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Published on: July 2, 2013
Living Successfully With Chronic Aphasia: Outcomes and Program Improvement After 5 Years of Operations
Michelle Armour1,2, Susan Brady1
1Northwestern Medicine Marianjoy Rehabilitation Hospital, Wheaton, IL.
Objective:
To evaluate the durability of quality-of-life outcomes after 5-years of participation in an Aphasia Center program using Life Participation Approach to Aphasia (LPAA) values.
Design:
Evidence-based practice quality improvement project.
Setting:
Ambulatory care Aphasia Center part of a larger health care system.
Participants:
Participants included 10 clients with aphasia; 2 women and 8 men with a mean age of 66.5 years. All participants had consistent participation in LPAA aphasia center services over a 5-year period (n=10).
Interventions:
Group programming was provided using the LPAA as the service delivery model.
Main Outcome Measures:
Client reported outcome measures were used. The Stroke and Aphasia Quality of Life Scale (SAQOL-39) was administered at 3 time periods: T1, baseline; T2, 1-year participation; and T3, 5-year participation. Program evaluation data were collected via a custom generated, self-reported electronic survey at the 5-year mark.
Results:
Outcomes indicated significant differences in self-reported quality-of-life scores from T1 to T2 and T1 to T3. No differences were observed between T2 to T3 for the mean score, physical domain, and communication domain of the SAQOL-39.
Conclusions:
The project provided further support for the use of LPAA values with clients experiencing chronic aphasia.
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