Partner Training

Clinical Question

  1. Which communication partner training methods are effective in facilitating communication activities and participation for people with aphasia?
  2. Which patients and / or communication partner characteristics lead to better outcomes in communication partner training?
Critically Appraised Topic·The group reviewed systematic review regarding communication partner training for people with aphasia (Simmons-Mackie, Raymer, Armstrong, Holland, (2009) Communication Partner training in aphasia: A systematic review. Arch Phys Med Rehabil Vol 91, 1814-1837).·    The group considered feedback from a recent SSWAHS area speech pathology clinical network project which involved developing resources for communication partner training and evaluating use of these resources.

·    The group identified that promising evidence for communication partner training for people with aphasia is emerging in the literature. Despite this, few speech pathologists seem to be regularly implementing this intervention due to ongoing questions around the most effective training.

Critically Appraised Papers

Booth, S. & Perkins, L. (1999) The use of conversation analysis to guide individualized advice to carers and evaluate change in aphasia: a case study. Aphasiology. Vol.13. No. 4/5, 283-303

Booth, S., & Swabey, D. (1999). Group training in communication skills for carers of adults with aphasia. Int. J. Language & Communication Disorders, 34(3), 291-309 adult-language-ebp-cap-booth-and-swabey-1999-v2-0-edited

Cunningham, R and Ward, C. (2003) Evaluation of a training programme to facilitate conversation between people with aphasia and their partners. Aphasiology, 17(8), 687-707

Fox, Sarah, Armstrong, Elizabeth, Boles, Larry (2009) ‘Conversational treatment in mild aphasia: A case study’, Aphasiology, 23: 7-8, 951-964

Hopper, T., Holland, A., & Rewega, M. (2002) Conversational coaching: treatment outcomes and future directions. Aphasiology, 16(7), 745-761

Kagan,A., Black, S., Duchan, J., Simmons-Mackie and Square, P. Training volunteers as Conversation partners using ” Supported Conversation for Adults with Aphasia”( SCA): a controlled trial. Journal of Speech, Language and Hearing Research, 44, 624-638, 2001

Lyon, J.G., Cariski, D., Keisler, L., Rosenbek, J., Levine, R., Kumpula, C., Ryff, S., Coyne, S., & Blanc, M. (1997) Communication Partners: enhancing participation in life and communication for adults with aphasia in natural settings. Aphasiology, 11(7), 693-708

McVicker S., Parr S., Pound C., Duchan J. (2009) The Communication Partner Scheme: A project to develop long term, low cost access to conversation for people living with aphasia. Aphasiology 23:1, 52-71

Purdy, M., & Hindenlang, J. (2005). Educating and training caregivers of persons with aphasia. Aphasiology, 19, 377-388

Rayner, H. & Marshall, J. (2003). Training volunteers as conversation partners for people with aphasia. International Journal of Language and Communications Disorders, 38 (2), 149-164

Simmons-Mackie, N., Kearns, K.,& Potechin, G. (2005) Treatment of aphasia through family member training Aphasiology, 1464-5041, volume 19(6), Pages 583 – 593

Turner, S and Whitworth, A (2006), ‘Clinicians’ perceptions of candidacy for conversation partner training in aphasia: How do we select candidates for therapy and do we get it right?’ Aphasiology, 20: 7, 616-643

Wilkinson, Ray, Bryan, Karen, Lock, Sarah and Sage, Karen (2010) ‘Implementing and evaluating aphasia therapy targeted at couples’ conversations: A singe case study’, Aphasiology, 24: 6, 869-886, First published on: 17 May 2010

Wilkinson, R., Lock, S., Bryan, K. & Sage, K. (2011). Interaction-focused intervention for acquired language disorders: Facilitating mutual adaptation in couples where one partner has aphasia. International journal of Speech-Language Pathology, 13(1), 74-87

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