Promoting Social Connections in a Synchronous Telepractice, Aphasia Communication Group

Walker, Judy Perkins; Price, Karlee; Watson, Jana

doi:10.1044/persp3.sig18.32

Cited by 15 publications

(6 citation statements)

References 22 publications

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“…The psychosocial benefits of group programs for stroke and brain trauma survivors have been described relatively thoroughly in prior literature, but this work has mostly focused on in-person groups (Elman, 2007;Elman & Bernstein-Ellis, 1999;Simmons-Mackie & Damico, 2009;Vickers, 2010). The research on synchronous, virtual groups is limited, but our findings align with a few prior studies that have revealed benefits similar to those obtained via inperson groups, such as improved communicative confidence and reduced social isolation (Steele et al, 2014;Walker et al, 2018).…”

Section: The Impact Of the Pandemic On Psychosocial Factorssupporting

confidence: 66%

The Impact of the COVID-19 Public Health Crisis on Communication and Quality of Life: Insights From a Community of Stroke and Brain Trauma Survivors

Fama

Hatfield²,

Coyle³

et al. 2021

Am J Speech Lang Pathol

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Purpose The COVID-19 pandemic has led to stay-at-home orders and social distancing guidelines that have the potential to greatly impact individuals' behavior and social engagement. Adults recovering from stroke or other brain trauma, who often have communication difficulties and other long-term challenges, are a population already at risk of isolation and lower quality of life. We investigated the impact of public health guidelines and related behavioral changes on self-perceptions of communication abilities and psychosocial factors in this population. Method The Stroke Comeback Center, a community-based center for stroke and other brain trauma survivors with communication impairments, disseminated an online survey to current members to investigate changes in communication, social engagement, and quality of life. Results Participants ( N = 50) reported a number of changes in their day-to-day activities that reflect the current social distancing guidelines, such as reduced outings into the community and fewer in-person conversations with those living outside one's home. Overall, feelings of connectedness to others and overall quality of life were reported to be decreased when compared to before the COVID-19 pandemic, whereas receptive language abilities and technology skills were reported to have improved. Perhaps most interestingly, certain behavioral changes (including healthy movement activities and participation in virtual programs) had specific relationships with perceived communication abilities and social engagement. Conclusions Changes in daily life resulting from the COVID-19 pandemic have had a tangible impact on self-perceived psychosocial elements (e.g., quality of life) and communication abilities among stroke and other brain trauma survivors. Clinicians and researchers may consider these perceived changes when engaging with this population as the effects of the pandemic continue and in the period of community re-entry that may follow. Supplemental Material https://doi.org/10.23641/asha.14830881

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Section: The Impact Of the Pandemic On Psychosocial Factorssupporting

confidence: 66%

The Impact of the COVID-19 Public Health Crisis on Communication and Quality of Life: Insights From a Community of Stroke and Brain Trauma Survivors

Fama

Hatfield²,

Coyle³

et al. 2021

Am J Speech Lang Pathol

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“…Independent home practice of word retrieval, intended to sustain gains from a separate intensive aphasia program, was integrated with informal weekly videoconferencing check-ins; results suggested the practice helped maintain naming skills (Kurland et al, 2016(Kurland et al, , 2018. Four studies used videoconferencing to administer group therapy to individuals with chronic aphasia, demonstrating feasibility and potential benefits (Pitt et al, 2018(Pitt et al, , 2019Steele et al, 2014;Walker et al, 2018). Steele et al (2014) supplemented group intervention with individual videoconferencing sessions, as well as home practice tasks on a proprietary software.…”

Section: Interventionmentioning

confidence: 99%

“…Our review considered about a fiveyear time period and found literature primarily on aphasia, dysphagia, PD, and PPA. Apraxia of speech was often noted as a comorbidity in the aphasia studies (Furnas & Edmonds, 2014;Kurland et al, 2018;Pitt et al, 2017;Rhodes & Isaki, 2018;Walker et al, 2018) but not investigated specifically. Telepractice service delivery for motor speech disorders, augmentative and alternative communication, and dementia are all excellent opportunities for study.…”

Section: Future Directionsmentioning

confidence: 99%

“…In this review, about a third of the studies specifically mentioned inclusion of such assistance. Individuals filling the "eHelper" role included allied health assistants, feeders, nurses, or certified nursing assistants supporting dysphagia evaluation (Burns et al, 2016;Morrell et al, 2017; or LSVT LOUD (Covert et al, 2018), speech-language pathology assistants supporting group intervention (Steele et al, 2014), or family members or communication partners assisting with home intervention (Meltzer et al, 2017;Pitt et al, 2017Pitt et al, , 2018Pitt et al, , 2019Walker et al, 2018;Woolf et al, 2016). ASHA (2019b) has also identified the use of trained facilitators as an important consideration in telepractice.…”

Section: Future Directionsmentioning

confidence: 99%

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Telepractice for Adult Speech-Language Pathology Services: A Systematic Review

2020

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Purpose We conducted a systematic review of the literature regarding adult telepractice services (screening, assessment, and treatment) from approximately 2014 to 2019. Method Thirty-one relevant studies were identified from a literature search, assessed for quality, and reported. Results Included studies illustrated feasibility, efficacy, diagnostic accuracy, and noninferiority of various speech-language pathology services across adult populations, including chronic aphasia, Parkinson's disease, dysphagia, and primary progressive aphasia. Technical aspects of the equipment and software used to deliver services were discussed. Some general themes were noted as areas for future research. Conclusion Overall, results of the review continue to support the use of telepractice as an appropriate service delivery model in speech-language pathology for adults. Strong research designs, including experimental control, across multiple well-described settings are still needed to definitively determine effectiveness of telepractice services.

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“…Other interventions for which implementation data were available included cognitive exercises and games (8/60, 13%), Communication Partner Training (4/60, 7%), and Cognitive Behavioral Therapy (3/60, 5%). Interventions classified as Other ( Multimedia Appendix 2 ; 35/60, 58%) included aphasia groups [ 42 , 43 , 58 ], emotional regulation training [ 54 , 59 ], and metacognitive rehabilitation [ 60 , 61 ]. Interventions were usually completely (26/60, 43%) or partly (21/60, 35%) individualized to the recipient’s specific needs and preferences.…”

Section: Resultsmentioning

confidence: 99%

Implementation of Web-Based Psychosocial Interventions for Adults With Acquired Brain Injury and Their Caregivers: Systematic Review

Miao¹,

Rietdijk²,

Brunner³

et al. 2022

J Med Internet Res

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Background More than 135 million people worldwide live with acquired brain injury (ABI) and its many psychosocial sequelae. This growing global burden necessitates scalable rehabilitation services. Despite demonstrated potential to increase the accessibility and scalability of psychosocial supports, digital health interventions are challenging to implement and sustain. The Nonadoption, Abandonment, Scale-Up, Spread, and Sustainability (NASSS) framework can offer developers and researchers a comprehensive overview of considerations to implement, scale, and sustain digital health interventions. Objective This systematic review identified published, peer-reviewed primary evidence of implementation outcomes, strategies, and factors for web-based psychosocial interventions targeting either adults with ABI or their formal or informal caregivers; evaluated and summarized this evidence; synthesized qualitative and quantitative implementation data according to the NASSS framework; and provided recommendations for future implementation. Results were compared with 3 hypotheses which state that complexity (dynamic, unpredictable, and poorly characterized factors) in most or all NASSS domains increases likelihood of implementation failure; success is achievable, but difficult with many complicated domains (containing multiple interacting factors); and simplicity (straightforward, predictable, and few factors) in most or all domains increases the likelihood of success. Methods From a comprehensive search of MEDLINE, EMBASE, PsycINFO, CINAHL, Scopus, speechBITE, and neuroBITE, we reviewed primary implementation evidence from January 2008 to June 2020. For web-based psychosocial interventions delivered via standard desktop computer, mobile phone, tablet, television, and virtual reality devices to adults with ABI or their formal or informal caregivers, we extracted intervention characteristics, stakeholder involvement, implementation scope and outcomes, study design and quality, and implementation data. Implementation data were both narratively synthesized and descriptively quantified across all 7 domains (condition, technology, value proposition, adopters, organization, wider system, and their interaction over time) and all subdomains of the NASSS framework. Study quality and risk of bias were assessed using the 2018 Mixed Methods Appraisal Tool. Results We identified 60 peer-reviewed studies from 12 countries, including 5723 adults with ABI, 1920 carers, and 50 health care staff. The findings aligned with all 3 hypotheses. Conclusions Although studies were of low methodological quality and insufficient number to statistically test relationships, the results appeared consistent with recommendations to reduce complexity as much as possible to facilitate implementation. Although studies excluded individuals with a range of comorbidities and sociocultural challenges, such simplification of NASSS domain 1 may have been necessary to advance intervention value propositions (domain 3). However, to create equitable digital health solutions that can be successfully implemented in real-world settings, it is recommended that developers involve people with ABI, their close others, and health care staff in addressing complexities in domains 2 to 7 from the earliest intervention design stages. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42020186387; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020186387 International Registered Report Identifier (IRRID) RR2-10.1177/20552076211035988

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Promoting Social Connections in a Synchronous Telepractice, Aphasia Communication Group

Cited by 15 publications

References 22 publications

The Impact of the COVID-19 Public Health Crisis on Communication and Quality of Life: Insights From a Community of Stroke and Brain Trauma Survivors

The Impact of the COVID-19 Public Health Crisis on Communication and Quality of Life: Insights From a Community of Stroke and Brain Trauma Survivors

Telepractice for Adult Speech-Language Pathology Services: A Systematic Review

Implementation of Web-Based Psychosocial Interventions for Adults With Acquired Brain Injury and Their Caregivers: Systematic Review

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