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1
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)
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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
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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5
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)
Abstract: Background Effectiveness of early intensive aphasia rehabilitation after stroke is unknown. The Very Early Rehabilitation for SpEech trial (VERSE) aimed to determine whether intensive aphasia therapy, beginning within 14 days after stroke, improved communication recovery compared to usual care. Methods Prospective, randomized, single-blinded trial conducted at 17 acute-care hospitals across Australia/New Zealand from 2014 to 2018. Participants with aphasia following acute stroke were randomized to receive usual care (direct usual care aphasia therapy), or one of two higher intensity regimens (20 sessions of either non-prescribed (usual care-plus or prescribed (VERSE) direct aphasia therapy). The primary outcome was improvement of communication on the Western Aphasia Battery-Revised Aphasia Quotient (AQ) at 12 weeks after stroke. Our pre-planned intention to treat analysis combined high intensity groups for the primary outcome. Findings Among 13,654 acute stroke patients screened, 25% (3477) had aphasia, of whom 25% (866) were eligible and 246 randomized to usual care (n = 81; 33%), usual care-plus (n = 82; 33%) or VERSE (n = 83; 34%). At 12 weeks after stroke, the primary outcome was assessed in 217 participants (88%); 14 had died, 9 had withdrawn, and 6 were too unwell for assessment. Communication recovery was 50.3% (95% CI 45.7–54.8) in the high intensity group (n = 147) and 52.1% (95% CI 46.1–58.1) in the usual care group (n = 70; difference −1.8, 95% CI −8.7–5.0). There was no difference between groups in non-fatal or fatal adverse events (p = 0.72). Interpretation Early, intensive aphasia therapy did not improve communication recovery within 12 weeks post stroke compared to usual care.
Keyword: Aphasia; communication; early; Medicine and Health Sciences; rehabilitation; speech; stroke; therapy fidelity
URL: https://ro.ecu.edu.au/ecuworkspost2013/8876
https://ro.ecu.edu.au/cgi/viewcontent.cgi?article=9882&context=ecuworkspost2013
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6
Treatment fidelity in aphasia randomised controlled trials
In: Research outputs 2014 to 2021 (2019)
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7
Speech pathology service delivery in the acute hospital setting
In: Research outputs 2014 to 2021 (2016)
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8
A randomized controlled trial of very early rehabilitation in speech after stroke
In: Research outputs 2014 to 2021 (2016)
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9
Study Protocol: Missing Voices – Communication Difficulties after Stroke and Traumatic Brain Injury in Aboriginal Australians
In: Research outputs 2014 to 2021 (2015)
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10
Carer experiences with rehabilitation in the home: speech pathology services for stroke survivors
In: Research outputs 2014 to 2021 (2014)
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11
A comparison of aphasia therapy outcomes before and after a Very Early Rehabilitation programme following stroke
In: Research outputs 2014 to 2021 (2014)
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12
Amount of therapy matters in very early aphasia rehabilitation after stroke: A clinical prognostic model
In: Research outputs 2013 (2013)
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