A5074525033- Neurobiology of Language and Bilingualism
- Language, Discourse, Communication Strategies
- Interpreting and Communication in Healthcare
- Language, Metaphor, and Cognition
- Language Development and Disorders
- Assistive Technology in Communication and Mobility
- Patient-Provider Communication in Healthcare
- Dementia and Cognitive Impairment Research
- Mental Health and Patient Involvement
- Counseling, Therapy, and Family Dynamics
- Education, Healthcare and Sociology Research
- Dysphagia Assessment and Management
- Stroke Rehabilitation and Recovery
- Spinal Cord Injury Research
- Traumatic Brain Injury Research
- Spinal Dysraphism and Malformations
- EFL/ESL Teaching and Learning
- Palliative Care and End-of-Life Issues
- Hearing Impairment and Communication
- Speech and dialogue systems
- Discourse Analysis in Language Studies
- Health Policy Implementation Science
- Cerebral Palsy and Movement Disorders
- linguistics and terminology studies
- Linguistics, Language Diversity, and Identity
University College London
2016-2025
UK Dementia Research Institute
2023
Google (United States)
2021
Queen Margaret University
1995
Background: A recent review of interaction (or conversation)-focused therapy highlighted the potential programmes targeting person with aphasia (PWA) directly. However, it noted key limitations current work in this field to be a reliance on single case analyses and qualitative evidence change, situation that is not unusual when complex behavioural intervention early stages development evaluation.
Primary progressive aphasia (PPA) is a language-led dementia associated with Alzheimer's pathology and fronto-temporal lobar degeneration. Multiple tailored speech language interventions have been developed for people PPA. Speech therapists/speech-language pathologists (SLT/Ps) report lacking confidence in identifying the most pertinent options relevant to their clients living PPA during illness trajectory.The aim of this study was establish consensus amongst 15 clinical-academic SLT/Ps on...
Conversation therapies employing video for feedback and to facilitate outcome measurement are increasingly used with people post-stroke aphasia their conversation partners; however the evidence base change in everyday interaction remains limited. We investigated effect of Better Conversations Aphasia, an intervention that is freely available online (https:// extend.ucl.ac.uk/). Eight chronic agrammatic aphasia, regular partners participated tailored 8 week program involving significant...
This article reports an intervention in the conversations between a man with chronic aphasia, Barry, and his wife, Louise (both names are pseudonyms). Preintervention analysis revealed potential of writing as resource for turn construction. Intervention consisted enabling Barry to use produce more complete turns at talk, thereby increasing likelihood mutual understanding, encouraging modify her responses Barry's thus enhance interactional potential. Quantitative that significantly increased...
Background A quarter of acute hospital beds are occupied by persons living with dementia, many whom have communication problems. Healthcare professionals lack confidence in dementia skills, but there no evidence-based skills training approaches appropriate for working this context. We aimed to develop and pilot a course that was acceptable useful healthcare professionals, patients their relatives. Methods The developed using conversation analytic findings from video recordings talking the...
Abstract In this article a conversation analytic approach is used to investigate the form and use of enactment by speakers with agrammatic aphasia in talk-in-interaction. Enactment here refers employment participants direct reported speech and/or other behavior such as gesture/body movement prosody iconically depict some aspects scenes or events. The these notable terms distinctive grammatical practices within which it regularly produced (e.g., without any reporting verb say) reliance on...
To assess the extent of UK speech and language therapy engagement in assessment management primary progressive aphasia, determine factors contributing to any shortfall explore a gap research literature on current practices with people aphasia.A 37-item, pilot-tested survey was distributed electronically via clinical networks through Royal College Speech Language Therapists. Survey items included questions intervention approaches, referral numbers demographics, sources access services.One...
Background: There are many validated and widely used assessments within aphasiology. Few, however, describe language life with aphasia from the perspective of person aphasia. Across healthcare, patient experience user involvement increasingly acknowledged as fundamental to person-centred care. As part this movement, Patient Reported Outcome Measures (PROMs) being in service evaluation planning.Aims: This paper reports quantitative aspects a mixed methods study that developed concise PROM,...
There has been a growing focus on functional communication interventions for primary progressive aphasia (PPA). These aim to support individuals participate in life situations. One such intervention, partner training (CPT) aims change conversation behaviours both the person with PPA and their (CP). CPT evidence base stroke aphasia; however, these programmes are not designed meet needs of people difficulties. To address this, authors developed program entitled Better Conversations (BCPPA)...
Abstract Background Global aphasia is a severe communication disorder affecting all language modalities, commonly caused by stroke. Evidence as to whether the functional of people with global (PwGA) can improve after speech and therapy (SLT) limited conflicting. This partly because cognition, which relevant participation in implicated successful communication, be severely impaired aphasia. Cognitive treatments that aim for do exist, but few have been trialled PwGA no studies robustly...
Life with aphasia affects the whole family shorter, less frequent conversations, frustration, reduced social networks, isolation and tension in relationships. Evidence suggests communication partner training (CPT) benefits families. However, expected improvements are poorly articulated. The Aphasia Partnership Training (APT) project aimed to identify target outcomes of a new dyad CPT programme through persons (PWA), member speech language therapist (SLT) consensus. Consensus on desired was...
This paper uses the methodology of conversation analysis (CA) to examine practice co‐constructed turn and utterance production in impaired communication. An investigation conversations between two family dyads, featuring one person with dysarthric speech aphasic language, reveals way which single turns utterances are produced through collaborative activities people interaction. Such a is shown operate without problems for participants or need explicit acceptance by speakers. It proposed that...
Abstract Background & Aims A recent systematic review of conversation training for communication partners people with aphasia has shown that it is effective, and improves participation in chronic aphasia. Other research suggests are better able to learn strategies an environment which closely mirrors expected use, cognitive flexibility may be a predictor response therapy than severity language impairment. This study reports results single case, one case series evaluation programme...
Around a quarter of hospital beds in the UK are occupied by patients living with dementia (PWD), and communication impairments common across all types dementia, often exacerbated environment. Unsurprisingly, healthcare professionals (HCPs) report particular challenges caring for this patient group, whilst trying to recognise value their personhood as per underpinning ethos person-centred care. However, there is growing body research that underlines importance care, far less actually examines...
Primary progressive aphasia (PPA) describes a heterogeneous group of language-led dementias. People with this type dementia are increasingly being referred to speech and language therapy (SLT) services. Yet, there is paucity research evidence focusing on PPA interventions little known about SLT practice in terms assessment provision intervention.To survey the practices SLTs areas intervention for people PPA.A 37-item, pilot-tested was distributed electronically through Royal College Speech...
Abstract Background Evidence‐based recommendations for a core outcome set (COS; minimum of outcomes) aphasia treatment research have been developed (the Research Outcome Measurement in Aphasia—ROMA, COS). Five recommended constructs: communication, language, quality life, emotional well‐being and patient‐reported satisfaction/impact treatment, were identified through three international consensus studies. Constructs paired with measurement instruments (OMIs) during an meeting (ROMA‐1)....
Abstract Background: Although research into agrammatism has done much to characterise the nature of underlying disorder, most studies have analysed elicited, task‐based data. As a result, little is known about grammar that people with use in everyday talk habitual conversational partners. There evidence Conversation Analysis (CA) literature suggest may not mirror elicited language samples. The data presented this paper were collected as part larger study funded by Economic and Social...
Abstract Background : Agrammatic speech can manifest in different ways the same speaker if task demands change. Individual variation is considered to reflect adaptation, driven by psycholinguistic factors such as underlying deficit. Recently, qualitative investigations have begun show which conversational interaction influence form of an agrammatic speaker's output. Aims To explore patterns individual output a single case, order address following questions: (1) what do grammatical structure,...
Primary progressive aphasia is a language-led dementia, often associated with frontotemporal dementia. It presents as insidious deterioration of language skills (e.g. naming objects and understanding complex sentences), relative sparing cognitive initially. There little research examining the effectiveness communication training for primary aphasia, yet speech therapists (SLTs) report regularly using this in clinical practice. 'Better Conversations Progressive Aphasia' has potential to...
Background Conversation therapy for aphasia is a complex intervention comprising multiple components and targeting outcomes. UK Medical Research Council (MRC) guidelines published in 2008 recommend that addition to measuring the outcomes of interventions, evaluation should seek clarify how such are produced, including identifying hypothesized mechanisms change. Aims To identify change within conversation people with their partners. Using qualitative methods, study draws on behaviour theory...