Group therapy for aphasia patients

Pąchalska, Maria

doi:10.1080/02687039108248559

Cited by 10 publications

(7 citation statements)

References 7 publications

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“…The interrelatedness of the dimensions of Ryff's (1989a) model of psychological well-being is evident from the multiple ways consumers' comments can be applied to it. For instance, in regards to positive relations with others, aphasia groups may provide vital social opportunities for those with limited alternatives (Beeson & Holland, 2007;Marshall, 1999;Millard, 1976;Pachalska, 1991;Penn & Jones, 2007;Redinger, Forster, Knight Dolphin, Godduhn, & Weisinger, 1971;Rose & Attard, in press;Shadden & Agan, 2004). The regard and familial connections that group members often feel is illustrated by their enthusiastic descriptions of one another.…”

Section: Mechanisms Of Cags That Appear To Improve Psychological Wellmentioning

confidence: 96%

Consumer perspectives on community aphasia groups: a narrative literature review in the context of psychological well-being

et al. 2015

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Background: Community aphasia groups (CAGs) for people living with chronic aphasia are known to be efficacious for improving various aspects of communication and psychological functioning based on empirical quantitative evidence. However, the specific mechanisms and processes involved are not well understood and only a small number of groups exist. Further, there is a paucity of evidence on this topic from consumers, potentially limiting the development and uptake of these services. In order to proliferate and maintain groups of high quality, a deeper understanding of the potential mechanisms of positive outcomes is required. Aims: The aim of this study was to investigate consumer (people with aphasia (PWA) and family member) experiences of CAGs within the qualitative literature in relation to the theoretical construct of psychological well-being. Methods & Procedures: An extensive review of qualitative research relating to consumer views of CAGs was conducted in a systematic fashion. Study quality was evaluated using the Critical Appraisal Skills Programme, and content was interpreted in the context of a theoretical model for psychological well-being. Outcomes & Results:Eleven key studies and 35 secondary studies were found to include consumer perspectives of CAGs. The findings of the 11 key studies are presented as a narrative literature review. Overall, evidence suggests CAGs contribute positively to the psychological well-being of PWA and their caregivers. Outcomes relate to forming positive relations with others, purpose in life, environmental mastery, autonomy, personal growth, and self-acceptance. CAG characteristics and mechanisms proposed to mediate psychological well-being are discussed. However, the review is limited by a range of methodological issues in the literature. Conclusions: In order to optimise CAGs in practice, clinicians should consider group characteristics and aim to manipulate the possible mechanisms underlying positive outcomes. Further research is needed to understand the long-term lived experience of CAGs members, including those currently under-represented in the literature.

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Section: Mechanisms Of Cags That Appear To Improve Psychological Wellmentioning

confidence: 96%

Consumer perspectives on community aphasia groups: a narrative literature review in the context of psychological well-being

et al. 2015

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“…1962; Corbin, 1951;Fawcus, 1992;Kearns & Simmons, 1985;Pachalska, 1991). Fewer studies address the question of treatment efficacy (Aten, Caliguri, & Holland, 1982;Bollinger, Musson, & Holland, 1993;Wertz et al, 1981).…”

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confidence: 99%

The Efficacy of Group Communication Treatment in Adults With Chronic Aphasia

Elman¹,

Bernstein-Ellis²

1999

J Speech Lang Hear Res

245

118

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We examined the effects of group communication treatment on linguistic and communicative performance in adults with chronic aphasia. Participants were randomly assigned to two treatment and two deferred treatment groups. Groups were balanced for age, education level, and initial aphasia severity. Twenty-four participants completed the 4-month treatment trial. While in the treatment condition, all participants received 5 hours of group communication treatment weekly, provided by a speech-language pathologist. The focus of treatment included increasing initiation of conversation and exchanging information using whatever communicative means possible. While awaiting group communication treatment, participants in the deferred treatment groups engaged in such activities as support, performance, or movement groups in order to control for the effects of social contact. Linguistic and communicative measures were administered to all participants at entry, after 2 and 4 months of treatment, and following 4 to 6 weeks of no treatment. In addition, participants in the deferred treatment groups received an additional administration of all measures just before their treatment trial. Results revealed that participants receiving group communication treatment had significantly higher scores on communicative and linguistic measures than participants not receiving treatment. In addition, significant increases were revealed after 2 months of treatment and after 4 months of treatment. No significant decline in performance occurred at time of follow-up.

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“…It has been recommended that SLP group size should be limited at four to five patients for the group to run successfully. 14 Referring specifically to group therapy in CIR, the Centers for Medicare and Medicaid Services (CMS) has defined group treatment as a ratio of one clinician treating up to six patients simultaneously within the same activity. 15 A ratio of two to six participants per each group leader in a CIR setting is effective, as it allows multiple communication partners to create an increasingly complex and dynamic setting without limiting group members' opportunities for communication.…”

Section: Group Treatment Designmentioning

confidence: 99%

“…As a result, the patient's ability to independently initiate and produce novel utterances may be somewhat limited, and the patient may become reliant on cues from the therapist to initiate communication or to use cognitive-communication strategies. 14,16 To achieve naturalistic communication in the group setting, the speech-language pathologist is responsible for designing a session that encourages patients to interact with each other instead of the clinician.…”

Section: Role Of Speech-language Pathology Group Leadermentioning

confidence: 99%

Providing Effective Speech-Language Pathology Group Treatment in the Comprehensive Inpatient Rehabilitation Setting

2018

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Group treatment is an integral part of speech-language pathology (SLP) practice. The majority of SLP literature concerns group treatment provided in outpatient settings. This article describes the goals, procedures, and benefits of providing quality SLP group therapy in the comprehensive inpatient rehabilitation (CIR) setting. Effective CIR groups must be designed with attention to type and severity of communication impairment, as well physical stamina of group members. Group leaders need to target individualized patient goals while creating a challenging, complex, and dynamic group context that supports participation by all group members. Direct patient-to-patient interaction is fostered as much as possible. Peer feedback supports goal acquisition by fellow group members. The rich, complex group context fosters improved insight, initiation, social connectedness, and generalization of communication skills. Group treatment provides a unique type of treatment not easily replicated with individual treatment. SLP group treatment in a CIR is an essential component of an intensive, high-quality program. Continued advocacy for group therapy provision and research into its efficacy and effectiveness are warranted.

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Group therapy for aphasia patients

Cited by 10 publications

References 7 publications

Consumer perspectives on community aphasia groups: a narrative literature review in the context of psychological well-being

Consumer perspectives on community aphasia groups: a narrative literature review in the context of psychological well-being

The Efficacy of Group Communication Treatment in Adults With Chronic Aphasia

Providing Effective Speech-Language Pathology Group Treatment in the Comprehensive Inpatient Rehabilitation Setting

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