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A systematic review of non-drug interventions to prevent and treat anxiety in people with aphasia after stroke
CONCLUSION: Definitive conclusions about the effectiveness of non-drug interventions for the prevention and/or treatment of anxiety in people with aphasia post-stroke cannot be made. Interventions that may show promise for those with aphasia and symptoms of anxiety include mindfulness meditation, modified cognitive behaviour therapy, unilateral nostril breathing, and the "Enhance Psychological Coping after Stroke" programme. Further high-quality research with better reporting of the inclusion of participants with aphasia and their specific sub-group results are required.Implications for RehabilitationIt is important for re...
Source: Disability and Rehabilitation - June 12, 2021 Category: Rehabilitation Authors: Brooke J Ryan Stephanie M Clunne Caroline J Baker Ciara Shiggins Miranda L Rose Ian I Kneebone Source Type: research

"Loneliness can also kill:" a qualitative exploration of outcomes and experiences of the SUPERB peer-befriending scheme for people with aphasia and their significant others
CONCLUSION: Peer-befriending was an acceptable intervention. Benefits for emotional wellbeing and companionship were reported. The shared experience in the befriending relationship was highly valued.Implications for RehabilitationThe lived experience of stroke and aphasia of befrienders was highly valued by people with aphasia receiving peer-befriending.Training, regular supervision, and support for befrienders with practicalities such as organising visits ensured the befriending scheme was perceived as straightforward and acceptable by befriendees.Those receiving peer-befriending would recommend it to others; they found i...
Source: Disability and Rehabilitation - June 4, 2021 Category: Rehabilitation Authors: B Moss N Behn S Northcott K Monnelly J Marshall A Simpson S Thomas S McVicker K Goldsmith C Flood K Hilari Source Type: research

"For them and for me": a qualitative exploration of peer befrienders' experiences supporting people with aphasia in the SUPERB feasibility trial
CONCLUSIONS: Befrienders perceived the role as enjoyable and rewarding, and felt they were making a positive difference. They were unanimous in believing that people with aphasia can offer unique and valuable support to others with aphasia.TRIAL REGISTRATION: ClinicalTrials.gov identifier NCT02947776, registered 28th October 2016.Implications for rehabilitationPeople with lived experience of stroke and aphasia were able to offer emotional and social peer support to others with aphasia within the SUPERB trial.Although there were challenges, peer befrienders perceived the role as rewarding and satisfying.Peer befrienders val...
Source: Disability and Rehabilitation - May 24, 2021 Category: Rehabilitation Authors: S Northcott N Behn K Monnelly B Moss J Marshall S Thomas A Simpson S McVicker C Flood K Goldsmith K Hilari Source Type: research

Prognostication in post-stroke aphasia: speech pathologists' clinical insights on formulating and delivering information about recovery
CONCLUSIONS: Speech pathologists use implicit competencies to formulate and deliver aphasia prognoses. A patient-centred, holistic contextualisation of aphasia recovery may enable realistic, optimistic, and constructive conversations about prognosis. These conversations may have therapeutic potential if prognostic uncertainty, emotional adjustment, and conditional outcomes are carefully addressed. Future research should seek to understand the perceptions and preferences of people with aphasia and their significant others.Implications for RehabilitationAphasia prognostication in clinical practice is complex and nuanced, thu...
Source: Disability and Rehabilitation - May 10, 2021 Category: Rehabilitation Authors: Bonnie B Y Cheng Brooke Ryan David A Copland Sarah J Wallace Source Type: research

Evidence-based stroke rehabilitation: do priorities for practice change and feasibility of implementation vary across high income, upper and lower-middle income countries?
CONCLUSION: We have identified healthcare providers' priorities for addressing international practice change across socioeconomic regions. By focusing on the most feasible key areas, we can aid the channeling of appropriate resources to bridge the disparities in stroke outcomes across HICs, UMICs and LMICs.IMPLICATIONS FOR REHABILITATIONIt is pertinent to examine the differences in priorities of stroke rehabilitation professionals and the feasibility of implementing evidence-based practice across socioeconomic regions.There is an urgent necessity for the development of clinical practice guidelines for stroke rehabilitation...
Source: Disability and Rehabilitation - April 14, 2021 Category: Rehabilitation Authors: Sanjana Gururaj Marie-Louise Bird Karen Borschmann Janice J Eng Caroline Leigh Watkins Marion F Walker John M Solomon SRRR2 KT working group Source Type: research

How do healthcare professionals experience communication with people with aphasia and what content should communication partner training entail?
CONCLUSIONS: According to HCP, communication difficulties challenge the provision of healthcare activities and lead to negative feelings in HCP. HCP suggest that communication can be improved by providing more time in the healthcare pathway of people with aphasia, adapting healthcare information to the needs of people with aphasia, commitment of physicians and managers, changing the roles of SLTs and improving knowledge and skills of HCP. Implications for rehabilitation Communication between healthcare professionals (HCP) and people with aphasia can be improved by training HCP to use supportive conversation techniques and ...
Source: Disability and Rehabilitation - February 2, 2021 Category: Rehabilitation Authors: van Rijssen MN, Veldkamp M, Bryon E, Remijn L, Visser-Meily JMA, Gerrits E, van Ewijk L Tags: Disabil Rehabil Source Type: research

What are the factors that may influence the implementation of self-managed computer therapy for people with long term aphasia following stroke? A qualitative study of speech and language therapists' experiences in the Big CACTUS trial.
CONCLUSIONS: Personalisation, feedback and volunteer/assistant support were viewed as benefits of this complex intervention. However, the same benefits required resources including therapist time in learning to use software, procuring it, personalising it, working with volunteers/assistants, and building relationships with IT departments which formed barriers to implementation. The discussion highlights the need to consider integration of computer and face-to-face therapy to support implementation and potentially optimise patient outcomes. IMPLICATIONS FOR REHABILITATION Benefits of the self-managed computer approach to wo...
Source: Disability and Rehabilitation - January 17, 2021 Category: Rehabilitation Authors: Burke J, Palmer R, Harrison M Tags: Disabil Rehabil Source Type: research

The relevance of stroke care for living well with post-stroke aphasia: a qualitative interview study with working-aged adults.
CONCLUSIONS: The results highlight a need for equitable, transparent, responsive access to services, information and stroke liaison support. The findings extend knowledge of the importance of stroke care for supporting working-aged adults and their families to live well in the context of aphasia. Implications for rehabilitation There is a need for equitable, transparent access to a responsive integrated pathway of stroke care to support living well with aphasia. People with aphasia post-stroke and their families need access to person-centred stroke care and information responsive to their changing needs at all stages of re...
Source: Disability and Rehabilitation - December 28, 2020 Category: Rehabilitation Authors: Manning M, MacFarlane A, Hickey A, Galvin R, Franklin S Tags: Disabil Rehabil Source Type: research

Creating therapeutic relationships through communication: a qualitative metasynthesis from the perspectives of people with communication impairment after stroke.
CONCLUSIONS: A therapeutic relationship develops, at least in part, in response to the clinician's communication and how this is received and experienced by the patient. Understanding the characteristics of relationship-fostering communication and knowing how communication influences relationships can help clinicians critically reflect on their communication and better develop therapeutic relationships with people with communication impairment. IMPLICATIONS FOR REHABILITATION Practitioner-patient communication can facilitate therapeutic relationships or create therapeutic disconnections. Communication patterns that are com...
Source: Disability and Rehabilitation - November 23, 2020 Category: Rehabilitation Authors: Bright FAS, Reeves B Tags: Disabil Rehabil Source Type: research

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