Reconciling the perspective of practitioner and service user: findings from The Aphasia in Scotland study

Law, James; Huby, Guro; Irving, Anne-Marie; Pringle, Ann-Marie; Conochie, Douglas; Haworth, Catherine; Burston, Amanda

doi:10.3109/13682820903308509

Cited by 42 publications

(32 citation statements)

References 19 publications

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“…Therefore, our understanding is that the surveys’ response rates provided rather good coverage of the population. The response rates (46 and 66%) were regarded as comparable or even slightly better than the response rates of similar surveys presented in the literature [3,4,5,6]. …”

Section: Discussionmentioning

confidence: 99%

“…This includes allocating sufficient resources to complete a sensitive and reliable assessment in relation to treatment goals and procedures [31]. The use of diagnostic and outcome measures and assessment methods is of course linked with the background model or philosophy of the individual clinician [5,32]. It is reasonable to think that the assessment methods of persons with aphasia could also be defined within the context of ICF [18].…”

Section: Discussionmentioning

confidence: 99%

“…In the international literature, relatively little research can be found on the clinical practices, clinical organization and implementation of aphasia intervention [3,4,5]. It is also known that there is widespread variability in service provision in different countries [6].…”

Section: Introductionmentioning

confidence: 99%

“…Two different models have been identified as having the greatest impact on the field of speech and language therapy: the medical model and the social model of service provision [5]. Generally speaking these models differ in that the medical model stresses impairment level and ‘hard’ research evidence interpreted in the medical framework, and the rehabilitation is seen as coming from an expert authority.…”

Section: Introductionmentioning

confidence: 99%

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Current Clinical Practices in Aphasia Therapy in Finland: Challenges in Moving towards National Best Practice

Klippi

Sellman

Heikkinen

et al. 2012

Folia Phoniatr Logop

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Aims: The objective of this article is to discover and document the state of clinical practices for aphasia therapy in Finland and to gather information for developing national best practice. Methods: Two surveys were administered in Finland that explored current clinical practices in aphasia rehabilitation and the resources available to speech and language therapists (SLTs). We integrated and compared the results of these surveys. The results are based on the responses of the 88 (45 + 43) returned questionnaires from SLTs. Results: Four principle themes were identified: planning the aphasia therapy, measures and assessment methods, current therapy service provision, and development suggestions and barriers to change. The results of this study showed considerable consistency in clinical practices among the respondents to the surveys. However, we noticed that there are some discrepancies between the recent research findings and present clinical practices. Conclusions: The findings from this study indicate that there are many challenges in clinical decision-making at the moment in Finland. The article helps clinicians to evaluate the practices they use and to execute justified modifications in order to implement more effective models of practice. It is evident that national best practice guidelines for aphasia therapy would support SLTs in clinical decision-making.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Current Clinical Practices in Aphasia Therapy in Finland: Challenges in Moving towards National Best Practice

Klippi

Sellman

Heikkinen

et al. 2012

Folia Phoniatr Logop

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“…This desire for additional information in the acute phase correlates with the premise of Laver et al (2010) (Leach, Cornwell, Fleming, & Haines, 2010), whereas the goals of people with aphasia are spread across the spectrum of the ICF, with most goals linked to activities and participation . This finding of discrepancy in perspectives is supported by other research from Australia and Scotland, which suggests that while commonality exists, the views of people with aphasia do not necessarily coincide with those of aphasia practitioners in relation to service provision (Law et al, 2010;Rohde, Townley-O'Neill, Trendall, Worrall, & Cornwell, 2012).…”

Section: What Do People With Aphasia Want In the Acute Hospital Setting?supporting

confidence: 47%

“Communication is taking a back seat”: An exploration of aphasia management in acute hospital settings

Foster¹

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While in the past the focus of speech pathologists working in the acute hospital setting has been service provision to people with communication disorders and their families, their primary role is now in dysphagia. In the limited literature regarding aphasia management in acute hospital settings, there is a lack of consistency regarding the type and amount of intervention being provided to people with aphasia; however, there is consensus that current practice is inconsistent with bestpractice recommendations. Given that aphasia intervention has been identified as being central to improved communicative outcomes, an increased capacity to effectively communicate healthcare needs, a decrease in hospital negative events, and an increased sense of satisfaction for people with aphasia, this is of concern. Little is known about the reasons underlying this evidence-practice gap.The overall aim of this thesis was to provide an understanding of current acute aphasia management practice and the factors that influence it. Specifically, the research aimed to: (a) provide an in-depth understanding of the current aphasia management pathway in the acute hospital setting; (b) explore acute speech-language pathologists' conceptualisation, experiences, and perceptions of post-stroke aphasia management, and provide a greater understanding of the factors that influence their practice; and, (c) understand the factors that influence acute aphasia management from the perspectives of speech pathologists, people with aphasia, and their close others, through a cultural lens.In order to address the research aims, the empirical aspects of this research were conducted in two Phases. Phase One, an interpretative phenomenological investigation, aimed to provide a deep understanding of aphasia management from the perspective of acute speech pathologists. Semistructured, in-depth interviews were undertaken with 15 Australian speech pathologists working with people with aphasia (one of which was later excluded resulting in a total n=14). Interviews were transcribed verbatim, and data were analysed using a thematic analysis. Key themes identified included: role perception; competing priorities; the de-prioritisation of aphasia; and, the sense of disempowerment experienced by speech pathologists as a result of their relationship with evidencebased practice for acute aphasia management. In addition, a qualitative content analysis was undertaken to describe the current aphasia management pathway. Grounded within the guiding construct, First contact with the profession, the findings represented the significant diversity in the ii pathways of care for people with aphasia and their families in the acute hospital setting. Overall, analysis revealed the complex, diverse, and multi-faceted nature of the phenomenon.Phase Two was designed based on the findings of Phase One. It examined the culture of acute aphasia management by speech pathologists in depth, through the use of focused ethnography in a single acute stroke unit. Three participant triads...

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Constraint-Induced Aphasia Therapy

Pulvermüller

Mohr

Taub

2016

Neurobiology of Language

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Reconciling the perspective of practitioner and service user: findings from The Aphasia in Scotland study

Cited by 42 publications

References 19 publications

Current Clinical Practices in Aphasia Therapy in Finland: Challenges in Moving towards National Best Practice

Current Clinical Practices in Aphasia Therapy in Finland: Challenges in Moving towards National Best Practice

“Communication is taking a back seat”: An exploration of aphasia management in acute hospital settings

Constraint-Induced Aphasia Therapy

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