Podcasts about evaluering

Nu er den her! Knap seks timers (næsten) ufiltreret diskussion,analyse, quiz, vrøvl, raseri og awardshow, der alt sammen udspringer fra Manchester Uniteds værste sæson i mands minde. Se det som fem episoder i én. Hør det på én gang eller bidden over og vend tilbage, når du i løbet af sommeren begynder at savne os og United. Du bestemmer helt selv, hvordan du fordøjer den. 00:00:00-01:19:53: Evaluering af sæsonen og Amorims første tid i klubben01:19:59-02:11:52: Sæsonens Bobby og hårtørrer02:11:52-03:45:55: Transfers. Hvem skal ud? Hvem skal ind?03:46:00-04:37:39: Verdens sværeste quiz 04:37:45-05:50:42: Awardshow

Suid-Afrika se minister van beplanning, eonitering en Evaluering, Maropene Ramokgopa, sê onwettige finansiële geldvloei bly 'n kritieke uitdaging vir baie lande, veral in Afrika. Ramokgopa het die Derde G20-ontwikkelingswerkgroepvergadering in KwaZulu-Natal toegespreek. Sy sê volgens die Afrika-Eenheid Ekonomiese Kommissie vir Afrika oor onwettige finansiële vloei, verloor die vasteland na raming jaarliks 1,5 triljoen rand as gevolg van die onwettige finansiële geldvloei:

Vi er tilbage efter landsholdspausen med en dugfrisk analyse af tirsdagens opgør mod Premier League-overraskelsen i denne sæson - Nottingham Forest. Senere tager vi jer gennem en evaluering af sommerens transfers, hvor vi rater og vurderer hver enkelt spiller og diskuterer, hvorvidt de passer ind i Amorims system. Til slut kigger vi frem mod derby-weekenden, hvor bysbørnene fra den anden side af Manchester kommer på besøg. Hvorfor glæder vi os altid ekstra meget til disse opgør?Gæster: Kanishka Sina & Thobias Lisby HermannsenVært: Peter Tarris00:00 Velkomst01:39 De fem hurtige03:24 Nottingham Forest-nedtakt20:46 Ugens hårtørrer28:22 Ugens Bobby32:40 Månedens lytter 34:21 Evaluering af sommerens transfervindue01:05:34 Optakt til Manchester City01:19:21 Afrunding

I 2019 lancerede regeringen en national strategi for kunstig intelligens, som lovede, at ”Den offentlige sektor skal anvende kunstig intelligens til at tilbyde service i verdensklasse”.I kølvandet på strategien oprettede regeringen, KL og Danske Regioner en investeringsfond på 187 mio. kr. der finansierede 40 såkaldte signaturprojekter i perioden 2020-2022.Formålet var at teste udviklingen og anvendelsen af kunstig intelligens i den offentlige sektor, både ift. effektivisering og kvalitet i den borgerrettede service.For nylig kom den den officielle Deloitte-evaluering, der blandt andet nævner at jura og GDPR-spørgsmål har været nogle af de største snubleklodser. Men Deloitte er ikke de eneste, der har undkastet AI signaturprojekterne et kritisk blik.Lektor Helene Friis Ratner fra Aarhus Universitet og PhD Jakob Laage-Thomsen fra CBS har i regi af projektet Algoritmer, Data og Demokrati skrevet artiklen "Kunstig intelligens i den offentlige forvaltning: sammenhænge mellem algoritmisk regulering og automatisering af beslutninger i de danske AI ”signaturprojekter”".Deres analyse handler blandt andet om hvordan man kan kategorisere forskellige anvendelser af AI med udgangspunkt i hvor stort indgreb det potentielt har i den enkelte borgers tilværelse, og om der er tale om brug af AI som beslutningsstøtte eller som fuldautomatiseret løsning – og generelt om begrebet 'algoritmisk regulering', der bruges som en slags samlebetegnelse for den slags projekter.I AI Siden Sidst har jeg pga. langtrukken sygdom sny...undskyld, eksperimenteret med at få en chatbot til at finde og skrive nyhederne...Lyt med

Velkommen til Flagskibet - Sort Snak magasin om Europa, hvor vi følger Midtjylland i det europæiske farvand i sæsonen 2024/25, hvor ulvene er den danske klub, der viser flaget frem på de største scener og dermed dansk fodbolds europæiske flagskib På denne sidste sejlads ser vi tilbage på torsdagens klare nederlag mod Real Sociedad i returkampen i playoff-runden i Europa League. Det gør vi bl.a. i selskab med assistenttræner Morten Duncan Rasmussen, der vil gøre os lidt klogere på hvordan man fra Midtjyllands side ser på kampen, ligesom vi skal høre fra Midjylland-fan Patrik Sørensen, der var på plads på stadion i San Sebastian torsdag aften. Naturligvis snyder vi jer heller ikke for kåringen af Rundens Rømer (hvor der er verdenspremiere!) og Isaksen inden vi slutter af med at evaluere lidt på denne sæsons europæiske præstationer. Vært: Kent Nielsen Panel: Lars Noe Lauridsen & Ryan Svale Andersen Tidskoder: 00:03:39 Interview med Duncan 00:16:31 Opfølgning på Real Sociedad-kampen 00:57:31 Interview med Patrik Sørensen fra stadion i San Sebastian 01:03:30 Rundens Rømer og Isaksen 01:09:18 Evaluering af den europæiske kampagne

Kan EU's nye konkurrenceevne-kompas faktisk øge produktiviteten? På hvilke områder kan en grønlandsk selvstændighedsproces komme til at minde om Brexit? Og hvad kan vi bruge ny viden om frisættelse i folkeskolen til? Ugens panel sætter fokus på vinkler der har været glemt, underbelyst eller misforstået.Ugens emner:- EU's nye konkurrenceevne-kompas. Hvad foreslås og vil det faktisk øge produktiviteten?- Vil grønlænderne vælge selvstændighed mod deres vilje?- Evaluering af frisættelse af folkeskolen – nyttige input til en beslutning der allerede er truffet- Lyspunkt & skævertKontakt til podcastvært: jes@cepos.dkProduceret og tilrettelagt af Kasper TandrupLinks:https://skolemonitor.dk/nyheder/art10277278/Alle-skoler-burde-f%C3%A5-%C2%BBtotal-fris%C3%A6ttelse%C2%AB?utm_campaign=Efter%20evaluering%3A%20Alle%20skoler%20burde%20f%C3%A5%20%C2%BBtotal%20fris%C3%A6ttelse%C2%AB&utm_content=12-02-2025&utm_medium=skoleliv&utm_source=newsletter_redaktionelhttps://skolemonitor.dk/nyheder/art10275063/Her-er-konklusionerne-p%C3%A5-skoleomr%C3%A5dethttps://punditokraterne.dk/2025/02/12/vil-groenlaenderne-vaelge-selvstaendighed-mod-deres-vilje/https://skolemonitor.dk/nyheder/art10273957/Fris%C3%A6ttelse-har-%C3%B8get-medarbejdernes-motivationhttps://www.vive.dk/da/udgivelser/kommunal-frisaettelse-dv4n36jz/https://jyllands-posten.dk/debat/kronik/ECE17890020/min-oekonomaere-blev-gaaet-for-naer-drdokumentar-tangerer-misinformation/https://jyllands-posten.dk/debat/breve/ECE17896926/professor-da-jeg-fortalte-sandheden-om-kryolit-kunne-de-ikke-bruge-mig-som-kilde/https://www.dr.dk/drtv/program/groenlands-hvide-guld_506795https://nyheder.tv2.dk/samfund/2025-02-11-dr-afviser-kritik-af-omdiskuteret-dokumentarhttps://jyllands-posten.dk/erhverv/ECE17885805/co2udledningen-stikker-af-fem-boersmastodonter-udleder-dobbelt-saa-meget-som-hele-danmarks-befolkning/https://commission.europa.eu/document/download/10017eb1-4722-4333-add2-e0ed18105a34_en

Her får du en smagsprøve på Det tekniske felt: Evaluering af FCKs efterårssæson. Udsendelsen er lavet ekslusivt til vores medlemmer, så hvis du vil høre hele udsendelsen, så meld dig ind i Kvart i bold. Du får en mail med et link til udsendelen, lige så snart du har meldt dig ind. Det koster fra 35 kroner om måneden og kan ske her: https://kvartibold.memberful.com/join

Her får du en smagsprøve på Det tekniske felt: Evaluering af FCKs efterårssæson. Udsendelsen er lavet ekslusivt til vores medlemmer, så hvis du vil høre hele udsendelsen, så meld dig ind i Kvart i bold. Du får en mail med et link til udsendelen, lige så snart du har meldt dig ind. Det koster fra 35 kroner om måneden og kan ske her: https://kvartibold.memberful.com/join

Die Namibiese Kwalifikasie-owerheid sal vanaf 2 Januarie fooie vra vir buitelandse kwalifikasies. Woordvoerder Lina Ndengu sit die redes daarvoor so uiteen.

Fire danske ungdomslandshold formåede alle at placere sig mellem de fire bedste ved sommerens slutrunder. Kombineret med et guld og en bronze ved OL stiller det dansk håndbold i en enestående position. Vi satte os ned med talentchef Søren Skaastrup Frydendal hos DanskHåndbold for at evaluere på sommerens ungdomsslutrunder - og den talentstrategi DanskHåndbold nu arbejder efter. Hvordan er det gået? Hvordan evaluerer man i forbundet på sommerens slutrunder? Og kan man virkelig balancere udvikling og resultater i talentudviklingen? Gæst: Søren Skaastrup Frydendal Vært: Thomas Ladegaard *Udsendelsen er bragt i samarbejde med Sparekassen Kronjylland og Sparinvest*

Arne Slot har vunnet sine tre første kamper som Liverpools hovedtrener. Arne Slot har så langt ikke sluppet inn noen mål som Premier League-trener, og Manchester United ble knust 0–3 på Old Trafford. I «Liverpool.no: Pausepraten» har Arve Vassbotten med seg Tore Hansen og Liverpool-journalist David Lynch til å snakke om storkampen mot erkerivalen. Her får dere også utdrag fra live podcasten vi hadde på Carls i Oslo før kampen, der vi snakket om overgangsvinduet, nye spillere og ikke minst starten Arne Slot har fått i Liverpool. Her er temaene: 01:08: Maktdemontrasjonen mot Man Utd04:40: Gravenberch sin gjenoppstandelse07:49: Luis Diaz med to mål08:34: Salah beviser hvorfor han fortjener ny kontrakt10:50: Vi har funnet vår ny Bob Paisley - Slot er sesongens beste signering12:10: Et mer kynisk og rolig Liverpool 13:37: – Vi bør ta av, for dette er et lag som kan kjempe om tittelen17:42: Det er bare å nyte denne kampen18:34: Scouse-skolen: Scran20:15: Live-podcast: Inntrykket av Arne Slot så lang21:24: Mer Solid med Slot24:19: Grepene Slot har gjort25:38: Evaluering av overgangssommeren 202427:39: Hvorfor kjøpte Liverpool Chiesa?32:12: Signeringen av Mamardashvili35:07: Hvor bra klarte Richard Hughes seg i sitt første overgangsvindu?41:08: Troppen til Liverpool denne sesongen45:04: Har vi god nok dekning i midtforsvaret?46:15: Kontraktssituasjonen til Salah, van Dijk og TrentIntromusikk Pausepraten: The Epic 2 by Rafael Krux Link: https://filmmusic.io/song/5384-the-epic-2- License: http://creativecommons.org/licenses/by/4.0/ Music promoted on https://www.chosic.com/free-music/all/ Hosted on Acast. See acast.com/privacy for more information.

Fra makeup og mote til de nyeste restaurantene i Oslo og nattmat, vi utforsker hva som er hot akkurat nå. Chioma Anugweje gjester podkasten og deler også sine erfaringer fra Oslo Runway og Fashion Week i København. Vi diskuterer hvordan teknologi og kunstig intelligens blir mer vanlig i restaurantbransjen i New York, mens i Oslo ser man en bølge av vintageshopping og symaskiner. Chioma Anugweje deg også et innblikk i sitt kjærlighetsliv og hva hun ser etter i en partner. En episode full av innsikt, humor og trendtips du ikke vil gå glipp av!

Alfred Johansson og Mikael Dorsin gjester Rasmus&Saga

Die minister in die Presidensie vir Beplanning, Monitering en Evaluering, Maropene Ramokgopa, verteenwoordig president Cyril Ramaphosa vandag by die inhuldiging van die president van Rwanda, Paul Kagame, in Kigali. Die woordvoerder van die departement Litha Mpondwana sê Suid-Afrika en Rwanda speel nie net 'n belangrike rol in streeks-integrasie nie, maar ook met die versterking van die Afrika-agenda en Suid-tot-Suid-samewerking:

I denne uge har vi fået besøg af en rigtig god ven af programmet nemlig Allan Christensen fra Forumlund. Vi ser tilbage på sæsonen fra efteråret 2023 og indtil nu og taler om Allans afgrøder. Allan er har godt gang i kartoffelproduktionen, og vi kan godt afsløre, at vi dykker ekstra-meget ned i netop dem. Vi kommer omkring alt fra sædskifte, etablering, gødningsstrategi og meget mere. Vi slutter af med at høre årets første høstbarometer. Anders Lau og planterådgiver Finn Poulsen bliver klogere på aktuelle emner indenfor plantesektoren og der vil både være tid til nørderi og god stemning. Planteavlerne præsenteres i samarbejde med Vestjyllands Andel og Sagro.

Alfred Johansson og Mikael Dorsin gjester Rasmus&Saga Hosted on Acast. See acast.com/privacy for more information.

I dag gæster Ninni Kjær (igen) podcasten, og svarer på lytterspøgrmål om Carlas forløb, mod at have ondt i maven og lide af ofte at være oppustet.Ninni er oprindeligt uddannet i "Fødevare Innovation og Sundhed" på KU men har siden da nørdet igennem, blandt andet i tarmens funktioner og vores maves sundhed. Få Carlas ugentlige inspirations video til mere livsglæde, som du kun kan se via dette gratis link: Nyhedsbrev Og husk, at du kan få 10% rabat på MonDay Bliss' Taknemmelighedsdagbog med koden: Monday10.

President Cyril Ramaphosa het minister Maropene Ramokgopa aangestel as waarnemende minister van Sport, Kuns en Kultuur. Sy is tans minister in die Presidensie belas met Beplanning, Monitering en Evaluering. Ramokgopa vervang Zizi Kodwa, wat dié week bedank het na sy hofverskyning op aanklag van korrupsie. Woordvoerder Vincent Magwenya sê Ramokgopa sal waarneem tot 'n permanente aanstelling gedoen word in die nuwe sewende administrasie.

Dette er en udsendelse, som vi virkelig har glædet os til at lave: Guldsnak nr. 4! Panelet ser tilbage på en af de mest vanvittige dage i Superligaens historie, hvor Midtjyllands guldchancer var døde og begravede efter 26 min. Men holdet fik alligevel fightet sig tilbage og efter 8 ekstremt lange overtidsminutter, kunne jublen bryde løs på MCH Arena, da Midtjylland sikrede sig sit 4. Mesterskab efter et drama uden lige. Udover selve kampen diskuterer vi også betydningen af mesterskabet, evaluerer hele sæsonen og uddeler traditionen tro nogle kåringer. Vært: Kent Nielsen Panel: Patrick Arff & Peter Krogh Tidskoder: 00:04:02 Dramaet mod Silkeborg samt betydningen af mesterskabet. Evaluering af transfervinduet 01:11:44 Evaluering af sæsone 01:27:24 Kåringer Tak til Rene Skov for musik og teknisk assistance. Tak til alle lyttere for at lytte, give feedback og komme med indspark til udsendelser. Den største tak til medlemmerne af Sort Support for at gøre det muligt at lave Sort Snak. Husk, at du kan blive medlem af Sort Support på sortsnakpodcast.dk/sort-support/ Find os på Facebook og X som sortsnakpodcast.

Der er næppe tvivl om at brugen af kunstig intelligens bringer mange problemer med sig. Det som virker smart på whiteboardet kan hurtigt blive ramt af både tekniske, juridiske og etiske bomber under systemet.Der bliver talt meget om hvordan vi skal gøre AI mere gennemskueligt, og hvordan vi skal sikre os at de svar algoritmerne giver er korrekte. Og det er ambitioner som det er svært at være uenige med.Men hvordan kan man vurdere AI-løsningerne, og forsøge at sikre sig, at de så godt som muligt overholder både etiske principper og gældende lovgivning?Det er spørgsmålet som Per Rådberg Nagbøl fra ITU har forsøgt at besvare med værktøjet XRAI, som er udviklet i samarbejde med ErhvervsstyrelsenXRAI opdeler udvikling, evaluering og tilpasning af AI-systemer i fire faser, med masser af tjeklister og kontrolpunkter – i håbet om at kunne hjælpe både offentlige institutioner og private virksomheder, der arbejder med AI.Derudover er der også AI Siden Sidst – med historier om både industrispionage, AI Act og nye Nvidia-chips.Lyt med

Etter hvert, hvis Steve kommer ut av sitt katatoniske sjokk. Hør episoden i appen NRK Radio

Og selvsagt fortjener vann- og avløpsetaten i Fættvika en innsamlingsaksjon! Hør episoden i appen NRK Radio

Og har egentlig ornitologen peiling på fugl? Hør episoden i appen NRK Radio

Ekstremværet Lars Torvald Johannesen var ingen fønvind fra svenskegrensa. Hør episoden i appen NRK Radio

Så starter Superligaen endelig igen! I dagens udsendelse lader op til forårssæsonen, som begynder lige om et øjeblik. Vi starter dog med at kigge lidt tilbage på transfervinduet og opstarten, inden vi sætter fokus på afslutningen af grundspillet og de 5 kampe FCM mangler der. Endelig zoomer vi helt ind på søndagens relativt væsentlige opgør i Brøndby, hvor ligaens nr. 2 tager imod i vores forårsåbner. Vært: Kent Nielsen Panel: Patrick Arff & Peter Krogh Gæst: Brøndbyfan Kasper Pedersbæk Tidskoder: 00:02:02 Evaluering af transfervinduet 00:23:52 Optakt til forårssæsonen 00:50:21 Optakt til forårsåbneren i Brøndby Tak til Rene Skov for musik og teknisk assistance. Tak til alle lyttere for at lytte, give feedback og komme med indspark til udsendelser. Den største tak til medlemmerne af Sort Support for at gøre det muligt at lave Sort Snak. Husk, at du kan blive medlem af Sort Support på sortsnakpodcast.dk/sort-support/ Find os på Facebook og X som sortsnakpodcast.

Og hvor nær slekt er det egentlig lov å ha med på radio? Hør episoden i appen NRK Radio

Vi kigger på de danske hold og spilleres præstationer til årets første tier 1-turnering, og hvordan de nye holdkort ser ud først på året. Derudover taler vi ruggah, som skal coache Astralis og to danskere, som er bænket i udlandet af forskellige årsager.Afsnittets panel er bestående af Martin ‘Rosenchef' Rosenbæk og Christen ‘Sander' Sandersen.'Bootcamp' udgives af eOddset fra Danske Licens Spil. Husk, at man skal være min. 18 år og spille med omtanke. Har du brug for hjælp til spilafhængighed, så kontakt Spillemyndighedens hjælpelinje StopSpillet eller udeluk dig via ROFUS. Regler og vilkår gælder.

Men det er ingen som helst problemer med dronedassene. Hør episoden i appen NRK Radio

I sidste uge var vi til NutriFair - et mekka for alle virksomheder der beskæftiger sig i grisebranchen! Her kiggede nogle af de spændende udstillere forbi vores mobile studie for at fortælle lidt om, hvad de går og brygger på. I denne episode tager udgangspunkt i nogle af de sprødeste klip fra messen. Lyt med når Anders og Per tager emnerne op! Der skal nørdes gris, så Anders inviterer kloge hoveder og spændende fagpersoner i studiet hver uge. Stemningen er god og fagligheden er i fokus i Grisen, som præsenteres i samarbejde med Vestjyllands Andel, Ceva & Svinerådgivningen

Bjørnar Barleggquist fanger mer enn elg ute i skogen. Hør episoden i appen NRK Radio

Det er forskjell på innovasjon og invasjon. Hør episoden i appen NRK Radio

Kristine og Mikael diskuterer helgens delfinale i MGP og Mikael er blitt følelsesløs. Episoden kan inneholde målrettet reklame, basert på din IP-adresse, enhet og posisjon. Se smartpod.no/personvern for informasjon og dine valg om deling av data.

Ja, det handler om AI igen. Jeppe og Adam har været til arrangementer om AI og bringer perspektiver med sig hjem. Så DataSnak 188 kommer til at at handle om hvordan AI bliver brugt i store virksomheder, om digitaliseringen virkelig er rykker ind på bestyrelsesgangen, om Azure Prompt Flow og hvad sandhed egentlig er? Plus et eftershow om Threads, jul, nyhedsbreve, AI i Gymnasiet og Janus' rotter! Links: aiigymnasiet - Praxis Todai - AI ReDI School Digital Dogme Er Nordiske organisationer klar til AI? Tiprunde: Adam: Doctor Who: The Star Beast | Disney+ Jeppe: The Rest Is Entertainment on Apple Podcasts Praktisk Husk at du kan blive medlem af vores Discord-server på https://discord.gg/QJeXHAQNjF DataSnak har fokus på it-faglige og it-politiske emner, og nørder igennem med alt fra automatisering over sikkerhed til uddannelse i den digitale verden. Podcasten behandler også SAMDATAHKs relevante aktiviteter såsom kurser, faglige initiativer, kommunikation og værktøjer og tilbud, som man kan få, når man er it-medlem i HK. Formål er at gøre lytterne klogere på hvad der sker i deres arbejdsliv her og nu og i fremtiden, og gå i dybden med problemstillinger fra it-professionelles hverdag. Tovholderen på podcasten er it-faglig konsulent Jeppe Engell. Den anden vært er Adam Bindslev. DataSnak udkommer hveranden mandag. Tak fordi du lytter med! Får du lyst til at komme med ris og ros, kan du sende en e-mail til jeppe.engell@hk.dk - og hvis du har tekniske spørgsmål eller kommentarer kan de sendes til adambindslev@gmail.com   

Præsenteret af Arbejdernes Landsbank. Efterårssæsonen rundes af med en magasin-udgave af Rød Aalborg. Du får en stor blok der evaluerer AaBs første efterår i den næstbedste række siden 80erne, derudover mindes legenden Henning Munk Jensen, vi ser på de nyligt udfoldede stadionplaner for Væddeløbsbanen og fortæller om et nyt podcastprojekt om AaB. Evaluering: (00:02:53) Henning Munk Jensen: (01:28:41) Stadionplaner: (01:46:00) Ny AaB podcast: (01:59:45) Medvirkende: Emil Kjær Jørgensen, Mads Aagaard, Kasper Ørkild, Michael Vesterskov, Simon Ydesen og Mikkel Ottesen. Vært: Lasse Yde Hegnet Bliv medlem af Rød Aalborg her: https://roedaalborg.memberful.com/join

Stemningen blev lidt løssluppen oven på derbysejr og førsteplads, da panelet samlede sig i Kents kælder for at analysere kampen mod Viborg og blive klogere på, hvilken lære vi kan uddrage af derbyet mod arvefjenderne og storsejren på 5-1. Derudover blev årets sidste fyringer og forlængelser uddelt. Der blev også tid til et par kåringer, hvor vi ser på hvilken kamp, der står tydeligst i erindringen, hvilke spillere der har overrasket positivt og negativt, og hvilke store spørgsmål, som TT, Steinlein og Svend Graversen kommer til at gruble over i juleferien. Panel: Patrick Arff, Peter Krogh & Kent Nielsen Vært: Thomas Schouv Jakobsen. Tidskoder: 00:05:08 Viborg-analyse 00:39:21 Fyringer og Forlængelser 00:48:43 Evaluering af halvsæsonen Tak til Rene Skov for musik og teknisk assistance. Tak til alle lyttere for at lytte, give feedback og komme med indspark til udsendelser. Og tak til medlemmerne af Sort Support for at gøre det endnu sjovere at lave Sort Snak. Husk, at du kan blive medlem af Sort Support på sortsnakpodcast.dk/sort-support/ Find os på Facebook og X som sortsnakpodcast.

LIVE om målsætning 2024 med Carla MickelborgTaknemmlighedsdagbogen finder du herI dag evaluerer Carla på 2023, både for sine selskaber, men også privat. Der sættes mål for det kommende år. Og Carla besvarer lytternes spørgmål om målsætning og de udfordringer det indebærer, at følge sin drøm.MonDay Bliss

Idrettsutøvere kan ikke sluntre unna og ta lett på evaluering. Det må gjøres grundig, mener suksesstrener Stig Rune Kveen. Hør episoden i appen NRK Radio

          Welcome to the Aphasia Access Aphasia Conversations Podcast. I'm Katie Strong and I'm a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's host for an episode that will feature Dr. Debra Meyerson and Steve Zuckerman. We'll be talking about their bike ride across the country, Stroke Across America, as well as the importance of identity and storytelling in a person's journey with aphasia. Before we get into the conversation, let me tell you a bit about our guests. Debra Meyerson was, until her stroke in 2010, a tenured professor of organizational behavior at Stanford University's School of Education.  Debra's most significant contribution from that period was Tempered Radicals:  How Everyday Leaders Inspire Change at Work (HBS Press, 2001). More recently, she authored  Identity Theft: Rediscovering Ourselves After Stroke (Andrews McMeel Publishing, 2019) and is co-founder and co-chair, with her husband Steve Zuckerman, of Stroke Onward, a nonprofit working to ensure stroke survivors and their supporters have the resources needed to rebuild identities and rewarding lives.    Steve Zuckerman is, along with Debra, co-founder and co-chair of Stroke Onward; he has been Debra's care partner since her stroke in 2010.  He has held leadership roles at Self-Help, a nationally recognized economic justice nonprofit, since 2006 and still serves part time as a Senior Advisor.  Before that, he was a managing director at a private equity firm.      In the summer of 2022, Debra and Steve led Stroke Across America – a 100-day cross country bike ride, from Oregon to Boston, to raise awareness for stroke, aphasia, and the importance of the emotional journey in recovery.   In this episode you will: be inspired learning about the bike ride, Stroke Across America, and its effort to raise awareness about the emotional journal of living with stroke and aphasia. learn about the power of story in reconstructing identity in people living with aphasia. become aware of Stroke Onward's mission to support the emotional journey of rebuilding identities and rewarding lives.   Katie: Welcome Debra and Steve. I'm so happy that you are here with me today. Debra: Thank you so much, Katie. Steve: It's great to be here. Katie: Well, I'm just so excited for our listeners to be able to hear about what you've got going on, and I'd love to start with what you were up to last summer. You did an amazing bike ride across the U.S. called Stroke Across America. Congratulations! I mean it was a big deal! Can you tell us about it? Debra: Sure. Stroke Across America was a bike ride across the US and Canada to raise awareness about stroke, brain injury and aphasia. We wanted to spotlight the emotional journey after stroke. How do we rebuild our identities and live meaningful lives? We rode 4,500 miles over 100 days, traveling from Oregon to Boston. There was a core team of six riders and others who joined us for portions of the ride. We became a family. I didn't expect that. Katie: That's fantastic. Tell me about who rode with you and became family. Steve: As Deb said, we had six core riders most of the way across the country. In addition to the two of us, a woman named Whitney Hardy, who's actually a close family friend. She's a young woman in her thirties who unfortunately suffered a traumatic brain injury about four years after she graduated from college and suffers no ongoing physical disabilities but has some cognitive issues and memory issues. She rode with us from the beginning to the end. Another stroke survivor was Michael Obel-Omia, who I know is an active participant in Aphasia Access. Michael is a stroke survivor who also lives with aphasia. He joined us about 15 days late because his son was graduating from college, so he joined us in Missoula, Montana. We had two wonderful summer interns, Emily and Alex. We met Emily through her grandfather, who was a stroke survivor and hoped to ride with us but didn't end up riding with us. Emily and Alex are both students at Washington University, St. Louis. They traded off, one rode and one worked, every other day. We can't say enough about the wonderful, not just competent and great work they did, but the energy they brought. They really helped make it special. I guess our seventh team member was our then roughly one-and-a-half-year-old golden doodle named Rusty who was along for the ride. Sometimes she rode in a trailer behind our bike and sometimes in one of the support vehicles. We had a group called Bike Eternity, a gentleman named Arlen Hall, who really arranged all the on-road logistics and the route. He and his team were just fabulous in terms of just making everything work. That was our family. Katie: It's quite a crew. Fantastic. I was wondering if you could tell us about a favorite experience from the ride. Debra: We hosted sixteen community events across the country. They brought together survivors, families, friends, stroke care professionals, and more. It was really inspiring to be with all these people. Building community and collaborating with others is the only path to real change. And you were at the Ann Arbor event? Katie: Absolutely. Yeah. My friend Becca and I came down to the Ann Arbor event. I think it was Dexter or something. Debra: Yeah Katie: Boy, did we show you how we can have rain in Michigan! Debra: I know. Oh, yeah. Katie: Oh, my goodness. Yeah, it was great. Even though we had rain, there was so much great energy around the event. I can feel what you're talking about. Steve: I think the events were kind of really the most powerful experience. But Deb, you were going to talk about one particular ride you loved. Debra: I loved riding past Cameron Pass in Colorado for 30 miles up and 40 miles down. Katie: Wow! Steve: Yeah, so just to add a little bit to that, because I think that one day of riding really, I mean, every day was fantastic. We just loved the riding. But this one stood out for all of us. It was from a town called Walden in Colorado, a bit east of Fort Collins to a campground called Stove Prairie Landing. The pass we rode over was about 10,276 feet, so we were up there. And as Deb said, we rode up for 30 Miles about 2000 feet, but then got to come down 4000 feet. The whole ride was in a canyon with dramatic mountains and a river that we happened to catch at the right time of the year because the snow was melting. So, it was just a rushing river where we got the sound, the sights, and sometimes the spray of rapids as we're cruising downhill. And then there was just a perfect riverside campground at the end. It was just sort of a magical day. Katie: Yeah. As you were describing it, I wanted to use the word magical! So, I agree. Yeah. Fantastic. I'm sure it wasn't all easy street. I was wondering if you could tell us one of the hardest things about planning such a big activity. I mean, this was a big event. You had several events along the way, but you know, tell us a little bit about the planning. Debra: Organizing this event was so hard, but it was so important and so impactful. We had sixteen events: three events before we started riding in Palo Alto, Bend, and Portland, eleven along the way, and two in Boston after we finished. We had so much to do after the rides and after dinner, such as PR, social media, Stroke Onward, events, and a documentary film. There was so much to do! We are really tired. Steve: Yeah, I think the biking certainly was a lot, but we weren't trying to ride fast. You know, one thing I say about biking is, if you want to ride long distances, you just have to ride long distances. You get used to it. So, that didn't really feel like a strain for us. And the organizing of the route, particularly with the help of Arlen, kind of got done ahead of time. It was a lot of work, but he's a pro and we put it together. But it was really, I guess we're “Type As” who can't get out of our own way. We built so much into the trip that it really was those evenings and our theoretical “rest days,” which were nonriding days. We renamed them “stress days.” We felt like we had to get everything done. So, you know, that was the hardest part of the trip. It was just how much we packed in. We jokingly say, but it may not be a joke, “that someday we want to ride across the country where we have absolutely nothing to do but ride across the country.” That way, we can enjoy the evenings and the rest days, do a little more touristing, and spend time meeting people along the way. Katie: Yeah, it was very focused. You were very intentional about gaining awareness and supporting community. And I'm sure that it sounds like there was lots to do beyond just pedaling. You mentioned earlier about a campground, but I'm curious, where did you stay along the way? Steve: Our main support vehicle was an RV, pulling a trailer with a lot of gear. We organized mostly around staying in campgrounds. Partly to keep the cost down and partly because we didn't want to have to stay rooted to where the hotels and motels were. And so, Deb and I got the privilege of sleeping in the RV. It was a small RV, but very comfortable. And the rest of the group was camping, so we had tents and cots, and all you would need for relatively comfortable camping. About one or two nights a week, we would end up staying in a motel, partly just to give the folks who are camping a little bit of a break. We actually came to enjoy the RV so much; we almost preferred it to the hotels. Then, one of the real highlights of the trip was we were able to see a lot of friends going across the country. Particularly in the cities where we held events. We almost, with maybe one exception, always had a rest day connected to the event. Probably at about half of those we ended up staying with friends. That was really special to be able to involve more people in our lives in the journey. Katie: Yeah, I was thinking when you were in Ann Arbor. Deb, you had a number of colleagues and friends that came to the Dexter event. Debra: Yes, in Detroit, two days later, we met with my middle school buddies, Debbie and Debbie and Debbie. Katie: I love that, fantastic! That's great! Well, riding across the country is a huge endeavor. What made you decide to do it? Debra: Steve. Steve: Deb would say, “Steve made me decide to do it.” Well, actually, it is true. I had a close friend from college who rode across the country right after we graduated from college. From that day, I always said, “that's something I want to do”. As I got older and older and hadn't done it, it was kind of rising to the top of the proverbial bucket list. But cycling really has been a huge part of our recovery from Deb's stroke. It has been the best way that we can continue to do a lot of the things we love - exercise, adventuring, seeing new places, and spending time with friends. We had never ridden a tandem before Deb's stroke, we rode individual bikes. It was a bit of a challenge for Deb to give up control, understandably. But when we saw the opportunity to do it with a purpose, that's what kind of got us really excited. We were just starting to build Stroke Onward, we wanted to build awareness for the importance of the emotional journey, and events create good opportunities to attract attention. So, what better thing than to do something you've always wanted to do and do it with a purpose? That's kind of how we got going. Katie: Well, it is inspirational, and I know a big focus of the trip was to raise awareness about stroke and aphasia. Debra, for people who might not know, could you share a little bit about your life story. Debra: Of course. My life story started earlier. In 2010, I was a professor at Stanford. I studied, taught, and wrote about feminism, diversity, and identity. Then, I had a severe stroke. For three years, I did therapy almost full time. I had to get my old life back, but I couldn't. My disabilities, especially aphasia, forced me to leave my job at Stanford. Giving up tenure was like a second punch in the gut. It was a huge trauma on top of my stroke trauma that started my identity crisis. Who am I now? Katie: So, Debra, I think that's what sparked you writing a book called Identity Theft. Can you tell us a little more about that? Debra: I had written two books before my stroke. I decided to write another book after my stroke, Identity Theft. Writing Identity Theft became my learning journey. It has helped me rebuild my identity. It took me five years, and I learned to accept lots of help. No one told me rebuilding identity is so central to recovery. I learned firsthand that it's so important. While researching Identity Theft, I learned that other survivors think so too. They had no advice and support for this.  Steve: Maybe I'll add. Deb mentioned doing research for Identity Theft. From the very beginning when Deb decided to write a book, she didn't just want to write about her story. She was an academic, she wanted to bring in other people's points of view. And so, Deb interviewed twenty-five other survivors and probably another thirty-five people who were care partners, friends, families, and professional caregivers. Kind of the idea being that she wanted to be able to write about a diversity of people and stroke experiences because that would make the book more relatable and more accessible to more people. And that really kind of gets at one of the things that really struck me about Deb writing Identity Theft. In many ways, the writing of the book really reflected her personal journey. That at the beginning, she was kind of writing it to prove she could, she didn't want to let go of that identity as an academic. But very quickly, she realized that the process of writing it, as Deb said, was kind of her journey. She was able to turn her knowledge of identity and the lens on herself to really help rebuild her identity and her life. But along the way, she realized, “Man, there are so many other people out there who aren't being told about this and need resources.” I say this all the time, choosing to write a book when you have aphasia has got to be one of the bravest decisions because it puts you face to face with your frustrating disability every day. And there were a few times when Deb came downstairs and said, “I'm done,” “I'm not finishing the book,” “This is too frustrating,” and “I can't stand it”. But it was that knowledge that it could help other people that got her to push through that frustration. And that gets to kind of one of the big themes of our work, which is about finding purpose and having purpose and how that's often our biggest motivator in life, what we can give. So, that's kind of a little bit of the history of the book. Katie: I appreciate you sharing that. And as you were both talking, you were talking about this journey. And you know, thinking about the story and the writing and the rewriting of your identity. It really isn't about the product, not necessarily the book, which maybe initially that's what you were interested in Deb. But really, the journey is where all the work and the reintegration of who you are and who you're going to be is. very powerful. Very powerful. It's such a great read. I've enjoyed the book very much. So, you have even moved forward beyond a book, and you've started a nonprofit. It's been established for a little bit now. Can you tell us about your nonprofit, Stroke Onward? Debra: Yes. I created it three, no, four years ago? Our mission is to ensure stroke survivors and their supporters have those tools necessary to rebuild identities and rewarding lives. The vision is a stroke system of care that fully supports every survivor's emotional journey and recovery. Steve: Maybe I'll add. I think, clearly, the issues of critical care and helping people survive a stroke, and then all the work on rehabilitation is critical. What we saw is that a lot of people don't get all their capabilities back. It's almost like, well, if recovery means rehabilitation, then does that mean everybody who doesn't fully recover their capabilities, has a failed recovery? And we were just unwilling to accept that. Recovery had to mean more than just capabilities. That's why we decided to really focus on that next step in recovery, which is the emotional journey. So, we really think about our work around three areas. One is raising awareness, just that this whole issue of the emotional journey is really important and doesn't get enough attention. Even if people realize it's important and say, “Well, gosh, where can I get help with this?” There aren't enough resources out there. You know, at the end of the day, as Deb said, “it's about system change.” That we would hope that 10 years from now, a person who suffers a stroke and their family enters a system that not only provides good critical care and points them in the direction of good rehab, but also creates a framework and resources for this part of recovery, for the emotional journey. I won't go through all the actual things we do. Hopefully, you'll be able to post the website and people can go and see more about stroke onward, www.strokeonward.org, easy to remember. Katie: Absolutely.  Debra: And there's the book discussion guides. Steve: Yeah, well, one of the places in that the speech therapy community has been so supportive and such a wonderful partner is with the creation of our book discussion guides. Our colleague, Jodi Kravitz, led the creation so that the book can be more accessible. There's a guide, you know, with the idea being a group of people with aphasia can read the book together and have a facilitated discussion with a guide. But also, we created separate guides for families, speech therapists, and other health care workers. Just again, the whole idea of trying to make the material accessible, digestible, and useful for people who are going through what we went through, which was the identity crisis and having to rebuild our lives. Katie: Absolutely, we use the resources for our local book club here at Central Michigan University and our Lansing Area Aphasia Support Group. The materials were great, but the book just brought forth so much rich discussion. Debra: Yeah. Katie: You know, not all of it was easy to read. There is some tough stuff; you don't skirt the issues. I think it really was a very meaningful experience for our members and the students that were a part of the group to be able to hear the journey, to hear what maybe hadn't been addressed, to hear how people had moved forward with things, and the areas where we really do need to be thinking more about as healthcare providers. It is important that we can support the whole person and not just fix the physical or the language. It's a whole emotional journey that you're moving forward with, which in Stroke Onward is really important. Well, as you know, a lot of my work is about the importance of storytelling. Deb, I was wondering if you could talk about how storytelling impacts your work. Maybe even share a few stories from your work. Debra: Sure. Storytelling is so important. We are always changing, and our stories evolve over time. Storytelling helps us navigate the emotional journey after a stroke. And in my book, Identity Theft, I share my story and the stories of others so that survivors don't feel alone. I would like to share one story that helped me recognize that life could be good after my stroke. Seven months after my stroke, my friend Ann invited me to her 50th birthday weekend in Palm Springs with tennis, hiking, talking, and biking. I said, “No...no, no, no.” I would need so much help, and most of all, I could barely talk at all. Conversations would be loud and lively. I would feel frustrated, jealous, and sad. Kim, my friend, said she would help with everything. She said she would help me have fun. She was there for me. I was nervous, but I decided to give it a try. At first, I was determined to be the “old Deb” at the party, but the frustrations were constant. Conversations were too fast, and the friends trying to help did not give me time to find the words. I was frustrated constantly, but I decided to enjoy myself anyway. The night of the birthday party, I danced a lot! Great music, so fun. I was not the “old Deb” anymore, I was a newer version of myself. I could spend my time with my friends dancing, laughing, and enjoying what is essential in my life: friends, community, and fun. It is so hard, but it is so important. Pushing myself to be social and telling stories about it has been so important to my recovery. Katie: Thanks for sharing, it's a great story. And well, I mean, you sound like you have fabulous friends, but it sounds like Kim really was one that stuck around and was willing to help you through some of that change. Steve: And if I can add one other story, which kind of gets to how Deb reclaimed some of her old identity. In this case, her identity as a mom, and Deb tells the story in the book. When our daughter Sarah, who at the time of Deb's stroke was 15 and was not a big dater in high school. But about a year and a half after Deb's stroke, she got invited to the prom her senior year and she started going out with this guy. And I kind of said to Deb, you know, you never had that mother daughter talk with Sarah. And Deb hadn't been too active in parenting for that year, year and a half because she was you know, fighting for her recovery. I said, “You know, maybe you should be the one, as her mom, to have the talk.” And so, we kind of told Sarah that we wanted to talk to her. We were all standing around the island in the kitchen. Sarah kind of knew something was coming but didn't quite know what. And you know Deb's speech was nothing like as good as it is now back then. You could just see the concentration on her face trying to figure out what she was going to say. And she kind of slowly said, “Boyfriend? Yes. Pregnant, no!” And that has been dubbed by all of our friends for the world's most efficient and effective mother daughter talk. It was funny; we all just burst out laughing. It was really a great kind of wake up for us that Deb could reclaim a lot of aspects of her identity, but she would just have to live them out differently. And that just because they had to be different didn't mean she couldn't live them out. That was one of our favorites. Katie: That is a good story. What I love about your sharing of the stories and where your work brings storytelling to life. One of the things that's happening in the literature that's coming into practice, particularly in the UK, and over in Australia, and hopefully maybe over here in the U.S. sometime, is this idea of step psychological care for aphasia. We'll put something in the show notes if listeners want to check this out a little bit more. This idea consists of different tiers to support mental health and particularly depression in people with stroke and aphasia. At that bottom tier, which is supposed to be accessible to every stroke survivor, one of the level one interventions is storytelling. So, it's that powerful, you know. It's not just fun to tell stories; it's very important to who we are as people and integrating our mental and emotional health into who we are. Steve: Deb, did you want to mention somebody you interviewed for the book that particularly talked about storytelling? Debra: Yes. Randy enjoys storytelling, and he is a stroke survivor from St. Louis who I interviewed for the book. Randy and his wife, Rose, started their own aphasia meetup group. Social connections were really important to him. Steve: And he talked a lot about how he gradually got more and more comfortable telling his story and how much that helped him. He spoke at our community event in St. Louis, and I thought he kind of stole the show when he said, “My stroke changed my life, but it will not hold me back.” I just kind of well up because that's what it's all about. And he said it so eloquently. Katie: Powerful, powerful. Well, Debra, can you tell us a little more about this idea of identity? Debra: Sure. Barbara Shadden and you, Katie Strong, I am so thankful. Identity is our narrative about ourselves over time. We have not one static identity, we have multiple identities. We are always changing. Relationships like friends, family, colleagues, and others are a big part of making who we are. Identity is a choice. Instead of asking, “Who am I now?” ask “Who do I want to be now?”. Katie: Powerful. I like it. Debra, could you talk about aphasia specifically, and how that plays into your views on identity and your recovery? Debra: Yeah. Communication is so central to everything we do and to my identity. Having communication challenges just makes everything harder. Steve: And I'll just add that sometimes in recovery, the physical stuff, you know, trying to walk better or get use of a right arm back, would tend to be the focus. But in reality, the aphasia is really the thing that has challenged her identity the most because it was the communication that forced her from a career she worked so hard to achieve. Also, friends and interaction are so central to who Deb is, and that has just gotten so much more challenging. So, not to diminish the impact of physical disabilities, but aphasia is big and really central to the recovery process. Katie: And I think you know, you mentioned Barbara Shadden earlier, but you know her idea of identity theft. We are the stories that we tell and when we have trouble with the that one thing that we use for story, that tool of language that is impaired, or changed or broken, or, you know, smaller, or however we want to view it with having aphasia, it really makes a significant impact on how you view yourself and how you can connect with other people that are important to you. Debra: Yeah. I agree completely, and I am so lucky to have friends and family to support me. Steve: And I think what you said, Katie, is so powerful, and it's why we talk a lot about how few people really know and understand what aphasia is. I think that's because there's this, whatever the opposite of a virtual cycle is, it's the doom loop cycle of aphasia. Aphasia impacts people's identity so that they don't want to speak if they have aphasia because it's not consistent with who they think they are. But because people don't want to speak with aphasia, nobody knows what it is. And so that, you know, makes it that much harder to speak with aphasia. And I think, you know, that gets to this notion of purpose sometimes driving people through what's hard and what's uncomfortable. That was true for Deb and played a role in making a decision that “Yeah, I really wish I could speak the same way I used to.” We've had so many arguments about Deb saying, “I was terrible," because she was evaluating her speaking performance against the way she would have done it before her stroke. Yet, Deb's been willing to push through that, to be out there. You know, that's part of our work of trying to network with other people and encourage people to get out there and tell their stories because that's the only way the world is going to learn. Katie: And that you're doing, which is so appreciated and inspirational. Steve, I know your work is as much about supporting care partners and other family members as it is about supporting survivors. Can you share a bit about your journey through all of this? Steve: Oof, it feels like that could be a podcast in and of itself. But you know, I think maybe the nugget that I'll share is it's pretty obvious that people who are close to somebody who has a stroke or aphasia, our lives are going to change. Things we used to do; we can't do. Help we didn't used to have to provide, we do have to provide. I think the real “aha” for me personally, was that I needed to focus on my identity change as well. It wasn't just Deb's identity. And for me personally, and I've talked to a lot of care partners about this, really embracing “care partner” as part of my identity. Not just something I had to do to support Deb, but part of who I now am. This was really important to me because that mind shift actually helped me resent some of the changes in my life less. It was just, like Deb said, our identities change, our lives change, this is just another change. If I can embrace that as a change in who I am, then those just become part of life. Not that they're not frustrating sometimes, but it's a lot better. So I think, you know, Sarah, our daughter, is when you talk about the impact on family. And again, this story is in the book as well. But again, not just the impact on her life, but the impact on her and who she was. About two years after Deb's stroke, she gave a talk to her whole school community. Sarah talked about the experience of watching her mom have a stroke, and how she wanted to be like her mother and be strong and tough it out. People were offering to help, and she said “No.” She was going to soccer practice, she was doing all of her assignments, and she was visiting Deb in the hospital; she was going to tough it out because she wanted to be strong. Then, she started to see Deb accept more help and she started wondering, well, maybe I can accept some help. She started to let her friends in and let herself be vulnerable. She kind of realized that real strength isn't about toughing it out, real strength is about being vulnerable and using your relationships. Sarah's an athlete, and she ended the talk with, “Even the world's strongest person needs a spotter.” I well up just telling the story. When she told it, we went through boxes of tissues. But that changed her as a person in ways that actually, you know, maybe she would have gotten there eventually, but not when she was 17. I think that's what we talked to a lot of the families and care partners about. Allow yourself to think about how this experience can change you as a person and try to embrace some of that change where you can. Katie: Powerful. Debra: And the families, Danny, Adam, and Sarah. The families are affected. Katie: Yeah. Aphasia just doesn't happen to the person who has it. Well, Deb, you mentioned that there is one part in your book that sums up a lot of what you were trying to share with other survivors and their families. Maybe we can end with you reading from that paragraph. Deb: Faced with a trauma like stroke, the opportunities for both challenge and growth are great. We can clarify what we value most in life, set goals that will help us meet them, and achieve repeated small wins in pursuit of them. In this way, we can achieve not just recovery, but satisfying growth and fundamental meanings in our lives. Katie: I love it. Yeah. Challenge and adversity, thinking forward into the future, and having goals, purpose, and meaning. It's what life is about. Well, this has just been a fabulous conversation. Thank you both for taking time to share with us a little bit about what you've been up to over the summer and inspire us with some of your stories. Debra: Thank you. Steve: Thank you. Well, that wraps up this episode. Thank you for listening. For references and resources mentioned in today's show, please see our show notes. They're available on our website, www.aphasiaaccess.org. There you can also become a member of our organization, browse our growing library of materials, and find out about the Aphasia Access Academy. If you have an idea for a future podcast episode, email us at info@aphasiaaccess.org. For Aphasia Access Conversations, I'm Katie Strong. Thanks again for your ongoing support of Aphasia Access.   Information about Stroke Onward   https://strokeonward.org/  Stroke Onward website Instagram Facebook Twitter YouTube Identity Theft Book Club Materials developed by Jodi Kravitz, Ellen Bernstein-Ellis, Liz Hoover and Stroke Onward https://strokeonward.org/bookguides/   Resources Related to Identity and Aphasia   Meyerson, D., E., (2003). Tempered Radicals: How Everyday Leaders Inspire Change at Work. Boston, MA: Harvard Business School Press. Meyerson, D. & Zuckerman, D. (2019). Identity theft: Rediscovering Ourselves After Stroke. Andrews McMeel Publishing. www.identitytheftbook.org Shadden, B. (2005). Aphasia as identity theft: Theory and practice. Aphasiology, 19(3-5), 211-223. https://doi.org/10.1080/02687930444000697 Strong, K., & Shadden, B. (2020). The power of story in identity renegotiation: Clinical approaches to supporting persons living with aphasia. Perspectives of the ASHA Special Interest Groups. https://doi.org/10.1044/2019_PERSP-19-00145 Listen to Episode #5 of Aphasia Access Conversations Podcast featuring a conversation between Katie Strong and Barbara Shadden about the important role story has in supporting identity in people who are impacted by living with aphasia. https://aphasiaaccess.libsyn.com/insights-and-aha-moments-about-aphasia-care-with-professor-emeriti-barbara-shadden   Resources Related to Stepped Psychological Care Listen to Episode #34 of Aphasia Access Conversations Podcast featuring a conversation between Jerry Hoepner and Ian Kneebone about stepped psychological care and other research related to supporting the emotional journey of living with stroke and aphasia. https://aphasiaaccess.libsyn.com/34-in-conversation-with-ian-keebone Kneebone, I. I. (2016). A framework to support Cognitive Behavior Therapy for emotional disorder after stroke. Cognitive and Behavioral Practice, 23(1), 99-109. https://doi.org/10.1016/j.cbpra.2015.02.001 Ryan, B., Worrall, L., Sekhon, J., Baker, C., Carragher, M., Bohan, J., Power, E., Rose, M., Simmons-Mackie, N., Togher, L., & Kneebone, I. (2020). Time to step up: A call for the speech pathology profession to utilise stepped psychological care for people with aphasia post stroke. In K. H. Meredith & G. N. Yeates (Eds.), Psychotherapy and aphasia: Interventions for emotional wellbeing and relationships (pp. 1-16). Routledge.    Acknowledgements – A special thank you to Amanda Zalucki and Emma Keilen from the Strong Story Lab at Central Michigan University for their assistance in the transcription of this episode. Cite as: Bertram, M., Isaksen, J., Toft, L. E., Olsen, A. M., & Breckling, M. (2021). Evaluering af projekt Forløb for borgere med afasi samt afrapportering af implementeringsopfølgningen KomTil – fra udvikling til drift. Unpublished report from University of Southern Denmark.

Welcome to the Aphasia Access Aphasia Conversations Podcast. I'm Katie Strong and I'm  a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's host for an episode that will feature Dr. Jytte Isaksen. We'll be talking about Making Communication about Healthcare Everyone's Responsibility: Communication Partner Training for Health Care Professionals Jytte Isaksen is an associate professor at the Department of Language and Communication, University of Southern Denmark in Odense, Denmark. She has a background as speech and language pathologist. Jytte lectures in the speech-language pathology and audiology programs in evidence-based practice, qualitative research methodologies, neurogenic communication disorders including aphasia, and other clinical subjects. Jytte's research is centred around communication with people with aphasia, for example communication partner training of health professionals, but she is also interested in outcome evaluation of aphasia therapy, involvement of people with aphasia in research, and supporting access and services for people with aphasia in low- and middle-income countries. A current research project of hers is about families living with aphasia and how to make sure that they get support throughout the care pathway. Jytte is a part of the international research group Collaboration of Aphasia Trialists, where she serves in the executive committee and as chair of the working group Societal Impact and Reintegration.     In this episode you will: Learn about the importance of trained healthcare providers who can communicate with people living with aphasia. Be introduced to the KomTil method of training developed in Denmark. Be inspired to consider how you might incorporate communication partner training with healthcare providers in your community. Katie: As we get started, I wondered if you could you tell our listeners exactly what is meant by communication partner training. And why is it so important for health care providers?   Jytte: Thank you so much, first of all, Katie and Aphasia Access for inviting me to talk about this topic that is very close to my heart. I think that conversation communication partner training, CPT, is defined in different ways in literature. But one of the definitions that I usually stick to is that CPT is an umbrella term that covers different types of complex interventions for communication partners of people with aphasia, and possibly the person with aphasia themselves. And why is it important to healthcare professionals? I would say it's important for everyone working with a person with aphasia because you need to be able to communicate with them. No matter if you are a nurse, or a physiotherapist, or anyone in the healthcare system. The secretary on the ward that needs to communicate with people with aphasia. You need to be able to express yourself in a way that people with aphasia better understand you, but also support them in their expression so that they can say what they really want to say, or some of it at least.   Katie: Absolutely. I completely agree. Being able to have conversations about your healthcare is just so important. So important. What role do speech-language pathologists play in the training of healthcare professionals?   Jytte: We play a very important role. I think it's a way of opening up participation in life, including in healthcare, for people with aphasia. Since we are the professionals especially trained in being able not just to treat, but hopefully also to communicate with people with aphasia, I think we as a profession are a good way into that. But I will later in this podcast talk about how other healthcare professionals can also be CPT providers. We have tried to do that in the project I will tell you about later today.   Katie: Yeah, that's so exciting. I'm really excited to talk about your work. I was wondering though if you could tell us how you got interested in the area of CPT.   Jytte: Yeah, that's a good question. Mainly because so many clinicians in Denmark were interested and still are interested in CPT. I think it was back in early 2000, some of my clinical colleagues went to the Aphasia Institute in Toronto, Canada and got trained by Aura Kagan and colleagues in the Supported Conversation for Aphasia, or the SCA program. They got back to Denmark, wrote a little bit about it, told a little bit about it, but it didn't really get that traction in the beginning. Maybe we weren't ready for that. I was more or less newly qualified at that time.   An evaluation of the Danish neurorehabilitation system was written up in 2011 and my now retired colleague, Lise Randrup Jensen from University of Copenhagen, was invited to evaluate and show the evidence around everything related to aphasia. What she enhanced in that evaluation was that there was moderate evidence that healthcare professionals trained to be better communication partners could have a different impact on people with aphasia's participation. That was picked up mainly at that time by one medical doctor. I should say, this is my interpretation of everything. That medical doctor or consultant in neuro, I think it was acute neurology, she said “I want to have this implemented in this hospital. So, no matter who is working with people with aphasia here should be trained to be better communication partners.” So, I think they are very brave. They employed a clinician that was already trained at the Aphasia Institute, and they employed Lise as a researcher on this part-time. Then they started to train all their staff to do research on it and then it really started to get some traction. They not only wrote at some point a research article, but they were also invited out into different health professional communities. They wrote in the nursing magazine, and the physio magazine, and so forth. All of a sudden, so many people around the country knew about SCA specifically, and went back to their SLP asking, “Can we be trained in this method?” And, somehow, I got interested. It was very natural that I picked it up together with Lise and then we started to do research together.   Katie: It's fantastic, the energy, it's such an the organic way that it came about. That seems really authentic and people being interested. All of the different disciplines. Showcasing and getting work out in interdisciplinary audiences is so important. Yeah, I love that story. Thanks for sharing. So, I'd like to get into a little more of the details. You've taken a lead role in training healthcare providers in Denmark, and I was hoping you could talk us through a little bit about how the training was developed and the philosophy behind your training.     Jytte: Yeah, as I mentioned previously, it was a lot of SCA going on, and there still is in Denmark. So many of us, Danish clinicians and researchers, have been to Toronto and gotten SCA training. But we got back with a material developed in a Canadian context with English speaking videos, and we had to do some adaption. But it was hard to know what could we change and still call it SCA. So, at some point, I was invited into a project at the local hospital in Espia, where I live on the west coast of Denmark. It was really a nurse at the acute ward there that also had read about SCA, and she went to one of the project people there saying, “I think we should be taught some kind of CPT.” And then it started.   So, our project man, he was very great at getting people together. Very funnily, he knew what SCA and CPT were because his daughter studied to be an SLP and wrote her master thesis about it. Lots of clinicians from that hospital, from the neurorehabilitation unit that the acute hospital usually would send their patients to, and then to the five surrounding municipalities that got the people with aphasia out where they lived afterwards. They got together, some researchers, me as an SLP researcher, and a colleague from public health. It wouldn't be right to say we were doing something new. So, we were standing on the shoulders of the giants, like Aura Kagan and Nina Simmons-Mackie, and other people that have worked before with CPT. We invited healthcare professionals from all stages throughout the care pathway, but definitely also people with aphasia and significant others. At first, we started with studying, “What is going on here? How do you communicate in this area of Denmark? How does the transfer happen between hospitals and from hospitals out into community care?” We got some ideas on what could be better. But then we again invited people in to do some co-design and co-development with us. So, that was how it all started. But you also asked about the philosophy, Katie.   Katie: That's alright. Well, before we get into that, I know many of them might, but I'm not sure if all of our listeners know what you mean by co-design.   Jytte: Yeah, I'm not sure that I know that either, Katie.   Katie: Well, how are you thinking of it?   Jytte: I claim I use co-design in many of the things I do. By that, I mean we invite all of the relevant stakeholders in. Well not all, but at least some of the relevant stakeholders for whatever we were going to develop. In this case, it was a CPT program, but it was also some support materials, and we developed a few other things I can talk about later. We have done workshops with them [stakeholders] asking them different questions, very open questions in the beginning. Our overarching goal from the beginning was not to create CPT, or communication partner training. It was to create cohesiveness throughout the healthcare system. It would be a good idea, we assumed, that all the way from when you were hospitalized until you finished your treatment out in your own home or in the community, that you would meet staff that knew what aphasia was, that knew how to communicate with aphasia, that used some of the same support materials. So, we asked them very openly, “How could that look? What is needed for that to be a reality?” We were quite sure from the beginning that some training had to take place. So, really, the CPT program called KomTil that we developed was a part of answering that more broad question.   Katie: Yeah, it's really a beautiful way to get something to work. I think that's why it's been so successful in your country, because you really brought it in from the ground up. People are truly interested, and then getting input from the health providers who are going to be using it, and the stakeholders, people with aphasia, family members. Thank you for sharing. I think that it's certainly something that's easier said than done, and you're showing us that it can be done, so thank you. So, did you want to remark on the philosophy?   Jytte: Yeah. So, I'm sitting here with the sheet in front of me. I think you will all be able to have a look at it and Katie will talk more about that later, where you can find it. But we have what we call our strategies and tools. There is a drawing, and it really looks like a dart board. There is a bullseye in the middle, and that is what is really most important to this training. It's also important for me to tell you that it has been people with aphasia and their family members that have told us what they found was most important. That strategy is called “person-to-person”. With that, we mean that in any kind of healthcare contact, it's important that both the person with aphasia, but also the healthcare professionals, remember that it's two humans really talking together. It's not about if you have aphasia or not, or if you are a nurse or not, it's about two people having to communicate. So, you need to try to work on creating a relationship. Be respectful to each other coming from different systems and with different points of view. The last point is to be honest about what you don't know or what you don't understand. When you don't understand what the person with aphasia is saying, instead of pretending, it's okay to say, “I'm sorry, I don't understand what you're saying.” So, that's the bullseye of our figure.   The next circle around the bullseye is parted into two, and one is called “your court”, like you are part of the tennis court. Those are the strategies that you can do yourself without making too much effort. So, you could slow down your speech rate. You could have a natural tone of voice, knowing that you are speaking to an adult competent person. Emphasize key words in your oral speech. Have short sentences, yes-no questions, one question at a time. So, that simple communication advice that many of us are using with clients, but also advise other people to use with people with aphasia. Also take your responsibility in the communication because you know, or are being taught, in the CPT program that you really need to not control but be responsible for moving forward the conversation and providing support. Then the other half of that middle circle is “know your co-player”. So, know who is on the other side of the court. Try to think about, “Who is it that you are speaking with? How must it be to have aphasia and not be able to express yourself in the way that you would like to feel that you are competent and intelligent?” It's as Aura Kagan always says, “the aphasia is masking who you are, and your competencies”. Make sure that there is enough time for the person with aphasia to give their response if you ask a question, or if they want to formulate something. Also, make sure that you understand each other. Try to check if, “What I understood you said was this and that. Is that true?” or “What I tried to say before was this and that, are you with me?”   Then there is the outer ring, divided into four parts and we call them “strategies”. They may be extra. Some of them are quite natural in communication and some of them are not so much. One tool could be “pointing”, so be more intentional about when you point at your body, towards things, and at the person you're communicating with. The next one is also rather natural. Try to use “facial expressions, gestures, body language”, and be intentional about it. Like right now as we are talking Katie, my hands are everywhere but it doesn't mean anything. But I could use my hands to be more precise in underpinning what I'm saying, and the same with my facial expression. Then the last two tools are the ones that are a bit more unnatural. “Write down keywords”. So, have pen and paper ready and write the keywords in whatever you were talking about. We're talking about tools, Katie, then I would write down tools on this sheet of paper. You could also use keywords if you want people to point at different choices you give them. So, it can work as a support for what you say, but it can also be something you write down based on what the person with aphasia says to make sure, “Have I understood you right?” In the written keywords section, we also have drawings. So, we could draw to show something more visually. The last one is “pictures” or any kind of pictorial support. Especially the last two things, written keywords, drawings, and pictures, need some kind of preparation. You need to have pen and paper with you. You need to be willing to draw. Many people say to me, “But I don't draw, and people can't see what I'm drawing.” Also, the pictures. Either you need to prepare the conversation and have pictures with you, or have a tablet or a smartphone, or have physical pictures that you can point at and talk about. So that was a long explanation about the KomTil.   Katie: Beautiful. So, this KomTil graphic will be in the show notes. The reference will be there as well as the articles that Jytte's talking about, so please check them out. I think brings [these strategies] to an intentional and simplified way. It really makes it make sense, breaking those things up into different areas. Wow, fantastic.   Jytte: Can I add one thing, Katie?   Katie: Of course.   Jytte: The idea with this model was also like, “Could we start in the middle, and actually solve or bridge over some of the communication challenges between us and the person with aphasia by just really being present and trying to build a strong relationship?” Or maybe a little bit more is needed. Maybe I need to slow down and do a little instead of starting in the outer circle with drawing or pictures because maybe it's not needed. You should use it if it's needed. If not, no need to do it.   Katie: Yeah. That's so important. I was actually earlier this week having a conversation with our local aphasia support group. We were talking about how to talk with your health care providers, and I think they would agree that being treated like a person and having that relationship is really the place to start. Well, you all have not only developed this, but you also are training different healthcare providers, speech pathologists, or other disciplines on how to train other people on communication partner training. So, could you talk to us about what's important about consistency in this program? Also, how does somebody become a trainer?   Jytte: Yes. So as SCA, that also has a train-the-trainer model, we have made the same. Because it's really not good to develop something and then keep all the knowledge within that small group. We wanted KomTil to have its own life, so that people could get trained as trainers and then go out into their workplaces and train their colleagues. That would also mean that you would have KomTil trainers in many places with specific competencies that could underpin implementation, train new staff, do some refresher training. So, that was really the intention from the beginning. For this to be sustainable, we need a train-the-trainer model. This is then a little bit different compared to most other CPT programs. We have chosen together with the co-designers we had in the beginning that it was not only SLPs that could be KomTil trainers. Our very first group of KomTil trainers when we were still a research and development project was a good group of SLPs, but also OTs and PTs. We had a few nurses, we had a nursing assistant. I think that is almost what I'm most proud about, especially when I look at those trainers today. They got trained, I think it was back in 2018 we did that. Here where I live, the local hospital is just down the road. When I speak with that nursing assistant and nurse on the acute neuro ward and listen to them still doing the training, still inspiring their colleagues, I get inspired, and I get very proud as well.   Katie: What a beautiful thing. I mean, that's just oh wow!   Jytte: Yeah. Also, I guess it's different because in the beginning, it was very much assumed you had to know a lot about aphasia to be able to train CPT. But I think we have cut it down to a model. Yes, there is information about training, but what is really needed in order to be a good communication partner is not necessarily a lot of knowledge about aphasia. Many of them know something because they work with people with aphasia, but it's a lot about how best to communicate with people with aphasia, and then training in it. So, really just practice, practice, practice. We have continued using that model. At the moment, I'm training a group together with a colleague in Iceland online. I also train with another colleague, some Danish healthcare professionals, and again, not just SLPs. We have a nursing assistant, nurse, and special education teacher onboard in our current group. So, the model is like that.   You are also asking, “How can you become a KomTil trainer?” At the moment, we have been charging a little bit here in Denmark when we have trained people. The group in Iceland is my second group outside the country. My second online teaching experience and the first teaching experience was a very mixed group. I got contacted together with Suzanne Beeke, who works with CPT for family members, by the World Federation of Neurorehabilitation because some, not necessarily only SLPs, also medical doctors and neuropsychologists, were interested in receiving training. That was right ‘bang' in the middle of the pandemic, so we met with them sometimes online. Well, they're all over the world, so we had to do that anyway. Then we agreed to make an online KomTil training for them. Now there are KomTil trainers in Egypt, Colombia, Serbia, Austria, and Greece. That was a crazy experience, but very fun. Some of the countries have really started using this and have trained their colleagues.   Katie: Wow, what an impact. What an impact. So, how many hours is the training for the train-the-trainer? What kind of investment of time do they put in?   Jytte: So, when we do the face-to-face package here in in Denmark, it's four full training days. We usually see them once a week for four weeks and would usually prefer a two-week break in the middle because we would like them to go out and use the KomTil strategies and tools themselves as well. When we have been training online, it's not just the training, we're also talking to them about how best to take a tool from one cultural context and not just do a linguistic translation, but also do a cultural adaption. But you can't meet for four full days on Zoom, you would go bananas. So, what I do with the group from Iceland at the moment is meet with them five times spread over five months. We expect them to read more and be a bit more proactive in acquiring this program because we can't be face-to-face so many hours online.   Katie: I love that there's some adaptability in that. That's great.   Jytte: What they then learn when they become a trainer is to give what we call the basic training. The training package is developed for their colleagues then. It's a two times three hours training. Again with a two-week break in between so you can go out and do some practice from time one to time two. A part of the train-the-trainer program is also adult learning strategies, implementation, implementation science, and I think we change a little bit every time we do this. Because we are not there yet, and we probably will never be. But what we hear from our trainers is, “Oh, it's so hard to get out and implement this, we really need more knowledge than that.” So that's really what we are very much working on at the moment. To be a bit more sharp in how to talk about implementation and how to get some good strategies out to people that need to not just convince their managers to spend time, but also get the trained colleagues to use the strategies that we taught them. And not just for the first month, but for the rest of their working career with people with aphasia.   Katie: Absolutely. Well, this all just sounds fabulous. And it sounds like it's working. But how do we know for sure? Have there been any measures that have been developed for the training?   Jytte: Yeah, we did develop some measures. Not exactly as a part of this project because so many clinicians here in Denmark also use SCA. They still should do that, I think it's a great program as well. Together with Lise from University of Copenhagen, and Iben Christensen and students we developed the Health Professionals and Aphasia Questionnaire, HPAQ, and it has been tested. It's a 16-item, self-report questionnaire. It can be given pre-post training to the participants (i.e., the health care professionals). It's really measuring if they think that they have become better. “Do I know what to do when I don't understand a person with aphasia? Do I know what kind of support I have in the system? Do I know what to do when things go wrong?” But it is measuring it from one side. We still need outcome measures or tools to measure the exact conversation, but that could be an observation tool. Many of you know that Aura Kagan developed that for her SCA training. There's the Measure of Support in Conversation and Measure of Participation in Conversation.   Katie: Yeah, we can put those references and the HPAQ in the show notes too if people are interested in checking that out more.   Jytte: And then we need an outcome measure for people with aphasia. But of course, you can't measure that “you have been speaking with staff that was not trained, and then they went on training, and now they maybe speak with you in a different way” because people with aphasia would be hopefully long gone from that hospital or wherever the training took place. But it would be nice with an outcome measure measuring the communication accessibility and the level of support. The Aphasia Institute has done the different CAMS measures (the Communication Accessibility Measures in Stroke), I think it is.   Katie: I believe so too, yeah.   Jytte: There is a version for frontline staff, there is a manager's version and there's also a version for people with aphasia, but it's very lengthy. And it has not been developed for this purpose, so I think there's still a gap there to be filled out.   Katie: Yeah, but some great things in the works and the HPAQ currently available. Fantastic. Well, I know in some of our previous conversations that this original project had some grant funding, but I believe that's ended now. But the program is still running today, and as you've been talking about, it sounds like it's growing, which is amazing. Can you share how the project has been sustained?   Jytte: Yeah, I have already said a little bit about the nurse and the nursing assistant down the road. So, we have those KomTil trainers from the first group of trainers. We have the training course we are doing face-to-face at the moment in Denmark, it's our third one. Hopefully we will be able to offer those training courses in the future as well. I know I'll be giving one with a clinical colleague later this year. Here, I'm connected with University of Southern Denmark, and I teach future SLPs. They have an elective course in our master's program that they can choose. They get the train-the-trainer training if they choose that course. So, hopefully lots of clinicians will come out here. The first 25 came out last year, and I'll repeat it later this year in the fall.     Katie: Fantastic. Well, you talked about that this is really something that started in Denmark, but that has grown into a more global effort. I know you recently had a publication in 2022 in International Journal of Speech-Language Pathology (IJSLP) with some colleagues that aligns with the Sustainable Goal Development 17. Can you tell us a little bit about that? I'm not sure if I know all about that, and I'm not sure if our listeners do, but talk to us about the importance of that.   Jytte: Yeah. So, the Sustainable Developmental Goals 17 is about partnerships, especially partnerships between developed countries and developing countries. That was really the idea when we first got in touch with the World Federation of Neurorehabilitation. I forgot to mention India, actually, when I mentioned all those countries. It was India, Egypt, at that point, also a physician from Kazakhstan. So, different developing countries where the SLP services are not necessarily that good, and that are maybe even more dependent on other healthcare professionals knowing something about aphasia and being able to communicate with people with aphasia. Maybe there are not at all or very few SLPs at hand. So, that was really what the project was about at that point. Then we ended up sort of sticking the Sustainable Developmental Goals to the whole framework of the work we have done because it was a special issue (in IJSLP) on the UN Sustainable Developmental Goals.   Katie: Wow, that's just amazing. As I'm listening to all of the things that we've talked about today, really CPT training takes a community effort, right? It really seems like it takes a lot. I'm sure a lot of our listeners, and myself included, are thinking, “Wow, this is a really big effort. I'd love to see something like this happen in my own community, but it just seems so big.” Do you have any tips that you could share with clinicians or researchers who are listening who might be interested in starting something in their own facility or region?   Jytte: Yeah, I could say many things. First of all, I think I will say “just do it”. I mean, the whole story I have told here is that in Denmark, it has all been very grassroot-led. It was clinicians thinking this was interesting, let's go to Toronto. It was clinicians asking managers or their colleagues, “Why don't we teach you some strategies for you to be able to better communicate with people with aphasia?” And get some training. I know there's online training available, the Aphasia Institute. Get in touch with me maybe to see what we could do together. I think there are several people that could provide some training to you. Then go out, find your people that would advocate for this as well. Try to tell other healthcare professionals the consequences if we are not able to communicate well with our patients/clients with aphasia. There are so many devastating consequences, as many of you would know already. Also, when we just look separately at the healthcare system. Like we know that people with aphasia are communicated with less when they are hospitalized, they are at greater risk of different types of adverse events, they fall more. Maybe they take the wrong medication because they don't understand what we have taught them. They have longer hospital stays, they are at risk to get back into hospital again because of different things when they are discharged home. So many devastating consequences should talk to everyone really, no matter if you are a manager, or if you are the staff on the ground, that you should do this. I'm sure everyone would be a better healthcare professional if they have those strategies and tools in their working toolbox. It's not enough to be a great nurse, you also need to be a great nurse that can communicate with people with aphasia, in order to be a great nurse to that specific group of patients that you're serving.   Katie: Absolutely. Well, I love this! You're inspiring. And the “Just do it.” I hear your message also in that we need to get out of our offices and really go out and start collaborations with colleagues. Beautiful.   Jytte: And I know many people do that already. Value that, but also spread it more. I know of many people training ambulance drivers and all sorts of staff. I think this could go on at so many different levels of healthcare and community.   Katie: I agree. You've got my wheels turning too. I spoke last month to the Michigan Stroke Program, and they are primarily frontline providers and a lot of EMTs, and so it makes me think a little bit about that continuum of care. I love it. Well, as we wrap up, any final thoughts you'd like to share with our listeners?   Jytte: Oh, that's a good question. I have already said “go out and do it”. I'm sure that so many of you support communication with people with aphasia every day. So many of your colleagues are already watching you when you do it. So, try to be a bit more expressive about that and say, “This is what I usually do, could you maybe try to do this?” It doesn't need to be complicated. That's really what we have tried to build into this model that I have talked to you about today. Don't start with pictures and keywords if you think that is complicated and not natural for your communication style. We can get most people to ask yes-no questions, or sit down, have a quiet conversation, and be respectful and slow down the pace. As we have said many times when doing this training, this is not rocket science at all. Many of us are doing this but teach everyone you meet on your road when working with people with aphasia to try to do some of the same things.   Katie: Absolutely. Well, Jytte, it's been a fabulous conversation. Thanks so much for joining us today.   Jytte: Thank you, Katie. It has been so nice to be able to talk about this.   Katie: Lots of food for thought. So, listeners, check out the show notes. I'll have all the links to the articles and the KomTil visual that you'll really want to make sure you take a minute to download and some other things that we talked about during today's conversation.   On behalf of aphasia access, we thank you for listening to this episode of Aphasia Access Conversations Podcast. For more information on Aphasia Access, and to check out our growing library of materials, go to www.aphasiaaccess.org. And if you have an idea for a future podcast topic, email us at info@aphasiaaccess.org. Thanks again for your ongoing support of Aphasia Access.         Contact information for Jytte Isaksen – Email jisa@sdu.dk  Twitter @jytteisaksen   Resources Aphasia Institute - Supported Conversation Training – https://www.aphasia.ca/communication-tools-communicative-access-sca/ Aphasia Institute – Communication Access for Measures for Stroke (CAMS) https://cams.aphasia.ca/ Aphasia Institute- Measure of Skill in Conversation (MSC) and Measure of Participation in Conversation (MPC) https://www.aphasia.ca/health-care-providers/resources-and-tools/rating-scales/ Bertram, M., Isaksen, J., Toft, L. E., Olsen, A. M., & Breckling, M. (2021). Evaluering af projekt Forløb for borgere med afasi samt afrapportering af implementeringsopfølgningen KomTil – fra udvikling til drift. Unpublished report from University of Southern Denmark. Cruice, M. Johansson, M. C., Isaksen, J., & Horton, S. (2018). Reporting interventions in communication partner training: A critical review and narrative synthesis of the literature. Aphasiology, 32(10), 1135-1166.  https://doi.org/10.1080/02687038.2018.1482406 Isaksen, J., Beeke, S., Pais, A., Efstratiadou, E-A., Pauranik, A., Revkin, S. K., Vandana, V. P., Valencia, F., Vuksanovic, J., & Jagoe, C. (2022). Communication partner training for healthcare workers engaging with people with aphasia: Enacting Sustainable Development Goal 17 in Austria, Egypt, Greece, India, and Serbia. International Journal of Speech-Language Pathology. https://doi.org/10.1080/17549507.2022.2145355 Kagan, A. (1998). Supported conversation for adults with aphasia: Methods and resources for training conversation partners. Aphasiology, 12(9), 816-830. https://doi.org/10.1080/02687039808249575 Kagan, A., Black, S. E., Duchan, J. F., Simmons-Mackie, N., & Square, P. (2001). Training Volunteers as Conversation Partners Using "Supported Conversation for Adults With Aphasia" (SCA): A controlled trial. Journal of Speech-Language-Hearing Research, 44(3), 624-638. https://doi.org/10.1044/1092-4388(2001/051) Kagan, A., Simmons-Mackie, N., & Shumway, E. (2018). Revised rating anchors and scoring procedures for Measure of Skill and Measure of Participation in Conversation between adults with aphasia and their conversation partners. Toronto, ON: Aphasia Institute. Retrieved from https://www.aphasia.ca/wp-content/uploads/2020/05/VF-MSC-MPC.pdf Kagan, A., Simmons-Mackie, N., Victor, C. J., & Chan, M. T. (2017). Communicative Access Measures for Stroke: Development and evaluation of a quality improvement tool. Archives of Physical Medicine and Rehabilitation, 98(11), 2228-2236.e5. https://doi.org/10.1016/j.apmr.2017.04.017 Randrup Jensen, L., Fromsejer Heiberg, R., Isaksen, J., Berg-Beckhoff, G. (2021). Psychometric properties of the Health Professionals and Aphasia Questionnaire (HPAQ): a new self-assessment tool for evaluating health communication with people with aphasia. Aphasiology, https://doi.org/10.1080/02687038.2021.1900534 Simmons-Mackie, N., Raymer, A., Armstrong, E., Holland, A., & Cherney, L. (2010). Communication partner training in aphasia: A systematic review. Archives of Physical Medicine and Rehabilitation, 91, 1814-1837. https://doi.org/10.1016/j.apmr.2010.08.026 Simmons-Mackie, N., Raymer, A., Cheney, L. (2016). Communication Partner Training in Aphasia: An Updated Systematic Review. Archives of Physical Medicine and Rehabilitation, https://doi.org/10.1016/j.apmr.2016.03.023       Acknowledgements – A special thank you to Serena Chase from the Strong Story Lab at Central Michigan University for her assistance in the transcription of this episode.       Please note: Be sure to scroll down to the next page to find the KomTil visual and citation.   

Mandagsterapien er for en sjælden gangs skyld tilbage. Vi har analyse af den skuffende indsats mod Everton og prøver at finde perspektiver på nederlaget. Du kan desuden høre os vende Gabriel Martinellis kontraktforlængelse og så laver vi den store opsamling og evaluering af Arsenals vinter-transfervindue. Vært: Tue Sørensen Medvært: Niels Harild Gæst: Kristian Dines Hansen Podcasten udgives af Arsenal Denmark - den officielle danske Arsenal-fanklub - i samarbejde med Café Dan Turèll i København. Produceret af Aloud Media. ++++++ Følg Arsenal Denmark Facebook Twitter Instagram Hjemmeside – hvor du bl.a. finder billetbestilling og fanshoppen Følg Café Dan Turèll Facebook Instagram  Hjemmeside – husk at tjekke kalender for at se hvilke kampe, de viser Køb Pundit med 20 % rabat Rabatkode: ALTIDARSENAL Følg Altid Arsenal Facebook Twitter Instagram

Evaluering af efteråret 2022 - del 2.Partner på udsendelsen er 3. Med 3LikeHome kan du bruge mobilen i 73 lande uden at det koster ekstra. Det er 30% flere lande end andre teleselskaber.Modtag vores nyhedsbrev: https://www.getrevue.co/profile/kvartiboldStøt Kvart I bold og bliv medlem:https://kvartibold.memberful.com/joinStøt Kvart i bold: Køb merchandise:https://www.kvartibold.dk/Følg Kvart i bold på:Facebook: https://www.facebook.com/Kvart-i-bold-116131853845876Facebook-gruppen: https://www.facebook.com/groups/462533425118037Twitter: https://twitter.com/KvartiboldmedieInstagram: https://www.instagram.com/kvartibold/?hl=da Hosted on Acast. See acast.com/privacy for more information.

Evaluering af FCKs efterår i 2022.Partner på udsendelsen er 3. Med 3LikeHome kan du bruge mobilen i 73 lande uden at det koster ekstra. Det er 30% flere lande end andre teleselskaber.Modtag vores nyhedsbrev: https://www.getrevue.co/profile/kvartiboldStøt Kvart I bold og bliv medlem:https://kvartibold.memberful.com/joinStøt Kvart i bold: Køb merchandise:https://www.kvartibold.dk/Følg Kvart i bold på:Facebook: https://www.facebook.com/Kvart-i-bold-116131853845876Facebook-gruppen: https://www.facebook.com/groups/462533425118037Twitter: https://twitter.com/KvartiboldmedieInstagram: https://www.instagram.com/kvartibold/?hl=da Hosted on Acast. See acast.com/privacy for more information.

Langrennsløper Martin Johnsrud Sundby forteller i episode 150 om ting han gjorde riktig og galt treningsmessig. Han avslører hvilken økttype han responderte best på da han ble best i verden, hvilken trening han mener er best for mosjonister, hans mening om høydetrening og hvorfor han nå jobber med å få folk til å endre livsstil. Kristian og Jann spiller inn episoden et par timer etter Berlin Marathon foran 40 norske maratonløpere like ved målstreken i den tyske hovedstaden. De går igjennom egne løp, diskuterer Kipchoges verdensrekord og en foreløpig evaluering. Evaluering og sesongpause er også tema i Janns prat med EM-løper Fredrik Sandvik. I tillegg så snakket vi kjapt med Even Brøndbo Dahl etter at han satte norsk rekord på 3 km forrige uke. Dette er siste episode før vi selv tar en sesongpause. Hør episoden i appen NRK Radio

Vi dissekerer sejren over Aston Villa og sæsonens første nederlag mod Manchester United, og perspektiverer præstationerne i denne udsendelse, hvor vi også giver dig en opsamling og evaluering af Arsenals sommer-transfervindue. Vært: Tue Sørensen Medvært: Jonas Hebo Gæst: Mikkel Vangby Podcasten udgives af Arsenal Denmark - den officielle danske Arsenal-fanklub - i samarbejde med Café Dan Turèll. Produceret af Aloud Media. Følg Altid Arsenal: Facebook: www.facebook.com/altidarsenal Twitter: www.twitter.com/AltidArsenal Instagram: www.instagram.com/altidarsenal Følg Arsenal Denmark: Facebook: www.facebook.com/afcdk Twitter: www.twitter.com/ArsenalDenmark Instagram: www.instagram.com/arsenal.denmark_ Hjemmeside: www.arsenal.dk Følg Café Dan Turéll: Facebook: www.facebook.com/Café-Dan-Turèll-101480054999444/  Instagram: www.instagram.com/cafedanturell  Hjemmeside: www.cafedanturell.com

Det har været himmel og helvede for FCK i sæsonstarten. Hør analysen af FCK præstation og udfordringer efter de første fire kampe.Værter Andreas Hansen og Kasper Larsen.Partner på udsendelsen er 3. Med 3LikeHome kan du bruge mobilen i 73 lande uden at det koster ekstra. Det er 30% flere lande end andre teleselskaber.Kom med til Kvart i bolds Transfer Deadline Show d. 31. august. Køb billet her: https://billetto.dk/e/transfer-deadline-show-billetter-659987Støt Kvart I bold og bliv medlem:https://kvartibold.memberful.com/joinStøt Kvart i bold: Køb merchandise:https://www.kvartibold.dk/Din mening betyder noget:Hvad synes du om Kvart i bold? Vi har brug for din mening for at kunne lave bedre indhold. Den kan du fortælle os i dette spørgeskema:https://surveys.hotjar.com/3b5e5cb4-e98b-43e5-809f-e0fab49e9e9aFølg Kvart i bold på:Facebook: https://www.facebook.com/Kvart-i-bold-116131853845876Facebook-gruppen: https://www.facebook.com/groups/462533425118037Twitter: https://twitter.com/kasperlarsen11Instagram: https://www.instagram.com/kvartibold/?hl=daYoutube: https://www.youtube.com/c/KvartiBold Our GDPR privacy policy was updated on August 8, 2022. Visit acast.com/privacy for more information.

I denne sidste udsendelse i vores lille trilogi af evaluering af sæsonen vender vi den voksende fanskare, vi ser lidt frem mod den kommende sæson og transfervinduet. Og som i de andre udsendelser har vi kåringer med også.Støt Kvart I bold og bliv medlem:https://kvartibold.memberful.com/joinStøt Kvart i bold: Køb merchandise:https://www.kvartibold.dk/Denne podcast er bragt i samarbejde med 3, som giver os mulighed for at bringe en masse lækkert FCK relateret indhold til jer derude. Har du overvejet at skifte abonnement til 3, så er det nu du skal gøre det. 3 har nemlig lavet et helt særligt tilbud til jer FC Københavnere, hvor I får første måned gratis. Samtidig støtter 3 Familietribunen med 100 kr. pr. abonnement og I deltager automatisk i lodtrækningen om et Platin-sæsonkort og en VIP-oplevelse i 3's Skybox i Parken. Tjek abonnementet ud her: https://bit.ly/3sEVQluDin mening betyder noget:Hvad synes du om Kvart i bold? Vi har brug for din mening for at kunne lave bedre indhold. Den kan du fortælle os i dette spørgeskema:https://surveys.hotjar.com/3b5e5cb4-e98b-43e5-809f-e0fab49e9e9aFølg Kvart i bold på:Facebook: https://www.facebook.com/Kvart-i-bold-116131853845876Facebook-gruppen: https://www.facebook.com/groups/462533425118037Twitter: https://twitter.com/kasperlarsen11Instagram: https://www.instagram.com/kvartibold/?hl=daYoutube: https://www.youtube.com/c/KvartiBold See acast.com/privacy for privacy and opt-out information.

Anden del af vores evaluering peger mod sportsdirektør Peter Christiansen , forårets profil og ikke mindst det vi kalder “ungdomsrevolutionen”Støt Kvart I bold og bliv medlem:https://kvartibold.memberful.com/joinStøt Kvart i bold: Køb merchandise:https://www.kvartibold.dk/Denne podcast er bragt i samarbejde med 3, som giver os mulighed for at bringe en masse lækkert FCK relateret indhold til jer derude. Har du overvejet at skifte abonnement til 3, så er det nu du skal gøre det. 3 har nemlig lavet et helt særligt tilbud til jer FC Københavnere, hvor I får første måned gratis. Samtidig støtter 3 Familietribunen med 100 kr. pr. abonnement og I deltager automatisk i lodtrækningen om et Platin-sæsonkort og en VIP-oplevelse i 3's Skybox i Parken.Din mening betyder noget:Hvad synes du om Kvart i bold? Vi har brug for din mening for at kunne lave bedre indhold. Den kan du fortælle os i dette spørgeskema:https://surveys.hotjar.com/3b5e5cb4-e98b-43e5-809f-e0fab49e9e9aFølg Kvart i bold på:Facebook: https://www.facebook.com/Kvart-i-bold-116131853845876Facebook-gruppen: https://www.facebook.com/groups/462533425118037Twitter: https://twitter.com/kasperlarsen11Instagram: https://www.instagram.com/kvartibold/?hl=daYoutube: https://www.youtube.com/c/KvartiBold See acast.com/privacy for privacy and opt-out information.

Kvart i Bold har evaluret sæsonen og i denne første af tre udsendelser vender vi Jess Thorup, vores spillestil og udtryk. Vi har også kåringer og en masse data fra sæsonen.Støt Kvart I bold og bliv medlem:https://kvartibold.memberful.com/joinStøt Kvart i bold: Køb merchandise:https://www.kvartibold.dk/Denne podcast er bragt i samarbejde med 3, som giver os mulighed for at bringe en masse lækkert FCK relateret indhold til jer derude. Har du overvejet at skifte abonnement til 3, så er det nu du skal gøre det. 3 har nemlig lavet et helt særligt tilbud til jer FC Københavnere, hvor I får første måned gratis. Samtidig støtter 3 Familietribunen med 100 kr. pr. abonnement og I deltager automatisk i lodtrækningen om et Platin-sæsonkort og en VIP-oplevelse i 3's Skybox i Parken.Din mening betyder noget:Hvad synes du om Kvart i bold? Vi har brug for din mening for at kunne lave bedre indhold. Den kan du fortælle os i dette spørgeskema:https://surveys.hotjar.com/3b5e5cb4-e98b-43e5-809f-e0fab49e9e9aFølg Kvart i bold på:Facebook: https://www.facebook.com/Kvart-i-bold-116131853845876Facebook-gruppen: https://www.facebook.com/groups/462533425118037Twitter: https://twitter.com/kasperlarsen11Instagram: https://www.instagram.com/kvartibold/?hl=daYoutube: https://www.youtube.com/c/KvartiBold See acast.com/privacy for privacy and opt-out information.

"I dette univers legitimerer teknologien også menneskets ufrihed og påviser det 'teknisk' umulige i at være autonom, i at bestemme over sit eget liv." Det skrev den tyske filosof Herbert Marcuse i Det Endimensionale Menneske i 1964. Når vi i dag laver den ene evaluering, trivselsmåling og evidensrapport efter den anden, bliver vi muligvis spurgt og hørt, men vi bliver måske også styret ... væk fra vores egentlig autonomi. Medvirkende: Steen Nepper Larsen, lektor i filosofi, DPU, AU, forfatter. Maja Bødtcher Hansen, rektor på Frederiksberg Gymnasium. Astrid Pedersen: tilrettelægger. Carsten Ortmann: tilrettelægger og vært.

Mandag aften ved midnat ringede den store transfer gong gong for sidste gang i dette transfervindue. Og da boet skulle gøres op havde blandt andet tre af FCKs angribere smidt den hvide trøje med løven på hjertet. I stedet stod nyindkøbene i kø for at komme ind på 10'eren - FCKs trænings anlæg. Tre nye angribere, to kantspillere og en forsvarsspiller kan trække FC-trøjen på efter denne vinters transfervindue.I den her udsendelse evaluerer vi FCKs transfervindue, kigger nærmere på de enkelte spilleres egenskaber og taler om, hvordan FCK skal bruge deres træningslejr i Portugal til at få spillet et potentielt guldhold sammen.Medvirkende: Kasper Haugaard, Kasper Larsen og Henrik ThustrupStøt Kvart i bold med et månedligt beløb her:https://kvartibold.memberful.com/joinStøt Kvart i bold ved at købe merchandice:kvartibold.dkDin mening betyder nogetHvad synes du om podcasten? Hvilke emner og gæster skal vi have med i fremtidige udsendelser. Vi har brug for din mening for at kunne lave en god podcast. Den kan du fortælle os i dette spørgeskema: https://surveys.hotjar.com/21e6f0aa-5719-4792-ad5b-cf4bb8234e88Det tager ikke lang tid at udfylde.Deltag i debattenDer er mange påstande i podcasten. Men hvad synes du? Deltag i debatten i vores facebook-gruppe, som du kan tilmelde dig her: https://www.facebook.com/groups/462533425118037 See acast.com/privacy for privacy and opt-out information.