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The Aphasia Action, Success, and Knowledge Programme: Results from an Australian Phase I Trial of a Speech-Pathology-Led Intervention for People with Aphasia Early Post Stroke

Published online by Cambridge University Press:  30 March 2017

Brooke Ryan ,
Kyla Hudson ,
Linda Worrall ,
Nina Simmons-Mackie ,
Emma Thomas ,
Emma Finch ,
Kathy Clark  and
Jennifer Lethlean
Brooke Ryan*
Affiliation:
School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Brisbane, Queensland, Australia
Kyla Hudson
Affiliation:
School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Brisbane, Queensland, Australia
Linda Worrall
Affiliation:
School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Brisbane, Queensland, Australia
Nina Simmons-Mackie
Affiliation:
Southeastern Louisiana University, Hammond, LA, USA
Emma Thomas
Affiliation:
School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Brisbane, Queensland, Australia
Emma Finch
Affiliation:
School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Brisbane, Queensland, Australia Centre for Functioning and Health Research (CFAHR), Metro South Hospital and Health Service, Queensland, Australia
Kathy Clark
Affiliation:
Speech Pathology Department, Princess Alexandra Hospital, Queensland Health, Brisbane, Australia
Jennifer Lethlean
Affiliation:
Speech Pathology Department, Princess Alexandra Hospital, Queensland Health, Brisbane, Australia
*
Address for correspondence: Dr Brooke Ryan, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, 4072, Queensland, Australia. E-mail: brooke.ryan@uq.edu.au
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Abstract

Background: Speech pathologists work to optimise communication and reduce the emotional and social impact of communication disability in patients with aphasia but need evidence-based interventions to effectively do so.

Objective: This phase 1 study aims to evaluate an Australian speech-pathology-led intervention called the Aphasia Action, Success, and Knowledge (Aphasia ASK) programme for patients with aphasia early post stroke.

Methods: A convergent parallel mixed-methods design was utilised. The intervention included up to six individual face-to-face sessions with seven participants with aphasia and their nominated family member(s). Quantitative outcomes assessing mood, quality of life, and communication confidence were conducted for the participants with aphasia. Follow-up interviews were conducted with both participants with aphasia and family members to determine their perceptions of the programme.

Results: Significant improvements were found in communication confidence and mood after treatment and the gains were maintained at 3-month follow-up. Participants with aphasia and their family members reported a good level of satisfaction with the programme.

Conclusions: Findings suggest the Aphasia ASK programme is a suitable intervention with positive initial outcomes for people with aphasia. A larger scale evaluation with a greater variety of participants is now required. An Australian cluster randomised control trial is planned.

Keywords

aphasiapsychosocialrehabilitationquality of lifemoodintervention
Type
Articles
Information
Brain Impairment , Volume 18 , Issue 3 , December 2017 , pp. 284 - 298
Copyright
Copyright © Australasian Society for the Study of Brain Impairment 2017 

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References

Babbitt, E., Heinemann, A., Semik, P., & Cherney, L. (2011). Psychometric properties of the Communication Confidence Rating Scale for Aphasia (CCRSA): Phase 2. Aphasiology, 25 (6–7), 727–735.CrossRefGoogle Scholar
Bowen, D.J., Kreuter, M., Spring, B., Cofta-Woerpel, L., Linnan, L., Weiner, D., . . . Fernandez, M. (2009). How we design feasibility studies. American Journal of Preventive Medicine, 36 (5), 452–457. doi: https://doi.org/10.1016/j.amepre.2009.02.002.Google Scholar
Brock, K., Black, S., Cotton, S., Kennedy, G., Wilson, S., & Sutton, E. (2009). Goal achievement in the six months after inpatient rehabilitation for stroke. Disability and rehabilitation, 31 (11), 880–886. doi: 10.1080/09638280802356179 Google Scholar
Brown, K., Davidson, B., Worrall, L. and Howe, T. 2013. Making a good time: The role of friendship in living successfully with aphasia. International Journal of Speech-Language Pathology, 15 (2), 165–175. doi:10.3109/17549507.2012.6928142 CrossRefGoogle ScholarPubMed
Brown, K., Worrall, L., Davidson, B., & Howe, T. (2010). Snapshots of success: An insider perspective on living successfully with aphasia. Aphasiology, 24 (10), 1267–1295.Google Scholar
Brumfitt, S.M., & Sheeran, P. (1999). The development and validation of the visual analogue self-esteem scale (VASES). British Journal of Clinical Psychology, 38 (4), 387–400.CrossRefGoogle ScholarPubMed
Chapey, R., Duchan, J., Elman, R., Garcia, L., Kagan, A., Lyon, J., & Simmons-Mackie, N. (2008). Life participation approach to aphasia: A statement of values for the future. In Chapey, R. (Ed.), Language intervention strategies in aphasia and related neurogenic communication disorders (pp. 279–289). Philadelphia: Lippincott Williams & Wilkins.Google Scholar
Ch'Ng, A.M., French, D., & Mclean, N. (2008). Coping with the challenges of recovery from stroke: Long term perspectives of stroke support group members. Journal of Health Psychology, 13 (8), 1136–1146. doi: 10.1177/1359105308095967.Google Scholar
Code, C. (2003). The quantity of life for people with chronic aphasia. Neuropsychological Rehabilitation, 13 (3), 379–390.Google Scholar
Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I., & Petticrew, M. (2008). Developing and evaluating complex interventions: The new Medical Research Council guidance. BMJ, 337.Google Scholar
Creswell, J., & Clark, V. (2011). Designing and conducting mixed methods research (2nd ed.). Thousand Oaks, California: Sage Publications.Google Scholar
Cruice, M., Worrall, L., & Hickson, H. (2006). Perspectives of quality of life by people with aphasia and their family: Suggestions for successful living. Topics in Stroke Rehabilitation, 13 (1), 14–24.Google Scholar
Donnellan, C., Hickey, A., Hevey, D., & O'Neill, D. (2010). Effect of mood symptoms on recovery one year after stroke. International Journal of Geriatric Psychiatry, 25 (12), 1288–1295.CrossRefGoogle ScholarPubMed
Graneheim, U.H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24 (2), 105–112.CrossRefGoogle ScholarPubMed
Grant, J.S., Elliott, T.R., Newman-Giger, J., & Bartolucci, A.A. (2001). Social problem-solving abilities, social support, and adjustment among family caregivers of individuals with a stroke. Rehabilitation Psychology, 46 (1), 44–57.Google Scholar
Grawburg, M., Howe, T., Worrall, L., & Scarinci, N. (2013). Third-party disability in family members of people with aphasia: A systematic review. Disability and Rehabilitation, 35 (16), 1324–1341. doi:10.3109/09638288.2012.735341.Google Scholar
Grohn, B., Worrall, L., Simmons-Mackie, N., & Brown, K. (2012). The first 3-months post-stroke: What facilitates successfully living with aphasia? International Journal of Speech-Language Pathology, 2012, 14 (4), 390–400.Google Scholar
Grohn, B., Worrall, L., Simmons-Mackie, N., & Hudson, K. (2014). Living successfully with aphasia during the first year post-stroke: A longitudinal qualitative study. Aphasiology, 28 (12), 1405–1425.Google Scholar
Hallowell, B., & Chapey, R. (2008). Introduction to language intervention strategies in adult aphasia. In Chapey, R. (Ed.), Language intervention strategies in aphasia and related neurogenic communication disorders (5th ed., pp. 3–19). Philadelphia: Lippincott Williams & Wilkins.Google Scholar
Hilari, K., Northcott, S., Roy, P., Marshall, J., Wiggins, R., Chataway, J., & Ames, D. (2010). Psychological distress after stroke and aphasia: The first six months. Clinical Rehabilitation, 24 (2), 181–190.Google Scholar
Hoffmann, T., Glasziou, P., Boutron, I., Milne, R., Perera, R., Moher, D., . . . Michie, S. (2014). Better reporting of interventions: Template for intervention description and replication (TIDieR) checklist and guide. BMJ-British Medical Journal, 348, g1687.Google ScholarPubMed
Howe, T., Davidson, B., Worrall, L., Hersh, D., Ferguson, A., Sherratt, S., & Gilbert, J. (2012). ‘You needed to rehab . . . families as well’: family members’ own goals for aphasia rehabilitation. International journal of language & communication disorders, 47 (5), 511–521. doi: 10.1111/j.1460-6984.2012.00159.x CrossRefGoogle ScholarPubMed
Kagan, A. (1998). Supported conversation for adults with aphasia: Methods and resources for training conversation partners. Aphasiology, 12 (9), 816–830.Google Scholar
Kang, H., Stewart, R., Kim, J., Jang, J., Kim, S., Bae, K., . . . Yoon, J. (2013). Comparative validity of depression assessment scales for screening post stroke depression. Journal of Affective Disorders, 147 (1–3), 186–191.Google Scholar
Kauhanen, M.L., Korpelainen, J.T., Hiltunen, P., Määttä, R., Mononen, H., Brusin, E., . . . Myllylä, V. V. (2000). Aphasia, depression, and non-verbal cognitive impairment in ischaemic stroke. Cerebrovascular Diseases, 10 (6), 455–461.Google Scholar
Kimbarow, M.L. (2007). Integrating life participation approaches to aphasia treatment with adult learning theory: A synergistic approach. Topics in Language Disorders, 27 (4), 318–323.CrossRefGoogle Scholar
Kirkevold, M., Bronken, B.A., Martinsen, R., & Kvigne, K. (2012). Promoting psychosocial well-being following a stroke: Developing a theoretically and empirically sound complex intervention. International Journal of Nursing Studies, 49 (4), 386–397.CrossRefGoogle ScholarPubMed
Kneebone, I. (2016). Stepped psychological care after stroke. Disability and rehabilitation, 38 (18), 1836–1843. doi: 10.3109/09638288.2015.1107764 Google Scholar
Kutlubaev, M.A., & Hackett, M.L. (2014). Part II: Predictors of depression after stroke and impact of depression on stroke outcome: An updated systematic review of observational studies. International Journal of Stroke, 9 (8), 1026–1036.Google Scholar
Long, A., Hesketh, A., Bowen, A., & ACT NoW Research Study. (2009). Communication outcome after stroke: A new measure of the carer's perspective. Clinical Rehabilitation, 23 (9), 846–856.Google Scholar
LPAA Project Group, Chapey, R., Duchan, J., Elman, R., Garcia, L., Kagan, A. . . Mackie, , , N. S. (2000). Life participation approach to aphasia: A statement of values. The ASHA Leader, 5 (3), 4–6.Google Scholar
National Stroke Foundation (2014). The National Stroke Audit Rehabilitation Services Report, Melbourne, Australia.Google Scholar
Northcott, S., Burns, K., Simpson, A., & Hilari, K. (2015). ‘Living with Aphasia the Best Way I Can': A Feasibility Study Exploring Solution-Focused Brief Therapy for People with Aphasia. Folia Phoniatrica et Logopaedica, 67 (3), 156–167.CrossRefGoogle Scholar
Parr, S., Byng, S., Gilpin, S., & Ireland, C. (1997). Talking about aphasia: Living with loss of language after stroke. Buckingham: Open University Press.Google Scholar
Paul, D., Frattali, C., Holland, A., Thompson, C., Caperton, C., & Slater, S. (2005). Quality of communication life scale. Rockville, MD: American Speech-Language-Hearing Association.Google Scholar
Pedersen, P., Jørgensen, H., Nakayama, H., Raaschou, H., & Olsen, T. (1995). Aphasia in acute stroke: Incidence, determinants, and recovery. Annals of Neurology, 38 (4), 659–666.CrossRefGoogle ScholarPubMed
Robey, R. (2004). A five-phase model for clinical-outcome research. Journal of Communication Disorders, 37 (5), 401–411.Google Scholar
Sarno, M. (1997). Quality of life in aphasia in the first post-stroke year. Aphasiology, 11 (7), 665–679.Google Scholar
Sekhon, J.K., Douglas, J., & Rose, M.L. (2015). Current australian speech-language pathology practice in addressing psychological well-being in people with aphasia after stroke. International Journal of Speech-Language Pathology, 17 (3), 252–262.CrossRefGoogle ScholarPubMed
Seligman, M.E.P., Steen, T.A., Park, N., & Peterson, C. (2005). Positive psychology progress: Empirical validation of interventions. American Psychologist, 60 (5), 410–421.CrossRefGoogle ScholarPubMed
Shadden, B. (2005). Aphasia as identity theft: Theory and practice. Aphasiology, 19 (35), 211–223.Google Scholar
Simmons-Mackie, N., & Damico, J.S. (2011). Counseling and aphasia treatment: Missed opportunities. Topics in Language Disorders, 31 (4), 336–351.Google Scholar
Sjöqvist Nätterlund, B. (2010). A new life with aphasia: Everyday activities and social support. Scandinavian Journal of Occupational Therapy, 17 (2), 117–129.Google Scholar
Thomas, S., & Lincoln, N. (2008). Predictors of emotional distress after stroke. Stroke, 39 (4), 1240–1245.CrossRefGoogle ScholarPubMed
Thomas, S. A., Thomas, S. A., Walker, M. F., Macniven, J. A., & Haworth, H. (2013). Communication and low mood (CALM): A randomized controlled trial of behavioural therapy for stroke patients with aphasia. Clinical Rehabilitation, 27 (5), 398–408. doi: 10.1177/0269215512462227 Google Scholar
Wade, D.T., Hewer, R.L., David, R.M., & Enderby, P.M. (1986). Aphasia after stroke: Natural history and associated deficits. Journal of Neurology, Neurosurgery & Psychiatry, 49 (1), 11–16.Google Scholar
Whyte, J., Gordon, W., & Gonzalez Rothi, L.J. (2009). A phased developmental approach to neurorehabilitation research: The science of knowledge building. Archives of Physical Medicine and Rehabilitation, 90 (11), S3–S10.Google Scholar
Zemva, N. (1999). Aphasic patients and their families: Wishes and limits. Aphasiology, 13 (3), 219–224.CrossRefGoogle Scholar
Zigmond, A. S., & Snaith, R.P. (1983). The hospital anxiety and depression scale, Acta Psychiatrica Scandinavica, 67, 361–370.Google Scholar