Barriers and Facilitators to Mobile Phone Use for People with Aphasia

Greig, Carole-Ann; Harper, Renée; Hirst, Tanya; Howe, Tami; Davidson, Bronwyn

doi:10.1310/tsr1504-307

Cited by 55 publications

(22 citation statements)

References 29 publications

(30 reference statements)

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“…The persistence of aphasia also negatively influences friendships [31], occupational capacity and QoL [32]. Moreover, people with communication disorder linked to aphasia are deprived of using information and communication technology-such as mobile phones-and are more socially isolated if compared with their peers [33].…”

Section: Discussionmentioning

confidence: 99%

Aphasia assessment and functional outcome prediction in patients with aphasia after stroke

Gialanella

2010

J Neurol

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Available studies did not clarify whether a language examination may predict functional and motor outcome in patients with aphasia undergoing rehabilitation. This was the aim of the current study. Language examination considered in this study was the Aachen Aphasia Test (AAT). One hundred fifty-six patients with a primary diagnosis of acute cerebrovascular accident of left hemisphere were included: 105 with and 51 without aphasia. Backward stepwise regression analysis was used to predict final scores in total-, motor-, and cognitive-Functional Independence Measure (FIM). The independent variables were age, gender, stroke type, stroke lesion size, onset to admission interval, National Institute of Health Stroke Scale, Fugl-Meyer Scale, Trunk Control Test, initial motor-FIM, and AAT (spontaneous speech, token test, repetition, written language, confrontation naming, comprehension). In the multivariate regression analysis, comprehension was the only function of the language to be predictor of the final total-FIM (β = +0.35) and final cognitive-FIM (β = +0.61). Comprehension was a predictor of total-FIM (β = +0.27) and cognitive-FIM (β = +0.54) as well, when additional backward stepwise regression analysis (which did not include comprehension and expression scores in the final total- and cognitive-FIM) was performed. When multivariate regression analysis took into consideration only language functions as independent variables, spontaneous speech (β = +0.41) only was the predictor of motor-FIM. The study highlights that AAT is the predictor of functional outcome in the patient with aphasia. Among the functions of language, comprehension seems to be the most important predictive factor of total- and cognitive-FIM, while spontaneous speech seems to be a predictor of motor-FIM.

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Section: Discussionmentioning

confidence: 99%

Aphasia assessment and functional outcome prediction in patients with aphasia after stroke

Gialanella

2010

J Neurol

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“…This objective datum indicates that adequate communicative capacity is essential for interaction with other people and for problem-solving. Actually, data from the literature report that patients with aphasia are hindered by communication problems from participating in activities [33] and are more socially isolated than their peers [34]. Moreover, the persistence of aphasia negatively influences friendships [35], occupational capacity, quality of life [36], and use of information and communication technology such as mobile phones [34].…”

Section: Discussionmentioning

confidence: 99%

Functional Outcome after Stroke in Patients with Aphasia and Neglect: Assessment by the Motor and Cognitive Functional Independence Measure Instrument

Gialanella

Ferlucci

2010

Cerebrovasc Dis

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Background: The role of neuropsychological deficits in predicting functional outcome in patients with aphasia and neglect at the end of rehabilitation after stroke has been poorly investigated. This was the aim of this prospective study evaluated using a Functional Independence Measure (FIM) instrument. Methods: Patients with a primary diagnosis of cerebrovascular accident [125 patients with aphasia, 45 with neglect and 131 without either aphasia or neglect (WAN)] were enrolled. Backward multiple linear regression analysis was used to predict motor and cognitive FIM, discharge destination, and length of stay. The independent variables were age, gender, aphasia, stroke type, stroke lesion size, comorbidity, bladder catheter, stroke severity, trunk control test, initial motor FIM, and committed caregiver identified on admission to rehabilitation. Results: At the end of rehabilitation, patients with neglect had significantly lower final motor FIM scores and lower daily efficiency improvement in motor FIM scores compared with those with aphasia (both p < 0.001) and WAN (both p < 0.001). Patients with aphasia showed lower final cognitive FIM scores compared with those with neglect (p < 0.001) and those without deficits (p < 0.001). Neglect was a predictor of final motor FIM (β = –0.24) and efficiency in motor FIM (β = –0.29), while aphasia was a predictor of final cognitive FIM (β = –0.54). Neglect and aphasia did not differ and were not predictors of discharge destination and length of stay. Conclusions: Patients with neglect have lower motor FIM scores if compared with those with aphasia, while patients with aphasia have lower cognitive FIM scores. Neglect is a predictor of motor FIM, while aphasia is a predictor of cognitive FIM scores.

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“…What more patients with aphasia still experience various problems, e.g. mobile phone use can be problematic [40], some of them still need printed education materials in formats preferred by patients with aphasia [41,42,43].…”

Section: Much Easier Example: Aphasiamentioning

confidence: 99%

Komunikacja w grupie pacjentów z zaburzeniami świadomości – wnioskiz projektu InteRDoCTor

Komendziński

Mikołajewska

Mikołajewski

et al. 2017

MBS

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S u m m a r yThanks to recent advances in health care an increased number of patients may recover from severe brain injuries, but some of them are still assessed as non-responsive. Reliance on behavioural measures in communication with DoC patients seems be too prone to errors. There is need for solutions providing more objective attempts of bidirectional communication (intentional questions/commands and adequate related responses) in patients with DoC using significant processed by the patient stimuli and novel technologies (EEG-, fMRI-, BCI-based, etc.) based on recent scientific and clinical evidences. Such communication may be fulfilled even in the absence of behavior.This article aims at assessment the extent to which current possibilities in the area of devices for extended communication has been exploited, including own experiences within InteRDoCTor project. S t r e s z c z e n i e Dzięki najnowszym osiągnięciom w opiece zdrowotnej coraz większa liczba pacjentów może powrócić do zdrowia z poważnych urazów mózgu, lecz część z nich jest ciągle diagnozowana jako niereagujący na bodźce. Poleganie jedynie na miarach behawioralnych w komunikacji z pacjentami z zaburzeniami świadomości wydaje się zbyt podatne na błędy. Istnieje zapotrzebowanie na rozwiązania zapewniające bardziej obiektywne próby komunikacji dwukierunkowej (celowe pytania/polecenia i odpowiadające im reakcje)u pacjentów z zaburzeniami świadomości, z wykorzystaniem bodźców znaczących dla pacjenta i przetwarzanych przez niego oraz nowych technologii (opartych na EEG, fMRI, BCI, itd.) w oparciu o najnowsze dowody naukowe i kliniczne. Ww. komunikacja może być realizowana nawet w przypadku braku obserwowalnych zmian zachowania pacjenta.Artykuł ma na celu ocenę, w jakim zakresie wykorzystuje się możliwości w tym obszarze, w tym w oparciu o doświadczenia własne z projektu InteRDoCTor.

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Barriers and Facilitators to Mobile Phone Use for People with Aphasia

Cited by 55 publications

References 29 publications

Aphasia assessment and functional outcome prediction in patients with aphasia after stroke

Aphasia assessment and functional outcome prediction in patients with aphasia after stroke

Functional Outcome after Stroke in Patients with Aphasia and Neglect: Assessment by the Motor and Cognitive Functional Independence Measure Instrument

Komunikacja w grupie pacjentów z zaburzeniami świadomości – wnioskiz projektu InteRDoCTor

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