Psychosocial care of people with aphasia: Practices of speech-language pathologists in South Africa.

Journal: International journal of speech-language pathology

Volume: 24

Issue: 3

Year of Publication: 2022

Affiliated Institutions:  Department of Speech-Language Pathology and Audiology, Faculty of Humanities, University of Pretoria, Pretoria, South Africa. Department of Science, Mathematics and Technology Education, Faculty of Education, University of Pretoria, Pretoria, South Africa.

Abstract summary 

: The study aimed to explore the practices of a sample of South African speech-language pathologists (SLPs) in providing psychosocial care to people with aphasia. People with aphasia are at risk of adverse psychosocial disruptions and access to appropriate support may be particularly challenging for individuals with compromised communication abilities. The study considered the multilingual and multicultural context of South Africa. By understanding current practices, direction for improved psychosocial care to clients as well as support to SLPs is highlighted.: A 20-item previously published online survey was completed by 56 South African SLPs. Purposive and snowball sampling were used to recruit participants. Descriptive and inferential statistics, and qualitative content analysis, were used.: Respondents recognised addressing psychosocial wellbeing to be very important. A variety of psychosocial approaches were used in practice. However, 67.9% of the sample felt ill-equipped to provide psychosocial care to people with aphasia. Further barriers included: time/caseload pressures (60.7%) and feeling out of their depth (48.2%). Enablers were: access to more training opportunities (89.3%), adequate time (62.5%), and ongoing support from skilled professionals (55.4%). The majority of respondents also perceived mental health professionals to have limited expertise in working with people with aphasia, making onward referral challenging.: Respondents support people with aphasia's psychosocial wellbeing by employing counselling strategies, including family, and person-centred goal-setting. However, many challenges to the provision of psychosocial care to people with aphasia were identified. To improve services, more training opportunities, improved role definition and interprofessional collaboration, are required.

Authors & Co-authors:  Nash Jordan J Krüger Esedra E Vorster Carlien C Graham Marien Alet MA Pillay Bhavani Sarveshvari BS

Study Outcome 

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Statistics
Citations : 
Authors :  5
Identifiers
Doi : 10.1080/17549507.2021.1987521
SSN : 1754-9515
Study Population
Male,Female
Mesh Terms
Aphasia
Other Terms
People with aphasia;psychosocial care;speech-language pathologist;survey
Study Design
Descriptive Study,Cross Sectional Study
Study Approach
Qualitative
Country of Study
South Africa
Publication Country
England