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Coliving housing : home cultures of precarity for the new creative class
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Fidelity protocol for the Action Success Knowledge (ASK) trial: a psychosocial intervention administered by speech and language therapists to prevent depression in people with post-stroke aphasia
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Barriers and facilitators to meeting aphasia guideline recommendations: what factors influence speech pathologists’ practice? ...
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Barriers and facilitators to meeting aphasia guideline recommendations: what factors influence speech pathologists’ practice? ...
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Discourse recovery after severe traumatic brain injury: exploring the first year
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In: Brain Inj (2019)
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Implementing aphasia recommendations in the acute setting: speech-language pathologists' perspectives of a behaviour change intervention
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In: School of Health and Human Sciences (2019)
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Fidelity protocol for the Action Success Knowledge (ASK) trial: a psychosocial intervention administered by speech and language therapists to prevent depression in people with post-stroke aphasia
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Discourse recovery after severe traumatic brain injury : exploring the first year
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A how-to guide to aphasia services: celebrating Professor Linda Worrall’s contribution to the field
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Fidelity protocol for the Action Success Knowledge (ASK) trial: a psychosocial intervention administered by speech and language therapists to prevent depression in people with post-stroke aphasia
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Implementing aphasia recommendations in the acute setting: speech-language pathologists’ perspectives of a behaviour change intervention
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Barriers and facilitators to meeting aphasia guideline recommendations: what factors influence speech pathologists’ practice? ...
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Barriers and facilitators to meeting aphasia guideline recommendations: what factors influence speech pathologists’ practice?
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In: School of Health and Human Sciences (2018)
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Abstract:
Purpose: To explore factors influencing Australian speech pathologists’ guideline recommended aphasia management practices. Methods: Semi-structured interviews were conducted with hospital-based speech pathologists (n = 20). Interviews focused on barriers and facilitators to implementing recommendations related to five practice areas: Aphasia-friendly Information; Collaborative Goal Setting; Timing of Therapy; Amount and Intensity of Therapy; and Conversation Partner Training. Results: Speech pathologists working only in inpatient rehabilitation settings reported performing the recommended behaviours consistently, and identified few implementation barriers. However, clinicians working in the acute setting reported performing the majority of behaviours inconsistently or rarely. Seven (of 14) Theoretical Domains Framework domains were identified as key influencing factors. Three of these – “Environmental Context and Resources,” “Beliefs about Consequences,” and “Social Influences” – were consistently reported as influencing practice across all five behaviours. Other important domains included “Knowledge”, “Beliefs about Capabilities,” “Goals,” and “Social/Professional Role and Identity”, which each influenced at least two practice behaviours. Conclusions: Speech pathologists report a number of key factors influencing their practice, which differ in how they influence behaviours (i.e., a factor may be a barrier or a facilitator) depending on the behaviour and clinical setting. Future implementation interventions need to account for the strong influence of beliefs and social influences on speech pathology practice, which may facilitate successful implementation. Implications for rehabilitation Speech pathologists’ aphasia management practices are often inconsistent with guideline recommendations. Environmental and contextual barriers were identified for all guideline-recommended practices that were investigated; however, these barriers did not necessarily impede implementation for speech pathologists working in inpatient rehabilitation settings. Strategies to improve both team functioning (social influences) and the belief systems of individual clinicians (beliefs about consequences) should be considered to improve speech pathologists’ implementation of guideline-recommended aphasia practices.
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Keyword:
Aphasia; barriers; evidence-based practice; facilitators; implementation; Medicine and Health Sciences; stroke
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URL: https://doi.org/10.1080/09638288.2018.1432706 https://epubs.scu.edu.au/hahs_pubs/2623
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Factors that influence Australian speech-language pathologists’ self-reported uptake of aphasia rehabilitation recommendations from clinical practice guidelines
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In: School of Health and Human Sciences (2018)
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Closing the evidence-practice gaps in aphasia management: are we there yet? Where has a decade of implementation research taken us? A review and guide for clinicians
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In: School of Health and Human Sciences (2018)
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Procedural discourse performance in adults with severe traumatic brain injury at 3 and 6 months post injury
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In: Brain Inj (2018)
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Procedural discourse performance in adults with severe traumatic brain injury at 3 and 6 months post injury
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Cognitive-communication and psychosocial functioning 12 months after severe traumatic brain injury
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Closing the evidence-practice gaps in aphasia management: are we there yet? Where has a decade of implementation research taken us? A review and guide for clinicians
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Barriers and facilitators to meeting aphasia guideline recommendations: what factors influence speech pathologists' practice?
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