BACKGROUND: Clinicals trials are the bedrock for evidence-based practice amongst healthcare professionals. Creating research opportunities through structured training is integral in developing future research leaders including allied health professionals (AHP)s. The UK National Institute for Health Research (NIHR) Associate Principal Investigator (API) scheme was launched in 2019 to support trainee medical, dental, nursing and AHPs to gain practical experience delivering clinical trials under local PIs. API certification requires completion of activities which includes Good Clinical Practice Training, attendance at trial meetings, trial recruitment and maintenance of site file related activities. The aim of this article was to showcase how the activities completed by an AHP undertaking the API scheme support researcher development. METHODS: SIP SMART2 is a multicentre trial of swallowing prehabilitation in head and neck cancer. SIP SMART2 was one of the first AHP-led trials to be registered on the API scheme in April 2019 with six APIs registered. The example of one trainee’s activities and skills acquisition by completing the scheme were compared to a well-established researcher development framework known as the Vitae Researcher Development Framework (RDF). RESULTS: Activities completed during the API scheme supported development across all 4 domains of the RDF. In particular, Domain C (Research governance and organisation) and Domain D (Engagement, influence and impact). CONCLUSIONS: The API scheme provides an opportunity for AHPs to gain skills and experience to develop across all domains of the Vitae RDF. Future work should assess whether completion of the API scheme leads to long-term engagement in clinical research.
{"title":"Developing skills of allied health professionals for a principal investigator role: A case from the SIP SMART2 swallowing prehabilitation trial","authors":"Florence Cook, I. Nazareth, R. Govender","doi":"10.3233/acs-220021","DOIUrl":"https://doi.org/10.3233/acs-220021","url":null,"abstract":"BACKGROUND: Clinicals trials are the bedrock for evidence-based practice amongst healthcare professionals. Creating research opportunities through structured training is integral in developing future research leaders including allied health professionals (AHP)s. The UK National Institute for Health Research (NIHR) Associate Principal Investigator (API) scheme was launched in 2019 to support trainee medical, dental, nursing and AHPs to gain practical experience delivering clinical trials under local PIs. API certification requires completion of activities which includes Good Clinical Practice Training, attendance at trial meetings, trial recruitment and maintenance of site file related activities. The aim of this article was to showcase how the activities completed by an AHP undertaking the API scheme support researcher development. METHODS: SIP SMART2 is a multicentre trial of swallowing prehabilitation in head and neck cancer. SIP SMART2 was one of the first AHP-led trials to be registered on the API scheme in April 2019 with six APIs registered. The example of one trainee’s activities and skills acquisition by completing the scheme were compared to a well-established researcher development framework known as the Vitae Researcher Development Framework (RDF). RESULTS: Activities completed during the API scheme supported development across all 4 domains of the RDF. In particular, Domain C (Research governance and organisation) and Domain D (Engagement, influence and impact). CONCLUSIONS: The API scheme provides an opportunity for AHPs to gain skills and experience to develop across all domains of the Vitae RDF. Future work should assess whether completion of the API scheme leads to long-term engagement in clinical research.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90371269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We describe the process where a stroke survivor, his wife, and a speech language pathologist participated together to design and implement a new piece of software to help patients with brain injury recover skills needed to manage their finances. Each person brought unique skills that led to a successful collaboration. The stroke survivor, a computer scientist, has experience with aphasia apps that he used in therapy. His wife, also a computer scientist, has experience with participatory design techniques and agile software development methodologies. The SLP understands the requirements needed for software to be useful for patients in a clinical setting. Together the team created an app that is currently being used in two rehab centers.
{"title":"A banking app to help patients with brain injuries","authors":"Mark Brodie, Carolyn S. Brodie, L. Raymond","doi":"10.3233/acs-220019","DOIUrl":"https://doi.org/10.3233/acs-220019","url":null,"abstract":"We describe the process where a stroke survivor, his wife, and a speech language pathologist participated together to design and implement a new piece of software to help patients with brain injury recover skills needed to manage their finances. Each person brought unique skills that led to a successful collaboration. The stroke survivor, a computer scientist, has experience with aphasia apps that he used in therapy. His wife, also a computer scientist, has experience with participatory design techniques and agile software development methodologies. The SLP understands the requirements needed for software to be useful for patients in a clinical setting. Together the team created an app that is currently being used in two rehab centers.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76987471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Gallagher, Sinead Finn, Ruth Dolan, Edel Dunphy
BACKGROUND: The Irish Association of Speech and Language Therapists (IASLT) has led on a series of implementation efforts since the publication of recommendations regarding terminology and diagnosis of developmental language disorder (DLD) by the CATALISE Consortium in 2017. OBJECTIVE: To explore the views of speech and language therapists (SLTs) about the effectiveness of IASLT dissemination efforts in relation to the CATALISE recommendations to inform the development of a national DLD implementation strategy. METHODS: A self-administered qualitative e-survey was designed. A purposive sample of SLTs working in Ireland was recruited using a maximum variation strategy. The survey included closed and open questions. Qualitative data were analysed deductively using constructs from the Consolidation Framework for Implementation Research. Findings were integrated using concepts from the RE-AIM framework. RESULTS: Dissemination methods were considered effective at the preadoption stage. However, barriers to early use of the CATALISE recommendations were identified related to low practitioner self-concept, the complex nature of the required practice changes, and a lack of compatibility with service pathways. Misalignment across health and education policy was identified as a barrier to uptake of the recommendations for those working in schools. Ongoing opportunities for case-based discussion was viewed as an important component of future implementation efforts. The importance of engaged leadership in overcoming implementation barriers is also highlighted. CONCLUSIONS: A targeted multi-level implementation strategy developed by an inclusive stakeholder network including speech and language therapy managers is required to support the full adoption of the CATALISE recommendations into policy, service, and practice in the Irish context.
{"title":"Exploring the uptake of CATALISE recommendations from the perspective of speech and language therapists working in the Irish context: A qualitative online survey","authors":"A. Gallagher, Sinead Finn, Ruth Dolan, Edel Dunphy","doi":"10.3233/acs-220011","DOIUrl":"https://doi.org/10.3233/acs-220011","url":null,"abstract":"BACKGROUND: The Irish Association of Speech and Language Therapists (IASLT) has led on a series of implementation efforts since the publication of recommendations regarding terminology and diagnosis of developmental language disorder (DLD) by the CATALISE Consortium in 2017. OBJECTIVE: To explore the views of speech and language therapists (SLTs) about the effectiveness of IASLT dissemination efforts in relation to the CATALISE recommendations to inform the development of a national DLD implementation strategy. METHODS: A self-administered qualitative e-survey was designed. A purposive sample of SLTs working in Ireland was recruited using a maximum variation strategy. The survey included closed and open questions. Qualitative data were analysed deductively using constructs from the Consolidation Framework for Implementation Research. Findings were integrated using concepts from the RE-AIM framework. RESULTS: Dissemination methods were considered effective at the preadoption stage. However, barriers to early use of the CATALISE recommendations were identified related to low practitioner self-concept, the complex nature of the required practice changes, and a lack of compatibility with service pathways. Misalignment across health and education policy was identified as a barrier to uptake of the recommendations for those working in schools. Ongoing opportunities for case-based discussion was viewed as an important component of future implementation efforts. The importance of engaged leadership in overcoming implementation barriers is also highlighted. CONCLUSIONS: A targeted multi-level implementation strategy developed by an inclusive stakeholder network including speech and language therapy managers is required to support the full adoption of the CATALISE recommendations into policy, service, and practice in the Irish context.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77016796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Claire S. Mills, H. Newman, C. Iezzi, Anna-Liisa Sutt, Rachel Jones, Jude Sadiq, A. Ginnelly, Gemma L Jones, Sarah Wallace Obe
BACKGROUND: The role of Speech and Language Therapists (SLTs) in intensive care units (ICUs) has become increasingly recognised. This survey was developed in response to concern amongst UK SLTs that service provision was insufficient. OBJECTIVE: The primary objective was to benchmark and describe UK pre-pandemic SLT ICU service provision. Secondary objectives included: identifying factors which might explain differences in SLT service provision, identifying unmet needs and good practice, and informing recommended SLT staffing levels. METHODS: An online survey was distributed through UK SLT networks and social media. Quantitative data were reported descriptively, and content analysis was conducted with qualitative data. RESULTS: Responses were received from 64 hospitals, representing three paediatric services and 61 adult services. Average staffing ratios of 0.03 and 0.01 whole time equivalent (WTE) were reported for these respectively. Most services (77&) received no funding from their ICU for SLT staffing. Few reported an adequate SLT service for communication (12&), swallowing (16&) and tracheostomy weaning interventions (11&). Compliance with national guidance for SLT-led communication and swallowing input for all tracheostomised patients was achieved by 27& of sites. CONCLUSIONS: Staffing levels at many sites were insufficient to provide a consistent and responsive service. The findings contributed to a recommendation of 0.1 WTE SLT per ICU bed, which was incorporated into Edition 2 of the Guidelines for the Provision of Intensive Care Services. This survey identified barriers and facilitators to providing an adequate SLT service for critically ill patients that may assist service development initiatives and guide further research.
{"title":"Speech and language therapy service provision to UK intensive care units: A national survey","authors":"Claire S. Mills, H. Newman, C. Iezzi, Anna-Liisa Sutt, Rachel Jones, Jude Sadiq, A. Ginnelly, Gemma L Jones, Sarah Wallace Obe","doi":"10.3233/acs-220015","DOIUrl":"https://doi.org/10.3233/acs-220015","url":null,"abstract":"BACKGROUND: The role of Speech and Language Therapists (SLTs) in intensive care units (ICUs) has become increasingly recognised. This survey was developed in response to concern amongst UK SLTs that service provision was insufficient. OBJECTIVE: The primary objective was to benchmark and describe UK pre-pandemic SLT ICU service provision. Secondary objectives included: identifying factors which might explain differences in SLT service provision, identifying unmet needs and good practice, and informing recommended SLT staffing levels. METHODS: An online survey was distributed through UK SLT networks and social media. Quantitative data were reported descriptively, and content analysis was conducted with qualitative data. RESULTS: Responses were received from 64 hospitals, representing three paediatric services and 61 adult services. Average staffing ratios of 0.03 and 0.01 whole time equivalent (WTE) were reported for these respectively. Most services (77&) received no funding from their ICU for SLT staffing. Few reported an adequate SLT service for communication (12&), swallowing (16&) and tracheostomy weaning interventions (11&). Compliance with national guidance for SLT-led communication and swallowing input for all tracheostomised patients was achieved by 27& of sites. CONCLUSIONS: Staffing levels at many sites were insufficient to provide a consistent and responsive service. The findings contributed to a recommendation of 0.1 WTE SLT per ICU bed, which was incorporated into Edition 2 of the Guidelines for the Provision of Intensive Care Services. This survey identified barriers and facilitators to providing an adequate SLT service for critically ill patients that may assist service development initiatives and guide further research.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76685688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Marshall, Niamh Devane, Jude Berraondo, R. Talbot, Panagiota Temponera, Katie Clegg, Stephanie Wilson
BACKGROUND: There are few applications of virtual reality (VR) in aphasia rehabilitation. EVA Park is an online VR platform developed with and for people with aphasia. Our research is testing its potential to host aphasia therapies. OBJECTIVE: Two case studies evaluated if delivery of Script Therapy in EVA Park is feasible and acceptable to participants, whether it improved production of trained scripts and promoted generalisation to untrained scripts, narrative speech and functional communication. METHODS: Two participants with aphasia received 20 hours of Script Therapy in EVA Park. Feasibility was assessed through session attendance, completion of practice and ratings of treatment fidelity. Acceptability was explored via post therapy interviews. The impact of therapy on script production, narrative production and functional communication was assessed through measures administered twice before therapy, immediately post therapy and at 5 weeks follow up. RESULTS: Participants attended at least 85% of sessions. Compliance with practice was good for one, but not the other. Fidelity ratings indicated that over 80% of core treatment components were fully present in recorded sessions. Participants expressed positive views about the intervention. Therapy significantly improved the production of words in trained scripts, with maintenance for one participant. Neither participant improved in the production of untrained scripts or personal narratives. One improved on the assessment of functional communication, but the margin of change was small. CONCLUSIONS: The study adds to the evidence that EVA Park can host a range of interventions and that this platform is acceptable to its intended user group.
{"title":"Delivering script therapy for people with aphasia in EVA park: Two single case treatment studies","authors":"J. Marshall, Niamh Devane, Jude Berraondo, R. Talbot, Panagiota Temponera, Katie Clegg, Stephanie Wilson","doi":"10.3233/acs-220014","DOIUrl":"https://doi.org/10.3233/acs-220014","url":null,"abstract":"BACKGROUND: There are few applications of virtual reality (VR) in aphasia rehabilitation. EVA Park is an online VR platform developed with and for people with aphasia. Our research is testing its potential to host aphasia therapies. OBJECTIVE: Two case studies evaluated if delivery of Script Therapy in EVA Park is feasible and acceptable to participants, whether it improved production of trained scripts and promoted generalisation to untrained scripts, narrative speech and functional communication. METHODS: Two participants with aphasia received 20 hours of Script Therapy in EVA Park. Feasibility was assessed through session attendance, completion of practice and ratings of treatment fidelity. Acceptability was explored via post therapy interviews. The impact of therapy on script production, narrative production and functional communication was assessed through measures administered twice before therapy, immediately post therapy and at 5 weeks follow up. RESULTS: Participants attended at least 85% of sessions. Compliance with practice was good for one, but not the other. Fidelity ratings indicated that over 80% of core treatment components were fully present in recorded sessions. Participants expressed positive views about the intervention. Therapy significantly improved the production of words in trained scripts, with maintenance for one participant. Neither participant improved in the production of untrained scripts or personal narratives. One improved on the assessment of functional communication, but the margin of change was small. CONCLUSIONS: The study adds to the evidence that EVA Park can host a range of interventions and that this platform is acceptable to its intended user group.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87107234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND: Developmental language disorder (DLD) is a difficulty learning, understanding, and using spoken language with lifelong implications for education and well-being. Teachers play a key role in the identification of DLD, in referring children to speech and language therapy services, and in the delivery of supports in school. Research suggests that school staff may benefit from health promotion interventions to increase their awareness and understanding of the condition. OBJECTIVE: The aim of this study was to explore the awareness and understanding of teachers and children about DLD and how these needs can be met in school to inform the development of a locally- responsive health promotion DLD intervention. METHODS: Semi-structured interviews with children with DLD (n = 7), and focus groups were held with classroom teachers (n = 7) in schools serving populations of high socioeconomic need using a narrative inquiry approach. A framework analysis was undertaken using the International Classification of Functioning (ICF). RESULTS: Teachers reportedly continue to use a variety of diagnostic terms when describing DLD. All stakeholders discussed the importance of the teacher’s role in making the necessary classroom adjustments to enable children with DLD to achieve and participate. Children provided some practical suggestions regarding how their needs can be met in the classroom. CONCLUSIONS: The study findings highlight the important contextual insights that teachers and children can provide to inform the development of locally responsive, health promotion interventions aimed at increasing awareness, knowledge and actions related to DLD in school.
{"title":"Hidden in plain sight: A qualitative exploration of teachers and children’s perspectives on supporting developmental language disorder in school","authors":"M. Gibbons, Karen Coughlan, A. Gallagher","doi":"10.3233/acs-220010","DOIUrl":"https://doi.org/10.3233/acs-220010","url":null,"abstract":"BACKGROUND: Developmental language disorder (DLD) is a difficulty learning, understanding, and using spoken language with lifelong implications for education and well-being. Teachers play a key role in the identification of DLD, in referring children to speech and language therapy services, and in the delivery of supports in school. Research suggests that school staff may benefit from health promotion interventions to increase their awareness and understanding of the condition. OBJECTIVE: The aim of this study was to explore the awareness and understanding of teachers and children about DLD and how these needs can be met in school to inform the development of a locally- responsive health promotion DLD intervention. METHODS: Semi-structured interviews with children with DLD (n = 7), and focus groups were held with classroom teachers (n = 7) in schools serving populations of high socioeconomic need using a narrative inquiry approach. A framework analysis was undertaken using the International Classification of Functioning (ICF). RESULTS: Teachers reportedly continue to use a variety of diagnostic terms when describing DLD. All stakeholders discussed the importance of the teacher’s role in making the necessary classroom adjustments to enable children with DLD to achieve and participate. Children provided some practical suggestions regarding how their needs can be met in the classroom. CONCLUSIONS: The study findings highlight the important contextual insights that teachers and children can provide to inform the development of locally responsive, health promotion interventions aimed at increasing awareness, knowledge and actions related to DLD in school.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76546180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The COVID-19 pandemic has been a dark cloud for all, but particularly for healthcare workers. However, despite the many challenges and stresses faced, speech and language therapists working in intensive care units in the UK have found a silver lining. This “Spotlight on: The COVID-19 silver lining for speech and language therapists” outlines some of these positive outcomes including: the increased recognition of the SLT role, increased visibility, improved services, increased productivity, and a promising future. By recognising and celebrating some of the positive developments made during the pandemic we can continue to work to ensure equity of provision for all patients in intensive care.
{"title":"The COVID-19 silver lining for speech and language therapists working in intensive care units","authors":"Claire S. Mills, Gemma M. M. Jones, S. Wallace","doi":"10.3233/acs-220016","DOIUrl":"https://doi.org/10.3233/acs-220016","url":null,"abstract":"The COVID-19 pandemic has been a dark cloud for all, but particularly for healthcare workers. However, despite the many challenges and stresses faced, speech and language therapists working in intensive care units in the UK have found a silver lining. This “Spotlight on: The COVID-19 silver lining for speech and language therapists” outlines some of these positive outcomes including: the increased recognition of the SLT role, increased visibility, improved services, increased productivity, and a promising future. By recognising and celebrating some of the positive developments made during the pandemic we can continue to work to ensure equity of provision for all patients in intensive care.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72586913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND: The term ‘recovery’ frequents the literature relating to aphasia, however there has been limited research directly investigating the concept (or meaning) the term represents. OBJECTIVE: To present a concept analysis of ‘recovery’ in the context of post-stroke aphasia and investigate the consistency in meaning, use and interpretation of the concept, in relation the International Classification of Functioning, Disability and Health (ICF) and the Life Participation Approach to Aphasia (LPAA). METHODS: Rodgers’ evolutionary method of concept analysis was used to analyse the studies retrieved through a systematic search of PubMed and CINAHL bibliographic databases and a journal search of Aphasiology. The International Classification of Functioning, Disability and Health (ICF) and the Life Participation Approach to Aphasia (LPAA) were used as frameworks to explore the correspondence of the concept of ‘recovery’ with current speech and language therapy service delivery approaches. RESULTS: Seventy-one papers were retrieved and analysis revealed six core attributes of the concept; recovery as (1) a process (2) variable dependant (3) existing on a spectrum (4) facilitated (5) quantifiable (6) subject to deceleration. The concept of recovery was found to be impairment-oriented, demonstrating a poor overall correspondence with current frameworks underpinning service delivery. CONCLUSIONS: Facilitating recovery in the context of post-stroke aphasia is a widely discussed therapeutic priority, yet the concept of recovery itself remains ambiguous. Clarification of the current conceptual status of recovery is necessary to ensure consistency in meaning, use and interpretation of the concept, in recognition of its potential implications on research and service delivery.
{"title":"Recovery in the context of post-stroke aphasia: A concept analysis","authors":"Laoighse Gleeson, C. Jagoe","doi":"10.3233/acs-220013","DOIUrl":"https://doi.org/10.3233/acs-220013","url":null,"abstract":"BACKGROUND: The term ‘recovery’ frequents the literature relating to aphasia, however there has been limited research directly investigating the concept (or meaning) the term represents. OBJECTIVE: To present a concept analysis of ‘recovery’ in the context of post-stroke aphasia and investigate the consistency in meaning, use and interpretation of the concept, in relation the International Classification of Functioning, Disability and Health (ICF) and the Life Participation Approach to Aphasia (LPAA). METHODS: Rodgers’ evolutionary method of concept analysis was used to analyse the studies retrieved through a systematic search of PubMed and CINAHL bibliographic databases and a journal search of Aphasiology. The International Classification of Functioning, Disability and Health (ICF) and the Life Participation Approach to Aphasia (LPAA) were used as frameworks to explore the correspondence of the concept of ‘recovery’ with current speech and language therapy service delivery approaches. RESULTS: Seventy-one papers were retrieved and analysis revealed six core attributes of the concept; recovery as (1) a process (2) variable dependant (3) existing on a spectrum (4) facilitated (5) quantifiable (6) subject to deceleration. The concept of recovery was found to be impairment-oriented, demonstrating a poor overall correspondence with current frameworks underpinning service delivery. CONCLUSIONS: Facilitating recovery in the context of post-stroke aphasia is a widely discussed therapeutic priority, yet the concept of recovery itself remains ambiguous. Clarification of the current conceptual status of recovery is necessary to ensure consistency in meaning, use and interpretation of the concept, in recognition of its potential implications on research and service delivery.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77169137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marinda Raubenheimer, Salome Geertsema, M. le Roux, M. Graham
BACKGROUND: The use of sensory based interventions (SBI) by many parties including speech-language pathologists (SLPs) are evident despite limited proof of their efficacy. Insight into SLPs’ implementation, knowledge, and perceptions of SBI are crucial to define and guide such practices in the field of speech-language therapy. OBJECTIVES: The study aimed to gather information regarding the nature of SBI, knowledge of sensory processing and SBI, and perception of the role and outcomes of SBI as implemented by SLPs. METHOD: A quantitative survey design was employed. Sixty-five SLPs working in early intervention clinics, public hospital clinics, school settings, and private practice responded to a questionnaire. Results were analysed using SPSS statistical software. RESULTS: Respondents indicated that they often implement SBI using various sensory activities and equipment. They answered more than half of the questions related to the prevalence and nature of sensory difficulties in children with Autistic Spectrum Disorder (CWASD) accurately. Respondents answered fewer questions regarding the differences between SBI and sensory integration therapy accurately. Regular collaboration with and guidance from occupational therapists (OTs) were reported. Respondents acknowledged the role of SLPs in addressing sensory difficulties in CWASD. Positive outcomes for the implementation of SBI in speech-language therapy were stated. CONCLUSION: Despite the limited evidence for the efficacy of SBI, SLPs regularly implement such practices to enhance therapy outcomes. The insights gathered from this study support reports of positive outcomes related to SBI. The need for more rigorous efficacy studies, clearer guidelines and specialised training for SLT’s in SBI are highlighted.
{"title":"Sensory based interventions by speech language pathologists","authors":"Marinda Raubenheimer, Salome Geertsema, M. le Roux, M. Graham","doi":"10.3233/acs-220004","DOIUrl":"https://doi.org/10.3233/acs-220004","url":null,"abstract":"BACKGROUND: The use of sensory based interventions (SBI) by many parties including speech-language pathologists (SLPs) are evident despite limited proof of their efficacy. Insight into SLPs’ implementation, knowledge, and perceptions of SBI are crucial to define and guide such practices in the field of speech-language therapy. OBJECTIVES: The study aimed to gather information regarding the nature of SBI, knowledge of sensory processing and SBI, and perception of the role and outcomes of SBI as implemented by SLPs. METHOD: A quantitative survey design was employed. Sixty-five SLPs working in early intervention clinics, public hospital clinics, school settings, and private practice responded to a questionnaire. Results were analysed using SPSS statistical software. RESULTS: Respondents indicated that they often implement SBI using various sensory activities and equipment. They answered more than half of the questions related to the prevalence and nature of sensory difficulties in children with Autistic Spectrum Disorder (CWASD) accurately. Respondents answered fewer questions regarding the differences between SBI and sensory integration therapy accurately. Regular collaboration with and guidance from occupational therapists (OTs) were reported. Respondents acknowledged the role of SLPs in addressing sensory difficulties in CWASD. Positive outcomes for the implementation of SBI in speech-language therapy were stated. CONCLUSION: Despite the limited evidence for the efficacy of SBI, SLPs regularly implement such practices to enhance therapy outcomes. The insights gathered from this study support reports of positive outcomes related to SBI. The need for more rigorous efficacy studies, clearer guidelines and specialised training for SLT’s in SBI are highlighted.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87261404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND: Numerous quantitative and descriptive studies show that dysphagia impacts on quality of life. However, there is little in-depth qualitative research exploring the nature of quality of life impacts of dysphagia from the perspectives of people with chronic or lifelong dysphagia or allied health professionals. OBJECTIVE: To determine the views of allied health professionals who work with people with dysphagia on (a) the impacts of dysphagia on a person’s quality of life, participation, and inclusion; and (b) barriers and facilitators to mealtime-related quality of life for people with dysphagia. METHODS: 15 allied health professionals (12 speech and language therapists and three occupational therapists) each attended one of four 2-hour focus groups. Their discussions were recorded, de-identified, and analysed for content themes. Summaries of the researchers’ interpretations were sent to participants for verification. RESULTS: Allied health professionals view that dysphagia impacts negatively on a person’s quality of life, affecting choice and control, engagement in social activities, physical health, and positive food experiences. Barriers and facilitators to improved quality of life include: the opinions of others towards the person’s texture-modified food, implementation of dysphagia interventions, knowledge of and education on dysphagia, and the person’s control over mealtime design components. CONCLUSIONS: The impacts of dysphagia on quality of life extend beyond enjoyment of the food itself and into the person’s social activities and inclusion. Further research should examine the impacts of dysphagia on quality of life from the perspective of people with dysphagia and their supporters and identify ways to reduce this impact.
{"title":"“Know the risks but balance that with their enjoyment”: Impacts of dysphagia on quality of life from the perspectives of allied health professionals","authors":"Rebecca Smith, Lucy Bryant, B. Hemsley","doi":"10.3233/acs-220012","DOIUrl":"https://doi.org/10.3233/acs-220012","url":null,"abstract":"BACKGROUND: Numerous quantitative and descriptive studies show that dysphagia impacts on quality of life. However, there is little in-depth qualitative research exploring the nature of quality of life impacts of dysphagia from the perspectives of people with chronic or lifelong dysphagia or allied health professionals. OBJECTIVE: To determine the views of allied health professionals who work with people with dysphagia on (a) the impacts of dysphagia on a person’s quality of life, participation, and inclusion; and (b) barriers and facilitators to mealtime-related quality of life for people with dysphagia. METHODS: 15 allied health professionals (12 speech and language therapists and three occupational therapists) each attended one of four 2-hour focus groups. Their discussions were recorded, de-identified, and analysed for content themes. Summaries of the researchers’ interpretations were sent to participants for verification. RESULTS: Allied health professionals view that dysphagia impacts negatively on a person’s quality of life, affecting choice and control, engagement in social activities, physical health, and positive food experiences. Barriers and facilitators to improved quality of life include: the opinions of others towards the person’s texture-modified food, implementation of dysphagia interventions, knowledge of and education on dysphagia, and the person’s control over mealtime design components. CONCLUSIONS: The impacts of dysphagia on quality of life extend beyond enjoyment of the food itself and into the person’s social activities and inclusion. Further research should examine the impacts of dysphagia on quality of life from the perspective of people with dysphagia and their supporters and identify ways to reduce this impact.","PeriodicalId":93726,"journal":{"name":"Advances in communication and swallowing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82946620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：