Institution
City University
Principal Investigator
Dr Katerina Hilari (Supervisor)
Status
Active
Region
Grant value
£174,936.00
Research ID
TSA PDF 2016-01
Classification
Scientific title
Adapting a psychosocial intervention for people with post-stroke aphasia: a feasibility study
Date published
Thursday, 28 April, 2016

Award Type

Postdoctoral Fellowship

Awardee

Dr Sarah Northcott, City University 

Description of research

Background

Around one quarter of stroke survivors have aphasia, which means they have difficulty talking, understanding, reading or writing. People with aphasia are at risk of becoming depressed and isolated. However, due to their language difficulties they are often excluded from stroke research exploring effective interventions.

Aims

We want to explore whether an existing therapy, Solution Focused Brief Therapy (SFBT), can be used with people with aphasia. We also want to collect information to help us design a future large-scale trial evaluating this approach. SFBT is a ‘talking therapy’, which explores a person’s strengths and resilience to help build positive change in their lives.

Methods

There will be two stages in the project. During the initial Development Phase we will investigate how best to adapt the therapy for people with post-stroke aphasia and will write a therapy manual.

Thirty-two participants with long-term aphasia will be invited to participate in the second stage of the project. Everyone will receive the usual care offered to them by their local NHS, social services, and voluntary organisations. Half the participants (‘intervention group’), selected randomly, will additionally receive up to six SFBT therapy sessions.

All participants will take part in three interviews at three month intervals (for the intervention group this will be immediately before and after therapy, and then three months later). We will ask them about how their aphasia affects their mood, confidence and everyday life using questionnaires. In addition, everyone will participate in ‘in-depth’ less-structured interviews exploring either their experience of the therapy (intervention group), or exploring their experiences of usual care, and how this could be improved.

Expected outcomes

We anticipate that it will be possible to adapt SFBT so that it works well for people with aphasia; and that this project will enable us to design a successful large-scale study.

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