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Related Experiment Videos

Professionalism and functional outcomes.

Linda Worrall1

  • 1Communication Disability in Ageing Research Centre and the Division of Speech Pathology, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Qld 4072, Australia. l.worrall@uq.edu.au

Journal of Communication Disorders
|March 28, 2006
PubMed
Summary
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Speech-language pathologists must listen to clients with aphasia, as current practices often mismatch patient needs with therapy goals. Person-centred goal-setting can improve rehabilitation outcomes by aligning therapist and client objectives.

Area of Science:

  • Speech-Language Pathology
  • Rehabilitation Medicine
  • Client-Centred Care

Background:

  • Professionalism in healthcare necessitates attentive listening to client needs.
  • Current research reviews studies focusing on the needs of individuals with aphasia and their families.
  • Evidence indicates that people with aphasia prioritize bio-psycho-social goals, emphasizing functional outcomes, relationships, and self-esteem.

Purpose of the Study:

  • To review current literature on the needs of people with aphasia.
  • To highlight the discrepancy between client-centered needs and the medical model approach in aphasia management.
  • To introduce and advocate for person-centred goal-setting in aphasia therapy.

Main Methods:

  • Literature review of studies examining the needs and goals of individuals with aphasia.

Related Experiment Videos

  • Analysis of current aphasia management practices against client-reported needs.
  • Conceptual exploration of person-centred goal-setting.

    • Main Results:

    • People with aphasia have broad goals spanning the bio-psycho-social spectrum, with a strong emphasis on functional participation and personal well-being.
    • Aphasia management often adopts a medical model focused on impairment-level goals, creating a mismatch with client aspirations.
    • A proportion of speech-language pathologists may not be fully addressing or aligning with their clients' stated needs.

    Conclusions:

    • A significant gap exists between the goals prioritized by individuals with aphasia and those typically targeted in current therapy practices.
    • The adoption of person-centred goal-setting is proposed as a strategy to bridge this gap.
    • Aligning therapist and client goals through person-centred approaches has the potential to enhance rehabilitation outcomes for people with aphasia.