1.The Impact of Hanen More Than Words Programme on Parents of Children with ASD in Malaysia
Sherin Sokmum ; Susheel Joginder Singh ; Sandra Vandort
Malaysian Journal of Health Sciences 2017;15(2):43-51
This study aims to investigate the viability and effectiveness of the Hanen More Than Words (HMTW) programme amongst
parents of children with Autism Spectrum Disorder (ASD). This quassi-experimental study involved 31 children (27 boys,
4 girls; M = 34.58 months, SD = 3.67) who met criteria for ASD and their parents. The measurement was conducted in
three phases; Time 1 (prior to intervention), Time 2 and Time 3 (at three and five months after the intervention begins).
The outcome measures were assessed based on: (1) changes in parental facilitative strategies; (2) the children’s growth
in vocabulary and (3) the progress of communication and social skills. The paired t-test were used to analyze the pre
and post findings within the intervention and control group with p-value <.01. Results showed that there was an increase
in using the facilitative communication strategies by parents in the HMTW group during parent-child interaction. The
children showed an increased in vocabulary, communication and social skills. The parents agreed that their mastery
of facilitative communication strategies increased and they provided positive feedback about the HMTW approach. The
results suggested that the HMTW program could be implemented well by Malaysian parents. The training was supported
by Malaysian parents and had measurable effect on both parents and children.
2.The Introduction of a Secondary Reinforcer During Therapy Based on the ABA Model for Children with Autisme
Ban Weng Lun ; Susheel Kaur Dhillon Joginder Singh ; Kartini Ahmad
Malaysian Journal of Health Sciences 2016;14(2):89-102
Applied Behavior Analysis (ABA) is a technique used to teach children with autisme a variety of skills. In ABA, children with autisme often do not receive reinforcers because they have difficulty performing their targeted behaviors, which consequently leads to challenging behaviors. Objectives of this study are to increase spontaneous request and decrease challenging behavior among children with autisme by introducing a secondary reinforcer during therapy based on ABA model. Secondary reinforcer has lower reinforcing value than the primary reinforcer. When the children tried but were unable to produce their targeted behavior, they were given the secondary reinforcer. The children were divided into two groups, five children in the intervention group and four children in the control group, and they were taught specific target requesting behavior (TRB) to request for a preferred item. Three children in the intervention group recorded an increase in spontaneous request and a reduction in challenging behaviors. Only two children from the control group recorded an increase in spontaneous request and a decrease in challenging behaviors. However, only children from the intervention group were able to maintain their performance during the generalization sessions. The results suggest that children respond differently to specific prompts and interventions. Future studies should focus on how prompts affect children’s performance and also on reinforcer selection. Bigger scale studies are still needed to further determine the effectiveness of a secondary reinforcer in assisting the learning of requesting skill and in reducing challenging behaviors among children with autisme during therapy based on ABA model.
3.Development of a Computer-Assisted Learning Courseware for Anatomy and Physiology of Swallowing
Yee Fun CHOW ; Rahayu Mustaffa KAMAL ; Shobha SHARMA ; Hua Nong TING ; Susheel Kaur Dhillon Joginder Singh
Malaysian Journal of Health Sciences 2018;16(1):169-179
Knowledge of normal anatomy and physiology of swallowing is fundamental in the identification of individuals with orat risk for swallowing disorders. Learning anatomy and physiology however, is not an easy task thus, computer-assistedlearning (CAL) approaches have been incorporated into the learning of the topics to enhance understanding. Althoughevidence exists on the benefits of using CAL in education, more studies are necessary in the field of swallowing. Whilecourseware for the learning of anatomy and physiology of swallowing exist, they are not comprehensive. Therefore, thisstudy aimed to develop a comprehensive CAL courseware for anatomy and physiology of swallowing. The current studyused a designed-based research following the ADDIE (analysis, design, development, implementation, and evaluation)model to create a multimedia courseware, incorporating the use of text, still images, animations, audio narrations,and presented on a simple graphical user interface. The courseware was evaluated by 27 undergraduate students interms of its usefulness, ease of use, and users’ satisfaction. Results indicate that the participants were satisfied with thecourseware and that they perceived the courseware as useful, easy to learn and easy to use. The study represents aninitiative to investigate the use of CAL in the subject and to establish the basis for further work which includes assessmenton the learning outcomes from the usage of the CAL courseware. It is hoped that the use of this courseware in teachingand learning of anatomy and physiology of swallowing can enhance students’ knowledge and understanding of the areaefficiently and effectively.
4.Assessments of Aphasia: Practices and Challenges faced by Malaysian SpeechLanguage Therapists (Penilaian Aphasia: Amalan dan Cabaran yang dihadapi oleh Jurupulih Pertuturan-Bahasa Malaysia)
Fatimah Hani Hassan ; Pei Whey Heng ; Susheel Joginder Singh ; Rahayu Mustaffa Kamal
Malaysian Journal of Health Sciences 2023;21(No.1):51-63
Aphasia assessment is crucial in diagnosing aphasia, determining the extent of language impairment, and identifying
factors that may support or restrict aphasia recovery to design an appropriate plan of care for people with aphasia.
Speech-language therapists (SLTs) play a major role in conducting aphasia assessments. Little is known about the
practices of SLTs in assessing aphasia in low-resource regions. The present study aims to identify aphasia assessment
practices among Malaysian SLTs and related challenges, as well as strategies for improving aphasia assessments from
SLTs’ perspectives. A total of 32 SLT participants who have been practicing in Malaysia completed an online survey to
gather their background information, data pertaining to practices and challenges in conducting aphasia assessments,
and suggestions for improving aphasia assessments. Descriptive analyses were conducted for all numerical data.
Suggestions for improving aphasia assessment practices were analysed qualitatively using the thematic content analysis
approach. SLT practices in aphasia assessment were found to be consistent in certain aspects, but not all. Two major
challenges were identified: (a) linguistic barriers between clinicians and clients/caregivers, and (b) a lack of standardized
assessment tools for aphasia evaluations. Participants suggested “Internal Strategies” and “External Strategies” for
improving aphasia assessment practices.