School of Audiology and Speech Sciences, Faculty of Medicine, The University of British Columbia, Vancouver, Canada.
School of Audiology and Speech Sciences, Faculty of Medicine, The University of British Columbia, Vancouver, Canada.
J Commun Disord. 2023 May-Jun;103:106334. doi: 10.1016/j.jcomdis.2023.106334. Epub 2023 Apr 26.
The ultimate aim of speech-language therapy for adults with aphasia is to enhance their life participation. One key factor which may influence an individual's decisions to participate in meaningful life activities is their confidence in communication. The aim of the current study was to explore what helps confidence in communication from the perspective of adults with aphasia.
The study, part of a larger investigation, used a qualitative descriptive research approach underpinned by an interpretivist paradigm. Fifteen adult participants who had post-stroke aphasia and lived at home or in long-term care were recruited. Due to COVID-19 restrictions, participants had to be able to complete an online qualitative interview, given conversational support. Maximum variation sampling was used to ensure diversity within the sample. The researchers conducted individual interviews over Zoom based on a topic guide exploring the person's experiences with confidence in communicating and their perceptions about what has helped their confidence in communication since the onset of aphasia. The interviews were video-recorded and transcribed verbatim. The transcripts were analyzed using qualitative content analysis.
Categories of what helps confidence in communication included: Attitudes, Advocating for themselves, Having individualized strategies to deal with communication difficulties, Practicing communication, Other people with aphasia (PWA), Factors related to communication partners, Factors related to the communication context, and Other factors.
To enhance confidence, speech-language pathologists could help PWA to develop strategies to deal with inevitable communication breakdowns. They could also support PWA to experience communication success in everyday situations and to advocate for themselves.
成人失语症患者言语治疗的最终目标是提高他们的生活参与度。影响个体参与有意义的生活活动的决定的一个关键因素是他们对沟通的信心。本研究的目的是从失语症成年人的角度探讨是什么有助于沟通信心。
该研究是一项更大规模调查的一部分，采用定性描述性研究方法，并以解释主义范式为基础。招募了 15 名患有中风后失语症且居住在家庭或长期护理机构的成年参与者。由于 COVID-19 限制，参与者必须能够完成在线定性访谈，并在对话支持下完成。采用最大变异抽样法确保样本的多样性。研究人员根据一个主题指南，通过 Zoom 进行了个体访谈，该指南探讨了个人在沟通中自信的经验以及他们对自失语症发作以来有助于增强沟通信心的看法。访谈进行了视频录制并逐字转录。使用定性内容分析对转录本进行分析。
有助于增强沟通信心的类别包括：态度、为自己辩护、拥有个性化的策略来应对沟通困难、练习沟通、其他失语症患者 (PWA)、与沟通伙伴相关的因素、与沟通环境相关的因素以及其他因素。
为了增强信心，言语治疗师可以帮助 PWA 制定策略来应对不可避免的沟通障碍。他们还可以支持 PWA 在日常情况下体验沟通成功，并为自己辩护。
