#Speeko search

[apimains]

Speeko search

SPEEKO SEARCH TRIAL

Test preliminary effects of an innovative self‐monitoring feedback app on staff elderspeak use and compare accuracy to psycholinguistic analyses of audio‐recorded staff communication. Diminutive counts determined by the app will be correlated with psycholinguistic analysis, validating accuracy.Ģ. Hypothesis: The app will be readily used and acceptable to CNAs. Five certified nursing assistants (CNAs) will use the app during NH care and provide feedback about any needed modifications. Demonstrate feasibility, acceptability, and validity of the SPEEKO for Elderspeak feedback app use by staff in the NH.

SPEEKO SEARCH TRIAL

Next, a clinical trial (N= 6NHs) will be conducted to test preliminary efficacy of the app for amplifying reductions in diminutives use for NH staff completing the CHATO training.ġ. Building on proof of concept established in the laboratory, the app will demonstrate feasibility at the point‐of‐care. The PI and colleagues developed the SPEEKO for Elderspeak app using archived NH recordings from previous research to identify the most commonly used diminutives and then to develop algorithms to detect them in speech. This study will test feasibility and preliminary effects of an automated and performance‐based feedback app that detects and reports the use of diminutives (terms of endearment such as honey, dearie, and sweetie) which are prevalent elderspeak terms linked to BPSD. However, feasibility and costs for individualized expert feedback in NH settings are usually prohibitive and thus not widely used in practice. Performance‐based reinforcement of skills is effective in achieving greater immediate implementation and long‐term maintenance of new skills use in practice. Recognizing the delay and incomplete adoption and application of evidence‐based skills in practice, the PI and colleagues believe additional strategies to optimize CHATO skills implementation are indicated. To facilitate dissemination, interactive online CHAT modules have been developed (CHATO) which provides the same CHAT classroom content with the advantage of flexible access via the internet for busy NH staff, including those in rural areas and small, independent NHs. The subsequent CHAT R01 trial verified that staff reduced their use of elderspeak after attending the three‐session Changing Talk (CHAT) communication training program, and that this reduced RTC. The R03 study established that residents with dementia are more than twice as likely to exhibit BPSD (measured by coding RTC behavior in videos) when staff use elderspeak instead of normal adult communication. Elderspeak conveys a message of disrespect and incompetence to residents who react with withdrawal or BPSD. The PI and other researchers have empirically verified that RTC occurs when NH staff use elderspeak (speech similar to baby talk) that features inappropriately intimate terms of endearment (diminutives such as "honey"), belittling pronoun substitutions that imply dependence ("the investigators" need a bath), and harsh task‐oriented commands ("sit down"). Although Center for Medicare and Medicaid Services (CMS) mandates and penalties have reduced antipsychotic medication use slightly, contraindicated use in NH residents remains a pervasive problem, causing harmful side effects and reducing the quality of life for PWD. BPSD present to NH staff as resistiveness to care (RTC) that increases staff stress and costly time to complete care, often leading to staff turnover, injury, and inappropriate use of psychotropic medications to control BPSD. Care of PWD in NHs is complicated by behavioral and psychological symptoms of dementia (BPSD) such as aggression, vocal outbursts, wandering, and withdrawal that occur as PWD lose cognitive and communication abilities and cannot express their unmet physical and psychosocial needs. A new person is diagnosed with Alzheimer's disease or other dementia every 66 seconds, and most persons with dementia (PWD) spend the late stages of dementia in nursing homes (NHs) where lack of dementia care skills and staff shortages limit quality of care.

[csuitebitches]

On Being Well Spoken

I recently received a request about posting something regarding being well spoken.

Something you need to realise is that you’re not going to become well-spoken overnight. You need to practice on people. You need to SPEAK.

I used to stutter so badly that I could barely speak a whole sentence.

Flash forward a few years. I pitched my start up in front of a crowd, I joined Model United Nations in high school and college, I’ve been invited to speak on my entrepreneurial experience by some top universities in my country. It’s taken a lot to get here. And I’m still not where I want to be.

1. Apps to track progress and help you get better at public speaking

An app that you can use: “Speeko.”

I used to use this, it is beginner friendly and you can improve your public speaking skills as well.

2. Use topic generators

Go online and look up a topic generator. Generate a random topic, video yourself speaking on that topic. Don’t give yourself time to prepare anything - read the topic and start speaking. Set a time limit - you’ll realise that speaking for even 2 minutes can be quite difficult at times.

Not only does this make you realise that you may have limited language skills, but it will also make you realise exactly where you’re falling behind. Note down things in a journal.

- is grammar the issue?

- Lack of vocabulary?

- Too many filler sounds?

- Knowledge gap?

This is also a great idea if you’re at an intermediate level of learning a language/ polishing a language. Do this everyday and maintain a diary on your improvement.

3. Reading out loud

Select a news article or any article. Read out loud, slowly and steadily. Pronounce every syllable calmly.

A two minute read should take 5 minutes to read out loud. That’s how slow you should go. Not more than 4-5 words per breath.

Your tongue needs to get used to different syllables and sounds. Practice will help.

4. Talk in real life

Talk to anyone and everyone whenever you can.

Ask your barista how their day is going.

Ask your work or university security if they’ve had a good day and if they ate today.

Chat with your taxi driver about their life. I always start with asking them if they are from the city we’re travelling in. Even if you’re from that city, act like a tourist. Where are the best eateries? The conversation eventually goes to personal questions. How many children do they have, and what do they do? What do they like about the city?

You’ll learn the art of small talk only through practice. No book or guide can actually prepare you. You have to practice, practice and practice.

5. Diaphragm breathing

Diaphragm breathing is very important. Look up some YouTube videos for reference. You essentially breathe from your tummy (stomach goes in and out; not chest going up and down). This is a great calming exercise too.

6. Stuttering tongue/ jaw exercise videos

These are great because they really do prep your jaw and tongue well. The videos could include tongue stretches, placing your tongue on your palette correctly, etc. Search on YouTube.

7. Body posture

You really need to work on your posture too. Sit up straight. Back, STRAIGHT. Chin up, shoulders relaxed. Something as simple as posture can change your level of confidence.

8. Pranayama

A yoga exercise for breathing. You can find a guided video on YouTube for sure.

9. Vocabulary

Invest your time in expanding your vocabulary. There’s enough apps and games that can help you with that, if you aren’t fond of reading. A sign of being well spoken is having great vocabulary.

Start by looking up the synonyms of everyday words.

“I’m upset”

- how many different words can you find for upset?

“I had a crazy day today”

- one can easily use “hectic”, “chaotic” “lively” instead

10. Idioms

Idioms, phrases, sayings - look up common idioms in your language of choice. Aim to use at least 3 new idioms on 3 separate occasions in a week while you speak. You need to understand when and where you can use the idioms in your vocabulary.

11. Knowing when to switch

You can’t talk like a 50 year old heiress to a 10 year old child; you need to get down to their level.

If someone is clearly not a native speaker and is struggling to put words together, don’t use difficult words around them.

If you’re meeting with someone high profile, refrain from using slang.

The best speakers know when to switch their level of language.

You can’t use one singular type of speaking with everyone. You need to understand that there is a time and place for everything - and you’ll be able to switch like a pro only when you actually speak and start gaining experience.