Multiple repair sequences in everyday conversations involving people with Parkinson's disease

Griffiths, Sarah, Barnes, Rebecca, Britten, Nicky and Wilkinson, Ray (2015) Multiple repair sequences in everyday conversations involving people with Parkinson's disease. International Journal of Language & Communication Disorders, 50 (6). pp. 814-829. ISSN 13682822

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Background Features of dysarthria associated with Parkinson's disease (PD), such as low volume, variable rate of speech and increased pauses, impact speaker intelligibility. Those affected report restricted interactional participation, although this area is under explored. Aims To examine naturally occurring instances of problems with intelligibility that resulted in multiple attempts at repair in order to consider repair initiation strategies that might restrict or enhance participation. Methods & Procedures Thirteen people with PD (PwPD) video-recorded over 10 h of informal conversation data in their home setting involving familiar conversation partners (CPs). Using a conversation analytic (CA) approach, and drawing on an existing typology of repair initiators (RIs) for everyday talk-in-interaction and their relative power to locate a turn's repairable element, the design and ordering of RIs used by CPs was addressed, alongside their local consequences. Outcomes & Results CPs tended to increase the specificity of their RIs in line with the existing typology, progressing from open class forms (e.g. ‘mm?’) to more specific forms (e.g. questions/partial repeats). Repeated open class repair initiators (OCRIs) were used where PD speakers’ self-repair attempts provided limited information. Sometimes, however, specificity was increased too soon, before enough syntactic knowledge was gleaned, which resulted in an extended repair sequence. Where one OCRI followed another, the second always took a different form: lexically or in terms of prosodic/non-verbal features. RI forms not described in the existing typology were also identified, such as ‘prompts to modify speech’ (e.g. ‘Speak louder’) and repeating/rephrasing the original first pair part (e.g. question), and their effectiveness examined. Conclusions & Implications First steps are presented towards the design of a communication intervention promoting the efficient resolution of repair to moderate social withdrawal and increase participation for this client group. Future research will need to explore the feasibility and acceptability of such a resource.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: Griffiths, S., Barnes, R., Britten, M and Wilkinson, R. (2015) Multiple repair sequences in everyday conversations involving people with Parkinson’s Disease. International Journal of Language and Communication Disorders. 50 (6), 814-829 which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving
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Date Deposited: 16 Dec 2016 10:09
Last Modified: 22 May 2019 11:44

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