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Related Experiment Videos

Facilitators and Barriers to Home Exercise Program Adherence in Aphasia: Speech-Language Pathologists' Perspectives.

Yarlene Caraballo-Lopez¹, Ellen Costello¹, Myriam J Ortiz²

¹The George Washington University, Washington, D.C.

American Journal of Speech-Language Pathology

|July 1, 2026

Summary

Speech-language pathologists identified key factors influencing home exercise program (HEP) adherence for people with aphasia (PWA). Motivation, caregiver support, and daily routine integration are crucial for improving rehabilitation outcomes.

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Area of Science:

Speech-language pathology
Neurology
Rehabilitation science

Background:

Home exercise programs (HEPs) are vital for rehabilitation but suffer from low adherence (30%-50%).
People with aphasia (PWA) face unique challenges in HEP adherence due to language deficits.
Limited research exists on facilitators and barriers to HEP adherence specifically for PWA.

Purpose of the Study:

To explore speech-language pathologists' (SLPs') perspectives on factors influencing HEP adherence in PWA.
To identify facilitators and barriers to successful HEP implementation for individuals with aphasia.

Main Methods:

A cross-sectional online survey with 37 items was distributed to SLPs treating PWA.
Data were analyzed using descriptive statistics, Spearman rho correlations, and thematic analysis of open-ended responses.

Main Results:

Key facilitators included patient motivation (98%), caregiver integration (96%), and incorporating HEPs into daily routines (90%).
Moderate positive correlations were observed between daily routine integration and perceived relevance (r_s = .500), and caregiver involvement and HEP integration (r_s = .502).
Facilitators were internal (motivation, relevance) and external (family/SLP support); barriers included internal (depression, motivation, deficit severity) and external (family support, program difficulty, resource availability) factors.

Conclusions:

SLPs perceive numerous factors impacting HEP adherence in PWA.
Clinicians should consider these identified facilitators and barriers when designing and implementing HEPs for PWA to enhance rehabilitation outcomes.