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Addressing Future Changes in Communication Using Hypothetical Scenarios With People With Primary Progressive Aphasia
Winsnes Ingvild1, Halvorsen Mia2, Krogh Elise2
1Department of Linguistics and Scandinavian Studies, University of Oslo, Oslo, Norway.
The Better Conversations with Primary Progressive Aphasia program effectively facilitates discussions about future changes for individuals with PPA and their care partners. Using hypothetical scenarios helps navigate sensitive topics, promoting future planning.
Area of Science:
- Neurology
- Speech and Language Therapy
- Communication Studies
Background:
- Primary Progressive Aphasia (PPA) involves progressive decline in language, cognition, and behavior.
- Individuals with PPA and their care partners (CPs) express a need to address future changes.
- NICE guidelines emphasize the importance of future planning and decision-making capacity.
Purpose of the Study:
- To investigate how future planning is discussed within the Better Conversations with PPA program.
- To analyze the conversational strategies used during treatment sessions.
Main Methods:
- Applied Conversation Analysis (CA) of video recordings from four PPA-CP dyads.
- Sessions were conducted within the Better Conversations with PPA program, led by a speech and language therapist.
Main Results:
- Conversational structure closely mirrors the program's session plan.
- Speech and language therapists use hypothetical questions and scenarios to facilitate discussion.
- This approach creates a safe space for dyads to address future changes without immediate personal relevance.
Conclusions:
- The Better Conversations with PPA program offers a valuable framework for addressing future changes.
- The strategic use of hypotheticals is effective in promoting sensitive conversations about future planning.
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