School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Centre of Research Excellence in Aphasia Recovery and Rehabilitation, La Trobe University, Melbourne, Australia.
Disabil Rehabil. 2022 Nov;44(22):6884-6898. doi: 10.1080/09638288.2021.1971307. Epub 2021 Oct 9.
Community aphasia groups (CAGs) can provide a range of benefits to people with aphasia and support long-term psychosocial wellbeing. However, the dominant speech-pathologist-led service delivery model is inherently limited in scope. Peer-led groups hold potential as a sustainable and empowering extension of this traditional model. The implementation of peer-led models likely requires targeted training and support, however little is known about the characteristics and impacts of CAG facilitation. This study reviews the literature on CAGs and their facilitation.
We conducted a scoping review on this topic.
One hundred and seventy-seven texts were included, reporting on a heterogeneous range of activities. Most texts reported on speech-pathologist-led groups, however, a range of alternative models were also represented. While no studies directly compared the impacts of different facilitation models, some comparative benefits could be drawn from the literature. Facilitation was perceived as complex and challenging, and significant gaps were identified in the training of facilitators. Ten qualitative studies investigated characteristics and impacts of facilitator behaviours, providing a useful foundation for future development of training and evaluation tools.
Further investigation into alternative facilitation models and facilitator training needs will likely support the proliferation of high-quality CAGs.Implications for RehabilitationCommunity aphasia groups (CAGs) play an important role in supporting identity and wellbeing for individuals with chronic aphasia.The traditional speech-pathology led model of group service delivery is limited in scope; the addition of peer- and volunteer-led CAGs may facilitate access to groups and meet a range of different needs for individuals with aphasia.CAG facilitation is a complex and challenging task, likely requiring specialised training, however, this has not been widely available to facilitators.The development of specialised facilitator training will likely support the proliferation of sustainable and high-quality CAGs.
社区失语症小组（CAG）可为失语症患者提供一系列益处，并支持其长期的社会心理福祉。然而，以言语治疗师为主导的服务提供模式在范围上存在固有局限性。同伴主导的小组作为传统模式的可持续和赋权延伸具有潜力。实施同伴主导的模式可能需要有针对性的培训和支持，但对于 CAG 促进者的特征和影响知之甚少。本研究回顾了关于 CAG 及其促进者的文献。
我们对该主题进行了范围性审查。
共纳入 177 篇文献，报道了各种不同的活动。大多数文献报道了言语治疗师主导的小组，但也有多种替代模式。虽然没有研究直接比较不同促进模式的影响，但可以从文献中得出一些比较性的益处。促进工作被认为是复杂且具有挑战性的，促进者的培训也存在明显的差距。有 10 项定性研究调查了促进者行为的特征和影响，为未来开发培训和评估工具提供了有用的基础。
进一步研究替代的促进模式和促进者培训需求，可能会支持高质量 CAG 的普及。
社区失语症小组（CAG）在支持慢性失语症患者的身份认同和幸福感方面发挥着重要作用。传统的以言语治疗师为主导的小组服务提供模式在范围上存在局限性；同伴和志愿者主导的 CAG 的加入可能会促进更多的人参与小组，并满足不同失语症患者的一系列不同需求。CAG 的促进是一项复杂且具有挑战性的任务，可能需要专门的培训，但这在促进者中尚未广泛提供。专门的促进者培训的发展可能会支持可持续和高质量 CAG 的普及。
