Aphasia rehabilitation in Australia: current practices, challenges and future directions

Rose, Miranda, Ferguson, Alison, Power, Emma, Togher, Leanne and Worrall, Linda (2014) Aphasia rehabilitation in Australia: current practices, challenges and future directions. International Journal of Speech-Language Pathology, 16 2: 169-180. doi:10.3109/17549507.2013.794474

Author Rose, Miranda
Ferguson, Alison
Power, Emma
Togher, Leanne
Worrall, Linda
Title Aphasia rehabilitation in Australia: current practices, challenges and future directions
Journal name International Journal of Speech-Language Pathology   Check publisher's open access policy
ISSN 1754-9507
Publication date 2014-04-01
Year available 2014
Sub-type Article (original research)
DOI 10.3109/17549507.2013.794474
Open Access Status Not yet assessed
Volume 16
Issue 2
Start page 169
End page 180
Total pages 12
Place of publication London, United Kingdom
Publisher Informa Healthcare
Language eng
Subject 2922 Research and Theory
2733 Otorhinolaryngology
1203 Language and Linguistics
3616 Speech and Hearing
2912 LPN and LVN
Abstract This study reports on current aphasia rehabilitation practices of speech-language pathologists in Australia. A 30-item web-based survey targeted approaches to aphasia rehabilitation, education, discharge, follow-up practices, counselling, interventions to improve communication access, community aphasia support services, and challenges to practice. One hundred and eighty-eight surveys were completed representing ~ 33% of the potential target population, with 58.5% urban and 41.5% rural participants across all states and territories. Respondents reported embracing a wide variety of approaches to aphasia rehabilitation; however, significant challenges in providing aphasia management in acute and residential care were identified. Low levels of knowledge and confidence were reported for both culturally and linguistically diverse clients and discourse approaches. Group and intensive services were under-utilized and clinicians reported inflexible funding models as major barriers to implementation. Few clinicians work directly in the community to improve communicative access for people with aphasia. Despite the chronic nature of aphasia, follow-up practices are limited and client re-entry to services is restricted. Counselling is a high frequency practice in aphasia rehabilitation, but clinicians report being under-prepared for the role. Respondents repeatedly cited lack of resources (time, space, materials) as a major challenge to effective service provision. Collective advocacy is required to achieve system level changes.
Keyword Aphasia
Q-Index Code C1
Q-Index Status Confirmed Code
Grant ID 569935
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Health and Rehabilitation Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 23 times in Thomson Reuters Web of Science Article | Citations
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