Swales Megan A, Hill Anne J, Finch Emma
a Division of Speech Pathology , School of Health and Rehabilitation Sciences .
b Centre of Research Excellence in Telehealth and Telerehabilitation Research Unit, The University of Queensland , St Lucia , QLD , Australia .
Int J Speech Lang Pathol. 2016 Aug;18(4):315-28. doi: 10.3109/17549507.2015.1081283. Epub 2015 Sep 15.
High-intensity language therapy has been shown to provide greater outcomes for people with aphasia (PWA). Unfortunately, a number of issues including the ageing population and a lack of rurally-based clinicians prevent high-intensity interventions. Computer-based therapies are a potential solution to the issues of intensity and accessibility; however, this service delivery model is not commonly used. A possible reason behind the poor uptake is that current computer-based aphasia therapy (CBAT) programs may not meet the needs of speech-language pathologists (SLPs). This study investigated the preferences of SLPs with regard to the features desired in their ideal CBAT program.
Phenomenological research methodology was used to explore the preferences of 10 SLPs. Data were analysed using qualitative thematic analysis.
Desired features were grouped into five themes: therapy activities, stimuli, cues, access and progress data. A range of sub-themes were also identified.
The wide range of desirable features found in this study may reflect the extent to which current CBAT programs are considered to be useful, but perhaps do not meet the needs of users. The study's findings provide useful information for future CBAT developers to create programs with high clinician usability.
高强度语言治疗已被证明能为失语症患者带来更好的治疗效果。不幸的是，包括人口老龄化和缺乏乡村临床医生在内的诸多问题阻碍了高强度干预措施的实施。基于计算机的治疗是解决强度和可及性问题的一种潜在方案；然而，这种服务提供模式并不常用。采用率低背后的一个可能原因是，当前基于计算机的失语症治疗（CBAT）程序可能无法满足言语语言病理学家（SLP）的需求。本研究调查了言语语言病理学家对其理想的CBAT程序所需功能的偏好。
采用现象学研究方法来探究10位言语语言病理学家的偏好。使用定性主题分析法对数据进行分析。
所需功能被归纳为五个主题：治疗活动、刺激、提示、访问和进展数据。还确定了一系列子主题。
本研究中发现的广泛的理想功能可能反映了当前CBAT程序被认为有用的程度，但可能未满足用户需求。该研究结果为未来CBAT开发者创建具有高临床医生可用性的程序提供了有用信息。
