ABSTRACT

The study investigated the impact of the electronic Goal Attainment Scaling (eGAS) process on medical speech-language pathologists’ (SLPs) interviewing and goal setting. The process was trained via the eGAS app, designed to facilitate motivational interviewing and goal attainment scaling. The study utilized a single-case, nonconcurrent, multiple-baseline design replicated across three clinicians and their 27 respective clients. We observed client-clinician dyads engaged in setting rehabilitation goals pre and post eGAS training. The clients had neurogenic conditions and were being treated for cognitive, communication and/or swallowing challenges in an outpatient setting. Two measures were used to collect data on the clinician’s interviewing and goal-setting behaviors: (1) Assessment of Client-Centeredness when Interviewing and Goal Setting (ACIG) scale, and (2) a task analysis, i.e., the Clinician Interview Behavior scale (CIB). Training with eGAS had a strong effect on clinicians’ collaborative interviewing behaviors, an inconsistent effect on their ability to adhere to a three-phase interview structure, and a strong effect on their ability to generate valid goal attainment scales. This study provides preliminary support that the eGAS process provides a feasible framework for training hospital-based SLPs engaged in neurorehabilitation to use collaborative interviewing behaviors and produce valid person-centered rehabilitation goals.

摘要

该研究调查了电子目标达成量表 (eGAS) 过程对医学语言病理学家 (SLP) 面谈和目标设定的影响。该过程是通过 eGAS 应用程序进行培训的，旨在促进动机性访谈和目标实现规模。该研究使用了一种单病例、非并发、多基线设计，在三名临床医生及其 27 名各自的客户中进行了复制。我们观察到在 eGAS 培训前后参与设定康复目标的客户-临床二人组。这些客户患有神经源性疾病，并在门诊接受治疗，以应对认知、沟通和/或吞咽方面的挑战。使用两项措施来收集有关临床医生的面谈和目标设定行为的数据：(1) 访谈时以客户为中心的评估和目标设定 (ACIG) 量表，以及 (2) 任务分析，即临床医生访谈行为量表 (CIB)。eGAS 培训对临床医生的协作访谈行为有很大影响，对他们坚持三阶段访谈结构的能力有不一致的影响，对他们生成有效目标实现量表的能力有很大影响。本研究提供了初步支持，即 eGAS 过程为培训从事神经康复的医院 SLP 使用协作访谈行为并产生有效的以人为本的康复目标提供了一个可行的框架。对他们坚持三阶段访谈结构的能力的不一致影响，以及对他们生成有效目标实现量表的能力的强烈影响。本研究提供了初步支持，即 eGAS 过程为培训从事神经康复的医院 SLP 使用协作访谈行为并产生有效的以人为本的康复目标提供了一个可行的框架。对他们坚持三阶段访谈结构的能力的不一致影响，以及对他们生成有效目标实现量表的能力的强烈影响。本研究提供了初步支持，即 eGAS 过程为培训从事神经康复的医院 SLP 使用协作访谈行为并产生有效的以人为本的康复目标提供了一个可行的框架。