Background: Anxiety is common after stroke and associated with poorer recovery. People aphasia are typically excluded from studies of anxiety prevalence so the number those affected unclear.Aims: To make a preliminary estimate significant in people stroke.Methods & Procedures: Carers to community-dwelling stroke, N = 111, completed Behavioural Outcomes scale (BOA), modified Hospital Depression Scale – sub-scale (HADS-A), Generalised Disorder-7 item (GAD-7) determine presence person for whom...

Background: People with aphasia are at high risk of depression the majority fulfilling diagnostic criteria up to one year post-stroke. There is a lack psychological care prevent and treat address communication disability associated aphasia. Translating framework stepped after stroke may potentially treatment gaps improve rehabilitation outcomes. This multidisciplinary usually composed level 1 4 interventions that match person's need severity symptoms. However, perspectives people regarding...

People with aphasia and their family members are at high risk of experiencing post stroke depression. The impact early interventions on mood quality life for people is unknown.

Background: People with post-stroke aphasia commonly experience mental health conditions, depression having a high prevalence. An understanding of current practice may inform ways to improve psychological care for people aphasia.Aim: To explore managing after from the perspective stroke professionals.Method: Five semi-structured focus groups were conducted 39 professionals across continuum. Focus transcribed verbatim and analyzed using method Interpretive Description.Results: Analysis...

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

Emotional and psychological well-being are essential to overall health, but there is little research showing how approach emotional concerns in the audiological setting. This study investigated audiologists' self-reported clinical behaviors response and/or symptoms raised by audiology clients.A sample of 83 Australia-based audiologists completed a survey including vignettes presenting older adults with hearing loss experiencing consistent either depression or grief. Content analysis was used...

Purpose Emotional and mental health is essential to overall health, but there has been little research on how approach emotional in the audiology setting. This study provides a preliminary investigation into current knowledge, beliefs, practices of Australian audiologists addressing needs adults with hearing loss. Method A 22-item survey using open- closed-ended questions was completed by 95 cross-sectional design. Results Two thirds described being underconfident lacking skills required...

Digital mental health interventions (DMHIs) offer a promising alternative or adjunct treatment method to face-to-face treatment, overcoming barriers associated with stigma, access, and cost. This project is embedded in user experience co-design enhance the potential acceptability, usability integration of digital platforms into youth services.To platform that provides self-directed, tailored, modularised for young people aged 7-17 years experiencing anxiety, depression other related...

Background People with aphasia experience depression and anxiety associated negative outcomes across a range of time post-stroke. Stroke clinicians are well-positioned to facilitate low-intensity psychotherapeutic interventions after (e.g. mood screening, behavioural activation, problem-solving therapy, relaxation therapy); however, they self-report lack knowledge, skills confidence do so. The Theoretical Domains Framework (TDF) provides lens through which view target clinician behaviours...

The purpose of the study was to explore perceptions audiologists about role family members in hearing rehabilitation for older adults with impairment (HI), influence member involvement on outcomes, and factors affecting members' involvement.A qualitative descriptive research undertaken. Using a purposeful sampling strategy, 9 were recruited. Audiologists participated individual semistructured interviews. Interview transcripts analyzed using thematic analysis, process checking used enhance...

Background: Speech-language pathologists (SLPs) measure outcomes to gauge the impact of their interventions and inform best care for clients. Previous research has explored outcome measurement practices in aphasia rehabilitation, however factors driving clinician behaviour have not been examined.Aim: To explore current clinical practice perceived barriers facilitators measurement.Methods Procedures: Australian SLPs who worked clinically with people completed a cross-sectional online survey....

Background Concomitant aphasia and depression after stroke is highly prevalent, but there a lack of psychological care in rehabilitation for people with family members. Evidence-based frameworks such as stepped may be viable, the barriers facilitators to translating this framework into practice are unknown.Aim The aim study was identify, from perspective health professionals, implementing post-stroke aphasia.Method Five semi-structured focus groups professionals were conducted (n = 39)...

Background Clinical practice guidelines and best statements aim to optimise patient outcomes through recommended processes of care. The Aphasia United Best Practice Recommendations were developed provide multi-national best-practice guidance for post-stroke aphasia services. recommendations a multi-stage process which synthesised research evidence the expert opinions clinicians researchers. To date, however, people with lived experience have not contributed their expertise these recommendations.

Background: Speech pathologists work to optimise communication and reduce the emotional social impact of disability in patients with aphasia but need evidence-based interventions effectively do so. Objective: This phase 1 study aims evaluate an Australian speech-pathology-led intervention called Aphasia Action, Success, Knowledge (Aphasia ASK) programme for early post stroke. Methods: A convergent parallel mixed-methods design was utilised. The included up six individual face-to-face...

Abstract Background : Access to treatments for mood disorders may pose a challenge individuals with compromised communication ability. Speech–language pathologists (SLPs) have previously reported that their clients aphasia decline formal psychological support; however, role in clients’ help‐seeking has not been explored. Aims To investigate SLPs’ perspectives on how they currently support problems people and factors perceive be impacting service uptake. Methods & Procedures A qualitative...

Cognitive behavioural therapy (CBT) can effectively treat depression in the general population, but there is a lack of studies evaluating CBT tailored to specific cognitive and communication needs individuals with post-stroke aphasia. We aimed evaluate feasibility preliminary efficacy modified intervention ameliorate depressive symptoms. An ABA withdrawal/reversal single case design concurrent multiple baselines (2.5, 4.5, or 6.5 weeks) was repeated across 10 participants (six male, four...

Many people with aphasia (language impairment post-stroke) want to know their prognosis for recovery, yet current understanding of experience receiving prognoses is limited. Such insight necessary inform clinical practice in formulating and delivering prognoses, especially given the psycho-emotional distress secondary adverse effects on recovery associated conversations about prognosis. We sought an in-depth perspectives relation post-stroke, aim informing evidence-based approach...

Stroke patients with aphasia and their caregivers have higher incidence of depression than those without aphasia.The objective the study is to determine whether a tailored intervention program (Action Success Knowledge; ASK) led better mood quality life (QoL) outcomes an attention control 12-month end point at cluster individual participant level.A multi-site, pragmatic, two-level single-blind randomized controlled trial compared ASK (secondary stroke prevention program). Ten metropolitan 10...

Aphasia, a communication disability commonly caused by stroke, can profoundly affect person’s mood and identity. We explored the experiences of stroke survivors with aphasia depression who received modified cognitive behavioral therapy (CBT)-based psychological intervention. The is manualized flexible treatment protocol, including 10 individually based sessions (+2 booster sessions) either via telehealth or in person. Six participants chronic (60% total sample) participated in-depth...