The speech and language therapist’s role in supporting decision-making for people with aphasia: an international cross-sectional survey
Rattachement africain : gb, hk, Afrique du Sud, ca, nl, pt, us, gr, dk. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
PURPOSE: This is the first study to describe how speech and language therapists (SLTs) support people with aphasia during decision-making conversations and mental capacity assessments across countries. METHODS: Convergent mixed methods design involving a descriptive, cross-sectional online survey. The survey was disseminated via social media and professional networks across the six World Health Organisation Regions. Data were analysed using descriptive statistics and qualitative content analysis. RESULTS: One hundred ninety-five SLTs from 32 countries responded. Most respondents, especially those working in inpatient settings, had supported people with aphasia to make decisions as part of a general conversation or had enabled other professionals to provide decision-making support, including during capacity assessments. Fewer had been involved directly in capacity assessments. To do this work, respondents made use of different resources and methods to facilitate communication about decisions and information and practical support from family members and other professionals. Respondents identified a range of barriers and facilitators to practice, relating to multidisciplinary collaboration, the scope of practice for the SLT role, and access to sufficient time, education and guidance. CONCLUSIONS: Across countries, decision-making support for people with aphasia varies. Future research should explore clinical pathways and multidisciplinary training that might facilitate decision-making support for this group. Implications for rehabilitationThis study is the first to investigate how speech and language therapists (SLTs) around the world support people with aphasia to make decisions and take part in mental capacity assessments.There are barriers to SLTs being able to provide this support, for example, other disciplines not seeking their involvement in decision-making processes.When people with aphasia do not receive communication support to engage in decision-making, rehabilitation and care processes are less likely to be patient-centred.Providing education to the multidisciplinary team about communication disability, decision-making and the SLT role and improved collaborative working processes may enable more people with aphasia to receive support.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- The speech and language therapist’s role in supporting decision-making for people with aphasia: an international cross-sectional survey
- Date Crossref
- 10/05/2026
- Éditeur
- Informa UK Limited
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Manchester Metropolitan University Department of Health Professions pays non établi dans la noticeUniversité ou école supérieure
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Hong Kong Polytechnic University pays non établi dans la noticeUniversité ou école supérieure
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University of Pretoria Centre for Augmentative and Alternative Communication University of Pretoria, Afrique du Sud (code pays fourni par la source)Université ou école supérieure
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University of Toronto Aphasia Institute pays non établi dans la noticeUniversité ou école supérieure
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Pro Persona pays non établi dans la noticeInstitution
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University of Essex pays non établi dans la noticeUniversité ou école supérieure
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University of Aveiro pays non établi dans la noticeUniversité ou école supérieure
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Shirley Ryan AbilityLab Center for Aphasia Research and Treatment and Donnelley Ethics Program pays non établi dans la noticeÉtablissement de santé
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RR Donnelley (United States) pays non établi dans la noticeEntreprise
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Education University of Hong Kong pays non établi dans la noticeUniversité ou école supérieure
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University of Hong Kong pays non établi dans la noticeUniversité ou école supérieure
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Alzheimer's Association pays non établi dans la noticeOrganisation à but non lucratif
Department of Health Professions — Manchester Metropolitan University, Hong Kong Polytechnic University et Centre for Augmentative and Alternative Communication — University of Pretoria (University of Pretoria, Afrique du Sud), avec 9 autres affiliations. Pays d’affiliation : Afrique du Sud.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.