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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
	D’Souza, Sarah; Godecke, Erin; Ciccone, Natalie; Hersh, Deborah J; Armstrong, Elizabeth; Tucak, Claire; Janssen, Heidi
	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
	D'Souza, Sarah; Hersh, Deborah J; Godecke, Erin...
	In: Research outputs 2014 to 2021 (2021)
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3	“You felt like a prisoner in your own self, trapped”: The experiences of Aboriginal people with acquired communication disorders
	Armstrong, Elizabeth; Coffin, Juli; Hersh, Deborah...
	In: Research outputs 2014 to 2021 (2021)
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4	Aphasia management in growing multiethnic populations
	Centeno, José G.; Kiran, Swathi; Armstrong, Elizabeth
	In: Research outputs 2014 to 2021 (2020)
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5	Epilogue: Harnessing the experimental and clinical resources to address service imperatives in multiethnic aphasia caseloads
	Centeno, José G.; Armstrong, Elizabeth; Kiran, Swathi
	In: Research outputs 2014 to 2021 (2020)
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6	Information, communication, advocacy, and complaint: how the spouse of a man with aphasia managed his discharge from hospital
	Hersh, Deborah; Armstrong, Elizabeth
	In: Research outputs 2014 to 2021 (2020)
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7	A randomized control trial of intensive aphasia therapy after acute stroke: The Very Early Rehabilitation for SpEech (VERSE) study
	Godecke, Erin; Armstrong, Elizabeth; Rai, Tapan...
	In: Research outputs 2014 to 2021 (2020)
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8	A multimodal analysis of enactment in everyday interaction in people with aphasia
	Armstrong, Elizabeth; Groenewold, Rimke
	In: Research outputs 2014 to 2021 (2019)
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9	The challenges of consensus and validity in establishing core outcome sets
	Armstrong, Elizabeth
	In: Research outputs 2014 to 2021 (2018)
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10	Communication access: Is there some common ground between the experiences of people with aphasia and speakers of English as an additional language?
	Taylor, S. Caroline; Armstrong, Elizabeth; Booth, Susan...
	In: Research outputs 2014 to 2021 (2018)
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11	The effects of enactment on communicative competence in aphasic casual conversation: a functional linguistic perspective
	Armstrong, Elizabeth; Groenewold, Rimke
	In: Research outputs 2014 to 2021 (2018)
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12	Informal aphasia assessment, interaction and the development of the therapeutic relationship in the early period after stroke
	Armstrong, Elizabeth; Wood, Penelope; Hersh, Deborah
	In: Research outputs 2014 to 2021 (2017)
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13	Intercultural aphasia: new models of understanding for Indigenous populations
	Armstrong, Elizabeth; Penn, Claire
	In: Research outputs 2014 to 2021 (2017)
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14	Decolonizing speech-language pathology practice in acquired neurogenic disorders
	Godecke, Erin; Penn, Claire; Lewis, Abigail...
	In: Research outputs 2014 to 2021 (2017)
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15	“Ward Talk”: Nurses’ interaction with people with and without Aphasia in the very early period poststroke
	Godecke, Erin; Armstrong, Elizabeth; Burnhardt, Julie...
	In: Research outputs 2014 to 2021 (2016)
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16	Speech pathologists' experience of involving clients with stroke-induced aphasia in clinical decision making during rehabilitation
	Berg, Karianne; Rise, Marit By; Balandin, Susan...
	In: Research outputs 2014 to 2021 (2016)
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17	Speech pathologists' experience of involving people with stroke-induced aphasia in clinical decision making during rehabilitation
	Balandin, Susan; Rise, Marit By; Armstrong, Elizabeth. - : Informa Healthcare, 2016
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18	A randomized controlled trial of very early rehabilitation in speech after stroke
	Godecke, Erin; Armstrong, Elizabeth; Rai, Tapan...
	In: Research outputs 2014 to 2021 (2016)
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19	Study Protocol: Missing Voices – Communication Difficulties after Stroke and Traumatic Brain Injury in Aboriginal Australians
	Armstrong, Elizabeth; Hersh, Deborah; Katzenellenbogen, Judith M....
	In: Research outputs 2014 to 2021 (2015)
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20	Living with aphasia : three indigenous Australian stories
	Hayward, Colleen; Fraser, Joan; Hersh, Deborah...
	In: International journal of speech language pathology. - Abingdon : Informa Healthcare 14 (2012) 3, 271-280
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