School of Human and Community Development (ETDs)

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Browsing School of Human and Community Development (ETDs) by Department "Department of Speech Pathology and Audiology"

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    An Exploratory Study on Time Perspective as a Possible Indicator of Audiological Help-Seeking Behaviours and Intervention Outcomes, in Gauteng South Africa
    (University of the Witwatersrand, Johannesburg, 2023-05) Araujo, Monica Luisa; Petrocchi-Bartal, Luisa; de Andrade, Victor
    Time perspective is a basic psychological construct that is vital in indicating several health-related behaviours. Whilst numerous indicators of audiological help-seeking behaviours and intervention outcomes such as age, perceived severity of hearing loss, gender, and stigma, have been studied, there is a large paucity of research on time perspective within the audiological field. Therefore, time perspective, which is frequently depicted as one of the most powerful influencers on human behaviour, has guided this study by researching whether it may indeed indicate audiological help-seeking behaviours and intervention outcomes. The study set out to explore patient perceptions of the theme of time and the possible impact of time perspective on audiological help seeking behaviours and intervention outcomes. The researcher also explored audiological experiences that may relate to different aspects of time perspective. Finally, participants were asked to provide advice on how audiologists could consider the aspect of time and time perspective within the audiological journey of patients. To address the research aims and objectives, a cross-sectional, qualitative, exploratory research design using inductive and narrative approaches, was implemented at a private practice in the South of Johannesburg. The participants included adults who are hearing aid users and attend the private practice for audiological services. These participants were recruited through purposive, convenience, and maximum variation sampling. Data were obtained through conducting semi-structured interviews and two focus groups. The data was then analysed using the Framework Method. Several important themes and sub-themes emerged, which mainly indicated the perception that different time perspectives, namely, future orientated, present-hedonistic, present-fatalistic, past-negative, or past-positive, influence the audiological help-seeking behaviours and intervention outcomes of individuals in different ways. Due to this, and the perceived important influence of time perspective on audiological behaviours, participants advised the use of a time perspective tool as well as distinct approaches to be used by audiologists, based on the different time perspectives of patients, to ensure the best audiological journey for all. Findings therefore suggested that time perspective may indeed indicate audiological help-seeking behaviours and intervention outcomes. As this study was exploratory in nature, it would be beneficial to study it on a larger scale using quantitative methods. In the interim, it was advised that time perspective should be a psychological construct with which audiologists ought to familiarise themselves.
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    Experiences of stroke survivors with aphasia and their significant others during the COVID-19 pandemic in Ekurhuleni, South Africa
    (University of the Witwatersrand, Johannesburg, 2023-09) Kathrada, Nabeelah Ebrahim; Kater, Kelly-Ann; Neille, Joanne
    Background and Aim: Stroke, a neurological condition, can lead to communication impairments, including aphasia, and has been associated with increased burden of care for significant others. With changes in stroke care due to the COVID-19 pandemic, it was considered essential to explore the perspectives of stroke survivors and their significant others. This study aimed to investigate the lived experiences of individuals diagnosed with stroke and aphasia during the COVID-19 pandemic, along with their significant others, within the South African context. Methodology: Employing a qualitative phenomenological design, this study utilised homogenous purposive sampling. Semi-structured interviews were conducted with seven stroke survivors with aphasia and their significant others. Interviews were conducted individually or as a unit, depending on participant preference. Data analysis followed an inductive thematic approach, with interpretation guided by the biopsychosocialtech model. Findings: The study's findings reveal challenges faced by participants as a result of the COVID-19 pandemic. These challenges encompass difficulties related to facility admission, interactions with healthcare workers, loss of autonomy, limited communicative abilities, reduced social networks and engagement in pre-stroke activities, struggles with re-entering the work environment, changes within family dynamics and interpersonal relationships, as well as evidence of burden of care for significant others. While technology was acknowledged as a potential valuable resource and telerehabilitation a possible successful intervention approach, their effective use posed challenges and limitations. Although rehabilitation was deemed beneficial, the need for potential transformation within the field of aphasia rehabilitation is outlined, particularly with respect to the active involvement of persons with aphasia and their significant others as well as the use of technology in a South African context. Implications and Conclusion: This study contributes to the understanding of the lived experiences of persons with aphasia and their significant others within the South African context during the COVID-19 pandemic. The findings have the potential to inform policy and practice by emphasising the importance of addressing client needs based on their lived experiences. Additionally, the study underscores the significance of active family involvement in treatment and highlights the need to investigate barriers to implementation in this regard. The findings further emphasise the necessity of developing policies that outline the use of technology in rehabilitation and call for improved considerations in healthcare workers' interactions with individuals with aphasia.