Evaluation of communication, life participation and psychological well‐being in chronic aphasia: The influence of group intervention

Ross, Alison; Winslow, Isabel; Marchant, Paul; Brumfitt, Shelagh

doi:10.1080/02687030500532786

Cited by 71 publications

(50 citation statements)

References 36 publications

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“…To date, few interventions have specifically focused on improving the impact of aphasia on people’s lives. There is promising evidence for group therapy for people with aphasia, in terms of psychosocial improvements after therapy [40,41] and social participation [42]. There is also preliminary evidence that impairment-based therapy for word-finding difficulties, when carefully targeted around an individual’s interests, can produce changes not just in the therapy room but also on what people do in real life and on how they feel about it [43].…”

Section: Discussionmentioning

confidence: 99%

Quality of Life after Stroke: Evaluation of the Greek SAQOL-39g

Efstratiadou¹,

Chelas²,

Ignatiou³

et al. 2012

Folia Phoniatr Logop

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Background/Aims: Stroke and aphasia rehabilitation aims to improve people’s quality of life. Yet, scales for measuring health-related quality of life in stroke typically exclude people with aphasia. They are also primarily available in English. An exception is the 39-item generic version of the Stroke and Aphasia Quality of Life Scale (SAQOL-39g). This scale has been tested with people with aphasia; it has been adapted for use in many countries including Greece. The aim of this study was to examine the psychometric properties of the Greek SAQOL-39g. Methods: An interview-based psychometric study was carried out. Participants completed: receptive subtests of the Frenchay Aphasia Screening Test, the Greek SAQOL-39g, the 12-item General Health Questionnaire, the Frenchay Activities Index, the Montreal Cognitive Assessment and the Barthel Index. Results: 86 people took part; 26 provided test-retest reliability data. The Greek SAQOL-39g demonstrated excellent acceptability (minimal missing data; no floor/ceiling effects), test-retest reliability [intraclass correlation coefficient = 0.96 (overall scale), 0.83–0.99 (domains)] and internal consistency [Cronbach’s alpha = 0.96 (overall scale), 0.92–0.96 (domains)]. There was strong evidence for convergent [r = 0.53–0.80 (overall scale), 0.54–0.89 (domains)] and discriminant validity [r = 0.52 (overall scale), 0.04–0.48 (domains)]. Conclusion: The Greek SAQOL-39g is a valid and reliable scale. It is a promising measure for use in stroke and aphasia treatment prioritization, outcome measurement and service evaluation.

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Section: Discussionmentioning

confidence: 99%

Quality of Life after Stroke: Evaluation of the Greek SAQOL-39g

Efstratiadou¹,

Chelas²,

Ignatiou³

et al. 2012

Folia Phoniatr Logop

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“…In spite of the many options described above to make the assessment instruments more aphasia-friendly, self-report methods have seldom been used in measuring the communicative abilities of people with aphasia (see Cruise, Worrall, Hickson, & Murison, 2003;Ross, Winslow, Marcant, & Brumfitt, 2006;Van der Gaag et al, 2005). Moreover, in most of the studies the participants have had mild-to-moderate aphasia, while people with severe aphasia have been left out because their ability to use the rating scales has been considered uncertain.…”

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confidence: 94%

People with severe and moderate aphasia and their partners as estimators of communicative skills: A client‐centred evaluation

2008

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Background: According to the philosophy of the social model of disability, clients are the best estimators of their own life situation. Eliciting the experiences of people with severe aphasia is demanding because of their language and possible other cognitive problems. They are therefore usually excluded from the studies. However, there is evidence that modified assessment tools are accessible for them and help them to give self-reports. Aims: The aim of the present study was to ascertain how people with aphasia evaluate their own communicative skills during rehabilitation by means of modified assessment tools. In addition, their answers were compared with the estimations of their significant others or other partners. Methods & Procedures:The data were collected during regular rehabilitation courses, which were carried out in two parts (8 + 4 days) with 3 months in between. Participants were 35 respondents with aphasia, aged 26 to 65 years, and 35 of their significant others or other partners, aged 29 to 71 years. The study was completed according to an initial, interim, and delayed post-test questionnaire design. Two measures were used: the Finnish version of the Communicative Effectiveness Index (CETI) and an investigator-constructed questionnaire, the Use of Different Communication Methods (UDCM). The questionnaires for the people with aphasia were made more accessible by pictures. Outcomes & Results: The self-assessments of the participants with aphasia indicated that their functional communication skills did not change, but that the use of different communication methods improved slightly during the intervention. The significant others' and other partners' estimations showed that their communication skills improved significantly. Ratings of the two groups in functional communication skills differed significantly from each other before the intervention but thereafter the estimates correlated. There were no significant differences in the ratings of the use of different communication methods at any phase of the follow-up study. However, the ratings correlated significantly only at the last assessment.

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“…Voice and communication difficulties limit the ability and confidence of people with stroke or PD to participate in conversation and society, potentially isolating them from family, friends, and activities [9,10]. Reduced participation is a risk factor for lower QOL post-stroke and in PD [11][12][13], and is associated with increased incidence of depression [14][15][16].…”

Section: Introductionmentioning

confidence: 99%