Partners' self-perceptions of the use of different communication strategies during total communication intervention

Rautakoski, Pirkko

doi:10.1080/02687038.2011.624164

Cited by 13 publications

(5 citation statements)

References 46 publications

(91 reference statements)

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“…Communication partners are not always aware of the comprehension problems of their partners with aphasia (Le Dorze & Brassard, 1995). However, they have been found to begin to support comprehension more after an intervention where they have been informed about aphasia and practised how they could support the use of total communication (Rautakoski, 2011b). It is possible that this also happened during the APPUTE intervention.…”

Section: Discussionmentioning

confidence: 92%

Communication therapy for people with aphasia and their partners (APPUTE)

et al. 2013

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Background: Severe aphasia is a chronic condition and can have a big effect on how people with severe aphasia (PWSA) succeed in their communication. The communication partner's support for the person with aphasia has been shown to be essential in achieving successful communication. However, interventions combining training both the partner and the PWSA to use hierarchical strategies in nonverbal communication are still needed. Aims: The aim of the present paper is to describe a new intervention (APPUTE) where both the person with aphasia and the partner receive therapy equally and practise finding functional communication strategies to convey everyday messages or more complicated ones. The data collection during the APPUTE intervention is also presented. Methods & Procedures:The data were collected during a development project including an evaluation period, two rehabilitation periods and follow-up measurement. Thirty-four PWSA and their partners participated. The linguistic functions and communication efficiency of PWSA were evaluated three times during the rehabilitation. The communication skills of the partner were also assessed, along with the success of the mutual communication.Outcomes & Results: The communication skills and communication efficiency of the PWSA and their partners improved significantly during the rehabilitation period, and the acquired skills were retained for 6 months after the intervention. The linguistic skills of the PWSA also improved. The advanced age of the partner explained both the variance of the partner's communication skills and the success in the mutual communication. The amount of earlier outpatient speech therapy explained the variance of the communication efficiency of PWSA as evaluated by the partners. Regarding success in mutual communication, all of the couples were able to communicate at least simple issues at the end of the rehabilitation period. The more demanding the tasks, the more difficult it became for them to succeed, especially for older PWSA with severe motor paralysis. Both the people with aphasia and their partners mainly experienced benefits from the APPUTE intervention and for the most part, the benefits were retained during follow-up.

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Section: Discussionmentioning

confidence: 92%

Communication therapy for people with aphasia and their partners (APPUTE)

et al. 2013

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“…CPT recognizes that communication is a ‘two‐way street’ with at least two participants who influence one another and are thus both responsible for ensuring the success of a communicative exchange (Kagan et al., 2001). CPT can be provided to familiar partners of those with aphasia, including family and friends (e.g., Beeke et al., 2014; Rautakoski, 2011), or unfamiliar partners such as healthcare providers or volunteers (e.g., Kagan et al., 2001). CPT can address the needs of both communication partners and improve overall communication success (Simmons‐Mackie et al., 2016).…”

Section: Introductionmentioning

confidence: 99%

Communication partner training with familiar partners of people with aphasia: A systematic review and synthesis of barriers and facilitators to implementation

Shrubsole

Power

Hallé

2022

Intl J Lang & Comm Disor

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Background: Factors influencing the implementation of communication partner training (CPT) with familiar partners of people with aphasia (PWA) have previously been documented using disparate approaches. To date there has been no synthesis of these factors using a common theoretical framework. Investigating CPT implementation factors using a common theoretical framework may further our understanding of universal barriers and guide future development of tailored, theoretically informed implementation strategies. Aims:(1) To determine the perceived and/or observed barriers and facilitators to implementing CPT with familiar partners of adults with aphasia; (2) to map extracted barriers and facilitators to a common theoretical framework;(3) to synthesize extracted barriers and facilitators; and (4) to identify potential implementation strategies to address the most frequently identified barriers and facilitators. Methods & Procedures: A systematic review was conducted in accordance withPreferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Four electronic databases (MEDLINE, EMBASE, CINAHL, Web of Science) were systematically searched in April 2021. Empirical qualitative and/or quantitative research studies reporting barriers/facilitators to speech-language therapists (SLTs) implementing CPT with familiar partners of adults with aphasia were included. The search was limited to English or French articles with no date limit applied. Methodological quality of included studies was assessed using the Mixed-Methods Appraisal Tool (MMAT). A framework and content analysis was then conducted to extract and synthesize the implementation factors in alignment with the Theoretical Domains Framework (TDF), followed by a theoretically informed mapping exercise to identify potential implementation strategies.

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“…The strategic use of multiple communication channels and the requirement to switch between them, or emphasize some over others, is one factor that likely makes some people with aphasia better communicators (Holland, 1977 ). In production, total communication, defined as using any and all available means of communicating, is often implemented as a strategy for people with moderate to severe aphasia who have more limited verbal output (Rautakoski, 2008 ; 2011a , b ). We should be keen to understand how this skill is preserved or impaired in production, whether multimodal gain is observed during comprehension, and whether it can be trained.…”

Section: Discussionmentioning

confidence: 99%

What is Functional Communication? A Theoretical Framework for Real-World Communication Applied to Aphasia Rehabilitation

Doedens

Meteyard

2022

Neuropsychol Rev

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Aphasia is an impairment of language caused by acquired brain damage such as stroke or traumatic brain injury, that affects a person’s ability to communicate effectively. The aim of rehabilitation in aphasia is to improve everyday communication, improving an individual’s ability to function in their day-to-day life. For that reason, a thorough understanding of naturalistic communication and its underlying mechanisms is imperative. The field of aphasiology currently lacks an agreed, comprehensive, theoretically founded definition of communication. Instead, multiple disparate interpretations of functional communication are used. We argue that this makes it nearly impossible to validly and reliably assess a person’s communicative performance, to target this behaviour through therapy, and to measure improvements post-therapy. In this article we propose a structured, theoretical approach to defining the concept of functional communication. We argue for a view of communication as “situated language use”, borrowed from empirical psycholinguistic studies with non-brain damaged adults. This framework defines language use as: (1) interactive, (2) multimodal, and (3) contextual. Existing research on each component of the framework from non-brain damaged adults and people with aphasia is reviewed. The consequences of adopting this approach to assessment and therapy for aphasia rehabilitation are discussed. The aim of this article is to encourage a more systematic, comprehensive approach to the study and treatment of situated language use in aphasia.

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Partners' self-perceptions of the use of different communication strategies during total communication intervention

Cited by 13 publications

References 46 publications

Communication therapy for people with aphasia and their partners (APPUTE)

Communication therapy for people with aphasia and their partners (APPUTE)

Communication partner training with familiar partners of people with aphasia: A systematic review and synthesis of barriers and facilitators to implementation

What is Functional Communication? A Theoretical Framework for Real-World Communication Applied to Aphasia Rehabilitation

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