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.
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.
Related Concept Videos
01:21Barriers to Effective Communication II
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
01:19Restorative Care
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
01:30Barriers to Effective Communication I
A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this barrier...
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this barrier...
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...