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

Trebilcock, M; Worrall, L; Ryan, B; Shrubsole, K; Jagoe, C; Simmons-Mackie, N; Bright, F; Cruice, M; Pritchard, M; Le Dorze, G

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

Trebilcock, M Worrall, L Ryan, B

Shrubsole, K Jagoe, C Simmons-Mackie, N Bright, F Cruice, M Pritchard, M Le Dorze, G

Permalink

Publisher:: ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
Publication Type:: Journal Article
Citation:: Aphasiology, 2019, 33, (7), pp. 865-887
Issue Date:: 2019-07-03

Closed Access

	Filename	Description	Size
	Increasing the intensity and comprehensiveness of aphasia services identification of key factors influencing implementation across six countries.pdf	Published version	2.45 MB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Trebilcock, M
dc.contributor.author	Worrall, L
dc.contributor.author	Ryan, B https://orcid.org/0000-0002-6053-7614
dc.contributor.author	Shrubsole, K
dc.contributor.author	Jagoe, C
dc.contributor.author	Simmons-Mackie, N
dc.contributor.author	Bright, F
dc.contributor.author	Cruice, M
dc.contributor.author	Pritchard, M
dc.contributor.author	Le Dorze, G
dc.date.accessioned	2022-09-11T08:21:38Z
dc.date.available	2022-09-11T08:21:38Z
dc.date.issued	2019-07-03
dc.identifier.citation	Aphasiology, 2019, 33, (7), pp. 865-887
dc.identifier.issn	0268-7038
dc.identifier.issn	1464-5041
dc.identifier.uri	http://hdl.handle.net/10453/161655
dc.description.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.
dc.language	English
dc.publisher	ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
dc.relation.ispartof	Aphasiology
dc.relation.isbasedon	10.1080/02687038.2019.1602860
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1109 Neurosciences, 1702 Cognitive Sciences
dc.subject.classification	Speech-Language Pathology & Audiology
dc.title	Increasing the intensity and comprehensiveness of aphasia services: identification of key factors influencing implementation across six countries
dc.type	Journal Article
utslib.citation.volume	33
utslib.for	1103 Clinical Sciences
utslib.for	1109 Neurosciences
utslib.for	1702 Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2022-09-11T08:21:16Z
pubs.issue	7
pubs.publication-status	Published
pubs.volume	33
utslib.citation.issue	7

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.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/161655