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Building communication interventions for children with severe disabilities on cultural resources: an action research enquiry

Includes bibliographical references

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Bibliographic Details
Main Author: Geiger, Martha
Other Authors: Duma, Sinegugu
Format: Thesis
Language:English
Published: Department of Health and Rehabilitation Sciences 2016
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access_status_str Open Access
author Geiger, Martha
author2 Duma, Sinegugu
author_browse Duma, Sinegugu
Geiger, Martha
author_facet Duma, Sinegugu
Geiger, Martha
author_sort Geiger, Martha
collection Thesis
description Includes bibliographical references
format Thesis
id oai:open.uct.ac.za:11427/16536
institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:32:41.376Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2016
publishDateRange 2016
publishDateSort 2016
publisher Department of Health and Rehabilitation Sciences
publisherStr Department of Health and Rehabilitation Sciences
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/16536 Building communication interventions for children with severe disabilities on cultural resources: an action research enquiry Geiger, Martha Duma, Sinegugu Lorenzo, Theresa Disability Studies Includes bibliographical references In South Africa, children with severe disabilities are often the most neglected in terms of planning and providing appropriate interventions. For those with severe communication disabilities, an additional lack is in the area of the basic human right to meaningful interactions and communication. Sustainable strategies to provide opportunities for basic communicative participation of these children are urgently sought. The focus of this study, grounded in the transformative paradigm, was on culturally determined processes that can increase and enrich the communicative participation of children with severe communication disabilities in an isiXhosa language and cultural context. The aims of the study were: * to identify culturally determined non-verbal and pragmatic elements of social interaction in an isiXhosa language context. * to identify culturally appreciative strategies to support the communicative participation of children with severe communication impairments in this context. The participants were 44 mothers and/or primary carers of children with severe cerebral palsy from an under-resourced peri-urban isiXhosa speaking context in the Western Cape. The method comprised an action research journey with iterative cycles of collaborative action, reflection and subsequent further planning with participants. Data collection included action reflection group sessions, reflective dialogues with the group facilitators, and participant observations. All data was qualitative. Data analysis included a process of in-group collaborative analysis and verification followed by reflective dialogues with the group facilitators and interpretive thematic content analysis. The findings included 12 action learning outcomes, from which two main themes were identified, directly responding to the two main aims of the study. Findings that were considered new were framed as three theses: Thesis 1: Relationships are the context and motivation for communicative participation: the social inclusion and non-ostracism of mothers need to be prioritised in order for them and their children to enjoy communicative participation. Thesis 2: The 'Middle Ground' is a valuable positionality in implementing transformative action learning as an intervention approach. Thesis 3: There is a need to reframe culture as a resource in supporting the communication development of children with severe communication disabilities. In conclusion, implications for clinical practice, for training, for policy planning and implementation and for further research are discussed. Practical suggestions for application by mothers and others caring for children with severe communication disabilities in similar contexts are included. 2016-01-25T11:51:12Z 2016-01-25T11:51:12Z 2015 Doctoral Thesis Doctoral PhD http://hdl.handle.net/11427/16536 eng application/pdf Department of Health and Rehabilitation Sciences Faculty of Health Sciences University of Cape Town
spellingShingle Disability Studies
Geiger, Martha
Building communication interventions for children with severe disabilities on cultural resources: an action research enquiry
thesis_degree_str Doctoral
title Building communication interventions for children with severe disabilities on cultural resources: an action research enquiry
title_full Building communication interventions for children with severe disabilities on cultural resources: an action research enquiry
title_fullStr Building communication interventions for children with severe disabilities on cultural resources: an action research enquiry
title_full_unstemmed Building communication interventions for children with severe disabilities on cultural resources: an action research enquiry
title_short Building communication interventions for children with severe disabilities on cultural resources: an action research enquiry
title_sort building communication interventions for children with severe disabilities on cultural resources an action research enquiry
topic Disability Studies
url http://hdl.handle.net/11427/16536
work_keys_str_mv AT geigermartha buildingcommunicationinterventionsforchildrenwithseveredisabilitiesonculturalresourcesanactionresearchenquiry