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The Acute Aphasia IMplementation Study (AAIMS): a pilot cluster randomized controlled trial.

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Summary
This summary is machine-generated.

A tailored implementation strategy improved speech and language therapists' (SLTs) aphasia management, particularly information provision. This pilot study demonstrated feasibility and potential effectiveness in acute care settings.

Keywords:
aphasiaevidence-based practiceimplementationmultifaceted interventionstroke

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Area of Science:

  • Neurology
  • Speech and Language Therapy
  • Health Services Research

Background:

  • Speech and language therapists (SLTs) in Australian acute settings show inconsistent use of post-stroke aphasia guidelines.
  • There is a need for effective strategies to improve SLTs' aphasia management practices.
  • Limited knowledge exists on behavior-change strategies for SLTs in acute aphasia care.

Purpose of the Study:

  • To design and test a tailored implementation strategy for improving acute SLTs' evidence uptake.
  • To assess feasibility, acceptability, and potential effectiveness of the strategy.
  • To target improvements in aphasia-friendly information provision and collaborative goal setting.

Main Methods:

  • Pilot cluster randomized controlled trial with four acute SLT teams.
  • Teams randomized to Intervention A (information provision) or Intervention B (goal setting).
  • Interventions included tailored workshops using behavior-change techniques; outcomes measured via fidelity, acceptability, audits, and surveys.

Main Results:

  • All four clusters completed the study with 37 SLTs; 107 patient records analyzed.
  • Intervention A showed a significant improvement (52.78%) in target behavior (p=0.001).
  • Intervention B showed a non-significant change (8.46%) (p=0.406); Intervention A impacted knowledge and environmental context.

Conclusions:

  • Tailored implementation interventions are feasible and acceptable for acute SLTs.
  • The strategy showed potential effectiveness, especially for improving information provision.
  • Mechanisms of behavior change in SLTs' aphasia management were partially explained.