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Evaluation of a community of practice for speech-language pathologists in aphasia rehabilitation: a logic analysis

机译:对康复康复语言病理学家的守护人员社区评估:逻辑分析

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摘要

Abstract Background Aphasia is a communication disorder affecting participation. Although there are evidence-based practice recommendations about participation and aphasia rehabilitation, it may be challenging for speech-language pathologists to ensure that rehabilitation activities have an impact on the person’s participation, in part due to time limitations. Participation remains limited after rehabilitation for persons who have aphasia. Communities of practice (CoPs) are a collaborative knowledge transfer strategy that can be used for evidence-based practice implementation. The aim of this study was to describe the components and evaluate a CoP for speech-language pathologists about participation and aphasia rehabilitation. Methods Logic analysis was used to determine the adequacy between resources, implemented activities, outputs and short-term outcomes of the CoP. Qualitative and quantitative descriptive data were collected through observation and participants’ logbooks. Outputs and outcomes of the CoP were revealed through thematic analysis and interpretation of descriptive statistics. Results Resources including CoP design and educational aims, human and material resources were combined to create various web-based, online and offline activities. Participants invested more time per week than expected in the CoP, shared and created clinical tools and appreciated the array of suggested activities. Participant engagement allowed them to reflect, interact and collaborate with each other. All 13 participants reported they acquired knowledge about clinical tools and 12 mentioned they reflected on their practice. While the CoP was ongoing, six participants noticed evidence-practice gaps, seven prepared to change their practice, and three changed their practice towards including more participation-based considerations. Conclusions This study showed that speech-language pathologists can include more participation-based approaches in aphasia rehabilitation as a result of participating in a time-bound, web-based CoP.
机译:摘要背景是影响参与的通信障碍。虽然有基于循证的实践建议,关于参与和失语症康复,但语言病理学家可能具有挑战性,以确保康复活动对该人的参与有影响,部分由于时间限制。在有失语症的人员康复后,参与仍然有限。实践社区(警察)是一种合作知识转移策略,可用于基于证据的实践实施。本研究的目的是描述组件,并评估缔约方会议用于参与和失语症康复的语言病理学家。方法逻辑分析用于确定资源之间的充分性,实施活动,产出和缔约方会议的短期成果。通过观察和参与者的日志收集定性和定量描述性数据。通过对描述性统计数据的主题分析和解释,揭示了警察的产出和结果。结果包括缔约方会议设计和教育目标,人力资源,人力资源,以创建各种基于网络,在线和离线活动的资源。参与者每周投入更多的时间,而不是缔约方会议,共享和创建临床工具,并赞赏建议活动的数组。参与者订婚允许他们反映,互相互动和协作。所有13名参与者报告他们获得了有关临床工具的知识,并提到他们对其实践的反映。虽然警察正在进行,但六位参与者注意到证据实践差距,七个准备改变他们的实践,三个改变了他们的练习,包括更多基于参与的考虑因素。结论这项研究表明,由于参与基于Web的警察的时期,语言病理学家可以包括更多基于参与的康复方法。

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