Teaching Future Providers about Dementia: The Impact of Service Learning

Abstract

In this article, we describe an innovative approach for providing speech-language pathology graduate students with exposure to long-term care settings and clinical training in service delivery for persons with dementia. Our pedagogical approach emphasizes leading learners through distinct stages of creating awareness and a foundation of knowledge, teaching clinical skills, hands-on practice via service learning, and ongoing self-reflection. Outcome data presented in this article are derived from learner evaluations and written reflections as well as social validation data provided by dementia patients in a long-term care setting. Our findings reveal that a combination of high-impact practices, community-based service learning, and ongoing reflection can result in transformative learning and attitude shifts for speech-language pathology graduate students toward serving persons with dementia. This is a key finding given that a majority of our learners had little exposure to long-term care environments or had any prior interaction with persons with dementia.

Keywords

Dementia - long-term care - speech-language pathology - service learning

• References

• 1 United States Census Bureau. 2010 Census Data. 2010. Available at: http://quickfacts.census.gov/qfd/states/06000.html . Accessed March 1, 2013
• 2 Moore M. Taking the long view of long-term care. The ASHA Leader. 2004. Available at: http://www.asha.org/Publications/leader/2004/041102/041102a.htm . Accessed December 10, 2012
• 3 American Speech-Language Hearing Association. ASHA SLP Healthcare Survey 2011: Workforce and work conditions. Available at: http://www.asha.org/uploadedFiles/HC11-Caseload-Characteristics.pdf#search=%22asha%22 . Accessed December 10, 2012
• 4 Grabowski TJ, Damasio AR. Definition, clinical features, and neuroanatomical basis of dementia. In: Esiri M, Lee V, Trojanowski J, , eds. Neuropathology of Dementia. Cambridge, UK: Cambridge University Press; 2004: 1-10
• 5 Alzheimer's Association. 2012 Alzheimer's disease facts and figures. Alzheimer's and dementia. The Journal of the Alzheimer's Association 2012; 8: 131-168
• 6 Kinsella K, Phillips DR. Global aging: the challenge of success. Popul Bull 2005; 60: 1
• 7 American Speech-Language-Hearing Association. The roles of speech-language pathologists working with individuals with dementia: Technical report. ASHA. 2005. Available at: http://www.asha.org/policy/TR2005-00157.htm. Accessed December 5, 2012
• 8 American Speech-Language-Hearing Association. The roles of speech-language pathologists working with individuals with dementia: Position statement. ASHA. 2005. Available at: http://www.asha.org/policy/PS2005-00118.htm. Accessed December 5, 2012
• 9 Weimer M. Learner-Centered Teaching: Five Key Changes to Practice. San Francisco, CA: Jossey- Bass; 2002
• 10 Kuh GD. High-Impact Educational Practices: What They Are, Who Has Access to Them, and Why They Matter. Washington DC: Association of American Colleges and Universities; 2008
• 11 Mahendra N, Ribera J, Sevcik R , et al. Why is yogurt good for you? Because it has live cultures. Perspectives on Neurogenic & Neurophysiologic Disorders 2005; 15: 3-7
• 12 Mahendra N. Preparing learners to become culturally responsive practitioners: Lessons from the classroom. California Speech and Hearing Association Magazine 2010; 6–7: 22
• 13 Mahendra N, Fremont K, Dionne E, Heckenberg J. Teaching future providers about aging and dementia: combining reflective practice, multiculturalism, and service learning. Paper presented at: Conference on Healthy Aging in Multicultural Populations (CHAMP): April 12, 2012; San Jose, California
• 14 Fruhauf DA, Jarrott SE, Lambert-Shute JJ. Service-learners at dementia care programs: an intervention for improving contact, comfort and attitudes. Gerontol Geriatr Educ 2004; 25: 37-38
• 15 Arkin SM. Service learning students as Alzheimer treatment providers. Top Geriatr Rehab 2011; 27 (4) 301-311
• 16 Kaf WA, Barboa LS, Fisher BJ, Snavely LA. Effect of interdisciplinary service learning experience for audiology and speech-language pathology students working with adults with dementia. Am J Audiol 2011; 20: S241-S249
• 17 Schön DA. The Reflective Practitioner: How Professionals Think in Action. New York, NY: Basic Books; 1984
• 18 Fink LD. Creating Significant Learning Experiences: An Integrated Approach to Designing College Courses. San Francisco, CA: Jossey-Bass; 2003
• 19 Clark LW. Interventions for persons with Alzheimer's disease: strategies for maintaining and enhancing communicative success. Top Lang Disord 1995; 15: 47-66
• 20 Barkley EF. Student Engagement Techniques: A Handbook for College Faculty. San Francisco, CA: Jossey-Bass; 2010
• 21 American Speech-Language Hearing Association. Scope of Practice in Speech-Language Pathology. ASHA. 2007. Available at: http://www.asha.org/policy/SP2007-00283.htm. Accessed December 8, 2012
• 22 American Speech-Language-Hearing Association. Code of Ethics. ASHA. 2010. Available at: http://www.asha.org/policy/ET2010-00309.htm . Accessed December 10, 2012
• 23 Institute of Medicine. Unequal Treatment: What Health Care Providers Need to Know about Racial and Ethnic Disparities in Health Care. Washington, DC: National Academy of Sciences; 2002
• 24 Yeo G, Gallagher-Thompson D. Ethnicity and the Dementias. New York, NY: Taylor & Francis Group; 2006
• 25 Krishnamoorthy ES, Prince MJ, Cummings JL. Dementia: A Global Approach. New York, NY: Cambridge University Press; 2010
• 26 Kent-Walsh J. What Every Speech-Language Pathologist/Audiologist Should Know about Service Learning. Upper Saddle River, NJ: Pearson; 2011
• 27 Meili R, Fuller D, Lydiate J. Teaching social accountability by making the links: qualitative evaluation of student experiences in a service-learning project. Med Teach 2011; 33: 659-666
• 28 Bringle RG, Hatcher JA. Innovative practices in service-learning and curricular engagement. In: New Directions in Higher Education. Wilmington, DE: Wiley Periodicals; 2009: 37-46
• 29 Bergmann J, Sams A. Flip Your Classroom: Reach Every Student in Every Class Every Day. Washington, DC: International Society for Technology in Education; 2012