What people with aphasia want: Their goals according to the ICF

Worrall, Linda; Sherratt, Sue; Rogers, Penny; Howe, Tami; Hersh, Deborah; Ferguson, Alison; Davidson, Bronwyn

doi:10.1080/02687038.2010.508530

Cited by 308 publications

(244 citation statements)

References 34 publications

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“…The ICF is infl uencing new ways of thinking about communication disability and measuring outcomes (see for example McCormack, McLeod, Harrison, & McAllister, 2010;ThomasStonell, Oddson, Robertson, & Rosenbaum, 2009). Historically, speech-language pathology services have focused on impairment, but increasing evidence suggests activity and particularly participation are priorities for clients, including family members (Worrall et al, 2011). Additionally there is a growing awareness of environmental and personal (contextual) infl uences and resulting interest in culturally competent practice (Isaac, 2002;Marshall, 2003).…”

Section: Sources Of Infl Uence To Drive Changementioning

confidence: 99%

“…An example of this evolutionary shift is the response towards embracing the ICF framework (World Health Organization, 2001). Although the ICF has been embraced in service provision for PWCD in some areas of practice, for example after stroke (see for example Worrall, Sherratt, Rogers, Howe, Hersh, Ferguson, et al, 2011), the medical model of rehabilitation continues to retain a strong base of practice in other areas of speech-language pathology practice. The driving forces (and resistances) which shape change are complex.…”

Section: Cultural/linguisticmentioning

confidence: 99%

See 1 more Smart Citation

Changing practice: Implications of the World Report on Disability for responding to communication disability in under-served populations

Wylie

McAllister

Davidson

et al. 2013

International Journal of Speech-Language Pathology

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135

111

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Section: Sources Of Infl Uence To Drive Changementioning

confidence: 99%

Section: Cultural/linguisticmentioning

confidence: 99%

Changing practice: Implications of the World Report on Disability for responding to communication disability in under-served populations

Wylie

McAllister

Davidson

et al. 2013

International Journal of Speech-Language Pathology

Self Cite

135

111

View full text Add to dashboard Cite

“…This would suggest that clinicians should consider facilitating the maintenance of important relationships as a legitimate therapeutic goal. Indeed, Worrall et al (2011) found that the goals people with aphasia set for themselves often highlight the importance of family relationships.…”

Section: Clinical Implications and Future Researchmentioning

confidence: 99%

Aphasia blog talk: How does stroke and aphasia affect a person’s social relationships?

et al. 2014

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“…Regaining the ability to participate in conversations is an important goal of people with aphasia (Tomkins, Siyambalapitiya & Worrall 2013;Worrall et al 2011). To facilitate participation, speech and language therapists (SLTs) often provide a comprehensive range of interventions including conversation partner training, directly addressing the conversational behaviours (facilitators and barriers) of the person with aphasia and their conversation partner alongside addressing the linguistic and syntactic difficulties associated with aphasia that affect conversation.…”

Section: Introductionmentioning

confidence: 99%

Displays and claims of understanding in conversation by people with aphasia

2015

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Background: There is scope for additional research into the specific linguistic and sequential structures used in speech and language therapist-led therapeutic conversations with people with aphasia. Whilst there is some evidence that SLTs use different conversational strategies than the partners of PWA (Lindsay & Wilkinson 1999), research to date has focussed mainly on measuring the effects of conversationbased therapies -not on analysing therapeutic conversations taking place between SLTs and PWA.Aims: This paper presents an analysis of the use of oh-prefacing by some PWA during therapeutic supported conversations with SLTs. Methods & Procedures: Normally-occurring therapeutic conversations betweenSLTs and PWA after stroke were qualitatively analysed using Conversation Analysis (CA). Interactions with five people with aphasia were video-recorded, involving three different specialist stroke SLTs. Outcomes & Results:The analysis revealed a difference in the way some PWA use turns that display understanding (e.g., oh right) vs those that continue the conversation, merely claiming understanding (e.g., right). This use of oh-prefacing is similar to that described in typical conversations by Heritage (1984). In our data, SLTs are shown to treat oh-prefaced turns differently from non-oh-prefaced turns, by pursuing the topic in the latter, and progressing on to a new topic in the former. Conclusions:At least some PWA use oh-prefacing in the same way as non-languageimpaired adults to display understanding of information, vs. merely claiming to understand. The SLTs in our data are shown to treat non-oh-prefaced turns as mere claims of understanding by providing the PWA with additional information, using supported conversation techniques (Kagan 1998), and pursuing additional same-topic talk, whereas oh-prefaced turns are treated as displays of understanding by being confirmed, and leading to changes of topic. This study is a first step in providing SLTs with a clearer understanding of the ways in which they are assessing the understanding of PWA, which may in turn help them better support non-therapy staff.

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What people with aphasia want: Their goals according to the ICF

Cited by 308 publications

References 34 publications

Changing practice: Implications of the World Report on Disability for responding to communication disability in under-served populations

Changing practice: Implications of the World Report on Disability for responding to communication disability in under-served populations

Aphasia blog talk: How does stroke and aphasia affect a person’s social relationships?

Displays and claims of understanding in conversation by people with aphasia

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