https://ueaeprints.uea.ac.uk/63662/
Horton, Simon, Shiggins, Ciara and Lane, Kathleen (2017) Enhancing
functional communication recovery of people with aphasia after a
stroke: realising opportunities for enriching the communicative
environment during routine rehabilitation. In: International Congress on NeuroRehabilitation and Neural Repair, 2015-05-20 - 2015-05-22.
Full text not available from this repository. Abstract
Background:
Studies in human and animal models indicate that recovery from stroke
is enhanced by exposure to enriched environments and practice. People
with aphasia (PWA) after stroke need to practice language in everyday
situations for optimum recovery of communication function. Objective: To
establish whether opportunities to provide cost-neutral enriched
environments for functional communication practice can be realised
during routine stroke rehabilitation. Methods: Video was used to record
routine interactions between healthcare professionals (HCPs) and people
with aphasia in in-patient and Early Supported Discharge stroke
rehabilitation. We conducted semi-structured interviews with staff and
patients. Datasets produced: 54 video-recordings of therapy and nursing
interactions in diverse rehabilitation activities; interviews with 19
HCPs; and 9 PWA. Video and interview data were analysed using
Activity-based Communication Analysis and inductive thematic analysis
respectively. Costs were derived from staff reports of changes to usual
time taken for activities when communicating with PWA.
Results:
Opportunities to provide communicatively enriched environments arose in
both settings between PWA and staff from all professional groups. When
realised these occasions increased experiential demands cognitively and
socially on PWA and provided them with functional communication
practice. However, opportunities were not consistently realised.
Interviews suggested that time constraints, a lack of HCP training and
low confidence in working with PWA may have contributed to these
effects. There were small increases in staff time demands resulting from
these interactions.
Conclusion: Opportunities to produce stimulating
environments for functional communication practice can be realised
during routine rehabilitation, but there are staff time cost and
training implications.
Item Type: | Conference or Workshop Item (Paper) |
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Uncontrolled Keywords: | stroke,aphasia,rehabilitation |
Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences University of East Anglia > Faculty of Social Sciences > Research Centres > Centre for Applied Research in Education |
Depositing User: | Pure Connector |
Date Deposited: | 02 Jun 2017 06:10 |
Last Modified: | 02 Jun 2017 06:10 |
URI: | https://ueaeprints.uea.ac.uk/id/eprint/63662 |
DOI: |
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