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Supporting Participation Through Project-Based Intervention: A Tutorial for Working With People With Aphasia in

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Project-based intervention (PBI) can help speech-language pathologists (SLPs) support aphasia recovery by focusing on meaningful life participation. This approach can be effectively used in individual therapy sessions.

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Area of Science:

  • Speech-language pathology
  • Neurology
  • Rehabilitation science

Background:

  • Participation is a core principle in aphasia services and a best practice in speech-language pathology.
  • The Life Participation Approach to Aphasia (LPAA) aims to enhance meaningful life engagement for individuals with aphasia.
  • Integrating participation-based services into clinical practice presents challenges for speech-language pathologists (SLPs).

Purpose of the Study:

  • To provide a framework for implementing Project-based Intervention (PBI) in individual therapy sessions for clients with aphasia.
  • To demonstrate how PBI can target participation and support identity reformulation in aphasia intervention.
  • To address the limitations of traditional group-based PBI by adapting it for individual SLP sessions.

Main Methods:

  • The tutorial outlines a framework for PBI in individual sessions, incorporating five evidence-based components.
  • These components include shared decision-making, patient-reported outcomes, goal setting, the project itself, and ongoing evaluation.
  • The framework is supported by evidence-based tools and a practical case example.

Main Results:

  • PBI offers a concrete method for centering intervention on participation.
  • It facilitates the targeting of language impairments, identity reconstruction, and adaptation to various environments.
  • Projects can be customized to individual client needs, abilities, and service delivery contexts.

Conclusions:

  • PBI in individual sessions provides a viable and effective approach to targeting participation for individuals with aphasia.
  • This method supports personalized intervention that addresses language, identity, and real-world functioning.
  • PBI can be adapted to various clinical settings and client requirements, promoting meaningful life participation.