Department of Speech-Language Pathology, Nova Southeastern University, Ft. Lauderdale, Florida.
Research Speech-Language Pathologist Service, Veterans Affairs Northern California Health Care System, Martinez, California.
Semin Speech Lang. 2024 Aug;45(4):300-318. doi: 10.1055/s-0044-1788624. Epub 2024 Jul 29.
Throughout her career, Audrey Holland advocated for persons with aphasia, urging clinicians and others to view each person in the context of their needs and desires in navigating daily life. In this article, we acknowledge her ideas about functional treatment, and consider their influence on contemporary, activity-focused aphasia treatment. Three criteria define activity-focused treatment: (1) activity-specific goals, (2) personally relevant targets, and (3) near-real-life practice settings. Elements of treatment design, activities, and outcome measurement described here exemplify Audrey's beliefs in person-centered clinical aphasiology. Operationalizing treatment elements and designing a context as close to real life as possible are clinical actions that support these beliefs. Activity-focused treatment and other life participation approaches have often been relegated to the s of treatment; following Audrey's example, we advocate with activity-focused treatment based on a client's communication needs and desires. Activity-focused treatment benefits persons with aphasia, their families, clinicians, and other stakeholders by presenting outcomes that reflect communication change in a real-life context and that are individually relevant. Such outcomes foster an individual's inclusion in their communication environments, respect the WHO platform of functional treatment, and prepare a clinician to present outcome data relevant to that individual.
在她的职业生涯中，Audrey Holland 一直倡导为失语症患者提供服务，敦促临床医生和其他人员根据患者在日常生活中导航的需求和愿望来评估每个人。在本文中，我们承认她关于功能治疗的想法，并考虑其对当代以活动为中心的失语症治疗的影响。三个标准定义了以活动为中心的治疗：（1）针对活动的目标，（2）与个人相关的目标，以及（3）接近现实生活的实践环境。这里描述的治疗设计、活动和结果测量的要素体现了 Audrey 对以人为中心的临床失语症学的信念。实现治疗要素的操作性和设计尽可能接近现实生活的环境是支持这些信念的临床行动。以活动为中心的治疗和其他生活参与方法常常被降级为治疗的 s 层面；效仿 Audrey 的榜样，我们根据患者的沟通需求和愿望，提倡基于以活动为中心的治疗。以活动为中心的治疗使失语症患者、他们的家人、临床医生和其他利益相关者受益，因为它提供了反映现实生活环境中沟通变化的结果，并且是与个人相关的。这些结果促进了个人在其沟通环境中的融入，尊重世卫组织的功能治疗平台，并使临床医生能够呈现与该个人相关的结果数据。
