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Addressing patients’ communication support needs through speech-language pathologist-nurse information-sharing: Employing ethnography to understand the acute stroke context
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Managing ongoing swallow safety through information-sharing: an ethnography of speech and language therapists and nurses at work on stroke units
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A Systematically Conducted Scoping Review of the Evidence and Fidelity of Treatments for Verb and Sentence Deficits in Aphasia: Sentence Treatments
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Protocol for the development of the international population registry for aphasia after stroke (I-PRAISE)
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In: Research outputs 2014 to 2021 (2022)
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Protocol for the development of the international population registry for aphasia after stroke (I-PRAISE)
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An aphasia research agenda–a consensus statement from the collaboration of aphasia trialists
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Creating a novel approach to discourse treatment through coproduction with people with aphasia and speech and language therapists
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Intensive Comprehensive Aphasia Programmes: a systematic scoping review and analysis using the TIDieR checklist for reporting interventions
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Creating a theoretical framework to underpin discourse assessment and intervention in aphasia
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Scoping opinion: Speech and language therapists' views on extending their role to the urgent ear, nose and throat pathway.
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A systematic review of language and communication intervention research delivered in groups to older adults living in care homes
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Abstract:
Background: The communication skills of older adults living in care homes is an underexplored topic. Aging can lead to reduced communication ability and activity; and in the care home environment, there may also be fewer communication opportunities. This situation is likely to negatively impact wellbeing. Previous reviews have found evidence of the effectiveness of behavioural interventions in increasing wellbeing, but no systematic review to date has focused specifically on the evidence base for group language and communication interventions in this population. Aims: To identify and evaluate the evidence for behavioural interventions with older adults, delivered in groups in residential settings, that specifically included a language or communication activity. To explore the impact of such intervention on the specific domains of language, communication and social interaction. To determine whether behavioural mechanisms of action can be identified. Methods: Embase, Medline, Ovid Nursing database, Psych info, and CINAHL complete were searched and produced 158 records for screening, of which 22 remained for review. In order to identify and evaluate the quality of the evidence base presented the following research questions were posed: What research has been conducted in this area? What is the methodological quality of the studies identified? How complete is the intervention reporting? How was change measured in the domains of language, communication and social interaction? Is there evidence of efficacy, indicated by statistically significant improvement, in these domains? How did the interventions work? Synthesis tools employed included the PEDro-P Scale, the TIDieR checklist and the ITAX. Main Contribution: 22 studies met the criteria for review. One of the studies used solely language or communication interventions, but the remaining 21 studies used behavioural interventions which incorporated language and communication activities to varying degrees. Studies fell into 4 broad intervention types: Reminiscence or Life Review, Cognitive Stimulation, Narrative or Storytelling, and Multi-modality Group Communication. The majority of studies were of fair methodological quality, with a moderate level of detail provided in treatment reporting. Statistically significant improvement was reported by authors in all 4 intervention types and across language, communication and social domains. Social interaction, social support, and behavioural skills were the most consistent mechanisms of action in the reviewed behavioural interventions. Conclusion: Despite limitations in the evidence base there are important positive signs for the beneficial effects of supporting language and communication in care homes. Blinding of assessors, and the accuracy and accessibility of statistical reporting are important areas to address in order to improve the quality of the evidence base. What this paper adds Aging can lead to reduced communication ability and activity, and in the care home setting, there may also be fewer communication opportunities. This situation is likely to negatively impact wellbeing. Previous reviews have found evidence of the effectiveness of behavioural interventions in increasing wellbeing. The communication skills of older adults living in care homes is an underexplored topic. No systematic review to date has focused specifically on the evidence base for group language and communication interventions in this population. This review reveals important positive signs for the beneficial effects of supporting language and communication in care homes. Social interaction, social support, and behavioural skills were the most consistent mechanisms of action in the reviewed behavioural interventions.
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Keyword:
BF Psychology; P Philology. Linguistics; RA Public aspects of medicine
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URL: https://doi.org/10.1111/1460-6984.12679
https://openaccess.city.ac.uk/id/eprint/26877/
https://openaccess.city.ac.uk/id/eprint/26877/3/Davis%20et%20al%20-systematic%20review%20manuscript%20for%20publication%20IJLCD.pdf
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Development of a self-management intervention for stroke survivors with aphasia using co-production and behaviour change theory: An outline of methods and processes
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Delivering group support for people with aphasia in a virtual world: experiences of service providers
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Treatment fidelity of technology-enhanced reading therapy (CommuniCATE) for people with aphasia
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Assessing Parent Behaviours in Parent-Child Interactions with Deaf and Hard of Hearing Infants Aged 0-3 Years: A Systematic Review
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Creating a novel approach to discourse treatment through coproduction with people with aphasia and speech and language therapists
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In: Research outputs 2014 to 2021 (2021)
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An aphasia research agenda – a consensus statement from the collaboration of aphasia trialists
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Treatment for improving discourse in aphasia: a systematic review and synthesis of the evidence base
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Establishing consensus on a definition of aphasia: an e-Delphi study of international aphasia researchers
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