Smart PHONeNATION: How My Device Revolutionized My Voice Rehabilitation Practice

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My smartphone has literally revolutionized the way I give sessions. And I don’t mean literally Rachel Zoe style. I use my phone practically every session! Now I hear those of you who are seasoned professionals. You are unfamiliar, maybe apprehensive about technology like this. “It’s too difficult,” you say, “I’m not generation text message-thumb.” I hope this piece encourages you to give it a try.

Age knows no bounds when you apply technology, because most everyone can benefit from these innovations. I’ll echo a recent ASHA post on SLP hats and inquire the same about the many jobs of your smartphone:

  • Stop-watch. I have one less item to worry about if I use my phone for timing maximum vowel prolongations, S/Z ratios and structured session tasks. Your phone timer also tracks session length. We all have those clients who love (I mean REALLY love) to talk, which is good when you advance to structured conversational tasks, but sometimes they carry on too long. Use your phone timer if you feel it’s appropriate for signaling a wrap-up.
  • Recording device. I record my acoustic measures when I analyze cepstral peak prominence and fundamental frequency, but during therapy—where the hard work begins—I employ my voice memo app. I also teach patients how to use their own voice memo programs, which is important for home practice. Follow-through is such a different game now, because most patients have recording options on their phones. You can record session highlights for easy patient access on his or her own device, versus cassette-taping the session.
  • Biofeedback. It’s great if you have a state-of-the-art Computerized Speech Lab setup. If you don’t, your smartphone has an app for that. (Ha! You were waiting for that phrase, weren’t you?) Bla | Bla | Bla works as a visual sound meter. As you get louder, the faces change. It doesn’t replace the software that helps you stay within a target pitch range, but can provide biofeedback for intensity tasks. I use smartphone video recorders to improve self-awareness for laryngeal and upper body tension. Instant review of these videos may help your patient meet goals sooner.
  • Piano. For Joseph Stemple’s Vocal Function Exercises, I use my MiniPiano app for pitch matching on Warm-up and Power. For the small group of clients with NO musical inclination, just do you best to find a mid-range pitch for VFE’s, but for your type-A’s (you know who they are), the option to have perfect pitch right at your fingertips wastes no time.
  • Anatomy. I used to lug around literally (Ha, Rachel again!) thousands of copies of anatomy drawings for patients. The copies usually ended up in the trash. The Dysphagia app has been my most effective tool for explaining the anatomy of a swallow, vocal folds as well as reflux. It has nice color videos demonstrating disordered and normal swallows and dramatically enhances patient education. Plus, the video action makes a more lasting impression.
  • Alarm. Ever get a patient who doesn’t practice? (You can always tell.) With a smartphone, you can name each alarm and set them to go off at certain times. The patient can deliberately practice diaphragmatic breathing and single syllable target words every hour on the hour! We’re going for making new muscle memory here, so it’s key to entice the patient to practice mindfully and not just be on autopilot. It’s beneficial for whole body exercise to take place for short periods throughout the day, so why not phonation training? And it keeps patients accountable.

Embracing the technology out there doesn’t mean you need to de-humanize sessions. The relationships you build with your clients are special. Their progress depends on how comfortable they feel in the room. Don’t spend the entire session glued to your phone, but strive to find a good balance where you use it when you think it will make a difference.

We SLP’s and AuD’s are in the people business and let’s not forget we’re professional voice users ourselves. Voice therapy techniques used to be difficult to maintain out of the treatment room. Now our clients have a fighting chance to recreate that buzzy forward-focused sound every time they glance at their smartphone between Facebook updates and Yahoo news articles.

Kristie Knickerbocker, MS, CCC-SLP, is a speech-language pathologist and singing voice specialist in Fort Worth, Texas. She provides voice, swallowing and speech therapy in her own private practice, a tempo Voice Center, LLC. She also lectures on the singing voice to area choirs and students. She belongs to ASHA’s Special Interest Group 3-Voice and Voice Disorders. She keeps a blog on her website at www.atempovoicecenter.com. Follow her on Twitter @atempovoice or like her on Facebook at www.facebook.com/atempovoicecenter.

Of Language Barriers, Culture Gaps and e-Bridges

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It certainly isn’t news that our country is becoming increasingly diverse. What may surprise us is that some of the biggest growth is happening in non-border, less-urbanized states. California, Texas and Florida continue to have the most residents who were born in another country. However, Alabama, Arkansas, Delaware, North Carolina and Tennessee all saw more than a 70% increase in foreign-born residents between 2000 and 2012.

This means that ASHA members probably find themselves with more and more English-language learners on their caseloads. These audiologists and SLPs likely also live in areas where there may not be many resources for serving ELL students. Our Code of Ethics states that we should provide culturally and linguistically appropriate services. ASHA also acknowledges that the ideal situation for ELL clients is to work with a bilingual service provider with specific language and clinical skills.

Telepractice offers an elegant solution for connecting colleagues with these competencies to our clients that need them.

The versatility of telepractice makes it useful in different settings. A school district might use several Spanish-speaking telepractitioners to manage its entire ELL caseload. A rural health clinic may create a limited agreement with a bilingual audiologist for follow-up care of a patient who communicates in a less-commonly spoken language.

Telepractice can be used for more than intervention. We can assess patients—even formally—through telepractice. Formal assessment via telepractice is getting easier because many well-known tests are now digitized. Even when a certified professional is not available through telepractice, an onsite team can use technology to connect with interpreters and cultural brokers to help provide appropriate services.

Telepractice licensing, however, remains a hurdle for taking advantage of remote services or becoming a telepractitioner. Most states don’t currently have regulations on telepractice for our professions. ASHA and local associations, however, advocate for states to formulate and adapt guidelines permitting telepractice.

In the meantime, associations advise telepractitioners to verify requirements and policies, as well as hold all appropriate credentials, both in the state where we reside and where the client receives services. This applies also to special credentialing for bilingual telepractitioners.

ASHA doesn’t certify bilingual service providers, but it provides guidelines for those who represent themselves as such. For example, we are ethically-bound to ensure that we speak or sign another language with native or near-native proficiency, and possess various clinical competencies.

To my knowledge, only Illinois and New York have a type of credential for bilingual practitioners, and these are specific to professionals working in schools. However, because policy changes frequently (and is difficult to track), SLPs and audiologists should verify any bilingual-specific requirements in states where they might practice before providing services.

Telepractice holds a lot of promise for serving clients with diverse needs. Even when there is some red tape to figure out, using technology to build bridges to communities that may not have many resources is one of my most rewarding professional experiences!

 

Nate Cornish, M.S., CCC-SLP is a bilingual (English/Spanish) SLP and clinical director for VocoVision and Bilingual Therapies.  He is the professional development manager for SIG 18: Telepractice, a member of ASHA’s Multicultural Issues Board, and a past president and vice-president of the Hispanic Caucus.  Cornish provides clinical support to monolingual and bilingual telepractitioners around the country.  He also organizes and presents at various continuing education events, including an annual symposium on bilingualism.  Contact him at nate.cornish@vocovision.com.

Heidi’s Top Blogs

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Editor’s Note: In her daily work at PediaStaff, Heidi is Editor-in-Chief of the popular PediaStaff Blog for pediatric and school based therapist, and also created the PediaStaff’s Pinterest Site  for therapists and parents of special needs children.  The company’s continuing work to educate, share resources with, and support the special needs community has been featured on Parents.com, and Love That Max, (an award-winning special needs blog).   In addition, PediaStaff was profiled by the well-regarded social media blog, The Realtime Report, for their innovative work.

 

In the past few years, the internet has exploded with speech-language resources, largely due to the ease of publishing one’s thoughts through a blog. When I wrote a piece on SLPs blogging back in 2012, most clinicians had no idea that this wealth of knowledge was out there. Today however, blogs are everywhere and they are widely known as a great place to get specialty information on virtually every topic.

Anyone who has ever blogged will tell you that regular blogging is a time-consuming commitment that demands ongoing diligence. A successful blogger needs to write insightful, informative posts at least two to three times per week. Blogging usually starts for most as a fun way to get your ideas out there. A year later, when the “newness” has worn off, contributing to your blog evolves from a “want-to” to a “have-to,” and then unfortunately often to a “Do I really need to?” task.

A good many of the blogs we featured in our first article no longer exist. Fantastic clinicians have just decided that the time it took to consistently share the excellence they practice was just too much of a drain on professional and personal time. Thankfully, a new crop of bloggers have recently come in to fill some of the gap left behind.

Others, have gone the route of making their blogs a way to supplement their income. If I am going to invest this much energy in blogging, why not sell some of my great ideas? After all, school speech surely doesn’t pay very well. The advent of Teacher Pay Teacher, has enabled many extremely creative school therapy clinicians to share their ideas and earn themselves a nice secondary income to boot.

In this article, I selected only blogs that are not offering their own products for sale. There are so many creative SLPs doing this now, that I would never be able to choose.

Here are some of my personal favorites (in alphabetical order) of those bloggers sharing all of their insights, opinions, tips and activities free of charge:

Almaden Valley Speech Therapy Blog – While I do not personally know the author of this blog, I find her posts, mostly on pronunciation, quite interesting.

ASHAsphere – You’re here. Need I say more?

Bilinguistics Blog – This blog focuses on bilingualism and issues facing clients with multicultural backgrounds. Highly recommended.

Chapel Hill Snippets – After years of giving away substantial resources—especially printable books and Boardmaker share activities—Ruth Morgan has finally bitten the bullet (her words) and opened a TpT store. While she is selling a few things now, I wanted to share her blog for the enormous collection of free resources she has amassed and still offers for your use.

Doyle Speech Works – A new blogger, Annie Doyle muses mostly on professional issues facing SLPs. Insightful, fresh and enjoyable.

Erik X. Raj – Erik is one of the most creative SLPs I have had the pleasure to meet. Funny and full of spot-on ideas to engage kids, this blog never fails to inspire.

Language Craft – Lucas Stueber is especially good at sharing ideas that inspire boys to enjoy speech-language treatment. In addition, he has some excellent profession insights. While he hasn’t been blogging often lately, the entries he posts are definitely worth a read.

Play on Words – Sherry Atemenko – is an expert on reviewing books and toys through a speech and language lens. A very valuable blog, indeed.

PrAACtical AAC – A perennial favorite, this blog specializes in augmentative and alternative communication and does a mighty fine job of it.

Speech Adventures – Mary Huston always has something interesting to say, even though the number of posts she writes has slowed down this past year. Whether she is reviewing apps, talking about commitment to the profession or just musing, her blog is definitely worth a subscription.

Speechie Freebies – This is the one primarily Teacher Pay Teacher oriented blog in this article. Every post offers something free and generally printable to use in the classroom or clinic. And while, each contributor does also sell their wares on TpT, the offerings on Speechie Freebies are always free and often substantial. If you are interested in bloggers that offer their ideas on TpT, Speechie Freebies is a fantastic way to explore them.

Speech Techie – If you’ve been to an ASHA convention in the last few years and are interested in how technology can be valuable in SLP practice, you have heard of Sean Sweeney. It’s a top-notch blog with the awards to prove it.

Happy reading!

 

Heidi Kay is one of the founding partners of PediaStaff and is the editor-in-chief of the PediaStaff Blog, which delivers the latest news, articles, research updates, therapy ideas, and resources from the world of pediatric and school-based therapy. PediaStaff is a nationwide, niche oriented company focused on the placement and staffing of pediatric therapists including speech-language pathologists.

Learning to Hear: Finally, the Technology

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Hearing aids have improved by leaps and bounds over the past decade. The advanced signal processing and wireless connectivity options absolutely boggle the mind. As an audiologist, I’m constantly amazed at what today’s hearing aids are capable of doing for patients. I’m equally amazed at what my patients expect the hearing aids to be capable of doing for them; yet can we blame them? They are bombarded by newspaper advertisements and mailers boasting the incredible benefits of modern hearing aids. They don’t understand what all is (or should be) included in bundled pricing, so they figure that a $X,000 pair of hearing aids should fix their hearing problems and more. I believe these inflated expectations, coupled with a lack of comprehensive patient education during the rehabilitative process, explain why patient satisfaction and market penetration are not increasing at the same rate as the technological advancements in amplification.

So how do we address these issues? The answer always goes back to the root of our profession. As audiologic rehabilitation specialists, our job is to equip our patients with tools and strategies necessary to function successfully in the world, despite their hearing loss. Patients must understand that hearing aids are only one piece of the puzzle when it comes to successful communication. In fact, there are five essential keys to communication success:

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In previous blogs we’ve discussed listener strategies, speaker strategies, and environmental modifications as critical parts of the communication puzzle. During the aural rehabilitation process, I deliberately present those pieces before I discuss technology options. Listener strategies empower the patient to take responsibility for their hearing loss. Speaker strategies engage the communication partners to be involved. Environmental modifications make the patient and their communication partners aware of their surroundings and empower them to actively create the best possible listening situations.

When we’re finally ready to present technology options, there are two important points to keep in mind. First, we need to be sure we are presenting options. I don’t mean options in terms of different hearing aid manufacturers. I mean options in terms of ALL the technology options appropriate for the patient, based on his or her specific listening challenges. I present the options as a continuum, with inexpensive assistive listening devices and personal sound amplifiers on one end, and high end hearing aids with wireless accessories on the other end. Obviously there are many technological options in between. Second, it is critical that the technology options are presented in conjunction with the other strategies discussed. Patients must understand that technology must be combined with speaker and listener strategies and environmental modifications. The speaker, listener, environment, and technology keys are equally important when it comes to ensuring a successful communication exchange.

The fifth key to communication success is practice. Patients can learn all the communication strategies in the world, but they won’t help a bit if they don’t actually use them. The same goes for technology. Patients can buy the most advanced digital hearing aids available, but they are just a waste of money if they refuse to wear them in all of their challenging listening situations. As rehabilitation specialists, we are responsible for motivating our patients to practice and use all that they’ve learned. We must find ways to hold them accountable and create a follow-up plan that ensures long-term success.

Patients with hearing loss have many options when it comes to pursuing technology. As audiologists, it is our responsibility to make them see the “big picture” and implement a comprehensive plan that addresses all pieces of the communication puzzle. I truly believe that patient satisfaction and market penetration rates will only increase when we return to our roots and make patient education the focus of our rehabilitation efforts.

 

Dr. Dusty Ann Jessen, AuDis a practicing audiologist in a busy ENT clinic in Littleton, Colo. She is the founder of Cut to the Chase Communication, LLC, a company dedicated to providing “fun, easy, and effective” counseling tools for busy hearing care professionals. She is also the author of Frustrated by Hearing Loss? 5 Keys to Communication Success. Dr. Jessen can be contacted at info@CutToTheChaseCommunication.com.

 

Apps with Elders

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I am a tech savvy person. Use of technology is integrated into my life, and I am always learning something new. Currently, I am learning basic coding and web design to help private practice owners with their websites. Your website should tell your story and technology can make that happen. Perhaps I was a little naive, but it never occurred to me that maybe I should not use an iPad in my work with my geriatric patients in the SNF setting.

In the SLP social media communities I saw many SLPs using iPads or other tablets with their school or pediatric clinic caseloads. I saw what they were doing and thought, “Hey, I could do that with my patients.” And so I did. A few years ago when I got my CCC’s I gifted an iPad to myself.

And then I started using my iPad in therapy. There were a few bumps along the way, but I am still using it today. The iPad will by no means do therapy for you, but it is an excellent tool.

Five Tips to make using an iPad in therapy easier

Be confident to reduce the intimidation of technology. I start by asking if a patient has used an iPad. Then I briefly explain that it is a “little computer”, and we are going to use it to have a little fun in therapy. I gloss over the technology aspect and go straight to the fun. And then I choose an easy but interesting game, so they will have success when they are learning to use the tablet.

Use a stylus. A stylus is a pen-like instrument that the tablet will recognize similar to a fingertip. I pick them up for super cheap at stores like Marshalls or Ross. Some of the ladies I work with have gorgeously lacquered long fingernails. This almost always causes a problem, since tablets respond to fingertip taps rather than fingernail taps. A stylus will solve this problem.

Make it fun. Some of the games and apps can be quite challenging (just as any other task). When frustration starts to rise, I remind my higher level patients that we are just experimenting. If the solution or answer is not correct, we just figure out why and try something else. This approach seems to ease frustration. With my lower level patients, I do not allow that point of frustration to be reached. I use errorless learning and vanishing cues to increase success rate.

Keep your client relaxed. Because it is an unfamiliar technology there can be some anxiety about using it. I watch my patient’s body language. Is their brow furrowing, are their shoulders creeping up, are they tapping the stylus with great force? Sometimes I use subtle cues to help them improve insight into how they are feeling. Other times overt. These are great moments to talk about the effect of emotions (including anxiety) on cognitive function. Then I teach the strategy of doing something less taxing during these moments and moving back to more challenging tasks when they are feeling calmer.

Get a case. Get a case that allows you to prop up the tablet at different angles. This is really helpful for reducing the glare caused by different patient positions as well as making the tablet more accessible to those with mobility impairments.

Favorite Adult SLP Apps

Memory Match: If you are looking for an app to exercise use of memory strategies (visualization, association, verbalization) then Memory Match might be an app to check out. It’s $0.99 and available for iPad and Android. This is only suitable for clients that are able to generalize memory strategies and need activities to learn strategies.

ThinkFun Apps: Rush Hour and Chocolate Fix are great problem solving brain teaser apps that require use of deductive reasoning and logic for visual tasks. First, we identify the problem. Then, we work backward to solve it.

Tactus Therapy: This company makes some great apps. I have several, but my favorite is Conversation TherAppy. It is so versatile. I seldom use the scoring function of the app. The app has picture stimuli and a variety of prompts to target specific skills. I love not having to carry around a deck of picture cards. Have you dumped a box of stimuli cards on the floor? I have, too many times to count.

Google: Access the Google search engine via Chrome or Safari for endless possibilities. Do you have a client working on word finding tasks and needs a visual cue? Google it. Need a restaurant menu or a prescription label as a stimulus for functional questions? Google it. And I’ve been known to use it as a task motivator. Do your dysphagia exercises, then we’ll look up information about moose. (True story.)

Dropbox: Scan those 3-inch binders full of worksheets, protocols, and other information. Create PDFs and put them into Dropbox and have them anywhere you go with your iPad.  If you buy digital versions of books or tests to use on your iPad you will resolve the problem of original documents getting raggedy.

If you have an iPad or another tablet at home and haven’t used it for therapy, I recommend checking out what it can do. You might be pleasantly surprised.

Rachel Wynn, MS CCC-SLP, is speech-language pathologist specializing in geriatric care. She blogs at Gray Matter Therapy, which strives to provide information about geriatric care including functional treatment ideas, recent research, and ethical care. Rachel’s projects include: Gray Matter Therapy newsletter, Research Tuesday, and Patient Education Handouts. Find her on FacebookTwitter, or hiking with her dog in Boulder, Colo.

Aural Rehab: Are We Getting the Job Done?

tin can 2Aural rehabilitation was once the root of our profession. ASHA defines it as “an ecological interactive process that facilitates one’s ability to minimize or prevent the limitations and restrictions that auditory dysfunctions can impose on well-being and communication, including interpersonal, psycho-social, educational and vocational functioning.” Audiologists know the importance of providing our patients with education, counseling, and training to overcome the challenges presented by hearing loss. However, the most recent MarkeTrak survey results indicate that very few of us are actually providing these services to our patients. This is an unsettling finding to say the least.

I truly believe that most audiologists attempt to provide their patients with adequate education and counseling. However, these MarkeTrak survey results prove that our attempts are not being received by our patients. I believe there are two factors at play: technological overwhelm, and unrealistic expectations. Patients are often so overwhelmed by the vast array of technology at their fingertips that their sole focus is on the technical workings of the hearing aids and wireless accessories. In addition, the vast improvements in technology lead our patients to believe that the hearing aids alone should address all their communication problems. What we are missing is a standardized, effective, and efficient aural rehab protocol that helps our patients to retain what they have learned, and use the strategies we teach them.

As a practicing audiologist, I face these challenges on a daily basis. As technology progresses, I find myself spending more clinic time educating my patients on the technical aspects of their new hearing aids. In a busy ENT clinic, time is of the essence, and this leaves very little time for counseling about realistic expectations, communication strategies, and auditory training. I tried various educational handouts as well as group AR classes, but struggled with patient compliance. I also found it difficult to engage family members in the rehabilitation process. When I read the MarkeTrak survey results, I realized I wasn’t the only audiologist facing these challenges. So in 2013 I set out to develop a fun and effective approach to aural rehab that would be easy for patients to comply with, and efficient for professionals to implement. I call it Cut to the Chase Counseling. There are three simple steps to this aural rehab approach:

1. Education: Patients need to be educated in a fun, easy, and efficient way. While there are many great educational materials on the market, I chose to create my own patient guidebook that organizes communication strategies into five simple keys (see below) that are easy for patients to remember. It is also important that our education addresses realistic hearing aid expectations as well as the importance of family member involvement. Our aural rehab approach defines the following components as the “5 Keys to Communication Success.” I will discuss these further in future blog posts.

2. Action: Patients need to immediately act on what they’ve learned to begin creating new communication habits early in their rehab process. We start this action with personalized Successful Communication Plans that guide the patient and their communication partners as they apply the five keys to their most challenging communication situations.

3. Follow-up: Patients simply cannot absorb and retain all of the education and counseling during their hearing aid trial period. They are often so overwhelmed by their hearing aids, that they may actually remember precious little from what we have been teaching them. For this reason, they must receive some kind of regular follow-up education. Studies show that consistent long-term follow-up drastically increases patient compliance and satisfaction. We provide this follow-up in the form of weekly emails that patients receive for an entire year following their hearing aid fitting. These emails reinforce effective communication strategies and encourage the patients to return to their hearing care professional with any questions or concerns.

We know that our job as rehabilitative audiologists goes far beyond fitting hearing aids. I hope this simple three-step approach will provide an efficient way for professionals to ensure that education and counseling are an integral part of every hearing aid fitting. In the following five blogs, I will dig deeper into the five keys to communication success and give you strategies for integrating them into your practice.

Dr. Dusty Ann Jessen, AuD, is a practicing audiologist in a busy ENT clinic in Littleton, Colo. She is the founder of Cut to the Chase Communication, LLC, a company dedicated to providing “fun, easy, and effective” counseling tools for busy hearing care professionals. She is also the author of Frustrated by Hearing Loss? 5 Keys to Communication Success. Dr. Jessen can be contacted at info@CutToTheChaseCommunication.com. 

Collaboration Corner: The Technology You Need to Get It Done

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Like most school years, I’m always amazed at how chaotic re-entry can be. As a traveling therapist (locally, and now globally) a few everyday tech tools are an integral part of connecting with my colleagues and consulting with other educators. As practitioners, we are stretched in a thousand different directions. Here are some quick ideas to use with these virtual life-savers. Best of all, they are free:

Googledocs: Get online and create group documents without several versions sent around in different attachments. It’s a totally collaborative platform. In my workplace, we have used it to:

  • Make group SMART goals even smarter; create group professional development goals all in the same place.
  • Make Power Point presentations for that next staff meeting virtually.
  • Create spreadsheets to share caseload information, class lists, inventories of tests and supplies.
  • Collaborate on evaluations and writing reports.
  • Have a place to access reports and notes from any laptop or computer.
  • Create meeting minutes for everyone on the team to access.

 

Doodle: Have a team meeting to set up? This little online tool allows you to email several time slots to one group of people all at once, and poll the best date.

 

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Skype: Nothing like a little face time, right? Using Skype is free, but conference/group chats are available for a small monthly free. If you have a camera and a working mic on your laptop, or i-device you are good to go. I can consult with South America while looking at the notes I’ve pulled up from my google docs. I like Skype because it is super user-friendly for those who are a little tech-shy. This year I’m even using Skype to consult with supervising a SLPA in training. Through Skype I can chat with his supervisor who is out of state.

Dropbox: Similar to Google docs this has the additional ability to drop in video, notes, or whatever information you want to share all in one folder. You simply download the app to your desktop or portable device. If you put it on your iPad, then you can take videos on the go, and put them directly into the shared folder. This is great forum to video your sessions with your students, and share them with parents and teachers.

Happy techno-collaborating!

 

Kerry Davis, PhD, CCC-SLP, is a city-wide speech-language pathologist in the Boston area. Her areas of interest include working with children with multiple disabilities, inclusion in education and professional development. The views on this blog are my own and do not represent those of my employer. Dr. Davis can be followed on Twitter at @DrKDavisslp.

Snap and Post Photos of Your Day to the ASHA Leader Instagram Contest

This contest has ended, however we are always looking for new Instagram photos of your typical day as a speech-language pathologist, audiologist or researcher. We feature one of your photos in each new issue of The ASHA Leader. To submit your photo for inclusion, be sure to tag it with #ashaigers on Instagram.

instagram blog 2Say “cheese!” The new ASHA Leader is commemorating its inaugural year by celebrating YOU. We’re putting together a book of photographs that showcase what our members do best—helping people communicate. And we want your Instagram photos to be a part of it!

Ah, Instagram. I never go on a walk without my phone/camera, just in case a moment presents itself. There’s a walking loop near ASHA’s headquarters that’s about a mile long, and on nice days it’s a great way to blow off some steam, get some fresh air and remember there is a world outside your cubicle. But it’s also inhabited by trees, birds, flocks of geese, various corporate buildings and some shockingly obnoxious D.C. metro intersections, all of which make great fodder for Instagram.

Maybe you do it, maybe you don’t, but unless you’ve been living in a cave in the wilderness, you’ve undoubtedly heard about Instagram. It’s a photo app that allows users to filter, modify, and edit their photos any way the imagination allows. Many Instagrams start out looking like any digital photo, but end up looking like anything from quirky postcards to beautiful pieces of art. Check out the app and download it to your phone at Instagram.com. Then hop on over to Webstagram online to see millions of snapshots of life from around the globe. For Instagram examples from the Leader staff, go to Webstagram and look under the hashtag #ashaigers. Hey, sometimes your inner artist works, sometimes it doesn’t, but it’s always fun to try!

Because it’s so cool and we know you all have great stuff to share, we want to see your Instagrams. We know you work hard, have fun and blow off steam—show us! We want to see Instagram photos of your typical day as a speech-language pathologist, audiologist or researcher. How do you start your day? What moments during the work day or after hours are especially meaningful? Joyful? Or even particularly frustrating? Be creative and unique with your camera shots—capture the essence of your day and the landscape in which you live it (search the hashtag #ashaigers to see some staff examples).

The dates of the contest are May 12-18, 2013. The theme is “A Week in the Life of the Professions.” Upload your photos (put whatever filters or edits on them as you see fit) and be sure to include the hashtag #ashaigers in the caption.

Don’t have Instagram? E-mail your photos to leader@asha.org with the subject line “Instagram” and we’ll upload them for you.

After May 18, we (the Instagram-delirious Leader staff) will select the most memorable photos for inclusion in an orderable book. We’ll also feature as many of those selected as we can in our July issue! Everyone included in the book will receive credit and recognition; through a random drawing, 20 contributors will receive a free copy.

And we’re going to keep the photo fun going after May 18, selecting from photos you continue uploading to #ashaigers for a new recurring “Glimpses” feature in The ASHA Leader.  So c’mon folks! Grab your cameras, fancy-frame your subjects and settings, and get snapping and uploading! We want the book to be a memorable, lasting revelation of one week in the lives of speech-language pathologists, audiologists and speech-language scientists making a difference.

#ashaigers

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Gary Dunham, is editor-in-chief of The ASHA Leader and can be reached at gdunham@asha.org.

ASHA’s Listen To Your Buds Campaign Brings Safe Listening Message to The 2013 International Consumer Electronics Show

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Annette Gorey, ASHA’s Public Relations Specialist, works to get ASHA’s booth ready for the show.

More than 150,000 people may hear more about ASHA’s Listen to Your Buds campaign at this week’s 2013 International Consumer Electronics Show (CES) in Las Vegas. This marks ASHA’s fifth consecutive year as a CES exhibitor, and the ASHA Public Relations team couldn’t be more excited to spread the word about listening safely and preventing noise-induced hearing loss.

The Listen to Your Buds exhibit will be in the heart of the CES Digital Health Summit. And new this year, ASHA joins the show’s MommyTech Summit to connect with influencers, mommy bloggers, key children’s health and technology media and more. We’ll convey how Listen to Your Buds can help parents help young people use personal audio technology safely. As you probably well know, the parent blogosphere is more powerful than ever and growing fast. This is an increasingly important audience for our Listen to Your Buds campaign and outreach efforts.

The time has never been riper for a safe listening message. Spend a day with a toddler, elementary school student, tween or teen – or just walk around the mall, stand in line at Starbucks or stroll down the street – and you can’t help but see how kids are more connected to personal audio devices than ever before. Headphones have become a fashion item. The latest color iPod is in the hands of a six-year-old. Teens are at the gym listening to music. And this past holiday season, personal audio technology items were among the hottest gifts around. Now, in the wake of technology gift-giving and increased daily technology time, parents should monitor their child’s usage and volume levels and model safe listening behaviors – and the tips at www.listentoyourbuds.org can help.

We know even minimal hearing loss can affect children’s social interaction, communication skills, behavior, emotional development, and academic performance. Some parents are now realizing this, too. Eighty-four percent of parents are concerned that misuse of personal audio technology damages the hearing of children, according to the results of an online poll commissioned by ASHA last May. Parents also show overwhelming support for hearing screenings for tweens and teens—71% for 10- to 11-year-olds and 67% for 16- to 17-year-olds—according to a University of Michigan Mott Children’s Hospital National Poll on Children’s Health released just last month.

ASHA’s exhibit booth in the Living in Digital Times area has information about hearing loss prevention, warning signs of hearing damage, and how to find a local ASHA-certified audiologist using ASHA’s ProSearch. ASHA member and Las Vegas audiologist Dr. Daniel Fesler, CCC-A and Buds Coalition Musician Oran Etkin will be on hand to talk with attendees.

The Consumer Electronics Association (CEA), who puts on the CES each year, is among the Buds’ dozen dedicated sponsors; we joined forces in 2007. Recently, CEA President and CEO Gary Shapiro highlighted just how important the Buds message is. “As a longtime supporter of the Listen To Your Buds youth campaign, CEA represents companies that create audio technologies for listeners of all ages,” says Gary Shapiro, president and CEO of CEA. “We promote products, like noise-canceling and sound-isolating headphones, that help minimize outside sounds, and volume-controlled headphones that give control to parents of young children. New innovations are still to come that will help us practice and teach safe listening so that we can all listen for a lifetime.’”

Erin Mantz is a Public Relations Manager for ASHA.

Appdapted: Speech and Language Therapy Apps for the Holiday Season

Hopefully most of you found my Halloween Edition of Appdapted very useful. I really wanted to do a thanksgiving one but honestly there were only a few apps out for Turkey Day and most involved hunting turkey, not a good therapy activity. We have now moved into the Holiday Season so take a look at some great apps to use in therapy. A good majority focus around Christmas. I tried my best to find some relevant Chanukah or Kwanza ones with very little success.

I have lots to share so keep an eye on this post as I will be updating it regularly. For now start off with these awesome apps that will keep your kids motivated!

Updated 11/27/12

Snow Doodle ($0.99)

Snow Doodle is the latest addition to the Doodle family by Shoe the Goose. This app has tons of potential and was released just in time for the winter season.  You have the ability to not only build “snow people” ( Have to be politically correct here, not all snow beings are men after all) but also build things using your imagination and tools like a pail, castle block, coffee cup, or a tube. Just tap the tool and out pops the snow. You can also use the free form tool and manipulate the snow ball into any design you want. This app has tons of potential and with the ability to import anything from your photo roll you can Appdapt it into any speech or language activity.

Built using the Pail tool

Turn your designs into a puzzle

Why is the Snowman scared?

Toca Hair Salon: Christmas Gift (Free, Highly Recommended)

This is an obvious gem when looking for a Christmas app to target therapy goals. You have the option to cut Santa’s hair! I mean who wouldn’t want to have fun doing that. There is also a Christmas tree option where you can trim and decorate the tree. Target all the goals you would with Toca Hair Salon but throw in some fun Christmas Vocabulary!

Gift-Wrap-App (Free, My Favorite!)

I searched and searched for an App like this hoping it existed and it does it does! This app has such a simple premise you will be taking every therapy goal and targeting it with this app. You take a picture , pick the gift wrap, and unwrap them! Target articulation, language, or pretty much anything. I would download pictures of popular toys this year and wrap them up. Have your clients describe what the toys do or how you would play with them. In the example below I used an action picture “drinking.”

Santa’s Magice Phone-Deluxe (Free and Fun)

PERSONALIZE certain calls by recording your voice, and we will disguise your voice as Milo, Santa’s Elf! Santa will then ask Milo a question during the call, and Milo will bring details into the phone call that your child would never have imagined! “Wow Mommy! How did Santa know I was polite with little Johnny?” Receive the call at your choosing for the ultimate reaction. You can select from numerous Naughty or Nice prerecorded messages, such as Good Job Being Polite, Eating Well, Sharing, You’re Off the Naughty List!, Not Listening, and many more!

Christmas House Decoration (Free, iOS)

In this app its all in the name. You decorate the exterior of a house for Christmas. This will work great as a motivator, following directions,  or for tasks requiring knowledge of spatial concepts. Decorations include snowmen, trees, Santa, lights, etc..  Endless possibilities for a creative child or therapist!

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Chanukah Dreidel (Free)

This is one of the few apps that I found that incorporates Chanukah. It’s  a virtual dreidel so not so exciting but could be a proper motivator for those clients of yours that celebrate Chanukah.

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Peekaboo Presents  ($1.99, iOS and Android)

Here is a another solid app by Night & Day studios, developers in the ever popular Peekaboo series. I featured there Peekaboo Trick-or-Treat app in my Halloween Post. To play the app you tap on the present that is under the Christmas tree  shaking and making noise. The child must make a guess on what is inside the present based on the noise it is making. Lot’s of fun presents to open and noises to guess! Have fun with this one.

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Toys “R” Us Toy Finder (Free)

I have been using this app to help create my client’s wish list for their holiday presents. You are able to make a profile for a child and then save their list of toys. This app would work well in a group setting to foster some good conversation about what the children have selected and why they made those selections. Also offers a good opportunity to explain what a toy does and what it looks like. Ever have that child that suffers from word retrieval difficulties and is trying to explain a toy that they play with daily but they don’t know the name? Well have them search by  the  toy categories, etc.. to help them narrow it down.

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(This post originally appeared on The Speech Guy)

Jeremy Legaspi, CCC-SLP, is a Speech-Language Pathologist at Foundations Developmental House. He concentrates on autism, AAC, apraxia, articulation,phonlogy, and some feeding. You can follow him on twitter @azspeechguy and check him out on azspeechguy.wordpress.com and www.therapyapp411.com