Increasing the intensity and comprehensiveness of aphasia services : Identification of key factors influencing implementation across six countries

Journal article


Trebilcock, Megan, Worrall, Linda, Ryan, Brooke, Shrubsole, Kirstine, Jagoe, Caroline, Simmons-Mackie, Nina, Bright, Felicity, Cruice, Madeline, Pritchard, Madeleine and Le Dorze, Guylaine. (2019). Increasing the intensity and comprehensiveness of aphasia services : Identification of key factors influencing implementation across six countries. Aphasiology. 33(7), pp. 865-887. https://doi.org/10.1080/02687038.2019.1602860
AuthorsTrebilcock, Megan, Worrall, Linda, Ryan, Brooke, Shrubsole, Kirstine, Jagoe, Caroline, Simmons-Mackie, Nina, Bright, Felicity, Cruice, Madeline, Pritchard, Madeleine and Le Dorze, Guylaine
Abstract

Background: Aphasia services are currently faced by increasing evidence for therapy of greater intensity and comprehensiveness. Intensive Comprehensive Aphasia Programs (ICAPs) combine these elements in an evidence-based, time-limited group program. The incorporation of new service delivery models in routine clinical practice is, however, likely to pose challenges for both the service provider and administering clinicians. This program of research aims to identify these challenges from the perspective of aphasia clinicians from six countries and will seek to trial potential solutions. Continual advancements in global communication technologies suggest that solutions will be easily shared and accessed across multiple countries.

Aims: To identify the perceived and experienced barriers and facilitators to the implementation of 1) intensive aphasia services, 2) comprehensive aphasia services, and 3) ICAPs, from aphasia clinicians across six countries.

Methods and procedures: A qualitative enquiry approach included data from six focus groups (n = 34 participants) in Australia, New Zealand, Canada, United States of America (USA), United Kingdom (UK), and Ireland. A thematic analysis of focus group data was informed by the Theoretical Domains Framework (TDF).

Outcomes and results: Five prominent theoretical domains from the TDF influenced the implementation of all three aphasia service types across participating countries: environmental context and resources, beliefs about consequences, social/professional role and identity, skills, and knowledge. Four overarching themes assisted the identification and explanation of the key barriers and facilitators: 1. Collaboration, joint initiatives and partnerships, 2. Advocacy, the promotion of aphasia services and evidence-based practice, 3. Innovation, the ability to problem solve challenges, and 4. Culture, the influence of underlying values.

Conclusions: The results of this study will inform the development of a theoretically informed intervention to improve health services’ adherence to aphasia best practice recommendations.

Keywordsaphasia; implementation; ICAP; evidence-based; practice; stroke
Year01 Jan 2019
2019
JournalAphasiology
Journal citation33 (7), pp. 865-887
PublisherRoutledge
ISSN0268-7038
Digital Object Identifier (DOI)https://doi.org/10.1080/02687038.2019.1602860
Scopus EID2-s2.0-85064480821
Open accessPublished as green open access
Research or scholarlyResearch
Page range865-887
Author's accepted manuscript
License
File Access Level
Open
Publisher's version
File Access Level
Controlled
Output statusPublished
Publication dates
Online12 Apr 2019
Publication process dates
Accepted29 Mar 2019
Deposited22 Aug 2022
Permalink -

https://acuresearchbank.acu.edu.au/item/8y26x/increasing-the-intensity-and-comprehensiveness-of-aphasia-services-identification-of-key-factors-influencing-implementation-across-six-countries

Download files


Author's accepted manuscript

Restricted files

Publisher's version

  • 8
    total views
  • 2
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as