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Dose effects in behavioural treatment of post-stroke aphasia: a systematic review and meta-analysis.
CONCLUSIONS: There is currently insufficient evidence to determine the effect of dose on treatment response. A dedicated and coordinated research agenda is required to systematically explore dose-response relationships in post-stroke aphasia interventions. A video abstract is available in the Supplementary Material. Implications for rehabilitation The investigation of the effect of dose on treatment outcomes in post-stroke aphasia is an emerging research area with few studies reporting comparison of different amounts of the same intervention. In the acute phase of recovery following stroke, higher doses of treatment provid...
Source: Disability and Rehabilitation - November 9, 2020 Category: Rehabilitation Authors: Harvey S, Carragher M, Dickey MW, Pierce JE, Rose ML Tags: Disabil Rehabil Source Type: research

Current practice and challenges in screening for visual perception deficits after stroke: a qualitative study.
CONCLUSIONS: Screening employs non-standardised assessments and rarely covers higher visual perceptual deficits. We demonstrates the need for an evidence-based visual perception screen, which should ideally be 15 min or less, be portable, and require minimal equipment. The screen should be suitable for bedside testing and aphasia-friendly. Implications for rehabilitation There is a high demand for training on what visual perception deficits are and how to screen for them. Building local relationships between orthoptists and occupational therapists is perceived as highly beneficial for providing good vision and visual per...
Source: Disability and Rehabilitation - October 4, 2020 Category: Rehabilitation Authors: Vancleef K, Colwell MJ, Hewitt O, Demeyere N Tags: Disabil Rehabil Source Type: research

"Personal road map for recovery:" examining the therapeutic use of weblogs by stroke survivors with aphasia.
CONCLUSION: Weblog writing was therapeutic for stroke survivors with aphasia. Authors reported benefits across cognitive, psychological, emotional, and social domains. Health professionals should consider recommending weblog writing, journaling, or other methods of writing for stroke survivors with aphasia. Implications for rehabilitation Creating illness weblog posts can be therapeutically beneficial for stroke survivors with aphasia as a tool that addresses psychological, emotional, and social aspects in their recovery. Blogging appeared to offer a medium for stroke survivors with aphasia to practice writing, to express ...
Source: Disability and Rehabilitation - August 31, 2020 Category: Rehabilitation Authors: Carcello K, McLennon S Tags: Disabil Rehabil Source Type: research

Development and diagnostic validation of the Brisbane Evidence-Based Language Test.
Conclusion: The Brisbane Evidence-Based Language Test is a sensitive assessment of aphasia. Diagnostically, the High Level Test recorded the highest psychometric capabilities of the Short Tests, equivalent to the full Brisbane Evidence-Based Language Test. The test is available for download from brisbanetest.org.Implications for rehabilitationAphasia is a debilitating condition and accurate identification of language disorders is important in healthcare.Language assessment is complex and the accuracy of assessment procedures is dependent upon a variety of factors.The Brisbane Evidence-Based Language Test is a new evidence-...
Source: Disability and Rehabilitation - June 21, 2020 Category: Rehabilitation Authors: Rohde A, Doi SA, Worrall L, Godecke E, Farrell A, O'Halloran R, McCracken M, Lawson N, Cremer R, Wong A Tags: Disabil Rehabil Source Type: research

Aphasia disrupts usual care: the stroke team's perceptions of delivering healthcare to patients with aphasia.
Conclusions: Aphasia disrupts usual care. Health professionals want to help but are working in a non-optimal environment where communication and patient-centred care are not adequately resourced.IMPLICATIONS FOR REHABILITATIONCurrent hospital systems and ward culture make it difficult to offer patient-centred care to patients with aphasia.Health professionals want to help patients with aphasia but are working in an environment where patient-provider communication is not adequately resourced.As a result, health professionals dread, limit or avoid talking with patients with aphasia.Health professionals need support which may...
Source: Disability and Rehabilitation - February 10, 2020 Category: Rehabilitation Authors: Carragher M, Steel G, O'Halloran R, Torabi T, Johnson H, Taylor NF, Rose M Tags: Disabil Rehabil Source Type: research

Searching for active ingredients in rehabilitation: applying the taxonomy of behaviour change techniques to a conversation therapy for aphasia.
Conclusions: Describing the content of conversation therapy with the taxonomy of behaviour change techniques offers clinically useful insights with potential to enhance both research and practice. The intervention is shown to target different types of behaviour in different ways, and offer different speaker groups different content. Non-psychologist users of the taxonomy may encounter challenges working with unfamiliar concepts and terminology, which may impact on reliable use.IMPLICATIONS FOR REHABILITATIONIn order to change communicative behaviours within conversation, feedback should focus not only on performance but al...
Source: Disability and Rehabilitation - December 24, 2019 Category: Rehabilitation Authors: Johnson F, Beeke S, Best W Tags: Disabil Rehabil Source Type: research

Patients with neuropsychological disorders short after stroke have worse functional outcome: a systematic review and meta-analysis.
Conclusions: Patients with neglect or aphasia, especially aphasia with comprehension deficits, short after stroke have significant worse functional outcome.Implications for rehabilitationClinicians should perform an extensive screening for neglect, aphasia, and cognitive disorders to make sure to diagnose the different neuropsychological disorders correctly.When patients with neuropsychological disorders are referred for rehabilitation, it can be expected that they need a longer rehabilitation period or may never reach the same level of functioning.Clinicians should pay attention to instructions of training moments outside...
Source: Disability and Rehabilitation - November 24, 2019 Category: Rehabilitation Authors: Revet M, Immerzeel J, Voogt L, Paulis W Tags: Disabil Rehabil Source Type: research

Systematic review of subjective memory measures to inform assessing memory limitations after stroke and stroke-related aphasia.
Conclusions: This literature domain currently provides an unclear picture as to how memory limitations affect participation in stroke and stroke-related aphasia. IMPLICATIONS FOR REHABILITATION A broad range of subjective memory measures have been used to determine stroke survivors' perceptions of their everyday memory issues. Because of psychometric weaknesses such as inadequate reliability and cross-cultural validity among subjective memory measures, there remains a need to carefully review a given measure's properties to determine if it is appropriate for use with a given stroke survivor. Stroke survivors with aphasia h...
Source: Disability and Rehabilitation - September 26, 2019 Category: Rehabilitation Authors: Salis C, Murray L, Vonk JMJ Tags: Disabil Rehabil Source Type: research

Stroke health professionals' management of depression after post-stroke aphasia: a qualitative study.
Conclusion: This study demonstrates that health professionals are challenged by and limited in managing depression after post-stroke aphasia. Health professionals have the opportunity to improve services through the translation of evidence-based interventions. The integration of mental health care into stroke rehabilitation may be achieved through policy development, leadership and specialist training. Implications for rehabilitation People with aphasia need routine mood screening using aphasia-specific clinical tools and communication support. Stroke health professionals report a need for communication partner training to...
Source: Disability and Rehabilitation - June 9, 2019 Category: Rehabilitation Authors: Baker C, Worrall L, Rose M, Ryan B Tags: Disabil Rehabil Source Type: research

The impact of aphasia on Internet and technology use.
CONCLUSIONS: It is clear that aphasia often negatively affects Internet use and proficiency. However, this research clearly demonstrates that it is important to consider the influence of factors such as age, proxy use, education, and previous technology use and experience. Implications for rehabilitation Post-stroke aphasia contributes negatively to Internet use, particularly in the use of online communication tools such as email and messaging services. Sub-groups of people with aphasia are likely to be more vulnerable to exclusion from the benefits of the Internet; specifically, older people and those with lower levels of...
Source: Disability and Rehabilitation - April 12, 2019 Category: Rehabilitation Authors: Menger F, Morris J, Salis C Tags: Disabil Rehabil Source Type: research

"Living in a foreign country": experiences of staff-patient communication in inpatient stroke settings for people with post-stroke aphasia and those supporting them.
CONCLUSIONS: Communication was viewed as important but challenging by all three groups. To maximise staff-patient interactions in the future, attention needs to be paid to: the psychosocial needs of stroke survivors and their carers, ongoing staff training and support for the healthcare professionals supporting them, and the provision of an aphasia-friendly and a communicatively stimulating ward environment. Implications for Rehabilitation Effective staff-patient communication is viewed as fundamental to stroke rehabilitation but challenging by patients with aphasia, their carers and the healthcare professionals supporting...
Source: Disability and Rehabilitation - September 27, 2018 Category: Rehabilitation Authors: Clancy L, Povey R, Rodham K Tags: Disabil Rehabil Source Type: research

Italian adaptation of the functional outcome questionnaire - aphasia: initial psychometric evaluation.
CONCLUSIONS: The overall findings of this study supported the reliability and construct validity of the Italian version of the Functional Outcome Questionnaire - Aphasia. This measure holds considerable promise in assessing the functional outcomes of aphasia rehabilitation in Italian-speaking persons with aphasia. Implications for Rehabilitation Functional Outcome Questionnaire - Aphasia is a reliable and valid questionnaire in assessing functional communication of Italian-speaking people with aphasia. This measure provides critical information about people with aphasia's functional and pragmatic communication in home and ...
Source: Disability and Rehabilitation - August 4, 2017 Category: Rehabilitation Authors: Spaccavento S, Cafforio E, Cellamare F, Colucci A, Di Palma A, Falcone R, Craca A, Loverre A, Nardulli R, Glueckauf RL Tags: Disabil Rehabil Source Type: research

ImPACT: a multifaceted implementation for conversation partner training in aphasia in Dutch rehabilitation settings.
CONCLUSIONS: The motivation of professionals to involve partners in the rehabilitation process assisted with the introduction of PACT in practice. The main barrier was time, linked to the requirement to think through integration of this innovation within existing care. Longer term evaluation would ascertain how centres sustain uptake without support. Implications for Rehabilitation The integration of a new treatment method that reaches beyond the boundaries of one group of professionals needs to be facilitated by providing time to all team members involved to discuss and think through the consequences of that approach for ...
Source: Disability and Rehabilitation - December 4, 2016 Category: Rehabilitation Authors: Wielaert S, van de Sandt-Koenderman MW, Dammers N, Sage K Tags: Disabil Rehabil Source Type: research

Aphasia rehabilitation during adolescence: a case report.
CONCLUSION: Although aphasia therapy for adolescents may be similar in many aspects to selected interventions for adults, it is necessary for the clinician to be mindful of age-related issues throughout the course of therapy. Goals and interventions should be selected based on factors salient to an adolescent as well as the potential long-term impact of therapy. Implications for Research Aphasia and its treatment in adolescence need to be further explored. Academics and technology are important aspects of aphasia treatment in adolescence. Issues specific to adolescence such as socialization, adherence/compliance, and indep...
Source: Disability and Rehabilitation - August 17, 2016 Category: Rehabilitation Authors: Laures-Gore J, McCusker T, Hartley LL Tags: Disabil Rehabil Source Type: research

Validation of the Stroke and Aphasia Quality of Life Scale in a multicultural population.
Conclusions Both the SAQOL-39 g and SAQOL-CSg demonstrated good reliability and validity. Our results suggested some influence of ethnicity in self-rating of health status in relation to SAQOL-39 g scores. Further research is warranted to examine its use with stroke survivors with greater stroke severity and over time. Implications for Rehabilitation Validation of SAQOL in Singapore: Both the SAQOL-39g and the SAQOL-CSg may be used to measure the HRQoL of stroke survivors with and without aphasia in Singapore. Further investigation is required to examine use with stroke survivors with greater stroke severity and over t...
Source: Disability and Rehabilitation - February 10, 2016 Category: Rehabilitation Authors: Guo YE, Togher L, Power E, Koh GC Tags: Disabil Rehabil Source Type: research

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