: Exploring the communication access and participation of a young adult with autism spectrum disorder with limited speech and inpatient nursing staff.
      aug:
        au:
          Gormley, Jessica
          Brittlebank, Savanna
          Light, Janice
        affil: Speech-Language Pathology Department, Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha, NE, USA
      sug:
        subj:
          Autism Spectrum Disorder Complications
          Speech Disorders
          Persons with Disabilities Psychosocial Factors
          Health Personnel Psychosocial Factors
          Professional-Patient Relations
          Communication Methods
          Human
          Male
          Female
          Young Adult
          United States
          Nonexperimental Studies
          Case Studies
          Pediatric Units
          Rehabilitation Centers
          Purposive Sample
          Funding Source
          Videorecording
          Descriptive Statistics
          Data Analysis Software
          Male
          Female
      ab: This study aimed to describe the nature of interactions between health care professionals and a young adult with autism spectrum disorder with limited speech during an inpatient stay. An observational study was conducted to describe the interactions between a young adult on the autism spectrum and 14 of his inpatient health care providers. Naturalistic video-recordings were taken, and behavioral coding was completed to measure the frequency and type of communication turns taken. The providers took 93% of conversational turns. Most provider turns (76%) were non-obligatory in nature and did not invite the young adult to engage in turn-taking. The young adult only had access to his communication system during one of the 27 interactions (4%); however, when he had access to his system, he demonstrated higher levels of turn-taking. Health care providers should offer patients with limited speech more communicative turns, provide adequate wait time, and ensure communication systems are available during all inpatient interactions. IMPLICATION FOR REHABILITATION: Inpatient health care providers dominated interactions with a young adult with autism and limited speech. Most inpatient health care provider turns did not present an opportunity for the patient to respond. The young adultcould not access his communication system for most interactions.
      pubtype: Academic Journal
      doctype:
        case study
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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