Article

The body of research into client participation in aphasia rehabilitation
is increasing, but the evidence on how it is implemented into clinical practice
is still scarce. Particularly, the importance of including the "insider's
perspective" has been demanded. The aim of this study was to explore how people
with aphasia experienced client participation during the process of goal setting
and clinical decision making in language rehabilitation. METHODS: Fifteen people
with stroke-induced aphasia participated in semi-structured in-depth interviews.
A qualitative analysis using Systematic Text Condensation was undertaken.
RESULTS: Analysis revealed four main themes:
(1) pleased with services,
(2) vagueness in language rehabilitation,
(3) personal goals exist, and
(4) desired level of participation. CONCLUSION: Even though people with stroke-induced
aphasia overall are pleased with the language rehabilitation, there is a need for
greater emphasis on making the framework of language rehabilitation less vague.
Therapists should also spend more time on collaboration with people with
stroke-induced aphasia and use available methods to support communication and
collaboration. The findings underscore the need for further exploration of the
potential outcomes of implementing client participation in goal setting and
clinical decision making for persons with stroke-induced aphasia. Implications
for rehabilitation All persons with stroke induced aphasia should be asked about
their goals for rehabilitation not only once, but during the whole continuum of
their rehabilitation journey. Rehabilitation professionals should place greater
emphasis on client participation by asking people with stroke induced aphasia how
they prefer to participate at different stages of rehabilitation. To ensure
active participation for those who wants it, existing tools and techniques which
promoted collaborative goal setting should be better incorporated.

Langue : ANGLAIS