The Acceptability of Relationship-Centered Communication Partner Training for Couples Impacted by Aphasia: A Mixed-Methods Pilot Investigation.

IF 2.3 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Kathryn-Anne Pertab, Tyson G Harmon, Jonathan Sandberg, Jon L Pertab, William S Evans
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Abstract

Purpose: This study explored the acceptability and impact of relationship-centered communication partner training (RC-CPT) in couples impacted by aphasia. In particular, couples considered whether discussing their relationship roles and responsibilities was important and relevant to the changes they desire. Preliminary quasi-experimental data regarding perceived communication confidence and the marriage relationship were also obtained.

Method: Three couples participated in RC-CPT across two sessions. Surveys were used to measure communication confidence and the marital relationship before and after participation in RC-CPT. The quantitative findings were analyzed using descriptive statistics. Couples also participated in a semistructured interview about the acceptability of RC-CPT during a third session. The interviews were transcribed and analyzed using reflexive codebook analysis.

Results: Quantitative data indicated that participants generally maintained or improved self-rated accessibility, responsiveness, engagement, conflict resolution, and communication within their marriage after participating in RC-CPT. Additionally, individuals with aphasia demonstrated enhanced communication confidence scores. Qualitative analysis revealed three themes: (a) Impact on Communication, (b) Impact on Relationship, and (c) Impact on Psychosocial Well-Being. Feedback from participants regarding future development was also included.

Conclusions: The convergence of quantitative and qualitative data supports the conclusion that couples experienced positive changes in their communication, relationship, and psychosocial well-being during the intervention, suggesting that RC-CPT has the potential to positively impact both communicative and psychosocial effects of aphasia on couples. Moreover, this study highlights the promise of RC-CPT as a relationship-centered counseling tool, warranting further exploratory and experimental research.

Supplemental material: https://doi.org/10.23641/asha.25937383.

为受失语症影响的夫妇提供以关系为中心的交流伙伴培训的可接受性:一项混合方法试点调查。
目的:本研究探讨了受失语症影响的夫妇对以关系为中心的沟通伙伴培训(RC-CPT)的接受程度和影响。特别是,夫妻双方认为讨论他们的关系角色和责任是否重要,是否与他们所希望的改变相关。此外,还获得了有关感知交流信心和婚姻关系的初步准实验数据:三对夫妇参加了两次 RC-CPT 课程。调查用于测量参加 RC-CPT 前后的沟通信心和婚姻关系。采用描述性统计对定量结果进行分析。在第三次课程中,夫妻双方还参加了关于 RC-CPT 可接受性的半结构化访谈。访谈内容均已誊写,并采用反思性编码本分析法进行了分析:定量数据表明,参与者在参加 RC-CPT 后,普遍保持或改善了自评的可接近性、响应性、参与度、冲突解决和婚姻中的沟通。此外,失语症患者的沟通信心得分也有所提高。定性分析揭示了三个主题:(a)对沟通的影响;(b)对关系的影响;以及(c)对社会心理健康的影响。此外,还包括参与者对未来发展的反馈意见:定量和定性数据的融合支持了以下结论:在干预过程中,夫妻双方在沟通、关系和社会心理健康方面都经历了积极的变化,这表明 RC-CPT 有可能对失语症对夫妻双方的沟通和社会心理影响产生积极的影响。此外,本研究强调了RC-CPT作为以关系为中心的咨询工具的前景,值得进一步探索和实验研究。补充材料:https://doi.org/10.23641/asha.25937383。
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来源期刊
American Journal of Speech-Language Pathology
American Journal of Speech-Language Pathology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION
CiteScore
4.30
自引率
11.50%
发文量
353
审稿时长
>12 weeks
期刊介绍: Mission: AJSLP publishes peer-reviewed research and other scholarly articles on all aspects of clinical practice in speech-language pathology. The journal is an international outlet for clinical research pertaining to screening, detection, diagnosis, management, and outcomes of communication and swallowing disorders across the lifespan as well as the etiologies and characteristics of these disorders. Because of its clinical orientation, the journal disseminates research findings applicable to diverse aspects of clinical practice in speech-language pathology. AJSLP seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of speech-language pathology, including aphasia; apraxia of speech and childhood apraxia of speech; aural rehabilitation; augmentative and alternative communication; cognitive impairment; craniofacial disorders; dysarthria; fluency disorders; language disorders in children; speech sound disorders; swallowing, dysphagia, and feeding disorders; and voice disorders.
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