Browsing by Person "McCartney, Elspeth"
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Item Effects of computer-based intervention through acoustically modified speech (Fast ForWord) in severe mixed receptive-expressive language impairment: outcomes from a randomized controlled trial.(2005) Cohen, W.; Hodson, Ann; O'Hare, Anne; Boyle, James; Durrani, Tariq; McCartney, Elspeth; Mattey, Mike; Naftalin, Lionel; Watson, JocelynneSeventy-seven children between the ages of 6 and 10 years, with severe mixed receptive-expressive specific language impairment (SLI), participated in a randomized controlled trial (RCT) of Fast ForWord (FFW; Scientific Learning Corporation, 1997, 2001). FFW is a computer-based intervention for treating SLI using acoustically enhanced speech stimuli. These stimuli are modified to exaggerate their time and intensity properties as part of an adaptive training process. All children who participated in the RCT maintained their regular speech and language therapy and school regime throughout the trial. Standardized measures of receptive and expressive language were used to assess performance at baseline and to measure outcome from treatment at 9 weeks and 6 months. Children were allocated to 1 of 3 groups. Group A (n = 23) received the FFW intervention as a home-based therapy for 6 weeks. Group B (n = 27) received commercially available computer-based activities designed to promote language as a control for computer games exposure. Group C (n = 27) received no additional study intervention. Each group made significant gains in language scores, but there was no additional effect for either computer intervention. Thus, the findings from this RCT do not support the efficacy of FFW as an intervention for children with severe mixed receptive-expressive SLI.Item Improving client transitions between SLT teams in NHS Greater Glasgow & Clyde: A knowledge exchange service development project(NHS Greater Glasgow & Clyde and University of Strathclyde, Glasgow, 2017-09) McCartney, Elspeth; Lloyd, Susan; Gray, Alison; Smart, KirstyIntroduction SLT services in NHSGG&C are offered from around 37 locations, managed within community and hospital, adult and paediatric units. SLTs work in teams serving specified populations, and facilitating client transitions amongst SLT teams is a priority. Researchers at Strathclyde University interviewed 28 SLTs and 7 service-users about successful and less successful transitions between the 21 SLT teams for adults with long-term SLCN, including unplanned transitions on entering acute services, and planned transitions on leaving school (McCartney & Muir, 2015, 2016). The overarching themes facilitating or impeding transitions, showing both negative and positive examples, were SLT team properties; communication and information exchange; and outside influences on teams. Following this, a University of Strathclyde and NHSGG&C SLT services Knowledge Exchange (KE) project was jointly funded, and a 'transitions' working group representing SLTs across all client groups formed. This group extended the research analysis, and suggested further service improvements.