Using the WHO-ICF with Talking Mats to Enable Adults with Long-term Communication Difficulties to Participate in Goal Setting

Murphy, Joan; Boa, Sally

doi:10.3109/07434618.2011.653828

Cited by 46 publications

(30 citation statements)

References 44 publications

(42 reference statements)

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“…Communication and cognitive disorders are common after stroke and therefore pose a considerable challenge to goal-setting. Some studies demonstrate how, given the appropriate support, clients with communication and/or cognitive impairment can actively participate in the goal-setting process [18,[28][29][30][31]. It has been asserted that professionals require a high level of skill and experience to realize person-centred goal-planning [32], yet clinicians often express a lack of strategies or tools to implement it [22].…”

Section: Introductionmentioning

confidence: 99%

Despite communication and cognitive impairment – person-centred goal-setting after stroke: a qualitative study

Dörfler

Kulnik

2019

Disability and Rehabilitation

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Purpose: The inclusion of rehabilitation clients with communication and/or cognitive impairments after stroke in person-centred goal-setting is challenging. Moreover, this group of clients has largely been excluded from studies, resulting in a lack of knowledge about how to optimize their participation. The aim of this study was to explore strategies that are used in rehabilitation to involve stroke survivors with communication and/or cognitive impairment in person-centred goal-setting. Materials and methods: Eleven stroke rehabilitation professionals participated in semi-structured in-depth interviews. Thematic analysis was undertaken to describe their practice-based strategies.Results: Twenty-one aspects of person-centred goal setting were described from the data and grouped according to five themes: flexibility, trusting relationships, enabling empowerment, techniques for one-toone interaction, and involving relatives. Participants did not distinguish between approaches for clients with either communication or cognitive impairments but drew from a repertoire of strategies to best meet the individual person's needs. Participants' practice combined the conscientious and deliberate application of various strategies with a mind-set that it is possible to involve clients with communication and cognitive impairments in person-centred goal-setting. Conclusions: These findings offer insights into inclusive person-centred goal-setting practices, based on accounts from a group of experienced rehabilitation clinicians. ä IMPLICATIONS FOR REHABILITATIONThe goal-setting process is not rigid, but an evolving and individual practice, and should be individually adapted to the (changing) needs of the client during the continuum of rehabilitation. In practice, strategies tend not to be distinguished into those supporting communication and those supporting cognitive difficulty; but strategies are applied flexibly and in combination, to meet the needs of the individual client. It is important to provide specific and sufficient support as well as enough time to enable participation for clients with communication and/or cognitive impairment in goal-setting. Leaving one's own values, preferences, attitudes and notions of "normality" behind can help rehabilitation practitioners to get to know the client, be sensitive towards all signs the client offers during a conversation, and remain open to differing and alternative viewpoints when considering goals. ARTICLE HISTORY

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Section: Introductionmentioning

confidence: 99%

Despite communication and cognitive impairment – person-centred goal-setting after stroke: a qualitative study

Dörfler

Kulnik

2019

Disability and Rehabilitation

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“…The graphic tool "four domains of life" is based on the framework of the ICF. Other studies Murphy and Boa, 2012) also used a graphic tool based on the framework of the ICF. The holistic conversation approach and the four domains of life emphasize the recently developed concept of "positive health", in which health is not merely the absence of disease or disorders, but is defined as the ability to adapt to and to self-manage disorders or disease (Huber et al, 2011).…”

Section: Results In Contextmentioning

confidence: 99%

A conversation approach based on shared goal-setting and shared decision-making for nurses in cancer aftercare: A developmental study

Friesen-Storms

Bours

Snijders

et al. 2018

European Journal of Oncology Nursing

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The conversation approach was developed in co-creation with stakeholders. The results of the pretest revealed important implications and suggestions for implementation in routine care. The aftercare conversation approach can be used by nurses to provide tailored patient-centered evidence-based aftercare. Tailored aftercare should support oncology patient's goals, unmet needs and wishes. Further tailoring is needed.

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“…Additional researchers extended the studies to individuals with severe Alzheimer’s disease and demonstrated that, to an extent, external aids support conversation as well (McPherson et al, 2001). External memory aids include notebooks; wallets; communication boards; calendars; and displays that provide photos, drawings, symbols and words for contextualized, relevant interaction (Murphy & Boa, 2012). Bourgeois posited that pairing external aids with familiar and spared skills, such as turning pages and reading aloud, maximizes a person’s opportunity for success because the spared skills rely on automatic memory processes and the stimuli are relevant to a patient’s everyday life.…”

Section: Introductionmentioning

confidence: 99%

AAC to Support Conversation in Persons with Moderate Alzheimer’s Disease

Fried-Oken

Rowland

Daniels

et al. 2012

Augmentative and Alternative Communication

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Even though we know that external memory aids support communication in Alzheimer’s disease, the components of the communication aids for individuals with Alzheimer’s disease have not been studied systematically. The goal of these two pilot experiments was to examine differences in conversational performance of adults with Alzheimer’s disease related to the presence and absence of an aid, the type of symbol embedded in the aid, and the presence or absence of voice output. In Experiment 1, 30 adults with moderate-to-severe Alzheimer’s disease participated in 10-min conversations with and without personalized AAC boards. There was no effect of AAC, regardless of symbol type, and a deleterious effect of voice output. In Experiment 2, modified spaced-retrieval training preceded conversations, standardized prompts were presented, and semantically-based dependent variables were examined. For the 11 participants in the second experiment, there was a significant effect of AAC, showing that the presence of AAC was associated with greater use of targeted words during personal conversations. We discuss new information about the contribution of AAC for persons with Alzheimer’s disease, and demonstrate how the applied research process evolves over the course of a long-term commitment to a scientific investigation.

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Using the WHO-ICF with Talking Mats to Enable Adults with Long-term Communication Difficulties to Participate in Goal Setting

Cited by 46 publications

References 44 publications

Despite communication and cognitive impairment – person-centred goal-setting after stroke: a qualitative study

Despite communication and cognitive impairment – person-centred goal-setting after stroke: a qualitative study

A conversation approach based on shared goal-setting and shared decision-making for nurses in cancer aftercare: A developmental study

AAC to Support Conversation in Persons with Moderate Alzheimer’s Disease

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