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- 검색키워드
- 저자 : Jean Neils-Strunjas (검색결과 2 건)
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Current Practices in the Assessment of Quality of Life in Individuals with Aphasia
K. Leigh Morrow-Odom,Dana C. Moser,Jean Neils-Strunjas 한국언어재활사협회 2017 Clinical Archives of Communication Disorders Vol.2 No.2
Purpose: The purpose of this study was to determine how speech-language pathologists (SLPs) in the United States are implementing recommendations regarding the assessment of quality of life (QoL) in persons with aphasia (PWA). Methods: A brief, anonymous survey was made available online using a web-based survey platform. Questions addressed demographics, training, importance of QoL assessment, current patterns of clinical practice, and perception of barriers. Data reported included frequency counts and percentages. Results: Sixty-two SLPs completed the survey in-part or in-full. The data suggest that the participants appreciate the importance of addressing QoL in PWA. Most participants indicated receiving instruction on QoL assessment in an academic setting, and about half reported completing continuing education on the topic. Interview and observation were most often used as the method of assessment, and few indicated using published measures. Information was elicited from a variety of sources, and QoL was most often assessed at the beginning and end of treatment, but seldom after discharge. QoL was less often assessed in those with severe and/or global aphasia. The most frequently reported barriers to assessing QoL were lack of training/knowledge and resources. Conclusions: It is hoped that these findings will help facilitate improved clinical care for persons with aphasia by encouraging SLPs to utilize currently available tools for assessing QoL in PWA and work to develop other tools and strategies for conducting QoL assessments throughout the rehabilitation process, including into the chronic stage of recovery, in order to optimize recovery.
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Sigfus Kristinsson,Dirk B. den Ouden,Chris Rorden,Roger Newman-Norlund,Jean Neils-Strunjas,Julius Fridriksson 대한뇌졸중학회 2022 Journal of stroke Vol.24 No.2
Chronic aphasia, a devastating impairment of language, affects up to a third of stroke survivors. Speech and language therapy has consistently been shown to improve language function in prior clinical trials, but few clinicially applicable predictors of individual therapy response have been identified to date. Consequently, clinicians struggle substantially with prognostication in the clinical management of aphasia. A rising prevalence of aphasia, in particular in younger populations, has emphasized the increasing demand for a personalized approach to aphasia therapy, that is, therapy aimed at maximizing language recovery of each individual with reference to evidence-based clinical recommendations. In this narrative review, we discuss the current state of the literature with respect to commonly studied predictors of therapy response in aphasia. In particular, we focus our discussion on biographical, neuropsychological, and neurobiological predictors, and emphasize limitations of the literature, summarize consistent findings, and consider how the research field can better support the development of personalized aphasia therapy. In conclusion, a review of the literature indicates that future research efforts should aim to recruit larger samples of people with aphasia, including by establishing multisite aphasia research centers.
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