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41
Factors that influence Australian speech-language pathologists’ self-reported uptake of aphasia rehabilitation recommendations from clinical practice guidelines
Abstract: Background: There are clinical practice guidelines for speech-language pathologists' aphasia management practices. However, reported adherence to aphasia guideline recommendations is variable. The barriers and facilitators to meeting aphasia management recommendations are not well understood. In order to develop theory-informed strategies to improve implementation of aphasia management practices, a better understanding of these barriers and facilitators is required.Aims: This study aimed to describe barriers and facilitators to speech-language pathologists' uptake and implementation of five prioritised recommended practices for aphasia management.Methods & Procedures: An online survey sought information from Australian speech-language pathologists working with clients with aphasia. The survey focused on five practices including goal setting, information provision, constraint-induced language therapy, timing, and intensity of intervention. The Theoretical Domains Framework was used to design the survey, with several statements generated about factors influencing practice for each domain.Outcomes & Results: Surveys were completed by 63 respondents. The theoretical domain environmental context and resources (e.g., I have insufficient time to engage in.) was the main perceived barrier for the majority of practices being investigated, whilst the theoretical domain social/professional role and identity (e.g., It is part of my role with the multidisciplinary stroke team to engage in.) was the main perceived implementation facilitator for all practices. The top three barriers and facilitators varied for each of the five recommended practices being investigated. Across clinical settings, there were commonalities and differences in the perceived barriers and facilitators to implementation. There was a significant correlation between self-reported uptake of all of the aphasia rehabilitation recommendations we investigated and participants' total barrier scores. Total barrier scores were also significantly different between clinical settings in the area of goal setting, with acute settings having a higher number of reported barriers to goal setting than rehabilitation settings (p=0.011).Conclusions: Implementation interventions that seek to overcome the barriers of environmental context and resources (time, competing priorities and resources) are likely to have the most effect on aphasia best practice uptake. Encouraging behaviour change in the social professional role and identity domain by emphasising the role of the speech-language pathologist in aphasia rehabilitation within the multidisciplinary stroke team should further improve uptake of recommended practices. At a local level, departments or individual speech pathologists need to identify their own barriers and facilitators and choose effective implementation interventions using the Behaviour Change Wheel. Both strategies should help close the evidence-practice gap in aphasia rehabilitation.
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; Aphasia rehabilitation recommendations; Australian speech-language pathologists; Barriers; Clinical practice guidelines; Facilitators
URL: https://espace.library.uq.edu.au/view/UQ:726882
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42
Links among parents' mental state language, family socioeconomic status, and preschoolers' theory of mind development
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43
Assessing the accuracy of perceptions of intelligence based on heritable facial features
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44
The effects of teacher-introduced multimodal representations and discourse on students’ task engagement and scientific language during cooperative, inquiry-based science
Gillies, Robyn M.; Baffour, Bernard. - : Springer Netherlands, 2017
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45
Opposite ERP effects for conscious and unconscious semantic processing under continuous flash suppression
Yang, Yung-Hao; Zhou, Jifan; Li, Kuei-An. - : Academic Press, 2017
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46
Prevalence of anxiety in people with aphasia after stroke
Morris, Reg; Eccles, Alicia; Ryan, Brooke. - : Routledge, 2017
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47
Which treatment outcomes are most important to aphasia clinicians and managers? An international e-Delphi consensus study
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48
A pre–post intervention study investigating the confidence and knowledge of health professionals communicating with people with aphasia in a metropolitan hospital
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49
Discourse measurement in aphasia research: have we reached the tipping point? A core outcome set … or greater standardisation of discourse measures?
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50
Current evidence for automatic Theory of Mind processing in adults
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51
Young children's tool innovation across culture: Affordance visibility matters
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52
Right away: A late, right-lateralized category effect complements an early, left-lateralized category effect in visual search
Constable, Merryn D.; Becker, Stefanie I.. - : Springer New York LLC, 2017
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53
Dysphagia and Speech-Language Pathology Involvement Following Chemical Ingestion Injury: A Review of 44 Cases Admitted to a Quaternary Australian Hospital (2008-2012)
Rumbach, Anna F.; Cremer, Rebecca. - : American Speech-Language-Hearing Association, 2017
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54
A relationship between early language skills and adult autistic-like traits: evidence from a longitudinal population-based study
Armstrong, Rebecca; Whitehouse, Andrew J. O.; Scott, James G.. - : Springer New York LLC, 2017
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55
Moderating effects of maternal emotional availability on language and cognitive development in toddlers of mothers exposed to a natural disaster in pregnancy: The QF2011 Queensland Flood Study
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56
Attentional asymmetry between visual hemifields is related to habitual direction of reading and its implications for debate on cause and effects of dyslexia
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57
Creating spaces for children’s agency: ‘I wonder…’ formulations in teacher–child interactions
Houen, Sandy; Danby, Susan; Farrell, Ann. - : Springer Netherlands, 2016
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58
Examining non-syndromic autosomal recessive intellectual disability (NS-ARID) genes for an enriched association with intelligence differences
Hill, W. D.; Davies, G.; Liewald, D. C.. - : Elsevier, 2016
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59
A facial expression of pax: assessing children's "recognition" of emotion from faces
Nelson, Nicole L.; Russell, James A.. - : Academic Press, 2016
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60
Visual-motor integration performance in children with severe specific language impairment
Nicola, K.; Watter, P.. - : Wiley-Blackwell Publishing, 2016
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