44 research outputs found

    Understanding Landscape: Cultural Perceptions of Environment in the UK and China

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    Different philosophical traditions in China and the UK have contributed to the establishment of a multi-dimensional discussion of perceptions of nature. This has influenced the approach of landscape architects and planners in the design and planning of the built environment and continues to affect the treatment of private and public space design. With rapid urbanisation in the twentieth century, there has been a growing discussion (emanating from North America but also permeating discussions in the UK, Europe and more recently East Asia) of how we create places that satisfy the need and desire from the public for contact with ‘nature’. This chapter presents a comparative discussion of historical perceptions of landscape within urban development located within the UK and China. We reflect on how urban ecology has been integrated into development practices, debate the interaction of people with urban landscape and consider responses to demands for nature in cities. The chapter concludes with a review on the current practice surrounding the development and management of urban public space in China and the UK, reflecting the cultural context of nature in cities and the work of urban planning and design authorities

    Identifying the components of a successful spoken naming therapy: A meta-analysis of word-finding interventions for adults with aphasia

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    Background: Spoken word retrieval therapy forms an integral part of aphasia therapy. Due to the range of therapy options and variations, drawing clear-cut conclusions from the evidence base can be challenging. / Aims: This paper consolidates recent findings (2008–2018), pertinent to spoken word-finding interventions. Specifically, we are interested in aphasia interventions: (1) that target single-word spoken naming; (2) whose participants are adults with acquired naming impairments after a stroke; and (3) whose treatment approach focusses on the use of language forms (i.e., semantics, phonology, and orthography). The over-arching objective is to determine the important therapy components underpinning successful single-word naming treatments. / Methods and Procedures: A systematic literature search was conducted. This led to the compilation of a large-scale dataset (n=222 participants from 32 papers), with the heterogenous interventions dissected into their “active” therapy components. A detailed framework (“RITA”: (1) Regimen; (2) Item(s); (3) Technique(s); and (4) Application of technique(s) with their Adjuncts) was designed to organise these “active therapy ingredients”. Using random forest, we identified the crucial components responsible for the successful naming of treated and untreated items, respectively, at short-term and maintenance periods. / Outcomes and Results: The role of the written form as therapeutic cues, presented either as a whole word or part-word, emerged to be a consistent and robust predictor, across the outcomes. Semantic tasks were useful in the successful naming of untreated items. / Conclusions: Clinicians should consider using written prompts as part of spoken naming therapy. It is possible that the use of orthography underlies the success of multi-component techniques. Other clinical implications (e.g., homework, treatment intensity) are also discussed. In addition, we propose a comprehensive “RITA” framework, which summarises the “active” therapy components. “RITA” (available as a template in Appendix 3) is useful for clinicians and researchers as a guide to unpack language interventions. Furthermore, the paper highlights the strengths of a well-established method, random forest, as a valuable statistical tool to move aphasia research forward. Overall, the study refines our understanding of spoken naming treatment for those with aphasia, specifically individuals with word-finding deficits. Importantly, through the use of a robust statistical approach and an original framework designed to lay out language therapy components, the paper adds new clarity to the evidence base

    What counts as evidence? Swimming against the tide: Valuing both clinically informed experimentally controlled case series and randomized controlled trials in intervention research

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    Research into intervention with people with speech and language needs often takes the form of single case/case series experimental studies (SCEDs) or randomised controlled trials (RCTs). This paper explores the nature of these designs, including their strengths/weaknesses and highlights the value of understanding the intervention outcomes for individual participants. An online survey gathered information on speech and language therapists’ views on their use of the different research designs. We conclude that both research designs are used to inform practice. SCEDs, in particular, are used in developing theories of intervention and informing therapy with individuals. Sound experimental intervention studies of both designs are needed
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