Aphasia Centers in North America: A Survey

Simmons‐Mackie, Nina; Holland, Audrey L.

doi:10.1055/s-0031-1286175

Cited by 23 publications

(16 citation statements)

References 15 publications

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“…94 Another important development in the LPAA realm is the increasing number of aphasia groups and aphasia centers. 67,95,96 Participation in aphasia groups and centers not only provides psycho-social benefits but may also improve communication and language. 97 Despite the lack of large trials of the utility of LPAA, efforts focused on reintegration of persons with aphasia into society should be considered in very positive light.…”

Section: Social Approach To Therapymentioning

confidence: 99%

Current Approaches to the Treatment of Post-Stroke Aphasia

Fridriksson

Hillis

2021

J Stroke

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Aphasia, impairment of language after stroke or other neurological insult, is a common and often devastating condition that affects nearly every social activity and interaction. Behavioral speech and language therapy is the mainstay of treatment, although other interventions have been introduced to augment the effects of the behavioral therapy. In this narrative review, we discuss advances in aphasia therapy in the last 5 years and focus primarily on properly powered, randomized, controlled trials of both behavioral therapies and interventions to augment therapy for post-stroke aphasia. These trials include evaluation of behavioral therapies and computer-delivered language therapies. We also discuss outcome prediction trials as well as interventional trials that have employed noninvasive brain stimulation, or medications to augment language therapy. Supported by evidence from Phase III trials and large meta-analyses, it is now generally accepted that aphasia therapy can improve language processing for many patients. Not all patients respond similarly to aphasia therapy with the most severe patients being the least likely responders. Nevertheless, it is imperative that all patients, regardless of severity, receive aphasia management focused on direct therapy of language deficits, counseling, or both. Emerging evidence from Phase II trials suggests transcranial brain stimulation is a promising method to boost aphasia therapy outcomes.

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Section: Social Approach To Therapymentioning

confidence: 99%

Current Approaches to the Treatment of Post-Stroke Aphasia

Fridriksson

Hillis

2021

J Stroke

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“…Provides a minimum of 3 hours of daily treatment over a period of at least 2 weeks; 28 because the ICAP targets multiple areas via different treatment approaches and formats. It also differs from an aphasia center that addresses multiple ICF domains, 29 because aphasia centers do not have a circumscribed time frame with cohorts of participants entering and leaving the program at the same time.…”

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confidence: 99%

Intensive Comprehensive Aphasia Programs: An International Survey of Practice

Rose

Cherney

Worrall

2013

Topics in Stroke Rehabilitation

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“…Logistical aspects of clinical services such scheduling, session length, treatment location, and other features of treatment also need to be more flexible to implement patient-centered approaches. Some programs, largely in university clinics or freestanding community clinics, have been able to exercise that flexibility to initiate group programs, centers, and other community programs (Byrd et al, 2016;Elefant, Baker, Lotan, Lagesen, & Skeie, 2012;Elman, 2016;Glista & Pollens, 2007;Mackenzie, Paton, Kelly, Brady, & Muir, 2012;Ross, Winslow, & Marchant, 2006;Shih et al, 2012;N. Simmons-Mackie & Holland, 2011).…”

Section: Discussionmentioning

confidence: 99%

Achieving Participation-Focused Intervention Through Shared Decision Making: Proposal of an Age- and Disorder-Generic Framework

Baylor

Darling-White

2020

Am J Speech Lang Pathol

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Introduction The World Health Organization's International Classification of Functioning, Disability and Health calls on speech-language pathologists (SLPs) to provide care that impacts all aspects of an individual's experience with a communication disorder, including their participation in valued life situations. However, SLPs often report feeling unprepared to implement and document interventions that target life participation. The purpose of this article is to propose a framework to guide participation-focused intervention practices. This age- and disorder-generic framework is designed to be applicable with clients across the variety of settings in which SLPs work. Method In this clinical focus article, we draw on past research and clinical experience to propose a restructuring of World Health Organization's International Classification of Functioning, Disability and Health components such that participation is the primary focus and outcomes indicator for intervention. In this framework, a specific communicative participation situation is identified and assessed quantitatively, and a corresponding participation-focused goal is established through shared decision making. Following that, assessments are conducted and goals are established in the areas of communication skills, physical and social environments, and personal perspectives. Results The proposed framework provides a concrete organizational structure as well as assessment, goal-writing, and intervention examples to assist SLPs in translating theoretical biopsychosocial frameworks into clinical practices. Conclusions SLPs can and do provide holistic communication services to clients to help them achieve their life participation goals. This article provides an example as to how we can document the need for, as well as the value and impact of our important work, meeting the diverse life participation needs of clients. Supplemental Material https://doi.org/10.23641/asha.12360758

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Aphasia Centers in North America: A Survey

Cited by 23 publications

References 15 publications

Current Approaches to the Treatment of Post-Stroke Aphasia

Current Approaches to the Treatment of Post-Stroke Aphasia

Intensive Comprehensive Aphasia Programs: An International Survey of Practice

Achieving Participation-Focused Intervention Through Shared Decision Making: Proposal of an Age- and Disorder-Generic Framework

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