Difference between revisions of "Ekberg2019"

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{{BibEntry
 
{{BibEntry
 
|BibType=ARTICLE
 
|BibType=ARTICLE
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|Author(s)=Stuart Ekberg; Susan Danby; Maryanne Theobald; Belinda Fisher; Peta Wyeth;
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|Author(s)=Stuart Ekberg; Susan Danby; Johanna Rendle-Short; Anthony Herbert; Natalie K. Bradford; Patsy Yates
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|Title=Using physical objects with young children in ‘face-to-face’ and telehealth speech and language therapy
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|Title=Discussing death: Making end of life implicit or explicit in paediatric palliative care consultations
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|Tag(s)=EMCA; telehealth; paediatric speech and language therapy; play-based therapy; videoconferencing
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|Tag(s)=EMCA; dying; death; communication; professional-patient relations
 
|Key=Ekberg2019
 
|Key=Ekberg2019
 
|Year=2019
 
|Year=2019
 
|Language=English
 
|Language=English
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|Journal=Disability and Rehabilitation
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|Journal=Patient Education and Counseling
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|Volume=41
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|Volume=102
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|Number=14
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|Number=2
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|Pages=1664-1675
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|Pages=198-206
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|URL=https://www.tandfonline.com/doi/full/10.1080/09638288.2018.1448464
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|URL=https://www.sciencedirect.com/science/article/pii/S0738399118304622?via%3Dihub#kwd0005
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|DOI=10.1080/09638288.2018.1448464
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|DOI=10.1016/j.pec.2018.08.014
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|Abstract=Purpose: Speech language therapists increasingly are using telehealth to enhance the accessibility of their services. It is unclear, however, how play-based therapy for children can be delivered via telehealth. In particular, modalities such as videoconferencing do not enable physical engagement between therapists and clients. The aim of our reported study was to understand how physical objects such as toys are used in similar and different ways across videoconferenced and “face-to-face” (hereafter, “in-person”) therapy.
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|Abstract=Objective: To consider whether and how family members and clinicians discuss end of life during
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paediatric palliative care consultations.
  
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Methods: We used conversation analytic methods to compare video-recorded therapy sessions for children delivered across in-person and telehealth settings. Utilising a broader corpus of materials, our analysis focused on four client–therapist dyads: two using videoconferencing, and two who met in-person.
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Methods: Nine naturally occurring paediatric palliative care consultations were video recorded and analysed using conversation analytic methods.
  
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Results: Both videoconferencing and in-person sessions enabled routine affordances and challenges for delivering therapy. Within in-person therapy, therapists made access to objects contingent upon the client producing some target expression. This contingency usually was achieved by restricting physical access to these objects. Restricting access to a toy was not necessary in videoconferenced therapy; therapists instead used techniques to promote engagement.
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Analysis: Focusing on three consultations in which end of life was treated as a certain outcome, analysis explored ways in which end of life was made either implicit or explicit within these consultations. Our analysis suggests that end of life was made explicit when: 1) ancillary to the current focus of discussion, 2) in relation to someone else’s child, or 3) specifically relevant to the local context of the discussion. More commonly, in all other instances in the data, end of life was made implicit during discussions relating to this matter.
  
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Conclusions: When delivering play-based therapy via telehealth, our study demonstrates how practitioners adapt the intervention to suit the particular medium of its delivery.
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Conclusion: This preliminary research indicates that the local context of a conversation can influence how end of life is mentioned and discussed.
  
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Implications for Rehabilitation: Telehealth enhances equitable access for those who cannot physically access rehabilitation services; Telehealth modalities can create practical challenges, however, when delivering interventions such as play-based therapy; Practitioners should intentionally adapt telehealth interventions to suit the particular telehealth modality they are using.
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Practice implications: Clinicians often are encouraged to promote honest and ‘open’ discussions about end of life. Our findings show that it is not necessary to explicitly mention end of life in order to discuss it.
 
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Latest revision as of 21:04, 12 May 2022

Ekberg2019
BibType ARTICLE
Key Ekberg2019
Author(s) Stuart Ekberg, Susan Danby, Johanna Rendle-Short, Anthony Herbert, Natalie K. Bradford, Patsy Yates
Title Discussing death: Making end of life implicit or explicit in paediatric palliative care consultations
Editor(s)
Tag(s) EMCA, dying, death, communication, professional-patient relations
Publisher
Year 2019
Language English
City
Month
Journal Patient Education and Counseling
Volume 102
Number 2
Pages 198-206
URL Link
DOI 10.1016/j.pec.2018.08.014
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Objective: To consider whether and how family members and clinicians discuss end of life during paediatric palliative care consultations.

Methods: Nine naturally occurring paediatric palliative care consultations were video recorded and analysed using conversation analytic methods.

Analysis: Focusing on three consultations in which end of life was treated as a certain outcome, analysis explored ways in which end of life was made either implicit or explicit within these consultations. Our analysis suggests that end of life was made explicit when: 1) ancillary to the current focus of discussion, 2) in relation to someone else’s child, or 3) specifically relevant to the local context of the discussion. More commonly, in all other instances in the data, end of life was made implicit during discussions relating to this matter.

Conclusion: This preliminary research indicates that the local context of a conversation can influence how end of life is mentioned and discussed.

Practice implications: Clinicians often are encouraged to promote honest and ‘open’ discussions about end of life. Our findings show that it is not necessary to explicitly mention end of life in order to discuss it.

Notes


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