Aphasia: life participation approach Flashcards
What does A-FROM stand for?
Living with Aphasia: Framework for Outcome Measurement
A-FROM is designed to measure the impact of aphasia on an individual’s life.
“Ultimate goal of all aphasia treatment is…”
“to enhance participation in communicative life” (Simmons-Mackie, 2013 p.14)
Best Practice Statement on Aphasia Rehab by the Clinical Centre for Research Excellence in Aphasia Rehabilitation (2014):
Aphasia Rehab should :
- be tailored to the PWA and address the impact on everyday activities, participation, QOL and relationships.
- address the family’s needs and include CPT
- iclude info tailored to meet the needs of PWA and their family
A-FROM reference:
Kagan et al. (2008)
What are the four domains of A-FROM?
- Participation in life situations
- Personal identity, attitudes and feelings
- Language and related impairments
- Communication and language environment
These domains cover the various ways aphasia can affect an individual’s life.
What intervention can be provided in the communication environment domain?
Communication partner training and creating aphasia-friendly support materials and environments
This can be done in group settings or individualized for the Person With Aphasia (PWA) and their communication partner.
Supported Conversations for Adults with Aphasia (SCA) reference:
Kagan et al. (2001)
SCA encourages greater participation in conversations.
What interventions are in the participation in life situations domain?
- Script training
- Multi-modal communication
- Total Communication
- PACE therapy
- Gesture therapy
note that MMC, TC, PACE, and gesture therapy are also compensation for the Language impairment domain
What is script training based on?
Instance Theory of Automatisation (Logan, 1988)
This theory suggests that repetitive drilling can lead to mastery of words or phrases.
What are some computer-based programs used for practice at home?
- AphasiaScripts (Manheim et al., 2009)
- EVA Park (Carragher et al., 2018)
These programs assist individuals in practicing communication skills.
What are some conversation groups for PWA?
- Aphasia Home Café
- Donegal Aphasia Café
Multi-modal communication is used to…
“Communicate ones thoughts and feelings at all costs” (Marshall, 2002)
MMC prioritizes communicative adequacy over linguistic adequacy.
What does multi-modal communication prioritise?
Communicative adequacy over linguistic adequacy
What are examples of low-tech AAC options?
- Gesture
- Pen and paper
- Communication boards
- Pictures
These tools help facilitate communication for those with aphasia.
What does the Total Communication Approach use to communicate?
- Communication Partner Training
- Compensatory strategies
- AAC
This includes CPT, compensatory strategies, and AAC.
Who is the Total Communication Approach suited for?
Severe aphasia
Total Communication Approach reference:
Collins (1986)
What are the four principles of PACE therapy?
- Equal participation
- New information
- Free choice of modality
- Natural feedback
PACE therapy is a multi-modal approach suitable for those with limited verbal output.
PACE Therapy reference
Davis & Wilcox (1981)
What is a common activity used in PACE therapy?
Barrier activity
In this activity, the PWA conveys a message based on a picture to the SLT using any method.
Who is PACE Therapy suited for?
- Mild to moderate aphasia
- Limited verbal output
Usually not receptive aphasia
What does gesture therapy encourage?
Use of intentional hand and body movements to aid communication
It is particularly useful for those with severe speech difficulties.
Who is gesture therapy suited for?
People with aphasia who have limited verbal output but appear to
struggle to produce gesture spontaneously
What is Visual Action Therapy (VAT)?
A nonverbal, hierarchically structured therapy aimed at improving functional gesture production
VAT is suitable for individuals with severe expressive language difficulties.
