Current Australian speech-language pathology practice in addressing psychological well-being in people with aphasia after stroke

Sekhon, Jasvinder K.; Douglas, Jacinta; Rose, Miranda

doi:10.3109/17549507.2015.1024170

Cited by 77 publications

(114 citation statements)

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“…, Sekhon et al . ). The nine studies reviewed used a range of methodologies including cross‐sectional survey, case report, quasi‐experimental design and focus group design.…”

Section: Methodsmentioning

confidence: 97%

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Counselling training for speech–language therapists working with people affected by post‐stroke aphasia: a systematic review

Sekhon

Oates

Kneebone

et al. 2019

Intl J Lang & Comm Disor

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Background Speech–language therapists use counselling to address the psychological well‐being of people affected by post‐stroke aphasia. Speech–language therapists report low counselling knowledge, skill and confidence for working in post‐stroke aphasia which may be related to a lack of counselling training specific to the needs of this client group. Aims To identify current training in counselling for speech–language therapists to address psychological well‐being in people affected by post‐stroke aphasia. Specifically, the intent was to establish the objectives, content, amount, teaching methods and outcomes of counselling training provided to speech–language therapists working with people affected by post‐stroke aphasia. Methods & Procedures Eleven databases were searched from inception to January 2018 using terms relating to counselling, psychological well‐being, speech–language therapy, stroke, aphasia and training. Studies using any research methodology and design were included. Nine studies were critically appraised and synthesized as a systematic review using the Search, AppraisaL, Synthesis and Analysis (SALSA) framework. Main Contribution Information on counselling training came from the UK, United States and Australia. Student speech–language therapists received training in goal‐setting and generic counselling skills. After qualification, speech–language therapists received counselling training from mental health professionals within stroke workplaces, from external providers and further education. A range of teaching techniques and counselling approaches were described. Self‐report and themes from qualitative data were the primary measures of counselling training outcomes. Moderate correlations were reported between counselling training and levels of speech–language therapists’ knowledge, comfort, confidence and preparedness to counsel people affected by post‐stroke aphasia. Conclusions Research in counselling training for speech–language therapists working in post‐stroke aphasia is limited, with a small number of primarily low‐quality studies available. Training in generic counselling skills and brief psychological approaches with support from mental health professionals in the stroke workplace enabled speech–language therapists to feel knowledgeable, skilled and confident to address the psychological well‐being of people affected by post‐stroke aphasia. Evidence about the effectiveness of counselling training on speech–language therapists’ confidence and competence in practice and on client outcomes in psychological well‐being in post‐stroke aphasia is required.

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“…, Sekhon et al . ). The nine studies reviewed used a range of methodologies including cross‐sectional survey, case report, quasi‐experimental design and focus group design.…”

Section: Methodsmentioning

confidence: 97%

“…, , Sekhon et al . ). Eight of the nine studies rate as level IV evidence according to the research question and design (National Health and Medical Research Council , Culpepper et al .…”

Section: Methodsmentioning

confidence: 97%

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Counselling training for speech–language therapists working with people affected by post‐stroke aphasia: a systematic review

Sekhon

Oates

Kneebone

et al. 2019

Intl J Lang & Comm Disor

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“…This imbalance of services was reiterated by the participants in this study, many of whom report a high representation of people with swallowing disorders on their caseload. Variation in levels of confidence and self-efficacy are strikingly overt in the participants' discussion of the provision of affective counselling, where discussion of their lack of confidence was explicit, consistent with the findings of another recent Australian study (Sekhon, Rose, & Douglas, 2015). Insecurity regarding their role in communication management may be inferred by the emphasis these clinicians place on advocating for rather than providing direct therapeutic intervention to people with aphasia.…”

Section: Discussionsupporting

confidence: 71%

“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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“…A recent survey of Australian SLPs examined current practice in managing psychological wellbeing in people with aphasia post stroke (Sekhon, Douglas, & Rose, 2015). Whilst nearly all SLPs (108 of 110 respondents) believed they had a role in addressing the psychological wellbeing of people with aphasia, the majority did not feel knowledgeable, confident, or satisfied in this role.…”

Section: Psychosocial Wellbeing For People With Aphasiamentioning

confidence: 99%

Improving research outcome measurement in aphasia: Development of a core outcome set

Wallace¹

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Aphasia treatment research lacks a consistent approach to outcome measurement. There is heterogeneity in the outcome measures used across treatment trials and a lack of research evidence exploring the outcome constructs which are most important to key stakeholders. The efficiency, relevancy, transparency, and overall quality of aphasia treatment research could be increased through the development of a core outcome set (COS)-an agreed standardised set of outcomes for use in treatment trials. The overarching aim of this research was to generate evidence-based recommendations for outcome constructs and outcome measures for a COS for aphasia treatment research.The thesis is comprised of a review of the literature (chapter 2) and two phases of research:(1) a trilogy of stakeholder consensus studies and a synthesis of the results; and (2)

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Current Australian speech-language pathology practice in addressing psychological well-being in people with aphasia after stroke

Abstract: This study identifies factors requiring attention in order to enable speech-language pathologists to facilitate improved psychological well-being in people with aphasia.

Cited by 77 publications

References 57 publications

Counselling training for speech–language therapists working with people affected by post‐stroke aphasia: a systematic review

Counselling training for speech–language therapists working with people affected by post‐stroke aphasia: a systematic review

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

Improving research outcome measurement in aphasia: Development of a core outcome set

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