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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

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

'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

Neuroanatomical correlates of macrostructural receptive abilities in narrative discourse in unilateral left hemisphere stroke: A behavioural and voxel-based morphometry study
CONCLUSIONS & IMPLICATIONS: The present results suggest that retelling and comprehension of auditory and written narratives are relatively well-preserved in individuals with a LH stroke without significant aphasia, but poorer than in HC. The findings replicate previous studies conducted in groups with higher levels of education and SES both at the behavioural and neural levels. Considering that naming seems to be associated with narrative retell and comprehension in individuals with lower SES and education, this research provides evidence on the importance of pursuing further studies including larger samples with and witho...
Source: International Journal of Language and Communication Disorders - November 30, 2022 Category: Speech-Language Pathology Authors: Sabrine Amaral Martins Townsend Karine Marcotte Amelie Brisebois Anderson Dick Smidarle Fernanda Schneider Fernanda Loureiro Ricardo Bernardi Soder Alexandre da Rosa Franco Luiz Carlos Porcello Marrone Lilian Cristine H übner Source Type: research

A comparison of aphasia therapy outcomes before and after a Very Early Rehabilitation programme following stroke.
CONCLUSIONS & IMPLICATIONS: A prescribed, impairment-based aphasia therapy regimen, provided daily in very early post-stroke recovery, resulted in significantly greater communication gains in people with mild-severe aphasia at completion of therapy and at 6 months, when compared with a historical control cohort. Further research is required to demonstrate large-scale and long-term efficacy. PMID: 24588906 [PubMed - in process]
Source: International Journal of Language and Communication Disorders - March 1, 2014 Category: Speech Therapy Authors: Godecke E, Ciccone NA, Granger AS, Rai T, West D, Cream A, Cartwright J, Hankey GJ Tags: Int J Lang Commun Disord Source Type: research

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