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'n Ondersoek na kruislinguistiese en -kulturele vroee kommunikasie-intervensie : die ervarings van spraak-taalterapeute en versorges
Thesis (PhD)--Stellenbosch University, 2025.
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Stellenbosch : Stellenbosch University
2025
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| access_status_str | Open Access |
| author | Botha, Mariette |
| author2 | Gerber, Berna |
| author_browse | Botha, Mariette Gerber, Berna |
| author_facet | Gerber, Berna Botha, Mariette |
| author_sort | Botha, Mariette |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
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Thesis (PhD)--Stellenbosch University, 2025. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/133948 |
| institution | Stellenbosch University (South Africa) |
| language | af_ZA |
| last_indexed | 2026-06-10T12:46:57.306Z |
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| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/133948 'n Ondersoek na kruislinguistiese en -kulturele vroee kommunikasie-intervensie : die ervarings van spraak-taalterapeute en versorges Botha, Mariette Gerber, Berna Van der Merwe, Anita S. Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Health & Rehabilitation Sciences. Speech-Language and Hearing Therapy. Speech therapy -- Cross-cultural studies Speech therapists -- Attitudes Intercultural communication Language acquisition -- Cross-cultural studies Caregivers -- Attitudes UCTD Thesis (PhD)--Stellenbosch University, 2025. Botha, M. 2025. 'n ondersoek na kruislinguistiese en -kulturele vroee kommunikasie-intervensie: die ervarings van spraak-taalterapeute en versorges. Unpublished doctoral thesis. Stellenbosch: Stellenbosch University [online]. Available: https://scholar.sun.ac.za/items/eebe4566-a019-4fc8-ba4a-46983f84bced AFRIKAANSE OPSOMMING: Agtergrond: Daar word van Suid-Afrikaanse spraak-taalterapeute verwag om bewysgebaseerde vroee kommunikasie-intervensie van gehalte aan versorgers en kinders te lewer, ongeag die versorger se taal-en kultuuragtergrond. Die literatuur wys egter daarop dat die land se spraak-taalterapeute 'n klein, homogene groep is wat hoofsaaklik uit Engels-en Afrikaanssprekende vroue bestaan. Daarby is hulpbronne en riglyne vir kultuurresponsiewe kruislinguistiese en-kulturele vroee kommunikasie-intervensie beperk. Hierdie proefskrif beskryf 'n diepgaande ondersoek na kruislinguistiese en -kulturele vroee kommunikasie-intervensie. Die ondersoek handel in die besonder oor: • die aard en omvang van die bestaande literatuur oor kruislinguistiese en -kulturele pediatriese spraak-taalterapie; • die ervarings van spraak-taalterapeute en Xhosa-sprekende versorgers in die Oos-Kaap; en • die ontwikkeling en beoordeling van 'n oorspronklike dokument met riglyne om kultuurresponsiewe praktyke gedurende kruislinguistiese en -kulturele vroee kommunikasie-intervensie te bevorder. Metodologie: Die navorsing is in Vier studiefases onderneem. Studie 1 was 'n omvangsbepaling wat die landskap van bestaande internasionale literatuur oor kruislinguistiese spraak-taalterapie vir kinders gekarteer het. Die omvangsbepalingsmetodologie van JBI (voorheen "die Joanna Briggs instituut") is as metodologiese raamwerk gebruik. In studie 2 en 3 is hermeneuties-fenomenologiese onderhoude met onderskeidelik ses spraak-taalterapeute en sewe versorgers gevoer. Die data van studie 2 en 3 is daarna volgens Ricoeur se teorie ontleed en vertolk. In studie 4 is 'n oorspronklike dokument met riglyne vir kruislinguistiese en-kulturele vroee kommunikasie-intervensie ontwikkel, wat 41 belanghebbendes uiteindelik aan die hand van 'n aanlyn vraelys met 18 items beoordeel het. Beskrywende en inferensiele statistiese metodes is gebruik om die numeriese data uit die vraelys te ontleed, terwyl die antwoorde op die oop vrae tematies ontleed is. Bevindinge en bespreking: In studie 1 het 12 artikels aan die kriteria vir insluiting by die omvangsbepaling voldoen. Die studies is meestal na 2015 in veral die Verenigde State en Kanada uitgevoer en in verskillende vaktydskrifte gepubliseer. Semigestruktureerde onderhoude en vraelyste was die mees gebruikte data-insamelingsmetodes. Die artikels het kommunikasie-afbrekings, probleme met tolke, samewerking deur die versorger sowel as 'n tekort aan kultuurgepaste materiaal vir assessering en intervensie as struikelblokke uitgelig. Aangemelde strategiee het ingesluit om die versorger se samewerking en betrokkenheid te probeer verseker en om die versorger se kultuur, waardes, geloofsoortuiging en persepsie oor die kind se kommunikasieprobleem te respekteer. In studie 2 is bepaalde temas uit die deelnemers se vertellings ontwikkel, naamlik 'n ervaring van innerlike wroeging, 'n bewustheid van hulle eie kultuurbevoegdheid, die belang van ervaring, struikelblokke waarvoor hulle te staan kom, en verskillende strategiee om daardie struikelblokke te oorkom. Die vertellings van die versorgerdeelnemers aan studie 3 het weer klem gele op die waarde van inligting oor spraak-taalterapie, die profiel van die spraak-taalterapeute wat hulle bedien, die doeltreffendheid van vroee kommunikasie-intervensie, versorgers se verwagtinge, deelname en rol, en die waarde wat die deelnemers aan hulle moedertaal en kultuur heg. In studie 4 is 'n oorspronklike dokument met riglyne en aanbevelings vir kruislinguistiese en-kulturele vroee kommunikasie-intervensie ontwikkel op grond van die bevindinge van studie 1 tot 3. Die meerderheid (95%) van die belanghebbendes wat aan studie 4 deelgeneem het, het saamgestem dat die riglyne uitvoerbaar en van 'n hoe gehalte is. Gevolgtrekking: 'n Deeglike kennis van spraak-taalterapeute en versorgers se ervarings het die grondslag gele vir die formulering van riglyne wat spraak-taalterapeute kan ondersteun deur die gaping tussen ideale en werklike praktyk vir kultuurresponsiewe vroee kommunikasie-intervensie te vernou. ENGLISH SUMMARY: Background: South African speech-language therapists are expected to provide quality evidence-based early communication intervention to caregivers and their children, irrespective of the caregiver's linguistic and cultural background. However, the literature indicates that the country's speech-language therapists are a small, homogenous group, mainly comprised of English-speaking and Afrikaans-speaking women. Moreover, resources and guidelines for culturally responsive cross-linguistic and cross-cultural early communication intervention are severely limited. This dissertation describes an in-depth study into cross-linguistic and cross-cultural early communication intervention. The study is specifically concerned with: • the nature and scope of the existing literature on cross-linguistic and cross-cultural paediatric speech-language therapy; • the experiences of speech-language therapists and Xhosa-speaking caregivers in the Eastern Cape; and • the development and review of an original guideline document aimed at promoting culturally responsive practices during cross-linguistic and cross-cultural early communication intervention. Methodology: The research was conducted in four study phases. Study 1 comprised a scoping review that mapped the landscape of existing global literature on cross-linguistic speech-language therapy for children. The scoping review methodology of JBI (formerly "the Joanna Briggs Institute") served as methodological framework. In studies 2 and 3, hermeneutic phenomenological interviews were conducted with six speech-language therapists and seven caregivers respectively. The data from studies 2 and 3 were subsequently analysed and interpreted in accordance with Ricoeur's theory of interpretation. In study 4, an original document with guidelines for cross-linguistic and cross-cultural early communication intervention was developed, which 41 stakeholders eventually reviewed by completing an 18-item online questionnaire. Descriptive and inferential statistical methods were used to analyse the numerical data from the questionnaire, while the responses to the open-ended questions were analysed thematically. Findings and discussion: In study 1, 12 articles met the criteria for inclusion in the scoping review. These studies were mostly conducted in the United States and Canada after 2015 and were published in various journals. Semi-structured interviews and questionnaires were the most commonly used data collection methods. The articles highlighted barriers such as communication breakdowns, problems with interpreters, caregiver buy-in, and a lack of culturally appropriate material for assessment and intervention. Strategies reported included attempts to ensure the caregiver's cooperation and engagement, and respect for the caregiver's culture, values, religious convictions, and perception of the child's communication difficulty. In study 2, certain themes were developed from the participating speech-language therapists' stories, namely a sense of inner struggle, an awareness of their own cultural competence, the importance of experience, the stumbling blocks they face, and various strategies for overcoming those stumbling blocks. The stories of the participating caregivers in study 3, in turn, emphasised the value of information on speech-language therapy, the profile of their attending speech-language therapists, the effectiveness of early communication intervention, caregivers' expectations, buy-in and role, and the value that participants attached to their mother tongue and culture. In study 4, the findings from studies 1 to 3 served as the basis for developing an original document with guidelines and recommendations for cross-linguistic and cross-cultural early communication intervention. The majority (95%) of the stakeholders who participated in study 4 agreed that the guidelines were feasible and of a high quality. Conclusion: An in-depth knowledge of the experiences of speech-language therapists and caregivers laid the foundation for the formulation of guidelines that could support speech-language therapists by narrowing the gap between ideal and actual practice for culturally responsive early communication intervention. ISISHWANKATHELO NGESIXHOSA: Imeko: lingcali zaseMzantsi Afrika ezisebenza ngobunzima bokuthetha nolwimi kulindeleke ukuba zibonelele ngeenkqubo zokuza nezisombululo ukunceda abanakekeli nabantwana babo ezisekelwe kubungqina obungobunzima bokwazi ukunxibelelana komntwana ngelixa esafunda ukuthetha, kungakhathalisekile nokuba ithini na imeko yomanakekeleli ngokolwimi nangokwenkcubeko. Nangona kunjalo, uncwadi lubonisa ukuba iingcali ezisebenza ngobunzima bokuthetha nolwimi kweli lizwe ziliqaqobana nje kwaye zisebenza ngokufanayo, kananjalo ikakhulu zingabasetyhini abantetho isisiNgesi neAfrikansi. Ngaphezu koko, izibonelelo kunye nezikhokelo ezilungiselelwe ungenelelo oluvumelana neelwimi neenkcubeko ezahlukeneyo azingako kwaphela. Le diseteyishini ichaza uphononongo olunzulu olumalunga nongenelelo kubunzima bokungakwazi komntwana ukunxibelelana ngokweelwimi neenkcubeko ezahlukeneyo ngelixa esafunda ukuthetha. Olu phononongo lujongene ngokukodwa: • nobume nokunaba koncwadi olukhoyo nolumalunga nokusetyenzwa kwengxaki yobunzima bokungakwazi komntwana ukunxibelelana ngokweelwimi neenkcubeko ezahlukeneyo; • namava eengcali ezisebenza ngobunzima bokuthetha nolwimi namava abanakekeli abathetha isiXhosa eMpuma Kapa; kananjalo • nokuqulunqwa kwanokuqwalaselisiswa koxwebhu lwesikhokelo esisodwa olujoliswe ekukhuthazeni izenzo zokusabela ngokukhawuleza ungenelelo olungeelwimi neenkcubeko ezahlukeneyo kubantwana abasafunda ukuthetha. Imethodoloji: Olu phando lwenziwe ngokwezigaba ezine zophononongo. UPhononongo loku1 luqulathe uqwalaselisiso lwemida ebonisa ubum boncwadi olukhoyo ehlabathini olumalunga nobunzima bokuthetha nokuthetha ulwimi oluthile, ncwadi olo olulungiselelwe ukusebenza abantwana abalwimi nabankcubeko zahlukeneyo. Imethodoloji yophononongo yeJBl (eyayisakuba "yiJoanna Briggs Institute") isetyenziswe njengesikhokelo semethodoloji. Kuphononongo lwesi2 nolwesi3 kuye kwaqhutywa iinkqubo zodliwanondlebe eziqhutywa ngokobuchule bokucacisa ulwimi neengcali ezintandathu ezisebenza ngobunzima bokuthetha nolwimi kunye nabanakekeli abasixhenxe kuphononongo ngalunye. Idatha evela kuphononongo lwesi2 nakuphononongo lwesi3 emva koko iye yahlalutywa yaza yacaciswa ngokuhambelana nethiyori kaRicoeur emalunga nocaciso. Kuphononongo lwesi4, kuqulunqwe uxwebhu olulodwa olunezikhokelo zonxibelelwano lweelwimi neenkcubeko ezahlukeneyo zongenelelo kubunzima bokwazi ukunxibelelana komntwana ngelixa esafunda ukuthetha, apho abachaphazelekayo abangama41 baye baphendula uluhlu lwemibuzo eli18 kwi-intantethi. Kwasetyenziswa imethodi echazayo nethelekelelayo ngokusebenzisa iinkcukachamanani xa kuhlalutywa idatha engamanani ephuma kuluhlu lwemibuzo, ngeli lixa yona imibuzo evumela iimpendulo ezinabileyo ihlalutywe ngokwemixholo. Okufunyanisweyo kunye nengcaciso ngako: Kuphononongo lokul, ngamanqaku ali12 ayifezekisileyo imimiselo yokubandakanywa kuhlolisiso oluqingqiweyo. Ezo nkqubo zokuphonononga zaqhutywa ikakhulu eMelika naseKhanada emva kowama2015 zaza zapapashwa kwiijenali ezahlukeneyo. Ezona ndlela zisetyenziswe kakhulu zokuqokelela idatha ibe zezo ziqhutywa ngodliwanondlebe olulungelelanisiwe ngokwemixholo nangokwezintlu zemibuzo. Loo manqaku aqaqambise imiqobo enjengokuqhawuka konxibelelwano, iingxaki ngeetoliki, ukuvuma komnakekeli ukusebenzisana, kunye nokungabikho kwezinto ezifanelekileyo ngokwenkcubeko zokuvavanya nokungenelela. Amacebo axeliweyo abandakanya iinzame zokuqinisekisa intsebenziswano nokuzibandakanya komnakekeli, nokuhlonitshwa kwenkcubeko, iinqobo, ukubambelela kwinkolo ethile, kunye nokucingelwayo ngokubhekiselele kubunzima bokwazi komntwana ukunxibelelana. Kuphononongo lwesi2, kuye kwaqulunqwa imixholo ethile ephuma kumabali eengcali ezisebenza ngobunzima bokuthetha nolwimi, Oko kukuthi, ukuziva benokruthakrutheko emphefumlweni, ukwazi ukuqonda ubuchule babo bokunxibelelana nezinye iinkcubeko, ukubaluleka kwamava, imiqobo abajongana nayo, kunye neendlela ezahlukeneyo zokususa loo miqobo. Amabali abanakekeli abathatha inxaxheba kuphononongo lwesi3, nawo, agxininise ekubalulekeni kolwazi malunga nokusebenza ngobunzima bokuthetha nolwimi, iprofayili yeengcali ezisebenza ngobunzima bokuthetha nolwimi ezijongene nabo, ukuba yimpumelelo kongenelelo kunxibelelwano Iwangelixa umntwana esafunda ukuthetha, okulindelwe ngabanakekeli, ukwamkela ukusebenzisana nendima yabo, nokuxabiseka kolwimi lweenkobe nenkcubeko kubathabathinxaxheba. Kuphononongo lwesi4, okufunyaniswe kwinkqubo yophononongo yokul neyesi3 kusebenze njengesiseko sokuqulunqwa koxwebhu olulodwa olunezikhokelo neengcebiso zokungenelela kunxibelelwano olungeelwimi neenkcubeko ezahlukeneyo Iwangelixa abantwana besafunda ukuthetha. Isininzi (95%) sabachaphazelekayo abathathe inxaxheba kuphononongo lwesi4 bavumile ukuba izikhokelo zinokwenzeka kwaye zisulungeke kakhulu. Uqukunjelo: Ulwazi olunzulu Iwamava eengcali ezisebenza ngobunzima bokuthetha nolwimi nabanakekeli lube sisiseko sokuqulunqwa kwezikhokelo ezinokuxhasa iingcali ezisebenza ngobunzima bokuthetha nolwimi ngokunciphisa umsantsa phakathi kokusebenza okunqwenelekayo nokusebenza ngokwenene ukwenzela ukuba kwenziwe iinkqubo zongenelelo ezihambelana nenkcubeko. Doctoral 2025-09-19T10:06:41Z 2025-09-19T10:06:41Z 2025-03 Thesis https://scholar.sun.ac.za/handle/10019.1/133948 af_ZA Stellenbosch University xxi, 336 pages : illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Speech therapy -- Cross-cultural studies Speech therapists -- Attitudes Intercultural communication Language acquisition -- Cross-cultural studies Caregivers -- Attitudes UCTD Botha, Mariette 'n Ondersoek na kruislinguistiese en -kulturele vroee kommunikasie-intervensie : die ervarings van spraak-taalterapeute en versorges |
| title | 'n Ondersoek na kruislinguistiese en -kulturele vroee kommunikasie-intervensie : die ervarings van spraak-taalterapeute en versorges |
| title_full | 'n Ondersoek na kruislinguistiese en -kulturele vroee kommunikasie-intervensie : die ervarings van spraak-taalterapeute en versorges |
| title_fullStr | 'n Ondersoek na kruislinguistiese en -kulturele vroee kommunikasie-intervensie : die ervarings van spraak-taalterapeute en versorges |
| title_full_unstemmed | 'n Ondersoek na kruislinguistiese en -kulturele vroee kommunikasie-intervensie : die ervarings van spraak-taalterapeute en versorges |
| title_short | 'n Ondersoek na kruislinguistiese en -kulturele vroee kommunikasie-intervensie : die ervarings van spraak-taalterapeute en versorges |
| title_sort | n ondersoek na kruislinguistiese en kulturele vroee kommunikasie intervensie die ervarings van spraak taalterapeute en versorges |
| topic | Speech therapy -- Cross-cultural studies Speech therapists -- Attitudes Intercultural communication Language acquisition -- Cross-cultural studies Caregivers -- Attitudes UCTD |
| url | https://scholar.sun.ac.za/handle/10019.1/133948 |
| work_keys_str_mv | AT bothamariette nondersoeknakruislinguistieseenkulturelevroeekommunikasieintervensiedieervaringsvanspraaktaalterapeuteenversorges |