Goodhew Esther, Mayr Robert, Earing Katie, Seckam Abdul
Adult Speech and Language Therapy Department, Cardiff and Vale University Health Board, Cardiff, UK.
Centre for Speech, Hearing and Communication Research, Cardiff School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK.
Int J Lang Commun Disord. 2025 Jan-Feb;60(1):e13143. doi: 10.1111/1460-6984.13143.
There is a growing body of evidence showing the value of community singing-based rehabilitation on psychosocial well-being and communication for people with post-stroke communication impairment (PSCI). However, there has been little consideration of the potential value an inpatient aphasia-friendly choir may have through the perspective of the stroke multidisciplinary team (MDT).
To explore the experiences and views of the MDT on the role an established inpatient aphasia-friendly choir, at a stroke rehabilitation centre in South Wales, UK, may play in the rehabilitation of people with PSCI.
METHODS & PROCEDURES: Eight participants were recruited from the stroke rehabilitation centre's MDT. Semi-structured interviews were conducted and the verbatim transcripts were analysed using thematic analysis according to Braun and Clark's work of 2006.
OUTCOMES & RESULTS: Four main themes were identified: (1) breaking down social isolation barriers; (2) patient voice and patient choice; (3) collective well-being and engagement; and (4) the therapeutic benefits across the MDT. The experiences and perceptions overlap, highlighting the wide-reaching therapeutic benefits of singing collaboratively.
CONCLUSIONS & IMPLICATIONS: This research enables us to discover more about how the inpatient aphasia-friendly choir may enhance an individual's well-being, communication and confidence, and their overall rehabilitation from the MDT's perspective. By increasing our understanding of which aspects of the aphasia-friendly choir are most valued, future choir sessions can be better tailored to patients' needs. Additionally, the findings presented here could be taken forward and included in future speech and language therapy interventions, leading to increased patient ownership, not only of the choir but also of their other therapy goals.
What is already known on this subject Previous research suggests positive implications for therapeutic collaborative singing on psychosocial well-being and communication for people with PSCI. There has been little consideration of the potential value an inpatient aphasia-friendly choir may have through the lens of the stroke MDT. The aim of this research was to explore the experiences and views of the MDT on the role an established inpatient aphasia-friendly choir may play in the rehabilitation of people with PSCI. What this paper adds to the existing knowledge This research highlights the benefits of an inpatient aphasia-friendly choir for an individual's well-being, communication and confidence. An increased understanding enables future choir sessions to be better tailored to patients' needs. What are the potential or actual clinical implications of this work? Participating in the choir was felt to offer an increased opportunity for functional therapy goals in an inpatient setting. The MDT frequently discussed the choir's ability to 'normalise' therapeutic approaches for the patients. A greater understanding of the choir participants empowers therapists to personalise therapy plans further, facilitating effectiveness, efficiency and holistic practice.
越来越多的证据表明，基于社区歌唱的康复对中风后沟通障碍（PSCI）患者的心理社会福祉和沟通能力具有重要价值。然而，从中风多学科团队（MDT）的角度来看，很少有人考虑住院失语友好合唱团可能具有的潜在价值。
探讨英国南威尔士一家中风康复中心的多学科团队对一个已成立的住院失语友好合唱团在PSCI患者康复中所起作用的经验和看法。
从该中风康复中心的多学科团队中招募了8名参与者。进行了半结构化访谈，并根据2006年布劳恩和克拉克的研究，采用主题分析法对逐字记录进行了分析。
确定了四个主要主题：（1）打破社会隔离障碍；（2）患者的声音和患者的选择；（3）集体福祉和参与度；（4）跨多学科团队的治疗益处。这些经验和看法相互重叠，突出了合作唱歌所带来的广泛治疗益处。
这项研究使我们能够从多学科团队的角度，更多地了解住院失语友好合唱团如何提高个人的福祉、沟通能力和自信心，以及他们的整体康复情况。通过加深我们对失语友好合唱团最有价值的方面的理解，未来的合唱团活动可以更好地根据患者的需求进行调整。此外，这里呈现的研究结果可以进一步推进，并纳入未来的言语和语言治疗干预中，从而提高患者对合唱团以及其他治疗目标的自主性。
关于该主题的已知信息 先前的研究表明，治疗性合作唱歌对PSCI患者的心理社会福祉和沟通能力具有积极影响。从中风多学科团队的角度来看，很少有人考虑住院失语友好合唱团可能具有的潜在价值。本研究的目的是探讨多学科团队对一个已成立的住院失语友好合唱团在PSCI患者康复中所起作用的经验和看法。本文对现有知识的补充 本研究强调了住院失语友好合唱团对个人福祉、沟通能力和自信心的益处。加深理解有助于未来的合唱团活动更好地根据患者需求进行调整。这项工作的潜在或实际临床意义是什么？参与合唱团被认为为住院患者提供了实现功能治疗目标的更多机会。多学科团队经常讨论合唱团使患者治疗方法“正常化”的能力。对合唱团参与者有更深入的了解，使治疗师能够进一步个性化治疗计划，提高治疗的有效性、效率和整体实践水平。
