Summary
Context
Although differences in clinical interactions with patients between students and experienced
clinicians are well described, differences in therapeutic training behaviors have
not been explored, especially in relation to motor learning principles.
Aims
This pilot study compared clinical behaviors between speech language pathology (SLP)
students and experienced SLPs in a voice therapy task, using prepractice variables
in the Motor Learning Classification Framework (MLCF).
Methods
Using a quasi-experimental design, five final-year undergraduate SLP students and
four experienced SLPs with a voice therapy caseload taught a standardized patient
to produce a vocal siren. Two trained raters categorized the clinicians’ behaviors
using the MLCF.
Results
High intrarater reliability (91.9%, 92.3%) and interrater reliability (89.6%, 82.1%)
were shown across both raters. Both clinician groups used the same percentage of behaviors
classified as verbal information but differed in the subtypes of these behaviors. Experienced clinicians used behaviors
categorized as problem-solving and only experienced clinicians used repeated behavior sequences that included perceptual training. Both groups used significantly more talking behaviors than doing behaviors.
Conclusions
The MLCF can be reliably used to identify prepractice behaviors during client interactions
in voice therapy. Students and experienced clinicians showed similarities in behaviors,
but experienced clinicians used more problem solving and perceptual training behaviors than students. These differences have implications for student training.
The greater use of talking behaviors than doing behaviors warrants further investigation
into whether this impacts the subsequent quality of practice engaged by the client
and ultimately treatment effectiveness.
Key Words
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Article info
Publication history
Published online: January 16, 2021
Accepted:
December 21,
2020
Footnotes
This study was financially supported by the Dr Liang Voice Program, The University of Sydney.
Identification
Copyright
Crown Copyright © 2021 Published by Elsevier Inc. on behalf of The Voice Foundation. All rights reserved.
