Year of Award

2024

Document Type

Thesis

Degree Type

Master of Science (MS)

Degree Name

Speech-Language Pathology

Department or School/College

Speech Language Hearing and Occupational Sciences

Committee Chair

Catherine Off, PhD, CCC-SLP

Committee Co-chair

Jenna Griffin-Musick, PhD, CCC-SLP

Commitee Members

Catherine Off, PhD, CCC-SLP Jenna Griffin-Musick, PhD, CCC-SLP Jane Reynolds, PhD CCC-SLP, Duncan Campbell, PhD

Keywords

aphasia, psychosocial wellbeing, mental health, intensity, neurorehabilitation

Publisher

University of Montana

Subject Categories

Speech and Hearing Science | Speech Pathology and Audiology

Abstract

Aphasia, a common communication disorder following a stroke, significantly impacts psychosocial wellbeing and quality of life. Despite advancements in rehabilitation frameworks, traditional impairment-based interventions prevail, leaving gaps in addressing holistic needs. This study aims to compare patient-reported outcome measures (PROMs) between intensive comprehensive aphasia programs (ICAP), modified ICAPs (mICAPs) and individual usual care (UC) service delivery models for aphasia intervention. Eighteen participants with aphasia were broadly recruited for this study. Each completed a series of PROMs pre-and post-treatment examining psychosocial wellbeing, communicative participation, and health related quality of life. Results indicate that intensive programs show potential for greater gains in psychosocial wellbeing, communicative participation, and quality of life. It suggests that while usual care models may yield some benefits, they generally result in fewer gains compared to intensive programs, endorsing the mICAP service delivery model as a potentially efficacious alternative for overcoming barriers associated with intensive interventions.

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