Discipline of Speech Pathology, School of Allied Health, College of Science, Health and Engineering, La Trobe University, Bundoora, VIC, Australia.
Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Ultimo, NSW, Australia.
Int J Lang Commun Disord. 2019 May;54(3):321-346. doi: 10.1111/1460-6984.12455. Epub 2019 Feb 13.
BACKGROUND: Speech-language therapists use counselling to address the psychological well-being of people affected by post-stroke aphasia. Speech-language therapists report low counselling knowledge, skill and confidence for working in post-stroke aphasia which may be related to a lack of counselling training specific to the needs of this client group. AIMS: To identify current training in counselling for speech-language therapists to address psychological well-being in people affected by post-stroke aphasia. Specifically, the intent was to establish the objectives, content, amount, teaching methods and outcomes of counselling training provided to speech-language therapists working with people affected by post-stroke aphasia. METHODS & PROCEDURES: Eleven databases were searched from inception to January 2018 using terms relating to counselling, psychological well-being, speech-language therapy, stroke, aphasia and training. Studies using any research methodology and design were included. Nine studies were critically appraised and synthesized as a systematic review using the Search, AppraisaL, Synthesis and Analysis (SALSA) framework. MAIN CONTRIBUTION: Information on counselling training came from the UK, United States and Australia. Student speech-language therapists received training in goal-setting and generic counselling skills. After qualification, speech-language therapists received counselling training from mental health professionals within stroke workplaces, from external providers and further education. A range of teaching techniques and counselling approaches were described. Self-report and themes from qualitative data were the primary measures of counselling training outcomes. Moderate correlations were reported between counselling training and levels of speech-language therapists' knowledge, comfort, confidence and preparedness to counsel people affected by post-stroke aphasia. CONCLUSIONS: Research in counselling training for speech-language therapists working in post-stroke aphasia is limited, with a small number of primarily low-quality studies available. Training in generic counselling skills and brief psychological approaches with support from mental health professionals in the stroke workplace enabled speech-language therapists to feel knowledgeable, skilled and confident to address the psychological well-being of people affected by post-stroke aphasia. Evidence about the effectiveness of counselling training on speech-language therapists' confidence and competence in practice and on client outcomes in psychological well-being in post-stroke aphasia is required.
背景：言语治疗师使用咨询来解决卒中后失语症患者的心理健康问题。言语治疗师报告称，他们在处理卒中后失语症患者的心理问题时，咨询知识、技能和信心都较低，这可能与缺乏针对这一特定患者群体需求的咨询培训有关。
目的：确定目前针对言语治疗师的咨询培训，以解决卒中后失语症患者的心理健康问题。具体来说，目的是确定针对处理卒中后失语症患者的言语治疗师提供的咨询培训的目标、内容、数量、教学方法和结果。
方法与程序：从建库开始到 2018 年 1 月，使用与咨询、心理健康、言语治疗、卒中、失语症和培训相关的术语，在 11 个数据库中进行了检索。纳入使用任何研究方法和设计的研究。使用搜索、评估、综合和分析（SALSA）框架对 9 项研究进行了批判性评价和综合，作为系统综述。
主要贡献：咨询培训信息来自英国、美国和澳大利亚。言语治疗专业学生接受了目标设定和通用咨询技能培训。毕业后，言语治疗师在卒中工作场所接受心理健康专业人员、外部提供者和继续教育的咨询培训。描述了各种教学技术和咨询方法。自我报告和定性数据的主题是咨询培训结果的主要衡量标准。报告了咨询培训与言语治疗师的知识、舒适度、信心和准备程度之间的中等相关性，这些知识、舒适度、信心和准备程度与处理卒中后失语症患者相关。
结论：针对处理卒中后失语症的言语治疗师的咨询培训研究有限，仅有少量主要为低质量的研究。在卒中工作场所的心理健康专业人员的支持下，对通用咨询技能和简短心理方法的培训使言语治疗师能够在处理卒中后失语症患者的心理健康问题时感到知识渊博、技能熟练且充满信心。需要有证据表明咨询培训对言语治疗师在实践中的信心和能力以及对卒中后失语症患者心理健康方面的疗效。
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