How do speech-and-language therapists address the psychosocial well-being of people with aphasia? Results of a UK online survey

Northcott, Sarah; Simpson, Alan; Moss, Becky; Ahmed, Nafiso; Hilari, Katerina

doi:10.1111/1460-6984.12278

Cited by 62 publications

(102 citation statements)

References 21 publications

(52 reference statements)

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“…); and speech–language therapists (Glista and Pollens , Julien and Simkiss , Northcott et al . , , Ross et al . , Sekhon et al .…”

Section: Resultsmentioning

confidence: 99%

“…Approximately 67% ( n = 115) of British speech–language therapists reported some counselling training, with approximately 25% reporting having undertaken a short course or certificate‐ or diploma‐level training (Northcott et al . ). In another study of British speech–language therapists working in post‐stroke aphasia, post‐qualification counselling training ranged from none to diploma level, but most commonly a course in counselling or brief psychological approaches of 1–2 days after qualification (Northcott et al .…”

Section: Post‐qualification Counselling Training For Speech–language mentioning

confidence: 97%

“…Information on counselling and psychological training to prepare speech–language therapists to address psychological well‐being in people affected by post‐stroke aphasia was collected through two surveys of Australian and British speech–language therapists’ counselling practice when working with this client group (Northcott et al . , Sekhon et al . ).…”

Section: Post‐qualification Counselling Training For Speech–language mentioning

confidence: 99%

“…Northcott et al . () investigated to what extent speech–language therapists felt confident and well‐equipped to deliver Levels 1 and 2 psychological care and support (NHS Improvement—Stroke ). The objectives of the study by Northcott et al .…”

Section: Post‐qualification Counselling Training For Speech–language mentioning

confidence: 99%

“…British speech–language therapists described a range of specialist psychological training including solution‐focused brief therapy, motivational interviewing, mindfulness, acceptance and commitment therapy, strengths‐based cognitive–behavioural therapy and counselling skills (Northcott et al . , ). In the study conducted by Northcott et al .…”

Section: Post‐qualification Counselling Training For Speech–language mentioning

confidence: 99%

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Counselling training for speech–language therapists working with people affected by post‐stroke aphasia: a systematic review

Sekhon

Oates

Kneebone

et al. 2019

Intl J Lang & Comm Disor

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Background Speech–language therapists use counselling to address the psychological well‐being of people affected by post‐stroke aphasia. Speech–language therapists report low counselling knowledge, skill and confidence for working in post‐stroke aphasia which may be related to a lack of counselling training specific to the needs of this client group. Aims To identify current training in counselling for speech–language therapists to address psychological well‐being in people affected by post‐stroke aphasia. Specifically, the intent was to establish the objectives, content, amount, teaching methods and outcomes of counselling training provided to speech–language therapists working with people affected by post‐stroke aphasia. Methods & Procedures Eleven databases were searched from inception to January 2018 using terms relating to counselling, psychological well‐being, speech–language therapy, stroke, aphasia and training. Studies using any research methodology and design were included. Nine studies were critically appraised and synthesized as a systematic review using the Search, AppraisaL, Synthesis and Analysis (SALSA) framework. Main Contribution Information on counselling training came from the UK, United States and Australia. Student speech–language therapists received training in goal‐setting and generic counselling skills. After qualification, speech–language therapists received counselling training from mental health professionals within stroke workplaces, from external providers and further education. A range of teaching techniques and counselling approaches were described. Self‐report and themes from qualitative data were the primary measures of counselling training outcomes. Moderate correlations were reported between counselling training and levels of speech–language therapists’ knowledge, comfort, confidence and preparedness to counsel people affected by post‐stroke aphasia. Conclusions Research in counselling training for speech–language therapists working in post‐stroke aphasia is limited, with a small number of primarily low‐quality studies available. Training in generic counselling skills and brief psychological approaches with support from mental health professionals in the stroke workplace enabled speech–language therapists to feel knowledgeable, skilled and confident to address the psychological well‐being of people affected by post‐stroke aphasia. Evidence about the effectiveness of counselling training on speech–language therapists’ confidence and competence in practice and on client outcomes in psychological well‐being in post‐stroke aphasia is required.

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“…); and speech–language therapists (Glista and Pollens , Julien and Simkiss , Northcott et al . , , Ross et al . , Sekhon et al .…”

Section: Resultsmentioning

confidence: 99%

Section: Post‐qualification Counselling Training For Speech–language mentioning

confidence: 97%

Section: Post‐qualification Counselling Training For Speech–language mentioning

confidence: 99%

Section: Post‐qualification Counselling Training For Speech–language mentioning

confidence: 99%

Section: Post‐qualification Counselling Training For Speech–language mentioning

confidence: 99%

See 3 more Smart Citations

Counselling training for speech–language therapists working with people affected by post‐stroke aphasia: a systematic review

Sekhon

Oates

Kneebone

et al. 2019

Intl J Lang & Comm Disor

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Emotional and Psychological Effects of Dysphagia: Validation of the Jugendwerk Dysphagia Emotion and Family Assessment (JDEFA)

Bushuven¹,

Niebel²,

Huber³

et al. 2021

Dysphagia

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Introduction Patients suffering from swallowing disorders are experiencing emotional effects like anger, anxiety, and sadness. This may be affecting patient–therapist relation and family functioning. To assess emotional reaction and their influence on family systems, we developed a 55-item questionnaire based on the Atlas of Emotion and the Calgary Family Intervention Model. Methods We recruited more than 160 participants to validate an online survey, namely the Jugendwerk Dysphagia Emotion and Family Assessment Score (JDEFA). Forty-Nine health care workers, patients, and family members completed the survey and provided additional comments regarding interactions of emotions and dysphagia. Analysis was accomplished by non-parametric tests and principal component analyses with Varimax rotation. Additionally, we accomplished a qualitative content analysis taking a phenomenological single-coder approach. Results Analysis revealed a Cronbach’s Alpha of 0.93. Using primary component analyses, justified by a Kaiser–Meyer–Olkin value of 0.81, we identified two main factors (emotion and family). Patients experienced sadness and anger more often than health care providers, whereas family members felt anxiety even more often. Our qualitative analysis revealed 20 themes (7 for anger, 2 enjoyment, 4 sadness, 3 anxiety, 2 disgust, 1 shame, and 1 punishment). Predominantly, the fear of choking was mentioned by patients, whereas professionals reported about the fear of making mistakes. Conclusion The JDEFA is a valid and reliable testing tool for the assessment of swallowing disorders concerning emotional aspects and family functioning. Both factors have a significant role in dysphagia and evaluations should go along with functional assessments and psychological scores for a holistic understanding of swallowing disorders.

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When Words Fail: Providing Effective Psychological Treatment for Depression in Persons with Aphasia

Pietro

Marks

Mullen

2019

J Clin Psychol Med Settings

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How do speech-and-language therapists address the psychosocial well-being of people with aphasia? Results of a UK online survey

Cited by 62 publications

References 21 publications

Counselling training for speech–language therapists working with people affected by post‐stroke aphasia: a systematic review

Counselling training for speech–language therapists working with people affected by post‐stroke aphasia: a systematic review

Emotional and Psychological Effects of Dysphagia: Validation of the Jugendwerk Dysphagia Emotion and Family Assessment (JDEFA)

When Words Fail: Providing Effective Psychological Treatment for Depression in Persons with Aphasia

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