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Source: Disability and Rehabilitation
Condition: Aphasia

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Total 69 results found since Jan 2013.

Development of the < em > "Kalmer" < /em > relaxation intervention: co-design with stroke survivors with aphasia
CONCLUSIONS: Overall, a co-designed accessible relaxation product was viewed as a necessary component of usual stroke care. Acceptability and feasibility and preliminary efficacy of the "Kalmer" intervention should be trialled in future studies. IMPLICATIONS FOR REHABILITATIONCo-designing psychological interventions for people with aphasia after stroke is needed to meet the needs of this at-risk population.Technology-based relaxation interventions to manage anxiety after stroke are viewed positively by people with aphasia and deemed acceptable and feasible.Clinical trials of these co-designed relaxation interventions are r...
Source: Disability and Rehabilitation - May 13, 2022 Category: Rehabilitation Authors: Rebecca El-Helou Brooke Ryan Ian Kneebone Source Type: research

Management of communication disability in the first 90 days after stroke: a scoping review
CONCLUSION: A coordinated, integrated approach to developing and testing acute and subacute interventions for all communication disabilities across all communication-related domains is required.IMPLICATIONS FOR REHABILITATIONInterdisciplinary stroke clinicians need to manage communication disabilities in the first 90 days after stroke to optimise healthcare communication and rehabilitation outcomes.There is some evidence to guide clinicians in aphasia management but less in other disabilities of speech and cognitive functioning.Most interventions to inform clinical practice address communication-related body functions and ...
Source: Disability and Rehabilitation - December 17, 2021 Category: Rehabilitation Authors: Caroline Baker Abby M Foster Sarah D'Souza Erin Godecke Ciara Shiggins Edwina Lamborn Lucette Lanyon Ian Kneebone Miranda L Rose Source Type: research

Patients' experiences of a Communication Enhanced Environment model on an acute/slow stream rehabilitation and a rehabilitation ward following stroke: a qualitative description approach
CONCLUSIONS: While findings are encouraging, further exploration of the feasibility of a CEE model in this complex setting is indicated to inform the development of this intervention.Implications for rehabilitationPatient access to a CEE model is challenging in a hospital setting.Patients who were able to access elements of the CEE model described positive opportunities for engagement in language activities.Patients' access to the CEE model was influenced by patient factors, staff factors, hospital features as well as staff time pressures.PMID:34780322 | DOI:10.1080/09638288.2021.1965226
Source: Disability and Rehabilitation - November 15, 2021 Category: Rehabilitation Authors: Sarah D'Souza Deborah Hersh Erin Godecke Natalie Ciccone Heidi Janssen Elizabeth Armstrong Source Type: research

Communication partner perspectives of aphasia self-management and the role of technology: an in-depth qualitative exploration
CONCLUSIONS: Aphasia self-management programs should focus on individual needs, functional communication in daily life, and social interaction. PwA and CPs are central to these programs, assisted by SLPs. Technology should be explored to augment aphasia self-management.Implications for RehabilitationCommunication partners suggest that people with aphasia are already engaging in aspects of self-management and that more formal aphasia-specific self-management approaches may be beneficial.Dedicated aphasia self-management programs should be situated in daily life with a focus on functional communication, life participation, c...
Source: Disability and Rehabilitation - November 8, 2021 Category: Rehabilitation Authors: Leana Nichol Sarah J Wallace Rachelle Pitt Amy D Rodriguez Annie J Hill Source Type: research

Staff and volunteers' perceptions of a Communication Enhanced Environment model in an acute/slow stream rehabilitation and a rehabilitation hospital ward: a qualitative description study within a before-and-after pilot study
CONCLUSIONS: This study provides valuable insights into staff perceptions which may inform the implementation of interventions and future iterations of a CEE model.Implications for RehabilitationA CEE model may promote efficiency and increased patient engagement in stroke rehabilitation.The CEE model information session and aphasia communication partner training, and the provision of resources, may be useful strategies to increase staff confidence in using communication supporting strategies with patients with aphasia.Behaviour change and implementation science strategies may provide a framework to address barriers and pro...
Source: Disability and Rehabilitation - November 5, 2021 Category: Rehabilitation Authors: Sarah D'Souza Natalie Ciccone Deborah Hersh Heidi Janssen Elizabeth Armstrong Erin Godecke Source Type: research

Intensive Comprehensive Aphasia Programmes: a systematic scoping review and analysis using the TIDieR checklist for reporting interventions
CONCLUSIONS: 17 ICAPs were reported in 20 peer-reviewed literature sources (9 ICAPs supplemented by Grey literature sources). There were high degrees of variation in dose, professionals involved, and no qualitative data from participants. Of note, ICAP intervention was highly tailored to individual participants on the same ICAP, and intervention content varied between ICAPs. ICAPs appear to be rationalised as intensive impairment-based programmes with other components added for comprehensiveness. Stronger rationale and a logic model are required to justify the core components of ICAPs. The input of stakeholders into design...
Source: Disability and Rehabilitation - August 27, 2021 Category: Rehabilitation Authors: Katie Monnelly Jane Marshall Madeline Cruice Source Type: research

A systematic review of maintenance following intensive therapy programs in chronic post-stroke aphasia: importance of individual response analysis
CONCLUSIONS: Intensive aphasia therapy is effective when measured at the group-level, but many individuals do not respond significantly to the intervention, and even fewer individuals preserve their initial gains. Group study results do not allow prediction of an individual's response to the intervention. Future research should elucidate which factors mediate positive treatment response and maintenance for an individual.Implications for rehabilitationOnly a small proportion (about one fifth in this review) of intensive aphasia treatment program participants respond and maintain their therapy gains, a fact that is obscured ...
Source: Disability and Rehabilitation - August 12, 2021 Category: Rehabilitation Authors: Maya Menahemi-Falkov Caterina Breitenstein John E Pierce Anne J Hill Robyn O'Halloran Miranda L Rose Source Type: research