Feasibility and cost analysis of implementing high intensity aphasia clinics within a sub-acute setting

Wenke, Rachel, Lawrie, Melissa, Hobson, Tania, Comben, Wendy, Romano, Michelle, Ward, Elizabeth and Cardell, Elizabeth (2014). Feasibility and cost analysis of implementing high intensity aphasia clinics within a sub-acute setting. In: Nicole Watts Pappas, Selected papers from the 2013 Speech Pathology Australia National Conference. Speech Pathology Australia 2013 National Conference, Broadbeach, QLD, Australia, (250-259). 23-26 June 2013. doi:10.3109/17549507.2014.887777

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Author Wenke, Rachel
Lawrie, Melissa
Hobson, Tania
Comben, Wendy
Romano, Michelle
Ward, Elizabeth
Cardell, Elizabeth
Title of paper Feasibility and cost analysis of implementing high intensity aphasia clinics within a sub-acute setting
Conference name Speech Pathology Australia 2013 National Conference
Conference location Broadbeach, QLD, Australia
Conference dates 23-26 June 2013
Proceedings title Selected papers from the 2013 Speech Pathology Australia National Conference   Check publisher's open access policy
Journal name International Journal of Speech-Language Pathology   Check publisher's open access policy
Place of Publication London, United Kingdom
Publisher Informa Healthcare
Publication Year 2014
Year available 2013
Sub-type Fully published paper
DOI 10.3109/17549507.2014.887777
Open Access Status File (Author Post-print)
ISSN 1754-9507
1754-9515
Editor Nicole Watts Pappas
Volume 16
Issue 3
Start page 250
End page 259
Total pages 10
Language eng
Formatted Abstract/Summary
The current study explored the clinical feasibility and costs of embedding three different intensive service delivery models for aphasia treatment (computer, group therapy, and therapy with a speech pathology therapy assistant) within three sub-acute facilities. The study employed a two cohort comparison design, with the first cohort (n = 22) receiving the standard service of treatment currently offered. This treatment was delivered by a speech-language pathologist and involved on average 3 hours of treatment/week over 8 weeks. Participants in the second cohort (n = 31) received one of the three intensive treatment models providing up to 9 hours of therapy/week for 11 weeks. Organizational data was collected throughout treatment, with participant, caregiver, and clinician satisfaction with the intensive models also being measured. Participants completed the spoken language production sub-tests and the Disability Questionnaire of the Comprehensive Aphasia Test (CAT) pre- and post-treatment. All intensive models yielded high participant attendance, satisfaction, and significant improvements to the CAT sub-tests. The pro-rata cost of providing treatment per hour per client for the computer and group therapy models was found to be ~ 30% cheaper compared to the standard service. The outcomes support the potential feasibility of embedding the different models into sub-acute facilities to enhance client access to intensive treatment for aphasia.
Keyword Cost-analysis
Aphasia
Intensive treatment
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Presented during the Session "T13 Aphasia 2" as "Embedding high intensity aphasia clinics into Queensland Health: Cost effectiveness and clinical feasibility".

 
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