Supporting Partners of People With Aphasia in Relationships and Conversation (Spparc)

Lock, Sarah; Wilkinson, Ray; Bryan, Karen; Maxim, Jane; Edmundson, Anne; Bruce, Carolyn; Moir, Diana

doi:10.3109/13682820109177853

Cited by 139 publications

(154 citation statements)

References 10 publications

Supporting

Mentioning

145

Contrasting

Unclassified

Order By: Relevance

“…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]. The theory, structure and methods of SPPARC are reflected in PACT, though practice content (e.g.…”

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

View full text Add to dashboard Cite

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.

show abstract

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

View full text Add to dashboard Cite

show abstract

“…The overall framework of the interaction-focused intervention for this couple can be found in the Supporting Partners of People with Aphasia in Relationships and Conversation (SPPARC) program (Lock et al, 2001). There, most of the discussion focuses on the other main area of intervention for this couple: the targeting of the couple's correct production sequence behaviours, which were typically initiated and maintained by Sam.…”

Section: Participantsmentioning

confidence: 99%

“…Nine minutes of the tape which consisted of conversation between the couple was transcribed using the CA transcription system (see the Appendix for the main symbols used in CA transcripts). Analysis drew on CA methods and findings from normal (nonaphasic) conversation to examine features of the couple's talk such as repair, turns, sequences and topic (see Lock et al, 2001).…”

Section: Conversation Data Collection and Analysismentioning

confidence: 99%

“…In particular, many of these studies have aimed to stop or reduce the occurrence of certain pedagogic behaviours by the non-aphasic partner which highlight the linguistic incompetence of the person with aphasia. These include test questions, the initiation and/or maintenance of correct production sequences (Lock, Wilkinson, & Bryan, 2001), and cueing (Booth & Perkins, 1999;Burch, Wilkinson, & Lock, 2002;Turner & Whitworth, 2006;Wilkinson, Bryan, Lock, Bayley, Maxim, Bruce, et al, 1998).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Interaction-focused intervention for acquired language disorders: Facilitating mutual adaptation in couples where one partner has aphasia

Wilkinson

Lock

Bryan

et al. 2011

International Journal of Speech-Language Pathology

Self Cite

View full text Add to dashboard Cite

This paper discusses the implementation and evaluation of an interaction-focused intervention single case study for a couple where one partner has aphasia. Drawing on conversation analytic research, naturally occurring conversations of the couple at home pre-and post-intervention were collected and analysed. Analysis of the speaker with aphasia's topic initiating turns in the pre-intervention conversation showed that in each case a feature of the attempt was that the speaker had difficulty in getting the topic initiation accepted and established. Drawing on conversation analytic work on topic initiations in normal conversation, intervention focused on training the couple to co-produce these topic initiating turns of the speaker with aphasia in a collaborative and step-by-step manner. Post-intervention, there was evidence that the couple were now using this new method, albeit in a slightly different way to that worked on in the intervention sessions. Drawing on work into adaptation by speakers with aphasia and their conversation partners, these results are discussed in terms of a process of mutual adaptation by the couple.

show abstract

“…everyday situations. An example of a functional approach is Supporting Partners of People with Aphasia in Relations and Conversation (SPPARC; Lock, Wilkinson and Bryan, 2001a;Lock, Wilkinson, Bryan, Maxim, Edmundson, Bruce and Moir, 2001b). Within this program, participants video record interaction in their home environments, which subsequently form a basis for the design of intervention.…”

Section: Introductionmentioning

confidence: 99%

Enhanced patient involvement in Swedish aphasia intervention

Plejert

Samuelsson

Anward

2016

Clinical Linguistics & Phonetics

View full text Add to dashboard Cite

The present article is a case study in which participation is investigated in terms of the use of interactional practices that enhance the involvement of a man with severe aphasia in activities that aim to capture his and his wifes experiences of everyday communication, and their views of his speech and language intervention. Five practices are identified: 1) collaborative telling, 2) formulations, 3) yes/no questions, 4) declaratives and 5) hint-and-guess strategies. It is demonstrated how participants (wife, a speech and language pathologist, and two research assistants) use of these practices are beneficial for making the viewpoints of the man with aphasia come across, despite his communication difficulties. Results are discussed in light of the importance of finding ways to make patients influence their own intervention, both in terms of a raised awareness of facilitative interactional practices and of activities such as interviews and retrospection sessions with patients and their significant others.

Funding Agencies|Swedish Research Council, VR [2010-1440]

show abstract

Supporting Partners of People With Aphasia in Relationships and Conversation (Spparc)

Cited by 139 publications

References 10 publications

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

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

Interaction-focused intervention for acquired language disorders: Facilitating mutual adaptation in couples where one partner has aphasia

Enhanced patient involvement in Swedish aphasia intervention

Contact Info

Product

Resources

About