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Reciprocal Scaffolding Treatment
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Reciprocal Scaffolding Treatment
By: Shana Ashraf, Kirsten Bowens, & Daphnee Nicoleau
PWA
Meet Judith...
Judith is a 52 year old female with Transcortical Sensory Aphasia.
In the past, she was a journalist and her hobbies included painting and riding horses. Judith has difficulty with auditory
comprehension and naming.
We will be using Reciprocal Scaffolding Treatment to improve Judith's quality of life.
RST Defined
Reciprocal Scaffolding Treatment:
According to ASHA, Reciprocal Scaffolding Treatment is defined as a group treatment approach that addresses communication skills utilizing natural language in meaningful social context.
This approach is part of the Life Participation
Approach to Aphasia (LPAA) and aims to improve the quality of life.
Example
Judith is an advisor to a high school journalism class. Due to Judith's difficulty with auditory comprehension, the students use alternative modes of communication.
(i.e. dry erase boards, communication boards, visuals and writing).
RST Goals
Goals for RST
-Improve content and fluency in conversation
-Build a variety of vocabulary
-Increase oral/written language
-Improve quality of life
RST Methods
Methods for RST
The client and clinician select personally meaningful context (activities). Scaffolding techniques are embedded within the activites that facilitate communication.
According to The Glossary of Education Reform, scaffolding
refers to a variety of instructional techniques used to move PWA progressively toward stronger understanding and, ultimately, greater independence in every day life
Outcomes/Results
Outcomes & Results
-Improved participation in life situations
-Improved personal identity, attitudes, and feelings
-Improved language and related impairments
-Improved communication and language environment
Conclusion
Conclusion
According to Avent and Austermann (2003), Reciprocal Scaffolding Treatment is an effective and beneficial way to accelerate psychosocial healing and language improvements and enhance individual and family-reported quality of life.
References
References
Avent, J. & Austermann, S. (2003). Reciprocal Scaffolding: A context
for Communication Treatment in Aphasia, 17 (4). Retrieved from http://www.tandfonline.com/doi/abs/10.1080/02687030244000743.
American Speech-Language-Hearing Association. (2017). Aphasia:
Aphasia [PDF document]. Retrieved from https://www.asha.org/Events/convention/handouts/2011/Hinckley-Bourgeois-Hickey/
Bourgeois, M. et al, Treatment that Works for Both Dementia and
Treatment. Retrieved from https://www.asha.org/PRPSpecificTopic.aspx?folderid=8589934663§ion=Treatment
Lu, A., Patterson, J., Small, K. (17 December 2007). Reciprocal Scaffolding
Treatment. A Person With Aphasia As Clinical Teacher,23. Retrieved from http://www.tandfonline.com/doi/abs/10.1080/02687030802240211.
The Glossary of Education Reform: Scaffolding (2015). Retrieved from http://
edglossary.org/scaffolding/