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Interaktion mellan logoped och barn vid nybesök: Strategier för kontaktetablering, kvarhållande av uppmärksamhet i aktivitet och aktivitetsbyte
Linköping University, Department of Clinical and Experimental Medicine.
Linköping University, Department of Clinical and Experimental Medicine.
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesisAlternative title
The Interaction between Speech Language Pathologists and Children at First Visit : Strategies for Establishment of Contact, Maintenance of Attention in Tasks and Shifting Activities (English)
Abstract [sv]

Föreliggande studie syftar till att undersöka hur logopeder administrerar nybesök med barn vad gäller etablering av kontakt, kvarhållande av uppmärksamhet i aktiviteter och aktivitetsbyte. Undersökningsmaterialet utgjordes av två videoinspelade barnnybesök hos två logopeder vardera, inspelade på en logopedmottagning belägen i sydöstra Sverige. Materialet grovtranskriberades och därefter valdes intressanta fenomen ut som fintranskriberades i enlighet med konversationsanalytiska principer (CA-principer). Efter nybesöken skickades ett frågeformulär med sex frågor till de deltagande logopederna per e-post. Strategier som nyttjades för kontaktskapande av de deltagande logopederna var att initialt skapa en lekfull situation och sedan fokusera på de medföljande vuxna. Därefter försökte logopederna åstadkomma en symmetrisk interaktion med barnen, genom att exempelvis använda identitetsmarkörer. Barnens koncentration i uppgifter upprätthölls bland annat genom uppmärksamhetssignaler, pauser, utlovande av belöning samt beröm. Aktivitetsbyte skedde vanligen gränsmarkerat och följde ett liknande mönster med förberedande stimuli, undanplockande av föregående aktivitets föremål och slutligen introduktion av den nya aktiviteten. Dock förekom även byten av mindre uppenbar karaktär, vilka ibland orsakade missförstånd. I svaren till frågeformulären framkom att logopederna hade förvärvat strategier och kunskap om administrering av nybesök genom yrkeserfarenhet. Logopederna använde även tillvägagångssätt som ej omnämndes, vilka därför kan ses som intuitiva.

Abstract [en]

The study objective was to investigate how speech language pathologists (SLPs) establish contact with children, maintain their attention in tasks and shift activities at first visit. The material consisted of four video recordings in which two SLPs and four children participated. Two visits per participating SLP were recorded at a speech and language therapy clinic in the south-east part of Sweden. The material was transcribed and analyzed using an approach influences by Conversation Analysis (CA) in order to identify occurring phenomena.  The SLPs were interviewed by email after the video recorded sessions. The result shows that both SLPs used a playful approach at the beginning of the visit to establish contact with the children. Then the SLPs began focusing on the adult, thereafter creating symmetric dialogs with the children, for instance by using identity markers. The maintaining of children’s focus was achieved through different attention calls, breaks, promised awards and praises. The most common strategy used by both SLPs, to gain a successful shift, was by clarify the switch. Initially the SLP introduced the new task with a stimuli, then they removed objects from the previous activity and finally the SLP presented the new task. However some strategies for changing activities were less apparent for the children, which sometimes caused misunderstandings. According to the questionnaires the strategies used were acquired from experience through “trials and errors”. However, not all strategies observed were mentioned by the SLPs in the questionnaires.

Place, publisher, year, edition, pages
2016. , 59 p.
Keyword [en]
first visit, interactional analysis, establishment of contact, maintenance of attention, shifting activities
Keyword [sv]
nybesök med barn, interaktionsanalys, kontaktetablering, kvarhållande av uppmärksamhet, aktivitetsbyte
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-129360OAI: oai:DiVA.org:liu-129360DiVA: diva2:938450
Subject / course
Master (one year thesis)/Speech and Language Pathology
Supervisors
Examiners
Available from: 2016-06-17 Created: 2016-06-16 Last updated: 2016-06-17Bibliographically approved

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