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Aphasia in Neurology Practice: A Survey about Perceptions and Practices
Apoorva Pauranik1, Nipun Pauranik2, Pinki Singh3
1Director, Pauranik Academy of Medical Education, Ex-Professor of Neurology, M.G.M. Medical College, Indore, Madhya Pradesh, India.
Annals of Indian Academy of Neurology
|December 21, 2020
Summary
This study surveyed Indian neurologists on aphasia and speech-language therapy (SLT). Findings reveal gaps in understanding SLT
Area of Science:
- Neurology
- Speech-Language Pathology
- Neurorehabilitation
Background:
- Aphasia significantly impacts patients, with speech-language pathologists (SLPs) playing a crucial role in assessment and rehabilitation.
- Limited research exists on neurologists' perceptions and practices regarding aphasia and the SLP profession.
Purpose of the Study:
- To assess Indian neurologists' understanding of aphasia and their views on speech-language therapy (SLT).
- To identify gaps in perceptions and practices for targeted educational initiatives for neurologists.
Main Methods:
- A questionnaire was developed by neurologists and SLPs to explore optimal service delivery for aphasia patients.
- The survey was distributed online via Google Forms, WhatsApp, and email to approximately 500 neurologists in India.
- Non-probability sampling (chunk and snowball) and telephonic reminders were used.
Main Results:
- 100 neurologists responded, with a mean age of 50.64 and 19.88 years of experience.
- Neurologists in urban settings with access to rehabilitation facilities showed more positive attitudes towards SLT.
- While some awareness exists regarding aphasia's impact and SLT efficacy, significant gaps were noted in understanding community burden, psychosocial aspects, standardized assessments, and the role of SLT in chronic aphasia.
Conclusions:
- Identified gaps in perception and practice offer crucial insights for improving aphasia care.
- Emphasis on education and training at all levels, from undergraduate to practicing physicians, is recommended.
- Advocacy actions targeting various stakeholders are necessary to address broader issues related to aphasia care and support.
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