Improving communication partner training of familiar partners of people with aphasia: results of a pilot stepped wedge implementation trial and embedded process evaluation
Communication Partner Training (CPT) improves communication between people with aphasia and their families and friends, but there is considerable variation in practice. We evaluated the outcomes of an implementation package on speech pathologists' delivery of CPT to familiar partners of people...
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| Vydáno v: | Disability and rehabilitation s. 1 - 21 |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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28.07.2025
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| ISSN: | 0963-8288, 1464-5165, 1464-5165 |
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| Abstract | Communication Partner Training (CPT) improves communication between people with aphasia and their families and friends, but there is considerable variation in practice. We evaluated the outcomes of an implementation package on speech pathologists' delivery of CPT to familiar partners of people with aphasia, and factors influencing outcomes.
12-month pilot stepped wedge cluster non-randomised controlled trial and process evaluation involving three health services. Implementation package included online training, workshops, resources, and support. Data were collected through audits, clinician behaviour-change surveys, training logs, checklists, questionnaires, and focus groups.
Thirty-six clinicians participated, and 113 patient files were audited. Post-implementation, there was a 26% increase in familiar partners being offered CPT and an 18% increase in those provided CPT. Significant improvements were recorded between immediate pre/post implementation time-points (offering CPT:
= 0.004; providing CPT:
= 0.021), and more comprehensive CPT practice was provided, but change was not sustained. Total behaviour-change scores increased (
< 0.001), with a higher intervention effect for targeted domains (
< 0.001). Clinicians reported valuing and intending to implement CPT, but organisational barriers and patient-partner dynamics impacted outcomes.
Short-term improvements in CPT practice were observed, but change was not sustained. Longer-term support and CPT tailored to readiness and stage of recovery is needed. |
|---|---|
| AbstractList | Communication Partner Training (CPT) improves communication between people with aphasia and their families and friends, but there is considerable variation in practice. We evaluated the outcomes of an implementation package on speech pathologists' delivery of CPT to familiar partners of people with aphasia, and factors influencing outcomes.PURPOSECommunication Partner Training (CPT) improves communication between people with aphasia and their families and friends, but there is considerable variation in practice. We evaluated the outcomes of an implementation package on speech pathologists' delivery of CPT to familiar partners of people with aphasia, and factors influencing outcomes.12-month pilot stepped wedge cluster non-randomised controlled trial and process evaluation involving three health services. Implementation package included online training, workshops, resources, and support. Data were collected through audits, clinician behaviour-change surveys, training logs, checklists, questionnaires, and focus groups.METHODS12-month pilot stepped wedge cluster non-randomised controlled trial and process evaluation involving three health services. Implementation package included online training, workshops, resources, and support. Data were collected through audits, clinician behaviour-change surveys, training logs, checklists, questionnaires, and focus groups.Thirty-six clinicians participated, and 113 patient files were audited. Post-implementation, there was a 26% increase in familiar partners being offered CPT and an 18% increase in those provided CPT. Significant improvements were recorded between immediate pre/post implementation time-points (offering CPT: p = 0.004; providing CPT: p = 0.021), and more comprehensive CPT practice was provided, but change was not sustained. Total behaviour-change scores increased (p < 0.001), with a higher intervention effect for targeted domains (p < 0.001). Clinicians reported valuing and intending to implement CPT, but organisational barriers and patient-partner dynamics impacted outcomes.RESULTSThirty-six clinicians participated, and 113 patient files were audited. Post-implementation, there was a 26% increase in familiar partners being offered CPT and an 18% increase in those provided CPT. Significant improvements were recorded between immediate pre/post implementation time-points (offering CPT: p = 0.004; providing CPT: p = 0.021), and more comprehensive CPT practice was provided, but change was not sustained. Total behaviour-change scores increased (p < 0.001), with a higher intervention effect for targeted domains (p < 0.001). Clinicians reported valuing and intending to implement CPT, but organisational barriers and patient-partner dynamics impacted outcomes.Short-term improvements in CPT practice were observed, but change was not sustained. Longer-term support and CPT tailored to readiness and stage of recovery is needed.CONCLUSIONShort-term improvements in CPT practice were observed, but change was not sustained. Longer-term support and CPT tailored to readiness and stage of recovery is needed. Communication Partner Training (CPT) improves communication between people with aphasia and their families and friends, but there is considerable variation in practice. We evaluated the outcomes of an implementation package on speech pathologists' delivery of CPT to familiar partners of people with aphasia, and factors influencing outcomes. 12-month pilot stepped wedge cluster non-randomised controlled trial and process evaluation involving three health services. Implementation package included online training, workshops, resources, and support. Data were collected through audits, clinician behaviour-change surveys, training logs, checklists, questionnaires, and focus groups. Thirty-six clinicians participated, and 113 patient files were audited. Post-implementation, there was a 26% increase in familiar partners being offered CPT and an 18% increase in those provided CPT. Significant improvements were recorded between immediate pre/post implementation time-points (offering CPT: = 0.004; providing CPT: = 0.021), and more comprehensive CPT practice was provided, but change was not sustained. Total behaviour-change scores increased ( < 0.001), with a higher intervention effect for targeted domains ( < 0.001). Clinicians reported valuing and intending to implement CPT, but organisational barriers and patient-partner dynamics impacted outcomes. Short-term improvements in CPT practice were observed, but change was not sustained. Longer-term support and CPT tailored to readiness and stage of recovery is needed. |
| Author | Worrall, Linda Power, Emma Isaacs, Megan Ong, Wen Xuan Wallace, Sarah J. McCluskey, Annie Shrubsole, Kirstine Rogers, Kris |
| Author_xml | – sequence: 1 givenname: Kirstine surname: Shrubsole fullname: Shrubsole, Kirstine – sequence: 2 givenname: Kris surname: Rogers fullname: Rogers, Kris – sequence: 3 givenname: Sarah J. surname: Wallace fullname: Wallace, Sarah J. – sequence: 4 givenname: Megan surname: Isaacs fullname: Isaacs, Megan – sequence: 5 givenname: Wen Xuan surname: Ong fullname: Ong, Wen Xuan – sequence: 6 givenname: Linda surname: Worrall fullname: Worrall, Linda – sequence: 7 givenname: Annie surname: McCluskey fullname: McCluskey, Annie – sequence: 8 givenname: Emma surname: Power fullname: Power, Emma |
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