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Source: International Journal of Language and Communication Disorders

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Total 194 results found since Jan 2013.

How do stroke survivors with communication difficulties manage life after stroke in the first year? A qualitative study.
CONCLUSIONS & IMPLICATIONS: Stroke survivors and their family members develop personally meaningful and context-specific strategies to adjust to and manage life after stroke. Future interventions should recognize, support and build upon the active work already undertaken by stroke survivors with communication difficulties and their families. Further support before and around the point of discharge from community services may be needed to help build confidence and skills to manage in the longer term. The benefit of a supported self-management approach for stroke survivors with communication difficulties should be furthe...
Source: International Journal of Language and Communication Disorders - July 3, 2019 Category: Speech-Language Pathology Authors: Wray F, Clarke D, Forster A Tags: Int J Lang Commun Disord Source Type: research

Experiences of participating in group-based rehabilitation programmes: A qualitative study of community-dwelling adults with post-stroke aphasia
CONCLUSIONS & IMPLICATIONS: The findings showed that people with post-stroke aphasia experience difficulties participating more actively in group-based rehabilitation programmes due to hurdles in terms of the structure and format of the programmes and accumulation of negative experiences. Facilitating positive group experiences for these people with innovative methods, such as using technology and providing professional and standby support, would be helpful. Longer sessions with smaller groups, exclusively including people with post-stroke aphasia and involving more non-verbal activities to help them express feelings, are ...
Source: International Journal of Language and Communication Disorders - January 25, 2023 Category: Speech-Language Pathology Authors: Suzanne Hoi Shan Lo Janita Pak Chun Chau Source Type: research

Falls in hospital patients with acquired communication disability secondary to stroke: A systematic review and meta-analysis.
CONCLUSION & IMPLICATIONS: The results of this systematic review suggest that a generic classification of communication disability following stroke is not a risk factor for falls. However, further research that is inclusive of this population and considers severity of communication disability more specifically is required. What this paper adds What is already known on the subject The association between communication disability following stroke and falls in hospital is unclear. The literature reports mixed results regarding the impact of a communication disability following stroke on falls risk or rates of falls during...
Source: International Journal of Language and Communication Disorders - September 23, 2020 Category: Speech-Language Pathology Authors: Sullivan R, Harding K, Skinner I, Hemsley B Tags: Int J Lang Commun Disord Source Type: research

Counselling training for speech-language therapists working with people affected by post-stroke aphasia: a systematic review.
CONCLUSIONS: Research in counselling training for speech-language therapists working in post-stroke aphasia is limited, with a small number of primarily low-quality studies available. Training in generic counselling skills and brief psychological approaches with support from mental health professionals in the stroke workplace enabled speech-language therapists to feel knowledgeable, skilled and confident to address the psychological well-being of people affected by post-stroke aphasia. Evidence about the effectiveness of counselling training on speech-language therapists' confidence and competence in practice and on client...
Source: International Journal of Language and Communication Disorders - February 13, 2019 Category: Speech-Language Pathology Authors: Sekhon JK, Oates J, Kneebone I, Rose M Tags: Int J Lang Commun Disord Source Type: research

A survey of speech-language therapy provision for people with post-stroke dysarthria in the UK.
CONCLUSIONS & IMPLICATIONS: Through this research it became clear that basic information regarding post-stroke dysarthria incidence, prevalence and core demographics is currently unavailable. More embedded NHS SLT reporting systems would make a significant contribution to this area. A more in-depth examination is required of the natural history of dysarthria over the months and years following stroke, of SLT practices in relation to post-stroke dysarthria, with investigations to understand more fully the choices SLTs make and how this relates to available evidence to support their clinical decision-making. PMID: 2...
Source: International Journal of Language and Communication Disorders - June 16, 2017 Category: Speech-Language Pathology Authors: Miller N, Bloch S Tags: Int J Lang Commun Disord Source Type: research

Stroke communication partner training: a national survey of 122 clinicians on current practice patterns and perceived implementation barriers and facilitators.
CONCLUSION & IMPLICATIONS: A significant evidence-practice gap exists. Research exploring the implementation of stroke CPT in healthcare settings, expanding evidence to support CPT for the range of post-stroke communication disorders, developing freely accessible step-by-step CPT programmes that consider restrictions in current practice and providing explicit instructions of CPT best practice are warranted. A supportive workplace culture and freely accessible formal training opportunities are also needed. PMID: 30151877 [PubMed - as supplied by publisher]
Source: International Journal of Language and Communication Disorders - August 27, 2018 Category: Speech-Language Pathology Authors: Chang HF, Power E, O'Halloran R, Foster A Tags: Int J Lang Commun Disord Source Type: research

Cough reflex testing in acute stroke: A survey of current UK service provision and speech and language therapist perceptions.
CONCLUSIONS & IMPLICATIONS: This survey gives valuable insight into the current practice and perceptions of SLTs in the UK working in acute stroke settings in relation to CRT. It highlights discrepancies between reported approaches and recommendations from existing guidelines and validation studies. The variation in responses indicates a need to develop a consensus statement and further research to guide practice. What this study adds What is already known on the subject CRT is gaining popularity as a screening tool for the clinical identification of SA with acute stroke patients. However, there is a lack of consensus ...
Source: International Journal of Language and Communication Disorders - September 6, 2020 Category: Speech-Language Pathology Authors: Trimble J, Patterson J Tags: Int J Lang Commun Disord Source Type: research

'Emotion is of the essence. … Number one priority': A nested qualitative study exploring psychosocial adjustment to stroke and aphasia
CONCLUSIONS & IMPLICATIONS: To promote adjustment in the acute phase, hospital staff should prioritize the humanizing aspects of care provision. In the post-acute phase, clinicians play an integral role in supporting adjustment and can help by focusing on relationship-centred care, monitoring mental health, promoting quality improvement across the continuum of care and supporting advocacy. What this paper adds What is already known on the subject Anxiety and depression are common consequences of stroke, with depression rates high at 33% at 1 year post-onset. There is evidence that the psychological needs of people with aph...
Source: International Journal of Language and Communication Disorders - April 7, 2021 Category: Speech-Language Pathology Authors: Becky Moss Sarah Northcott Nicholas Behn Katie Monnelly Jane Marshall Shirley Thomas Alan Simpson Kimberley Goldsmith Sally McVicker Chris Flood Katerina Hilari Source Type: research

Screening for silent aspiration in hyperacute stroke: A feasibility study of clinical swallowing examination and cough reflex testing
CONCLUSIONS & IMPLICATIONS: CRT, CSE and FEES are feasible in 58% of hyperacute stroke patients in this setting. FEES anxiety is the main recruitment barrier and is not always well tolerated. Results support further work to establish optimum methods and differential sensitivity/specificity of CRT and CSE in hyperacute stroke for SA identification.WHAT THIS PAPER ADDS: What is already known on this subject SA significantly increases the risk of pneumonia in the early days post-stroke. CSEs are unreliable for identification of SA risk in this population. CRT is gaining popularity as a potential tool to identify stroke patien...
Source: International Journal of Language and Communication Disorders - May 9, 2023 Category: Speech-Language Pathology Authors: Julie Trimble Joanne M Patterson Janet A Wilson Anand K Dixit Michael Drinnan Source Type: research