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Differentiating beyond name agreement for picture naming: insight from age-related selection deficits
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Gender lender: noun borrowings between Jingulu and Mudburra in northern Australia
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A three-arm randomized controlled trial of Lidcombe Program and Westmead Program early stuttering interventions
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RELEASE: a protocol for a systematic review based, individual participant data, meta- and network meta-analysis, of complex speech-language therapy interventions for stroke-related aphasia
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Help-seeking and people with aphasia who have mood problems after stroke: perspectives of speech-language pathologists
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Brain activity during spoken word recognition in subacute aphasia
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Juggling identities in interviews: the metapragmatics of ‘doing humour’
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Current practice and barriers and facilitators to outcome measurement in aphasia rehabilitation: a cross-sectional study using the theoretical domains framework
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A how-to guide to aphasia services: celebrating Professor Linda Worrall’s contribution to the field
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Beyond the statistics: a research agenda in aphasia awareness
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The use and impact of a supported aphasia-friendly photo menu tool on iPads in the inpatient hospital setting: a pilot study
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What are the usual assessment practices in adult non-progressive dysarthria rehabilitation? A survey of Australian dysarthria practice patterns
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Conversations between people with aphasia and speech pathology students via telepractice: a Phase II feasibility study
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Eliciting naturalistic conversations: a method for assessing communication ability, subjective experience, and the impacts of noise and hearing impairment
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Implementing aphasia recommendations in the acute setting: speech-language pathologists’ perspectives of a behaviour change intervention
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Abstract:
Background: Evidence-practice gaps have been identified in the implementation of post-stroke aphasia guideline recommendations. To address this, an implementation intervention tailored to local barriers was developed to target speech-language pathologists' implementation of two aphasia recommended management guidelines in the acute setting (targeting either information provision or collaborative goal setting). A qualitative process evaluation is recommended to understand the mechanisms of action and how context affects the implementation outcomes. Aims: This study aimed to understand the nature of the impact of an implementation intervention as perceived by the speech-language pathologists who participated in a pilot cluster randomised controlled trial (AAIMS). Speech-language pathologists' perceptions of the feasibility, acceptability, and potential effectiveness of the tailored implementation interventions were investigated. Methods & Procedures: Focus groups were conducted with speech-language pathologists (n = 19) as part of the process evaluation, after they completed the implementation interventions at four acute hospital sites. Focus groups explored speech-language pathologists' perceptions of the feasibility, acceptability, and potential effectiveness of the implementation strategy. Using content analysis, the qualitative data were analysed to determine themes. Outcomes & Results: Six interrelated themes were identified including the acute speech-language pathologists': (1) understanding of the workshop facilitators; (2) perceptions of the impact of the workshop on clinical practice; (3) understanding of facilitators for implementation of aphasia recommendations; (4) perceived challenges impacting the workshop and implementation; (5) perceived change in practice; and (6) understanding of the focus group acting as a follow-up reflective opportunity. The findings provide support for the perceived efficacy of the implementation intervention, key explanations for its perceived success, and areas for improved implementation processes for the future. Conclusions: This study highlights speech-language pathologists' perspectives regarding facilitators, barriers, and potential mechanisms for change. Implementation interventions should be embedded in context with consideration of local barriers and facilitators. Findings included identification of key intervention components - such as, interactive workshops, accessible resources, reminders, and follow-up - which provide direction to future implementation interventions in acute aphasia management.
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Keyword:
1203 Language and Linguistics; 2728 Clinical Neurology; 2733 Otorhinolaryngology; 2808 Neurology; 2912 LPN and LVN; 3204 Developmental and Educational Psychology; 3310 Linguistics and Language; Evidence-base practice; Implementation science; Qualitative research; Speech-language pathologists; Stroke
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URL: https://espace.library.uq.edu.au/view/UQ:0a42f31
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Characterising postgraduate students’ corpus query and usage patterns for disciplinary data-driven learning
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In-Clinic and Standalone Internet Cognitive Behavior Therapy Treatment for Social Anxiety in Stuttering: A Randomized Trial of iGlebe
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Family-centered care in aphasia: Assessment of third-party disability in family members with the family aphasia measure of life impact
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‘It was really dark’: the experiences and preferences of people with aphasia to manage mood changes and depression
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