Where are aphasia theory and management “headed”?

Tippett, Donna C.; Hillis, Argye E.

doi:10.12688/f1000research.11122.1

Cited by 8 publications

(3 citation statements)

References 78 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Approximately one‐third of people who experience a stroke develop aphasia, an acquired language impairment caused by brain damage resulting in impaired auditory comprehension, verbal expression, reading comprehension and written expression (Tippett & Hillis, 2017). The severity of language impairment typically stabilizes by 6 months post‐stroke, but language decline may be evident in the chronic phase after onset (Johnson et al., 2019).…”

Section: Introductionmentioning

confidence: 99%

Experiences of participating in group‐based rehabilitation programmes: A qualitative study of community‐dwelling adults with post‐stroke aphasia

Chau

2023

Intl J Lang & Comm Disor

View full text Add to dashboard Cite

Background: People with post-stroke aphasia tend to have smaller social networks, a higher risk of depression and poorer health-related quality of life than those who do not have aphasia after stroke. Stroke-specific or general rehabilitation programmes offered by community-based organizations are commonly group-based and involve discussions among group members with or without stroke. Research has shown that people with post-stroke aphasia may be unable to participate fully in verbal sharing of experiences and exchange of thoughts. Aims:To explore the experiences of people with post-stroke aphasia in relation to participating in group-based rehabilitation programmes organized by community-based organizations. Methods & Procedures:A qualitative design was adopted, including individual, semi-structured interviews with 20 adults with post-stroke aphasia recruited from community-based rehabilitation centres and support groups. The participants had a mean age of 68.86 ± 13.54 years and a mean post-stroke duration of 9.24 ± 7.72 years. They had participated in at least one group-based rehabilitation programme organized by community-based organizations in the past year. The participants were asked about their experiences of attending group-based programme(s), thoughts and feelings while interacting with the facilitators and group members, and satisfaction with their participation. The interview data were thematically analysed.Outcomes & Results: Three themes were identified: (1) hurdles to active and fulfilling participation including the dominance of verbal sharing, short duration of the programme, being a minority in the group and accumulated negative experiences; (2) strategies adopted to improve participation including accepting a reduced speaking ability, having support from caregivers, and trying mobile apps to vocalize and supplement meanings; and (3) a preference for certainThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

show abstract

Section: Introductionmentioning

confidence: 99%

Experiences of participating in group‐based rehabilitation programmes: A qualitative study of community‐dwelling adults with post‐stroke aphasia

Chau

2023

Intl J Lang & Comm Disor

View full text Add to dashboard Cite

show abstract

“…Historical models of aphasia assessment and treatment have focused mainly on the person's linguistic competence [11]. Even though people with aphasia (PWA) may have successfully achieved their therapeutic goals in individual speech and language therapy sessions, they still struggle to use their new communication skills successfully in natural environments, e.g., with family members, close friends, and their therapist outside of the clinic/treatment environment [12].…”

Section: Introductionmentioning

confidence: 99%

The Importance of Aphasia Communication Groups

Charalambous¹,

Kambanaros²

2022

Aphasia Compendium

View full text Add to dashboard Cite

Chronic aphasia is linked to poor functional recovery, depression, and social isolation. In the exploration of the above factors, the role of aphasia communication groups has evolved. Aphasia communication groups for stroke survivors with chronic aphasia and their communication buddies are gaining clinical importance. Communication buddies can be family members, friends, carers, health professionals, and speech and language therapy students who serve as communication facilitators for each group member. Group members share experiences on stroke and aphasia by using technology/tablets and the total communication approach. The benefits or outcomes of group involvement are measured by assessment of functional communication, individual self-ratings of the impact of aphasia on communication, and quality of life after stroke. The use of the communication buddy system, total communication approach, and systematic evaluations enables therapists to measure the effectiveness and efficacy of communication groups in terms of functional communication, social inclusion, and quality of life.

show abstract

“…Based on the World Health Organization's International Classification of Functioning, Disability and Health Framework (WHO ICF), it was recommended that SLPs focus on multiple facets during aphasia evaluation, such as the individual's background, levels of language capabilities, impacts of communication impairment, and factors that facilitate or impede recovery of aphasia 3 . While it is important to cover all facets of the framework when evaluating people with aphasia (PWA), it is important to note that aphasia is characterized by language skill deficits 5 . PWA has difficulties in comprehending and producing language at various linguistic levels (i.e., lexical-semantic, syntax, and discourse), which may be associated with impaired language processing 1 .…”

Section: Introduction Evaluation and Diagnosis Of Aphasiamentioning

confidence: 99%

Evaluation of aphasia in a culturally and linguistically diverse context: Practices of and challenges faced by speech-language pathologists

Hassan

Heng²,

Kamal

2020

Preprint

View full text Add to dashboard Cite

Rationale, aims and objectives: Cultural and linguistic diversity is a major challenge faced by speech-language pathologists (SLPs) in conducting evaluation of aphasia, especially in low-resource regions. Without proper consideration of cultural and linguistic issues when adapting English-based language tests to other languages, performance of individual with aphasia may not be valid and reliable. The present study was conducted: (a) to identify the practices of SLPs in conducting aphasia evaluation in Malaysia, which is a country consisting of multiethnic populations, and (b) to determine challenges faced by SLPs when conducting aphasia evaluation involving a diverse group of individuals. Methods: An online survey was distributed to SLPs who are practicing in Malaysia involved in the management of aphasia during the period of data collection. The questionnaire was developed to gather data on participants' background, their practices in evaluating people with aphasia, and challenges that they face related to aphasia evaluation. Proportions were calculated for each item in the questionnaire to determine patterns related to background information, SLP practices and related challenges. Results: Malaysian SLPs were found to gather information about their patients via interviews with caregivers, medical records, and direct testing and observation. Abilities of people with aphasia that were consistently reported to be assessed frequently include auditory language comprehension, verbal expression, repetition of words and sentences, and social communication. Two major challenges identified were linguistic barrier and lack of standardized assessment tools for aphasia evaluation. Conclusions: There are some similarities in terms of SLP practices and challenges faced by the participants in comparison with other studies conducted in diverse contexts. Issues related to cultural and linguistic diversity complicates the development of appropriate resources for aphasia evaluation. Consideration of those issues in development of original and adapted evaluation tools may improve the accuracy of diagnosis, identification of severity, and planning of intervention.

show abstract

Where are aphasia theory and management “headed”?

Cited by 8 publications

References 78 publications

Experiences of participating in group‐based rehabilitation programmes: A qualitative study of community‐dwelling adults with post‐stroke aphasia

Experiences of participating in group‐based rehabilitation programmes: A qualitative study of community‐dwelling adults with post‐stroke aphasia

The Importance of Aphasia Communication Groups

Evaluation of aphasia in a culturally and linguistically diverse context: Practices of and challenges faced by speech-language pathologists

Contact Info

Product

Resources

About