Evidence map›Paper›PMID 29990345›Full record

Trial reportPloS one2018

What speech and language therapy do community dwelling stroke survivors with aphasia receive in the UK?

Rebecca Palmer, Helen Witts, Timothy Chater

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04488029 (A Parallel, Virtual, Randomized Trial of PCT for Speech, Language, and Cognitive Intervention in Stroke Patients), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04488029 phase2completednot on this mapstarted 2019, after this paper: background citation

A Parallel, Virtual, Randomized Trial of PCT for Speech, Language, and Cognitive Intervention in Stroke Patients

TypeinterventionalSponsorThe Learning CorpRan2019 to 2020Enrolled36ConditionsAphasia, AcquiredArmsPCT, Workbooks
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  16. 'I hated being ghosted' - The relevance of social participation for living well with post-stroke aphasia: Qualitative interviews with working aged adults.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  17. Article
  18. Design Considerations for Clinical Trials in Aphasia.Annals of Indian Academy of Neurology · 2020
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  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Rebecca PalmerSchool of Health and Related Research, University of Sheffield, Sheffield, United Kingdom.ORCID 0000-0002-2335-7104
Helen WittsSpeech and Language Therapy, Derbyshire Community Health Services NHS Foundation Trust, Chesterfield, United Kingdom.ORCID 0000-0001-5177-7117
Timothy ChaterSchool of Health and Related Research, University of Sheffield, Sheffield, United Kingdom.ORCID 0000-0002-1138-0147
University of Sheffield · GBDerbyshire Community Health Services NHS Foundation Trust · GB

Funding

Department of Health 12/21/01
6 · The paper itself

Abstract

backgroundSpeech and language therapy provision for aphasia (a language disorder) post stroke has been studied over time through surveys completed by speech and language therapists. This paper revisits provision based on what was received by 278 patients in 21 UK speech and language therapy departments in 2014-2016.

aimsTo explore the speech and language therapy received by community dwelling people with post stroke aphasia in the UK. METHODS AND PROCEDURES: A quantitative content analysis was conducted by two speech and language therapist researchers. Therapy goals recorded were coded into categories and subcategories. Descriptive statistics were used to identify the frequency with which goal categories were targeted, average therapy time received, length and frequency of therapy sessions, personnel involved and mode of delivery. OUTCOMES AND

resultsForty-five percent of participants were in receipt of therapy in the three month window observed. Six goal categories were identified. Rehabilitation was the most frequent (60%) followed by enabling (17.2%), review (4.3%), assessment (3.6%), supportive (3.5%) and activity to support therapy (2.8%). The median amount of therapy received in three months was 6.3 hours at an average of one 60-minute session every two weeks. Seventy-seven percent of therapy sessions were delivered by qualified speech and language therapists and 23% by assistants. Ninety percent of sessions were one to one, face to face sessions whilst 9.5% were group sessions. DISCUSSION: In line with previous reports, speech and language therapy for community dwelling stroke survivors with aphasia is restricted. Rehabilitation is a large focus of therapy but the intensity and dose with which it is provided is substantially lower than that required for an effective outcome. Despite this, one to one face to face therapy is favoured. More efficient methods to support more therapeutic doses of therapy are not commonly used in routine clinical services.

Indexed as

Ambulatory CareLanguage TherapySpeech TherapyStroke RehabilitationAdultAgedAged, 80 and overAphasiaFemaleHumansIndependent LivingMaleMiddle AgedStrokeSurvivorsUnited Kingdom

Identifiers

PMID29990345
PMCPMC6039008
OpenAlexW2848053033

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.