Patient-Provider Communication Training for Dysarthria: Lessons Learned from Student Trainees

Burns, Marcelline; Baylor, Carolyn; Yorkston, Kathryn M.

doi:10.1055/s-0037-1602842

Cited by 10 publications

(4 citation statements)

References 21 publications

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“…Correspondingly, in the literature there is increasing recognition of the need to develop CPT for a broader range of acquired impairments that address clinical reality (Chang et al, 2018;O'Rourke et al, 2018;Simmons-Mackie et al, 2016;Tessier et al, 2020). Studies addressing CPT for the broader range of stroke acquired communication impairments with SH&SCPs are emerging (e.g., Baylor et al, 2019;Burns et al, 2017;Forsgren et al, 2017;Mach et al, 2022). While the number of studies is small, they represent an important evolution in CPT development for SH&SCPs and this review aims to build on and potentially enhance this development.…”

Section: Employing Realist Review In Cpt Researchmentioning

confidence: 99%

Communication partner training for student health and social care professionals engaging with people with stroke acquired communication difficulties: A realist review.

Fitzmaurice,

Beeke,

Isaksen

et al. 2023

HRB Open Res

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Background: Stroke acquired communication impairments impede effective communication. Consequently, in stroke care, communicative interactions can be challenging for both patients and staff and can predispose patients to increased risk of preventable adverse events. Communication partner training (CPT) can mitigate such negative outcomes by optimising communicative interactions. Providing CPT to student health and social care professionals (SH&SCPs) has the potential to enhance their clinical expertise and experiences and enhance the future clinical care of patients with stroke acquired communication impairments. This research aims to expand our understanding of how CPT is operationalised for SH&SCPs in higher education institutions and determine: what works; for whom; in what contexts; how and why? Methods: This review is phase 1 of a research project employing a realist approach with public and patient involvement (PPI). It incorporates five iterative steps: 1.) Clarifying the scope; 2.) Searching for evidence; 3.) Selecting and appraising evidence; 4.) Data extraction; 5.) Synthesising data and developing a middle range theory explaining how CPT is expected to work for SH&SCPs. An advisory group, including PPI advisors, content experts, SH&SCPs and realist experts has been set up to consult throughout the review and collaboratively agree the middle range theory. Discussion: While there is an evolving evidence base for CPT, including stroke specific CPT for SH&SCPs, it is acknowledged that there are challenges to its implementation in complex real-world settings. In combining empirical evidence with theoretical understanding, realist review permits synthesis of data from diverse sources and goes beyond determining efficacy to explore generative causation and solutions for real world practice. A middle range realist programme theory that coherently explains how CPT is expected to work when teaching SH&SCPs to communicate with people with stroke acquired communication impairments will provide educators with new insights into CPT development and implementation in their higher education institutions.

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Section: Employing Realist Review In Cpt Researchmentioning

confidence: 99%

Communication partner training for student health and social care professionals engaging with people with stroke acquired communication difficulties: A realist review.

Fitzmaurice,

Beeke,

Isaksen

et al. 2023

HRB Open Res

View full text Add to dashboard Cite

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“…Unfortunately, many health care providers such as nurses (e.g., Finke et al, 2008; Simmons et al, 2019), physicians, and allied health professionals (e.g., Burns et al, 2017) do not have the necessary preservice or in-service opportunities to learn how to interact with patients with communication disabilities. Without providers having a foundation of knowledge about effective communication strategies, it is not surprising that they have difficulty using these strategies with patients with communication disabilities and those who require AAC.…”

Section: Factors To Consider When Personalizing Communication Support...mentioning

confidence: 99%

Personalization of Patient–Provider Communication Across the Life Span

Gormley

Fager

2021

Topics in Language Disorders

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People with disabilities are more likely to be hospitalized and use health care services than people without disabilities. They also report negative experiences interacting with health care providers during these encounters, placing them at risk for preventable adverse medical events, poor quality of life, and dependence on others. Fortunately, providers and people with communication disabilities can take steps to improve these interactions by personalizing and implementing communication supports to empower people with communication disabilities to actively participate in these interactions and improve outcomes. The purpose of this article is to describe strategies that health care providers can use to develop and implement personalized communication supports for children and adults with communication disorders during health care interactions. Additional strategies are provided to guide people with disabilities as well as their community/school providers and families to prepare for health care interactions. Case examples are provided to illustrate use of these strategies in acute care, inpatient rehabilitation, and outpatient settings. The use of emerging training tools (e.g., video visual scene displays) and augmentative or alternative communication partner training formats (e.g., just-in-time training) are also presented as future directions to expedite learning and implementation of communication supports in fast-paced and time-limited health care interactions.

show abstract

“…Correspondingly, in the literature there is increasing recognition of the need to develop CPT for a broader range of acquired impairments that address clinical reality ( Chang et al, 2018 ; O’Rourke et al, 2018 ; Simmons-Mackie et al, 2016 ; Tessier et al, 2020 ). Studies addressing CPT for the broader range of stroke acquired communication impairments with SH&SCPs are emerging ( e.g., Baylor et al, 2019 ; Burns et al, 2017 ; Forsgren et al, 2017 ; Mach et al, 2022 ). While the number of studies is small, they represent an important evolution in CPT development for SH&SCPs and this review aims to build on and potentially enhance this development.…”

Section: Introductionmentioning

confidence: 99%

Communication partner training for student health and social care professionals engaging with people with stroke acquired communication difficulties: A protocol for a realist review.

Fitzmaurice,

Beeke,

Isaksen

et al. 2024

HRB Open Res

View full text Add to dashboard Cite

Background Stroke acquired communication impairments impede effective communication. Consequently, in stroke care, communicative interactions can be challenging for both patients and staff and can predispose patients to increased risk of preventable adverse events. Communication partner training (CPT) can mitigate such negative outcomes by optimising communicative interactions. Providing CPT to student health and social care professionals (SH&SCPs) has the potential to enhance their clinical expertise and experiences and enhance the future clinical care of patients with stroke acquired communication impairments. This research aims to expand our understanding of how CPT is operationalised for SH&SCPs in higher education institutions and determine: what works; for whom; in what contexts; how and why? Methods This review is Phase 1 of a research project employing a realist approach with public and patient involvement (PPI). It incorporates five iterative steps: 1.) Clarifying the scope; 2.) Searching for evidence; 3.) Selecting and appraising evidence; 4.) Data extraction; 5.) Synthesising data and developing a middle range theory explaining how CPT is expected to work for SH&SCPs. An advisory panel, including PPI advisors, content advisors, student advisors, realist advisors and educationalist advisor has been set up to consult throughout the review and collaboratively agree the middle range theory. Discussion While there is an evolving evidence base for CPT, including stroke specific CPT for SH&SCPs, it is acknowledged that there are challenges to its implementation in complex real-world settings. In combining empirical evidence with theoretical understanding, realist review permits synthesis of data from diverse sources and goes beyond determining efficacy to explore generative causation and solutions for real world practice. A middle range realist programme theory that coherently explains how CPT is expected to work when teaching SH&SCPs to communicate with people with stroke acquired communication impairments will provide educators with new insights into CPT development and implementation in their higher education institutions.

show abstract

Patient-Provider Communication Training for Dysarthria: Lessons Learned from Student Trainees

Cited by 10 publications

References 21 publications

Communication partner training for student health and social care professionals engaging with people with stroke acquired communication difficulties: A realist review.

Communication partner training for student health and social care professionals engaging with people with stroke acquired communication difficulties: A realist review.

Personalization of Patient–Provider Communication Across the Life Span

Communication partner training for student health and social care professionals engaging with people with stroke acquired communication difficulties: A protocol for a realist review.

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