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Masahiko Kurabayashi - One of the best experts on this subject based on the ideXlab platform.
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white coat effect induced by therapist s presence during Speech Therapy study of post stroke aphasic japanese patients
American Journal of Physical Medicine & Rehabilitation, 2002Co-Authors: Hironosuke Sakamoto, Tetsuo Sakamaki, Tetsuo Tani, Yoshiro Sugai, Masahiko KurabayashiAbstract:Objective: To delineate the clinical characteristics of post-stroke aphasic patients exhibiting the white-coat effect when a therapist is present during Therapy session, 18 Japanese inpatients were studied. Design: On the basis of blood pressure assessments during two Speech Therapy sessions, one directed by a Speech therapist and the other self-directed, patients were divided into two groups: one including the seven who exhibited the white-coat effect and the other including the 11 patients who did not. The white-coat effect was diagnosed when a pressor response was greater during a therapist-directed session than during a self-directed session. The parametric Student's t test and nonparametric Fisher's exact test were applied to clinical, laboratory, and language parameters for these two groups. Results: The groups did not differ significantly in terms of clinical or laboratory parameters. Compared with the noneffect group, the white-coat-effect group more frequently had quotients of ≥40.0 for aphasia, comprehension, and expression on the Western Aphasia Battery. The type of aphasia did not influence the prevalence of the white-coat effect. Conclusions: The white-coat effect induced by the Speech therapist's presence is more common among patients with mild aphasia, without regard to the type of aphasia. Blood pressure monitoring during Speech Therapy should help therapists treat patients safely.
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white coat effect induced by therapist s presence during Speech Therapy for stroke rehabilitation a single case study
Archives of Physical Medicine and Rehabilitation, 1999Co-Authors: Hironosuke Sakamoto, Tetsuo Sakamaki, Tetsuo Tani, Yoshiro Sugai, Tetsuya Nakamura, Zenpei Ono, Tsugiyasu Kanda, Masahiko Kurabayashi, Ryozo NagaiAbstract:Abstract The excessive pressor response triggered in patients by an alerting reaction to a doctor's presence has been termed the "white coat effect". A 68-year-old man with verbal apraxia after multiple lacunar infarctions was referred to the hospital for Speech rehabilitation. He experienced difficulty in talking with the Speech therapist during Therapy sessions but not when talking with his friends or family. Because the therapist's presence was stressful to the patient, it was considered that his anxiety might produce an excessive increase in blood pressure. Blood pressure monitoring was performed during 2 separate days of Speech therapies consisting of two sessions each. In one session, Therapy was directed by the therapist; in the other, Therapy was self-directed. The therapist-directed approach substantially increased both systolic and diastolic blood pressures, whereas the self-directed Therapy slightly increased only systolic pressure. It was concluded that the excessive pressor response seen in this patient during therapist-directed Speech Therapy resulted from the white coat effect induced by the therapist's presence.
Hironosuke Sakamoto - One of the best experts on this subject based on the ideXlab platform.
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white coat effect induced by therapist s presence during Speech Therapy study of post stroke aphasic japanese patients
American Journal of Physical Medicine & Rehabilitation, 2002Co-Authors: Hironosuke Sakamoto, Tetsuo Sakamaki, Tetsuo Tani, Yoshiro Sugai, Masahiko KurabayashiAbstract:Objective: To delineate the clinical characteristics of post-stroke aphasic patients exhibiting the white-coat effect when a therapist is present during Therapy session, 18 Japanese inpatients were studied. Design: On the basis of blood pressure assessments during two Speech Therapy sessions, one directed by a Speech therapist and the other self-directed, patients were divided into two groups: one including the seven who exhibited the white-coat effect and the other including the 11 patients who did not. The white-coat effect was diagnosed when a pressor response was greater during a therapist-directed session than during a self-directed session. The parametric Student's t test and nonparametric Fisher's exact test were applied to clinical, laboratory, and language parameters for these two groups. Results: The groups did not differ significantly in terms of clinical or laboratory parameters. Compared with the noneffect group, the white-coat-effect group more frequently had quotients of ≥40.0 for aphasia, comprehension, and expression on the Western Aphasia Battery. The type of aphasia did not influence the prevalence of the white-coat effect. Conclusions: The white-coat effect induced by the Speech therapist's presence is more common among patients with mild aphasia, without regard to the type of aphasia. Blood pressure monitoring during Speech Therapy should help therapists treat patients safely.
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white coat effect induced by therapist s presence during Speech Therapy for stroke rehabilitation a single case study
Archives of Physical Medicine and Rehabilitation, 1999Co-Authors: Hironosuke Sakamoto, Tetsuo Sakamaki, Tetsuo Tani, Yoshiro Sugai, Tetsuya Nakamura, Zenpei Ono, Tsugiyasu Kanda, Masahiko Kurabayashi, Ryozo NagaiAbstract:Abstract The excessive pressor response triggered in patients by an alerting reaction to a doctor's presence has been termed the "white coat effect". A 68-year-old man with verbal apraxia after multiple lacunar infarctions was referred to the hospital for Speech rehabilitation. He experienced difficulty in talking with the Speech therapist during Therapy sessions but not when talking with his friends or family. Because the therapist's presence was stressful to the patient, it was considered that his anxiety might produce an excessive increase in blood pressure. Blood pressure monitoring was performed during 2 separate days of Speech therapies consisting of two sessions each. In one session, Therapy was directed by the therapist; in the other, Therapy was self-directed. The therapist-directed approach substantially increased both systolic and diastolic blood pressures, whereas the self-directed Therapy slightly increased only systolic pressure. It was concluded that the excessive pressor response seen in this patient during therapist-directed Speech Therapy resulted from the white coat effect induced by the therapist's presence.
Benjamas Prathanee - One of the best experts on this subject based on the ideXlab platform.
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caregivers feedback after enrollment in the community based Speech Therapy model
Journal of the Medical Association of Thailand Chotmaihet thangphaet, 2016Co-Authors: Ratchanee Mitkitti, Benjamas PrathaneeAbstract:Background Khon Kaen University Community-Based Speech Therapy Model (KKUCSM) was conducted between 2012 and 2013 in Chiang Rai. Children with cleft lip and palate (CLP) and Speech assistants (SAs) enrolled four-day intensive and five one-day follow-up Speech camps that were run by Speech and language pathologists (SLPs). KKUCSM focused on quantity of reduction of articulation errors. Therefore, it is necessary to find reflection sounds from children with CLP’s caregivers for improving health care processes and services. Objective To evaluate caregivers’ reflection sounds after enrollment in the KKUCSM for a year. Material and Method Data were collected by a focus group discussion and in-depth interviews among 20 mothers, 4 grandmothers, and 2 siblings. Participants were divided into two groups, i.e., caregivers who did and did not enroll in Speech camps. Focus group discussions obtained 45 minutes per group. Content analysis was used for data summary. Results Caregivers who enrolled in the KKUCSM told that their children with CLP were very happy with their peers. They had high self-esteem, self-confidence, good health, and academic achievement. Caregivers expected that their children could have independent living. On the other hand, caregivers who did not enroll in the KKUCSM felt that their children with CLP had low self-esteem and confidence to communicate with other people. The caregivers’ concerns with their children involved image, family genetic, illness, psychosocial problems, relationship with other people, and articulation errors. Conclusion KKUCSM mainly provided Speech correction and indirectly supported children with CLP’s quality of life (QOL) in psychosocial aspects and academic achievement. KKUCSM also relieved anxiety and improved family economic status.
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Speech Therapy for children with cleft lip and palate using a community based Speech Therapy model with Speech assistants
Journal of the Medical Association of Thailand Chotmaihet thangphaet, 2015Co-Authors: Kalyanee Makarabhirom, Benjamas Prathanee, Ratchanee Suphawatjariyakul, Phanomwan YoodeeAbstract:Objective: Evaluate the Speech services using a Community-Based Speech Therapy model by trained Speech assistants (SAs) on the improvement of articulation in cleft palate children. Material and Method: Seventeen children with repaired cleft palates who lived in Chiang Rai and Phayao provinces were registered to the camp. They received Speech Therapy with a 4-day intensive camp and five follow-up camps at Chiang Rai’s The Young Men’s Christian Association (YMCA). Eight Speech assistants (SAs) were trained to correct articulation errors with specific modeling by the Speech-language pathologists (SLPs). SAs encouraged family members to stimulate their children every day with Speech exercise at home. Each camp was covered with a main Speech Therapy and others supported by the multidisciplinary team, as well as, discussion among SLPs, SAs and the care givers for feedback or difficulties. Results: Results showed a sufficient method for treating persistent Speech disorders associated with cleft palate. Perceptual analyses presented significant improvement of misarticulation sounds both word and sentence levels after Speech camp (mean difference = 1.5, 95% confidence interval = 0.5-2.5, p-value <0.01; mean difference = 2.5, 95% confidence interval = 1-3, p-value <0.001, respectively). Conclusion: The Community-Based Speech Therapy model is a valid and efficient method for providing Speech Therapy in cleft palate children. Keywords: Speech Therapy, Community-based Speech Therapy, Cleft Lip/Palate
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a networking of community based Speech Therapy borabue district maha sarakham
Journal of the Medical Association of Thailand Chotmaihet thangphaet, 2015Co-Authors: Tawitree Pumnum, Weawta Kumud, Benjamas PrathaneeAbstract:Background: Most children with cleft lip and palate have articulation problems because of compensatory articulation disorders from velopharyngeal insufficiency. Theoretically, children should receive Speech Therapy from a Speech and language pathologist (SLP) 1-2 sessions per week. For developing countries, particularly Thailand, most of them cannot reach standard Speech services because of limitation of Speech services and SLP. Networking of a Community-Based Speech Model might be an appropriate way to solve this problem. Objective: To study the effectiveness of a networking of Khon Kaen University (KKU) Community-Based Speech Model, Non Thong Tambon Health Promotion Hospital, Borabue, Maha Sarakham, in decreasing the number of articulation errors for children with CLP. Material and Method: Six children with cleft lip and palate (CLP) who lived in Borabue and the surrounding district, Maha Sarakham, and had medical records in Srinagarind Hospital. They were assessed for pre- and post- articulation errors and provided Speech Therapy by SLP via teaching on service for Speech assistant (SA). Then, children with CLP received Speech correction (SC) by SA based on assignment and caregivers practiced home program for a year. Results: Networking of Non Thong Tambon Health Promotion Hospital, Borabue, Maha Sarakham significantly reduce the number of post-articulation errors for 3 children with CLP. There were factors affecting the results in treatment of other children as follows: delayed Speech and language development, hypernaslaity, and consistency of SC at local hospital and home. Conclusion: A networking of KKU Community-Based Speech Model, Non Thong Tambon Health Promotion Hospital, Borabue, and Maha Sarakham was a good way to enhance Speech Therapy in Thailand or other developing countries, where have limitation of Speech services or lack of professionals. Keywords: Networking, Cleft palate, Speech Therapy
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community based model for Speech Therapy in thailand implementation
Journal of the Medical Association of Thailand Chotmaihet thangphaet, 2010Co-Authors: Benjamas Prathanee, Kalyanee Makarabhirom, Ratchanee Suphawatjariyakul, Preeya Lorwatanapongsa, Rattana Thinnaithorn, Panida ThanwiratananichAbstract:Objectives: To establish a Community-Based Model for Speech Therapy in Thailand and to implement it. Materials and Method: The development of a Community-Based Model for Speech Therapy was based on the principles of primary healthcare, community-based rehabilitation and institutional sharing. Workshops for Speech and language pathologists (SLPs), including “Training for Trainers” and six “Smart Smile & Speech” workshops were held. We held 1) a workshop for training SLPs in how to manage Speech and language problems in cleft lip and palate (CLP); 2) a workshop for training healthcare providers who are not Speech and language pathologists (para-Speech and language pathologists: para-SLPs) how to identify Speech, language and hearing problems in CLP and undertake early intervention; and, 3) four Speech camps for continuing education via life demonstration and practice. Results: Standard guidelines were produced for SLPs to remedy Speech and language disorders in children with CLP in Thailand and para-SLP manuals for Speech and language intervention for CLP were developed. Para-SLPs will be better equipped to identify and then provide early intervention for individuals with CLP, as well as to refer children with CLP and complicated Speech and language disorders to Speech clinics for the further management. Percentage of agreement among SLP, audiologists and para-SLPs ranged 50-93.33 while the Kappa coefficients ranged -0.07 to 0.86. Conclusion: The Community-Based Model for Speech Therapy for Children with CLP was an appropriate approach for coming up with solutions for the lack of Speech services for children with CLP in Thailand. Keywords: Community-based, Cleft lip/palate, Speech Therapy model
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development of community based Speech Therapy model for children with cleft lip palate in northeast thailand
Journal of the Medical Association of Thailand Chotmaihet thangphaet, 2006Co-Authors: Benjamas Prathanee, Sumalee Dechongkit, Sriwimon ManochiopinigAbstract:Background: Surgical treatment can reduce disfigurement for children born with cleft lip/palate, however most children are left with Speech and language problems. This creates a new problem as Speech and language services is limited. Objective: To combine the principles of Community-Based Rehabilitation (CBR), Primary Health Care (PHC) and institutional medical approaches for reaching and treating Speech disordered children with cleft lip and/ or palate in remote area. Material and Method: The authors conducted the study from participatory workshops for development of a Community-Based Model. Results: Community-Based Speech Therapy Model for children with cleft lip/palate was established based on healthcare system. Conclusion: Model can be implemented among children with cleft lip/palate for further process in Northeast and other areas of Thailand as well as developing countries where there is a limitation of Speech Therapy.
Leila Ahmadian - One of the best experts on this subject based on the ideXlab platform.
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evaluating satisfaction of patients with stutter regarding the tele Speech Therapy method and infrastructure
International Journal of Medical Informatics, 2018Co-Authors: Maryam Eslami Jahromi, Leila AhmadianAbstract:Abstract Objective Investigating the required infrastructure for the implementation of telemedicine and the satisfaction of target groups improves the acceptance of this technology and facilitates the delivery of healthcare services. The aim of this study was to assess the satisfaction of patients with stutter concerning the therapeutic method and the infrastructure used to receive tele-Speech Therapy services. Methods This descriptive-analytical study was conducted on all patients with stutter aged between 14 and 39 years at Jahrom Social Welfare Bureau (n = 30). The patients underwent Speech Therapy sessions through video conferencing with Skype. Data were collected by a researcher-made questionnaire. Its content validity was confirmed by three medical informatics specialists. Data were analyzed using SPSS version 19. Results The mean and standard deviation of patient satisfaction scores concerning the infrastructure and the tele-Speech Therapy method were 3.15 ± 0.52 and 3.49 ± 0.52, respectively. No significant relationship was found between the patients satisfaction and their gender, education level and age (p > 0.05). The results of this study showed that the number of Speech Therapy sessions did not affect the overall satisfaction of the patients (p > 0.05), but the number of therapeutic sessions had a direct relationship with their satisfaction with the infrastructure used for tele-Speech Therapy (p Conclusions The present study showed that patients were satisfied with tele-Speech Therapy. According to most patients the low speed of the Internet connection in the country was a major challenge for receiving tele-Speech Therapy. The results suggest that healthcare planner and policy makers invest on increasing bandwidth to improve the success rate of telemedicine programs.
Ryozo Nagai - One of the best experts on this subject based on the ideXlab platform.
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white coat effect induced by therapist s presence during Speech Therapy for stroke rehabilitation a single case study
Archives of Physical Medicine and Rehabilitation, 1999Co-Authors: Hironosuke Sakamoto, Tetsuo Sakamaki, Tetsuo Tani, Yoshiro Sugai, Tetsuya Nakamura, Zenpei Ono, Tsugiyasu Kanda, Masahiko Kurabayashi, Ryozo NagaiAbstract:Abstract The excessive pressor response triggered in patients by an alerting reaction to a doctor's presence has been termed the "white coat effect". A 68-year-old man with verbal apraxia after multiple lacunar infarctions was referred to the hospital for Speech rehabilitation. He experienced difficulty in talking with the Speech therapist during Therapy sessions but not when talking with his friends or family. Because the therapist's presence was stressful to the patient, it was considered that his anxiety might produce an excessive increase in blood pressure. Blood pressure monitoring was performed during 2 separate days of Speech therapies consisting of two sessions each. In one session, Therapy was directed by the therapist; in the other, Therapy was self-directed. The therapist-directed approach substantially increased both systolic and diastolic blood pressures, whereas the self-directed Therapy slightly increased only systolic pressure. It was concluded that the excessive pressor response seen in this patient during therapist-directed Speech Therapy resulted from the white coat effect induced by the therapist's presence.
