Center for Aphasia Research and Treatment, Rehabilitation Institute of Chicago, Chicago, Illinois Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Top Stroke Rehabil. 2013 Sep-Oct;20(5):398-408. doi: 10.1310/tsr2005-398.
Intensive comprehensive aphasia programs (ICAPs) have increased in number in recent years in the United States and abroad.
To describe the experiences of clinicians working in an ICAP.
A phenomenological approach was taken. Seven clinicians from 3 ICAPs were interviewed in person or on the phone. Their interviews were transcribed and coded for themes relating to their experiences.
Clinicians described 3 major themes. The first theme related to the intensity component of the ICAP that allowed clinicians to provide in-depth treatment and gave them a different perspective with regard to providing treatment and the potential impact on the person with aphasia. The second theme of rewards for the clinicians included learning and support, seeing progress, and developing relationships with their clients and family members. Third, challenges were noted, including the time involved in learning new therapy techniques, patient characteristics such as chronicity of the aphasia, and the difficulty of returning to work in typical clinical settings after having experienced an ICAP.
Although there is a potential for bias with the small sample size, this pilot study gives insight into the clinician perspective of what makes working in an ICAP both worthwhile and challenging.
近年来，美国和国外的强化综合失语症计划（ICAP）数量有所增加。
描述在 ICAP 工作的临床医生的经验。
采用现象学方法。对来自 3 个 ICAP 的 7 名临床医生进行了面对面或电话采访。对他们的访谈进行了转录和编码，以确定与他们的经验相关的主题。
临床医生描述了 3 个主要主题。第一个主题与 ICAP 的强度部分有关，该部分允许临床医生提供深入的治疗，并使他们对治疗和对失语症患者的潜在影响有了不同的看法。临床医生的第二个主题是奖励，包括学习和支持、看到进展，以及与他们的客户和家庭成员建立关系。第三，注意到了挑战，包括学习新治疗技术所需的时间、患者的特点，如失语症的慢性，以及在经历 ICAP 后回到典型临床环境工作的困难。
尽管小样本量可能存在偏差，但这项初步研究深入了解了临床医生对在 ICAP 工作的看法，包括其价值和挑战。
