The Wangi (talking) project: A feasibility study of a rehabilitation model for aboriginal people with acquired communication disorders after stroke

Int J Speech Lang Pathol. 2019 Jun;21(3):305-316. doi: 10.1080/17549507.2019.1595146. Epub 2019 May 16.

Abstract

Purpose: Aboriginal Australians are under-represented in stroke rehabilitation services and rehabilitation practices that are sensitive to the needs of Aboriginal people are not currently available. This project tested the feasibility and acceptability of a rehabilitation model and approach to therapy with Aboriginal people with acquired communication disorders post-stroke. Method: Eight Aboriginal people with acquired communication disorders post-stroke were recruited to this study. Sixteen treatment sessions were provided twice weekly at the person's place of residence by a speech-language pathologist and Aboriginal co-worker. Feasibility was measured by analysing the number of sessions conducted jointly by the speech-language pathologist and Aboriginal co-worker and participant attendance. Participant acceptability was measured through the analysis of a post-therapy questionnaire. The Aboriginal co-worker's and speech-language pathologists' perceptions of the acceptability were collected through semi structured interviews. Result: Across all sessions 84.2% were attended by the Aboriginal co-worker and speech-language pathologist and seven of the eight participants completed all prescribed sessions. Positive feedback was provided by participants, the Aboriginal co-worker and speech-language pathologist on the key components of the programme. Conclusion: The rehabilitation model used within Wangi appears to be feasible and acceptable to participants and therapists. It provides direction to improve the quality of care for Aboriginal stroke survivors.

Keywords: Aboriginal Australians; acquired communication disorder; stroke; therapy.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Australia
  • Communication Disorders / etiology
  • Communication Disorders / rehabilitation*
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Native Hawaiian or Other Pacific Islander
  • Patient Acceptance of Health Care
  • Pilot Projects
  • Speech Therapy / methods*
  • Speech-Language Pathology / methods
  • Stroke Rehabilitation / methods*