The efficacy of an inter-disciplinary community aphasia group for living well with aphasia

Attard, Michelle; Loupis, Yasmine; Togher, Leanne; Rose, Miranda

doi:10.1080/02687038.2017.1381877

Cited by 36 publications

(38 citation statements)

References 74 publications

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“…) and that interdisciplinary community aphasia groups led by SLPs and social workers may be of benefit to those with chronic aphasia (Attard et al . ).…”

Section: Discussionmentioning

confidence: 97%

Help‐seeking and people with aphasia who have mood problems after stroke: perspectives of speech–language pathologists

Ryan

Bohan

Kneebone

2019

Intl J Lang & Comm Disor

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Background: Access to treatments for mood disorders may pose a challenge to individuals with compromised communication ability. Speech-language pathologists (SLPs) have previously reported that their clients with aphasia decline formal psychological support; however, their role in their clients' help-seeking has not been explored. Aims: To investigate SLPs' perspectives on how they currently support help-seeking for mood problems in people with aphasia and factors they perceive to be impacting service uptake.

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“…) and that interdisciplinary community aphasia groups led by SLPs and social workers may be of benefit to those with chronic aphasia (Attard et al . ).…”

Section: Discussionmentioning

confidence: 97%

Help‐seeking and people with aphasia who have mood problems after stroke: perspectives of speech–language pathologists

Ryan

Bohan

Kneebone

2019

Intl J Lang & Comm Disor

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“…In our study, participants' involvement extended over a year, making attrition more likely than in studies of a shorter duration. Participants' compliance with the treatment regime is not always reported in aphasia intervention studies, but some papers record higher rates of attendance than were achieved here [15,70]. These studies delivered intervention over a shorter period, in one case very intensively, which may reduce the risk of missed sessions.…”

Section: Plos Onementioning

confidence: 99%

“…Many studies did not include a control group [e.g. : [14][15][16][17] and two had fewer than ten participants [14,15]. There are also studies that failed to detect significant change on a range of mood, well-being and identity measures following group intervention [18].…”

Section: Introductionmentioning

confidence: 99%

A randomised trial of social support group intervention for people with aphasia: A Novel application of virtual reality

et al. 2020

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About a third of strokes cause aphasia, or language loss, with profound consequences for the person's social participation and quality of life. These problems may be mitigated by group social support. But this intervention is not available to all individuals. This study investigated whether it is feasible to deliver group social support to people with aphasia via a multiuser , virtual reality platform. It also explored the indicative effects of intervention and the costs. Intervention aimed to promote wellbeing and communicative success. It enabled participants to form new social connections and share experiences of living with aphasia. It comprised 14 sessions delivered over 6 months and was led by community based coordinators and volunteers. Feasibility measures comprised: recruitment and retention rates, compliance with intervention and assessment of treatment fidelity. Effects of intervention were explored using a waitlist randomised controlled design, with outcome measures of wellbeing, communication, social connectedness and quality of life. Two intervention groups were randomised to an immediate condition and two were randomised to a delayed condition. The main analysis explored scores on the measures between two time points, between which those in the immediate condition had received intervention, but those in the delayed group had not (yet). A comprehensive approach to economic data collection ensured that all costs of treatment delivery were recorded. Feasibility findings showed that the recruitment target was met (N = 34) and 85.3% (29/34) of participants completed intervention. All groups ran the 14 sessions as planned, and participants attended a mean of 11.4 sessions (s.d. 2.8), which was 81.6% of the intended dose. Fidelity checking showed minimal drift from the manualised intervention. No significant change was observed on any of the outcome measures, although the study was not powered to detect these. Costs varied across the four groups, from £7,483-£12,562 British Pounds Sterling ($10,972-$18,419 US dollars), depending on travel costs, the relative contributions of volunteers and the number of hardware loans that were needed. The results suggest that a larger trial of remote group support,

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“…Beyond the findings of this systematic review, evidence is emerging for interventions such as aphasia action, success and knowledge (ASK), a brief psychosocial program ; modified behavioural activation ; solution-focused therapy (Northcott, et al, 2015); modified motivational interviewing (Holland, et al, 2018); aphasia groups (Attard, et al, 2018); relaxation training (Kneebone, 2016) and intensive language-action therapy (Mohr, Stahl, Berthier, & Pulvermüller, 2017).…”

Section: Resultsmentioning

confidence: 98%

“…Participants in this study also reported the importance of support from family members, people in the community and stroke/aphasia peers. Hence, community aphasia groups, comprised of stroke/aphasia peers and/or volunteers/health professionals, are also an important source of support to overcome the social isolation associated with communication disability and mood problems (Attard, et al, 2015;Attard, et al, 2018;Lanyon, et al, 2018). However, groups need to be inclusive and accessible as some people with severe aphasia can experience greater social isolation after attending a group (Lanyon, et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Translating stepped psychological care to aphasia rehabilitation

Baker¹

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Stroke rehabilitation needs more psychological services to address mood changes and depression after aphasia. An evidence-practice gap exists that can be minimised through implementation of stepped psychological care-an evidence-based framework offering multidisciplinary intervention after stroke. However, stepped psychological care has not been adapted for the communication disability associated with aphasia. Further, there is a lack of research exploring the perspectives of key stakeholders in managing depression after post-stroke aphasia. The overarching aim of this research was to describe the evidence-practice gap in managing mood changes and depression after post-stroke aphasia. Chapter one of this thesis comprises: an introduction, including a review of the literature, the aims of the thesis, and an overview of the methodology and the thesis structure. The thesis then reports on three research studies investigating the management of mood changes and depression after poststroke aphasia: 1) a systematic review of rehabilitation interventions to prevent and treat depression after post-stroke aphasia; 2) a description, from the perspective of stroke health professionals, of: a) current practice; and b) the identification of barriers and facilitators to implementing stepped psychological care to clinical practice; and 3) a description, from the perspective of people with aphasia, of: a) experiences of mood changes, depression and current practice; and b) preferences within a stepped psychological care approach. Study 1 systematically reviewed the research evidence for rehabilitation interventions to prevent and treat depression after post-stroke aphasia. It followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. A total of 45 studies were eligible for inclusion. It is not clear which interventions may prevent depression. A range of interventions that may enhance mood or treat mild depression after post-stroke aphasia were identified and described within the stepped psychological care framework. Study 2 described, from the perspectives of stroke health professionals: a) current practice for the management of depression after post-stroke aphasia; and b) the barriers and facilitators to implementing stepped psychological care for depression after post-stroke aphasia. Thirty-nine stroke health professionals participated in qualitative focus groups. Five focus groups within acute, rehabilitation and community settings were divided into two parts: 1) a discussion about current practice; and 2) information provision about the stepped psychological care framework, followed by a discussion of the barriers and facilitators to implementing this framework to clinical practice. Four core components of current practice were derived from an interpretive description analysis: 1)

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The efficacy of an inter-disciplinary community aphasia group for living well with aphasia

Cited by 36 publications

References 74 publications

Help‐seeking and people with aphasia who have mood problems after stroke: perspectives of speech–language pathologists

Help‐seeking and people with aphasia who have mood problems after stroke: perspectives of speech–language pathologists

A randomised trial of social support group intervention for people with aphasia: A Novel application of virtual reality

Translating stepped psychological care to aphasia rehabilitation

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