Pitt Rachelle, Theodoros Deborah, Hill Anne J, Russell Trevor
School of Health and Rehabilitation Sciences, University of Queensland , Australia.
Centre for Research in Telerehabilitation, University of Queensland , Australia , and.
Int J Speech Lang Pathol. 2019 Oct;21(5):513-523. doi: 10.1080/17549507.2018.1488990. Epub 2018 Sep 10.
Aphasia group therapy can result in improvements in communication, participation and quality of life (QOL). However, evidence for aphasia group interventions with combined aims across the International Classification of Functioning, Disability and Health (ICF) is limited. TeleGAIN is a holistic aphasia group intervention that can be delivered via telepractice. This study builds on prior pilot work and addresses the need for additional research into the effectiveness of TeleGAIN. The aim of this study was to describe changes in aphasia severity, communication related QOL and participation, for people with chronic aphasia following TeleGAIN. Nineteen participants with aphasia were assessed on a range of outcome measures before and after a twelve-week block of TeleGAIN delivered via web based videoconferencing. Treatment provided opportunities to participate in conversation, engage with others with aphasia and complete functional communication activities. Statistical analyses revealed statistically significant improvements in communication related QOL, increased engagement in communicative activities, and decreased aphasia severity. Results from this study suggest that the online delivery of a multi-purpose group intervention for people with aphasia can result in improved communication, communicative participation, and QOL. It also highlights the potential for intervention provided via telepractice to offer an alternative to face-to-face services.
失语症团体治疗可以改善沟通、参与度和生活质量(QOL)。然而,针对《国际功能、残疾和健康分类》(ICF)中具有综合目标的失语症团体干预措施的证据有限。TeleGAIN是一种可以通过远程医疗实施的整体性失语症团体干预。本研究基于之前的试点工作开展,满足了对TeleGAIN有效性进行更多研究的需求。本研究的目的是描述慢性失语症患者在接受TeleGAIN治疗后失语严重程度、与沟通相关的生活质量和参与度的变化。19名失语症参与者在通过网络视频会议进行为期12周的TeleGAIN治疗前后,接受了一系列结果指标的评估。治疗提供了参与对话、与其他失语症患者互动以及完成功能性沟通活动的机会。统计分析显示,与沟通相关的生活质量有统计学意义的改善,沟通活动参与度增加,失语严重程度降低。本研究结果表明,为失语症患者在线提供多用途团体干预可以改善沟通、沟通参与度和生活质量。它还凸显了通过远程医疗提供干预作为面对面服务替代方案的潜力。