Aphasia Depression and Psychological Therapy (ADaPT): Perspectives of People with Post-Stroke Aphasia on Participating in a Modified Cognitive Behavioral Therapy.

Baker, C; Thomas, S; Tjokrowijoto, P; Ryan, B; Kneebone, I; Stolwyk, R

Aphasia Depression and Psychological Therapy (ADaPT): Perspectives of People with Post-Stroke Aphasia on Participating in a Modified Cognitive Behavioral Therapy.

Baker, C Thomas, S Tjokrowijoto, P Ryan, B Kneebone, I

Stolwyk, R

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Publisher:: MDPI
Publication Type:: Journal Article
Citation:: Healthcare (Basel), 2024, 12, (7), pp. 771
Issue Date:: 2024-04-02

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Field	Value	Language
dc.contributor.author	Baker, C
dc.contributor.author	Thomas, S
dc.contributor.author	Tjokrowijoto, P
dc.contributor.author	Ryan, B
dc.contributor.author	Kneebone, I https://orcid.org/0000-0003-3324-7264
dc.contributor.author	Stolwyk, R
dc.date.accessioned	2024-08-02T02:40:07Z
dc.date.available	2024-03-29
dc.date.available	2024-08-02T02:40:07Z
dc.date.issued	2024-04-02
dc.identifier.citation	Healthcare (Basel), 2024, 12, (7), pp. 771
dc.identifier.issn	2227-9032
dc.identifier.issn	2227-9032
dc.identifier.uri	http://hdl.handle.net/10453/179991
dc.description.abstract	Aphasia, a communication disability commonly caused by stroke, can profoundly affect a person's mood and identity. We explored the experiences of stroke survivors with aphasia and depression who received a modified cognitive behavioral therapy (CBT)-based psychological intervention. The therapy is manualized with a flexible treatment protocol, including 10 individually based therapy sessions (+2 booster sessions) either via telehealth or in person. Six participants with chronic aphasia (60% of the total sample) participated in in-depth interviews that were analyzed using reflexive thematic analysis. Two core themes were derived from the data: the first theme, helpful elements of therapy-doing enjoyable activities, new ways of thinking, problem solving, working with the experienced therapist, and using telehealth; and the second theme, making progress-mood, communication, acceptance of the 'new me', and improving relationships. All participants found the therapy to be helpful in managing mood problems with various elements being beneficial depending on the individual, highlighting the importance of tailoring the intervention. Therefore, delivering modified CBT to individuals with aphasia is likely to be acceptable both in person and through telehealth. Further evaluation of the intervention and its impact on mood would be beneficial.
dc.format	Electronic
dc.language	eng
dc.publisher	MDPI
dc.relation.ispartof	Healthcare (Basel)
dc.relation.isbasedon	10.3390/healthcare12070771
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	32 Biomedical and clinical sciences
dc.subject.classification	42 Health sciences
dc.title	Aphasia Depression and Psychological Therapy (ADaPT): Perspectives of People with Post-Stroke Aphasia on Participating in a Modified Cognitive Behavioral Therapy.
dc.type	Journal Article
utslib.citation.volume	12
utslib.location.activity	Switzerland
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Clinical Psychology
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2024-08-02T02:40:06Z
pubs.issue	7
pubs.publication-status	Published online
pubs.volume	12
utslib.citation.issue	7

Abstract:

Aphasia, a communication disability commonly caused by stroke, can profoundly affect a person's mood and identity. We explored the experiences of stroke survivors with aphasia and depression who received a modified cognitive behavioral therapy (CBT)-based psychological intervention. The therapy is manualized with a flexible treatment protocol, including 10 individually based therapy sessions (+2 booster sessions) either via telehealth or in person. Six participants with chronic aphasia (60% of the total sample) participated in in-depth interviews that were analyzed using reflexive thematic analysis. Two core themes were derived from the data: the first theme, helpful elements of therapy-doing enjoyable activities, new ways of thinking, problem solving, working with the experienced therapist, and using telehealth; and the second theme, making progress-mood, communication, acceptance of the 'new me', and improving relationships. All participants found the therapy to be helpful in managing mood problems with various elements being beneficial depending on the individual, highlighting the importance of tailoring the intervention. Therefore, delivering modified CBT to individuals with aphasia is likely to be acceptable both in person and through telehealth. Further evaluation of the intervention and its impact on mood would be beneficial.

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http://hdl.handle.net/10453/179991