INSTRUCTIONAL/TECHNICAL SESSION (1 Hour)
Acquired Neurogenic Disorders
Tom Sather, PhD/CCC-SLP
Associate Professor
University of Wisconsin - Eau Claire
Eau Claire, Wisconsin, United States
Katie Strong, PhD, CCC-SLP (she/her/hers)
Associate Professor
Central Michigan University
East Lansing, Michigan, United States
Abstract:
In this session, we will explore tools for partnering with people living with aphasia to target meaningful project-based and participation-focused interventions applicable for clinic-based outpatient and community aphasia services. We will start with the role of participation-based interventions in aphasia services, and include shared decision making for goal development, evidence-based tools for writing and measuring participation-focused goals, and a framework for project-based interventions as a means to embed participation-focused services. We’ll end our journey together showcasing examples of successful project-based and participation-focused interventions and applications of participation-based principles. Content discussed and provided is intended for clinicians working in inpatient, outpatient and community-based aphasia services.
Summary:
The Life Participation Approach to Aphasia (LPAA, Chapey et al., 2000) influenced by the WHO-ICF (WHO, 2001) has impacted the focus of intervention away from the traditional focus on language impairment toward a more holistic approach of supporting the entire person. The Living with Aphasia Framework for Outcome Measurement (A-FROM) has been instrumental in supporting researchers and clinicians understand how the domains of language and related impairments, personal factors, environment and participation can impact the person living with aphasia (Kagan et al, 2008). WHO-ICF, LPAA, and A-FROM have been game changers for providing services for individuals with aphasia as the focus of assessment and intervention has broadened to more meaningful areas than only fixing the broken language. Despite these frameworks and compelling evidence of the importance of supporting the whole person who is living with aphasia, clinicians continue to struggle in how to support their clients in domains beyond language impairment.
This session will provide an in-depth opportunity for attendees to explore the importance of participation-focused intervention with emphasis on service deliver at the outpatient and community-level for individuals with aphasia. This session will provide tools to support clinicians who are interested in partnering with their clients in exploring participation-focused intervention targets. In order to effectively support individuals with aphasia in entering into participation-focused intervention, a model of shared decision making will be introduced (Baylor & Darling-White, 2020). The importance of relationship-centered care will be emphasized as this is an essential ingredient in shared decision making. Tools for shared goal development such as the FOURC Model (Haley et al., 2019), Life Interests and Values Cards (Haley et al., 2013) and Goal Attainment Scaling (Bovend’Eerdt et al., 2009; Rollnick & Miller, 1995) will be reviewed. Additionally, measures for participation such as self-anchored rating scales (Fox, 2012), patient-reported outcomes (Baylor et al., 2017; Brandenburg et al., 2015, Irwin, 2012) will be reviewed. Additionally, project-based intervention frameworks will be discussed and provided as means to incorporate participation-based interventions. Case examples of successful participation-focused interventions will be highlighted utilizing the shared-decision making goal tools and participation outcome measures. Case examples, and content provided, are scalable and intended to highlight application of participation-based aphasia services at the outpatient level.