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Acutely ill patients, across the age continuum, often present with complex communication needs (CCN) due to motor, sensory, cognitive and linguistic barriers they may experience during their hospital encounter. While hospital administrators recognize the importance of improving communication among the healthcare team members to increase quality and safety measures, few have focused on improving the patient-provider communication process, especially for patients with CCN. Recent Joint Commission standards mandates hospitals and healthcare providers improve communication for patients with CCN across all points of the care continuum. The study investigated the effectiveness of AAC training protocols for acute care nurses and ancillary healthcare providers using an on-line instructional medium for clinical skills teaching. The study design allowed for the measurement of learning following exposure to the tutorial and the analysis of possible clinical skill application. The current study invited a total of 377 nurses and graduate students to participate. Eight-three participated in the study and were divided randomly into two groups. Seventeen (20.5%) were assigned to in the control group, and 66 (79.5%) participants were into the test group. Both groups were directed to complete a pre-test measure. This was followed by exposure to the tutorial for the test group. The groups then were instructed to complete a post-test measure. For all participants in the test condition, the mean difference score (post-pre) was 19.2. The average pre-test score was 60.8 with a standard deviation of 12.4 while the average post-test score was 80.1 with a standard deviation of 11.3. This difference was significant (p

Language is the most common and crucial element newspapers apply to express meaning. Language is a system of linguistic signs combined by rules to create meaning. Newspapers use language, among other or sign systems (e.g. photographs, graphics, content and layout) to communicate. These systems support each other and perform as a unit to reflect a newspaper's character and function. South Africa has a diversity in language, culture, background and literacy levels and the media's target audiences differ significantly. The ways in which these systems are thus applied, diverge to satisfy the various needs of audiences. These needs include being informed, entertained, aesthetically pleased, emotionally involved and mobilized (persuaded). Audiences also seek a reflection of their values, views and cultures in the media. / Thesis (M.A. (Communication Studies))--North-West University, Potchefstroom Campus, 2007.

Literacy development in Spanish-speaking children is a growing concern in the United States (Invernizzi, 2009). Phonological awareness is a predictor of literacy achievement in most alphabetic languages (Anthony et al., 2011; Davison & Brea-Spahn, 2012; Durgunoğlu, Nagy, & Hancin-Bhatt, 1993; Goikoetxea, 2005). Bilingual children with complex communication needs (CCN) demonstrate increased difficulties in speaking, reading, and writing, making learning two languages a difficult task (Toppelberg, Snow, & Tager-Flusberg, 1999). Literacy attainment in bilingual individuals who have CCN is important to improve their overall language development and communication interaction skills (Harrison-Harris, 2002). A valid and reliable phonological awareness assessment that does not require speech is needed in order to provide appropriate instruction and address desired literacy goals (Barker, Bridges, & Saunders, 2014). The goal of this study is to describe pilot data from the Dynamic Assessment of Phonemic Awareness in Spanish (DAPA-S), a new dynamic phonological awareness assessment that does not require speech responses, with children from Latin American Spanish-speaking backgrounds, in order to determine its construct validity. DAPA-S was administered over the course of one to three sessions to ten participants (six males and four females). Participants also received the Identificación de letras y palabras (Letter-Word Identification; LWID) subscale from the Woodcock-Muñoz Language Survey–Revised (WMLS-R; Woodcock, Muñoz- Sandoval, Ruef, & Alvarado, 2005) as an emergent reading skill task and three subtests from the Test of Phonological Sensitivity in Spanish (TOPSS; Brea, Silliman, Bahr, & Bryant, 2003):letter-name and letter-sound, elision, and rapid automatized naming (RAN) as assessments of phonological awareness. To evaluate concurrent validity, Pearson correlations and bootstrapped 95% confidence intervals were calculated between the DAPA-S total score and the measures of phonological awareness from the TOPSS. The DAPA-S demonstrated strong and significant correlations with elision, RAN, and the letter-sound subtests rs = –.67 to .87, ps = .00 to .03. These results indicated that the DAPA-S likely measured the same construct as the other measures of phonological awareness from the TOPSS. To evaluate convergent validity, Pearson correlations and bootstrapped 95% confidence intervals were calculated between LWID of the WMLS-R and the DAPA-S total score. The DAPA-S demonstrated a strong and significant correlation, r = .75, p < .05. The data suggest a high degree of both concurrent and convergent validity, as many of the conventional measures of phonological awareness and emergent reading were significantly correlated with the DAPA-S, including letter-sound, RAN, and LWID. Overall, the pattern of results suggests that the DAPA-S may be a reliable and valid tool for measurement of phonological awareness in Spanish.

Thesis (M.A. (Communication Studies))--North-West University, Potchefstroom Campus, 2007.

Language is the most common and crucial element newspapers apply to express meaning. Language is a system of linguistic signs combined by rules to create meaning. Newspapers use language, among other or sign systems (e.g. photographs, graphics, content and layout) to communicate. These systems support each other and perform as a unit to reflect a newspaper's character and function. South Africa has a diversity in language, culture, background and literacy levels and the media's target audiences differ significantly. The ways in which these systems are thus applied, diverge to satisfy the various needs of audiences. These needs include being informed, entertained, aesthetically pleased, emotionally involved and mobilized (persuaded). Audiences also seek a reflection of their values, views and cultures in the media. / Thesis (M.A. (Communication Studies))--North-West University, Potchefstroom Campus, 2007.

Thesis (M.Comm. (Human resources management))-University of Pretoria, 2004. / Summaries in English and Afrikaans. Includes bibliographical references. Available on the Internet via the World Wide Web.

Children with complex communication needs (CCN) routinely have difficulty attaining appropriate literacy skills. Two indicators of literacy development are the alphabetic principle and phonemic awareness (Byrne & Fielding-Barnsley, 1989). The acquisition of minimal literacy skills such as letter sound knowledge can give children with CCN the opportunity to communicate and generate their own messages, instead of being reliant on vocabulary provided by others. In order to identify appropriate intervention approaches, nonverbal assessments of phonological and phonemic awareness for individuals with CCN are needed. The purpose of this study was to determine the reliability of the Dynamic Assessment of the Alphabetic Principle, as well as determine to what extent the performance of DAAP was associated with other measures of phonological and phonemic awareness and emergent reading skills. The DAAP was administered over the course of one to five session to seven participants with an assortment of developmental and language disorders. In addition to the DAAP, participants were administered a letter-sound knowledge task, a sound matching task that evaluated awareness of first sounds of words and separately evaluated awareness of the last sounds of words (i.e., either sound matching from the Comprehensive Test of Phonological Processing – 2nd edition [CTOPP-2; Wagner, Torgesen, Reshotte, & Pearson, 2013] or initial sound matching and final sound matching from the Phonological and Print Awareness Scale [PPA; Williams, 2014]). The reliability of the DAAP was calculated in two different ways. First, Cronbach alphas were calculated to estimate the reliability of items within subscales and between the subscales. Reliability of the items within each subscale ranged from .96 to .99 and the reliability of the items between each subscale ranged from .87 to .99. Overall the alpha between all four of the subscales was .96. Next, bivariate correlations were calculated between each subscale score. Values ranged from .82 to .99, and all were significant according to bootstrapped 95% confidence intervals that did not contain 0. This information indicated that there was a high degree of internal consistency for the items and the subtests for the DAAP. To evaluate the extent to which performance on the DAAP was associated with other measures of phonemic awareness, Bivariate Pearson correlations with standard significance values and bootstrapped 95% confidence intervals were calculated. The scores on the onset, rime, coda, and vowel subtests of the DAAP were correlated with sound matching first (SM-First), sound matching last (SM-Last) and sound matching chance (SM-chance) variables. The rime subtest of the DAAP was found to be significantly correlated with SM-First variable. Furthermore, the rime and vowel subscales of the DAAP were found to be significantly correlated with SM-Last variable. All four subtests of DAAP were significantly correlated to SM-chance variable. Lastly, to evaluate the performance on the DAAP in association to other measures of emergent reading skills, bivariate Pearson correlations were calculated between the subtests of the DAAP and letter sound knowledge (LSK). Scores on LSK was significantly related to rime, coda, and vowel. The data suggest that the DAAP is a reliable assessment. Furthermore, many conventional measures of phonological awareness and emergent reading skills were significantly correlated with subtests of DAAP. The pattern of the results suggests that the DAAP may be a reliable tool for measuring acquisition of the alphabetic principle in children with CCN.

Thesis (MPhil)--University of Pretoria, 2003. / Communication Management / MPhil / Unrestricted

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