Priorities for Closing the Evidence-Practice Gaps in Poststroke Aphasia Rehabilitation: A Scoping Review

Shrubsole, Kirstine; Worrall, Linda; Power, Emma; O’Connor, Denise

doi:10.1016/j.apmr.2017.08.474

Cited by 26 publications

(16 citation statements)

References 129 publications

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“…Moreover, our previous prioritization research has identified that the two target behaviours we aimed to change in this study had different ratings on a number of implementation criteria, including the evidence–practice gap, modifiability and health impact (Shrubsole et al . ). There was a larger evidence–practice gap for collaborative goal setting in the acute phase compared with information provision (73% gap versus 51% gap).…”

Section: Discussionmentioning

confidence: 97%

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The Acute Aphasia IMplementation Study (AAIMS): a pilot cluster randomized controlled trial

Shrubsole

Worrall

Power

et al. 2018

Intl J Lang & Comm Disor

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This study showed that a tailored implementation intervention targeting acute SLTs' aphasia management practices was feasible to deliver and acceptable for most participants. In addition, the interventions were potentially effective, particularly for the information provision behaviour targeted by Intervention A. It was possible partially to explain the mechanisms of behaviour change that occurred during the study.

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Section: Discussionmentioning

confidence: 97%

“…This was selected as it had previously been identified as an important implementation priority (Shrubsole et al . ), and there was existing evidence of barriers to implementation by acute SLTs (Shrubsole et al . ).…”

Section: Methodsmentioning

confidence: 99%

The Acute Aphasia IMplementation Study (AAIMS): a pilot cluster randomized controlled trial

Shrubsole

Worrall

Power

et al. 2018

Intl J Lang & Comm Disor

Self Cite

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show abstract

“…Methods of applying evidence in clinical practice have been researched and include identification of local barriers; audit and feedback; educational meetings and workshops and educational outreach and collaborations (O'Brien, et al, 2007;Forsetlund, et al, 2009;Ivers, et al, 2014). Specifically, in the clinical practice of aphasia rehabilitation, areas of high priority for implementation of clinical change have been identified and include information provision and patient-centred goal setting (Shrubsole, et al, 2017). These two areas of priority are highly relevant to enhancing mood and improving depression outcomes for people with aphasia and their significant others as highlighted in a systematic review (Baker, et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…These constraints may be related to: caseload pressures, the culture of the workplace, and leadership in quality improvement (Miao, Power, & O'Halloran, 2015). An evidence-practice gap in aphasia rehabilitation exists (Shrubsole, Worrall, Power, & O'Connor, 2017), understanding the barriers relating to people with aphasia and their significant others is essential to improving psychological care.…”

Section: Barriers To Psychological Care In Stroke and Aphasia Rehabilmentioning

confidence: 99%

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Translating stepped psychological care to aphasia rehabilitation

Baker¹

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Stroke rehabilitation needs more psychological services to address mood changes and depression after aphasia. An evidence-practice gap exists that can be minimised through implementation of stepped psychological care-an evidence-based framework offering multidisciplinary intervention after stroke. However, stepped psychological care has not been adapted for the communication disability associated with aphasia. Further, there is a lack of research exploring the perspectives of key stakeholders in managing depression after post-stroke aphasia. The overarching aim of this research was to describe the evidence-practice gap in managing mood changes and depression after post-stroke aphasia. Chapter one of this thesis comprises: an introduction, including a review of the literature, the aims of the thesis, and an overview of the methodology and the thesis structure. The thesis then reports on three research studies investigating the management of mood changes and depression after poststroke aphasia: 1) a systematic review of rehabilitation interventions to prevent and treat depression after post-stroke aphasia; 2) a description, from the perspective of stroke health professionals, of: a) current practice; and b) the identification of barriers and facilitators to implementing stepped psychological care to clinical practice; and 3) a description, from the perspective of people with aphasia, of: a) experiences of mood changes, depression and current practice; and b) preferences within a stepped psychological care approach. Study 1 systematically reviewed the research evidence for rehabilitation interventions to prevent and treat depression after post-stroke aphasia. It followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. A total of 45 studies were eligible for inclusion. It is not clear which interventions may prevent depression. A range of interventions that may enhance mood or treat mild depression after post-stroke aphasia were identified and described within the stepped psychological care framework. Study 2 described, from the perspectives of stroke health professionals: a) current practice for the management of depression after post-stroke aphasia; and b) the barriers and facilitators to implementing stepped psychological care for depression after post-stroke aphasia. Thirty-nine stroke health professionals participated in qualitative focus groups. Five focus groups within acute, rehabilitation and community settings were divided into two parts: 1) a discussion about current practice; and 2) information provision about the stepped psychological care framework, followed by a discussion of the barriers and facilitators to implementing this framework to clinical practice. Four core components of current practice were derived from an interpretive description analysis: 1)

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Demystifying the Complexity of Aphasia Treatment: Application of the Rehabilitation Treatment Specification Systemx

Fridriksson

Basilakos

Boyle

et al. 2022

Archives of Physical Medicine and Rehabilitation

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Priorities for Closing the Evidence-Practice Gaps in Poststroke Aphasia Rehabilitation: A Scoping Review

Cited by 26 publications

References 129 publications

The Acute Aphasia IMplementation Study (AAIMS): a pilot cluster randomized controlled trial

The Acute Aphasia IMplementation Study (AAIMS): a pilot cluster randomized controlled trial

Translating stepped psychological care to aphasia rehabilitation

Demystifying the Complexity of Aphasia Treatment: Application of the Rehabilitation Treatment Specification Systemx

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