Communication Partner Training in Aphasia: A Systematic Review

Simmons‐Mackie, Nina; Raymer, Anastasia; Armstrong, Elizabeth; Holland, Audrey L.; Cherney, Leora R.

doi:10.1016/j.apmr.2010.08.026

Cited by 252 publications

(201 citation statements)

References 48 publications

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“…It is also probably effective in improving communication activities or the participation of individuals with chronic aphasia when they are interacting with trained communication partners. 507 Communication partners may include family members and caregivers, healthcare professionals, and others in the community or organization. Further studies are needed to examine the impact of communication partner training with individuals with acute aphasia.…”

Section: Aphasiamentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

Self Cite

2,046

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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Section: Aphasiamentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

Self Cite

2,046

840

View full text Add to dashboard Cite

show abstract

“…As in other countries, the emphasis in SLT sessions in the Netherlands is on improving language functions of the PWA rather than focusing on the communicative interaction between the PWA and his or her conversation partners [33] [34] [35]. By focussing on language improvement in the PWA, the available evidence for CPT [36] is insufficiently acknowledged. A systematic review reports that partners improve their communicative skills after CPT and PWA show greater competence in conversations with trained conversation partners [36].…”

Section: Rationale For the Implementation Of A Cpt Programmementioning

confidence: 99%

“…By focussing on language improvement in the PWA, the available evidence for CPT [36] is insufficiently acknowledged. A systematic review reports that partners improve their communicative skills after CPT and PWA show greater competence in conversations with trained conversation partners [36]. In order to fill the practice-evidence gap, a UK CPT package 'Supporting Partners and People with Aphasia in Relationships and Conversation' (SPPARC) [37] was adapted for Dutch clinical practice into the 'Partners of Aphasic clients Conversation Training' (PACT) [38].…”

Section: Rationale For the Implementation Of A Cpt Programmementioning

confidence: 99%

ImPACT: a multifaceted implementation for conversation partner training in aphasia in Dutch rehabilitation settings

Wielaert

Sandt-Koenderman

Dammers

et al. 2016

Disability and Rehabilitation

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ImPACT: a multifaceted implementation for conversation partner training in aphasia inDutch rehabilitation settings. AbstractPurpose: Exploration of the clinical uptake of a novel conversation partner training (CPT) programme in aphasia in ten Dutch rehabilitation facilities and identification of its perceived facilitators and barriers in service providers, and the evaluation of the implementation methods used. Method:Ten rehabilitation centres took part in a multifaceted implementation of conversation partner training over thirteen months. Each centre selected two speech and language therapists to act as knowledge brokers whose role it was to raise awareness of CPT in the team and to facilitate getting partners of people with aphasia into the programme. The implementation was evaluated using analysis of recruitment data and questionnaires, supplemented by consensus data and scrutiny of implementation plans.Results: Successful implementation was described as 1) four dyads included during the intervention period, 2) two more dyads included after the intervention period, before the end of the study and 3) inclusion of Partners of Aphasic Clients Conversation Training (PACT) in a description of the logistics of local stroke care (stroke care pathway). Seven centres were successful in reaching the target inclusion of 6 dyads in total. Only one centre had care pathways in place. From a recruitment pool of 504 dyads, 41 dyads were recruited and 34 partners completed the implementation of PACT study (ImPACT). Observed facilitators included the motivation to engage partners in the rehabilitation process and the perceived added value of PACT. The perceived barriers focused on time limitations within current systems to discuss the consequences of PACT with relevant professionals and to establish allocated time for PACT within existing care routines. Conclusions:The motivation of professionals to involve partners in the rehabilitation process assisted with the introduction of PACT in practice. The main barrier was time, linked to the requirement to think through integration of this innovation within existing care. Longer term evaluation would ascertain how centres sustain uptake without support.

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“…All 25 of current review articles reported positive changes after partner training in updated review of 2016 [13,14]. However, there are limitations due to lack of high quality efficacy research and the studies have been focused on chronic phase aphasia patients.…”

Section: Post Stroke Aphasia Treatmentmentioning

confidence: 99%

Current Evidence for Post Stroke Aphasia Treatment

Yang

2017

Brain Neurorehabil

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Aphasia is a major devastating symptom in stroke survivors that deteriorates patient quality of life. Various treatment methods are applied for aphasia patients after stroke. Evidence is required to assess the effectiveness of variable therapy for aphasia. Results of a meta-analysis have concluded that speech and language treatment is effective post stroke. Better outcomes are expected with high dose and high intensity speech and language therapy within tolerable ranges. Computerized and group treatments can supplement classic one to one speech and language therapy. Pharmacotherapy and non-invasive brain stimulation combined with speech and language therapy have been well-studied and better outcomes are expected, however testing in a large number of subjects is required to validate the efficacy of these combined modalities.

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Communication Partner Training in Aphasia: A Systematic Review

Cited by 252 publications

References 48 publications

Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery

ImPACT: a multifaceted implementation for conversation partner training in aphasia in Dutch rehabilitation settings

Current Evidence for Post Stroke Aphasia Treatment

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