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Investigation of the implementation of a communication enhanced environment model on an acute/slow stream rehabilitation and a rehabilitation ward: A before-and-after pilot study
In: Research outputs 2014 to 2021 (2022)
Abstract: Objectives: Develop and implement a Communication Enhanced Environment model and explore its effect on language activities for patients early after stroke. Method and design: Before-and-after pilot study. Setting: An acute/slow stream rehabilitation and a rehabilitation ward in a private hospital in Perth, Western Australia. Participants: Fourteen patients recruited within 21 days of stroke. Seven recruited during the before-phase (control group: patients with aphasia = 3, patients without aphasia = 4) and seven recruited in the after-phase (intervention group: patients with aphasia = 4, patients without aphasia = 3). Intervention: The intervention group exposed to a Communication Enhanced Environment model had access to equipment, resources, planned social activities and trained communication partners. Both groups received usual stroke care. Data collection: Hospital site champions monitored the availability of the intervention. Behavioural mapping completed during the first minute of each 5-minute interval over 12 hours (between 7 am and 7 pm) determined patient engagement in language activities. Results: Seventy-one percent of the Communication Enhanced Environment model was available to the intervention group who engaged in higher, but not significant (95% CI), levels of language activities (600 of 816 observation time points, 73%) than the control group (551 of 835 observation time points, 66%). Unforeseen reorganisation of the acute ward occurred during the study. Conclusions: Implementation of a Communication Enhanced Environment model was feasible in this specific setting and may potentially influence patients’ engagement in language activities. The unforeseen contextual challenges that occurred during the study period demonstrate the challenging nature of the hospital environment and will be useful in future research planning.
Keyword: [RSTDPub]; Aphasia; Medicine and Health Sciences; Psychology; rehabilitation; Rehabilitation and Therapy; Social and Behavioral Sciences; stroke
URL: https://doi.org/10.1177/02692155211032655
https://ro.ecu.edu.au/ecuworkspost2013/11554
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2
Patients’ experiences of a communication enhanced environment model on an acute/slow stream rehabilitation and a rehabilitation ward following stroke: A qualitative description approach
In: Research outputs 2014 to 2021 (2021)
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3
Treatment integrity and differentiation in the very early rehabilitation in SpEech (VERSE) trial
In: Research outputs 2014 to 2021 (2021)
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4
An exploration of aphasia therapy dosage in the first six months of stroke recovery
In: Research outputs 2014 to 2021 (2021)
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5
Behind the therapy door: what is “usual care” aphasia therapy in acute stroke management?
In: Research outputs 2014 to 2021 (2020)
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6
A randomized control trial of intensive aphasia therapy after acute stroke: The Very Early Rehabilitation for SpEech (VERSE) study
In: Research outputs 2014 to 2021 (2020)
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7
Treatment fidelity in aphasia randomised controlled trials
In: Research outputs 2014 to 2021 (2019)
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8
Speech pathology service delivery in the acute hospital setting
In: Research outputs 2014 to 2021 (2016)
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