School of Speech-Language Pathology and Audiology, Faculty of Medicine, Université de Montréal, Montreal, Canada.
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Canada.
Disabil Rehabil. 2022 Jan;44(2):231-242. doi: 10.1080/09638288.2020.1764116. Epub 2020 May 22.
Because of their communication difficulties, persons with aphasia are at risk of not fully participating in significant activities after rehabilitation. Speech-language pathologists can contribute to support optimal social participation in rehabilitation. A community of practice (CoP) was designed to provide motivated clinicians with opportunities to acquire knowledge and reflect on social participation within aphasia rehabilitation. The aim of this study was to describe the outcomes of this CoP according to the perspectives of speech-language pathologist participants.
Semi-structured individual interviews were conducted 4 to 10 weeks after the end of the CoP with 13 speech-language pathologist participants. Analyses were guided by grounded theory.
Participants perceived that the CoP experience contributed to a better alignment of their practice with the ideal end purpose of optimizing social participation. A sense of community emerged among CoP members, who collectively reflected on their practice. Participants stated feeling equipped to adopt new practices, adopting new practices for optimizing social participation, and/or advocating for better services for persons with aphasia. They felt increased confidence, motivation, well-being, and/or energy towards their practice.
CoPs can help speech-language pathologists to more confidently practice with the goal of optimizing the social participation of persons with aphasia.Implications for rehabilitationSpeech-language pathologists in aphasia rehabilitation, as a result of being involved in a community of practice (CoP) about social participation, may offer more evidence-based services aiming at optimizing the social participation of persons with aphasia.Markers of a successful CoP may include participants' increased feelings of confidence, motivation, well-being, and/or energy towards their practice.CoPs can be used for continuing education purposes and support the development of clinical expertise among professionals, such as speech-language pathologists in aphasia rehabilitation.
由于沟通困难，失语症患者在康复后可能无法充分参与重要活动。言语治疗师可以为支持康复中的最佳社会参与做出贡献。实践社区（CoP）旨在为有动力的临床医生提供机会，以获取有关失语症康复中社会参与的知识并进行反思。本研究的目的是根据言语治疗师参与者的观点描述该 CoP 的结果。
在 CoP 结束后 4 至 10 周，对 13 名言语治疗师参与者进行了半结构化的个人访谈。分析受扎根理论的指导。
参与者认为 CoP 经历有助于更好地将他们的实践与优化社会参与的理想最终目的保持一致。CoP 成员之间形成了一种社区感，共同反思他们的实践。参与者表示，他们有能力采用新的实践方法，采用新的实践方法来优化社会参与，以及/或倡导为失语症患者提供更好的服务。他们对自己的实践感到更加自信、有动力、更幸福和/或更有活力。
CoP 可以帮助言语治疗师更自信地实践，以优化失语症患者的社会参与。对康复的影响：参与社会参与实践社区（CoP）的失语症康复言语治疗师可能会提供更多以证据为基础的服务，旨在优化失语症患者的社会参与。成功 CoP 的标志可能包括参与者对自己的实践更有信心、更有动力、更幸福和/或更有活力。CoP 可用于继续教育目的，并支持失语症康复等专业人员的临床专业知识发展。
