Psychosocial Impact Flashcards
Psychological factors affecting people with dysarthria
Depression Anxiety Self-perception Identity Self-esteem Self-concept Relationship changes Role changes.
Social factors affecting people with dysarthria.
Employment status Leisure activities Social networks e.g. lose friends Social inclusion- feel isolated Barriers in everyday life
Dysarthria can have a massive _____ on a person’s life.
IMPACT
Describe some of the changes in social roles and participation
Difficulty maintaining conversation with spouse, family and friends.
Role change can be really hard for person with dysarthria- feel ashamed, embarrased etc.
Less contributions to conversation.
Change in overall style e.g. jokes, sarcasm.
Avoidance of communication situations e.g. phone calls, parties etc.
Loss of employment or having to change jobs.
What impact does dysarthria have on a person’s life?
Generally dysarthria negatively impacts on speaker’s lives.
What factors affect impact?
Medical condition e.g. progressive etc. Not related to severity- v individual Personality Family Support Life experience etc.
Name factors participation is influenced by?
Environment e.g. noise
Communication partners e.g. patience
Perspective of person- personal reactions
What may be experienced?
sense of loss of grief DABDA grief
When measuring impact what should be considered?
How many different communication situations they engage with?
How often?
Number of communication partners.
level of difficulty in communication situations.
level of assistance required.
Level of success accomplishing tasks.
What is their quality of life?
Have their been significant changes that are negatively impacting their life.
Name some Formal Assessments to assess psychological impact
Visual Analogue Self Esteem Scale- good if got aphasia or cog difficulties Voice Handicap Index Dysarthria Impact Profile Communication After Stroke (COAST) Communication Effectiveness Survey Voice related Quality of Life Survey
Recent work by Bloch 2017..
Interaction analyisis between pwd and conversation partner.
Rated normal, mild, moderate, severe.
Aim for therapy?
Minimise the impact- what matters to them :)
How should outcomes be measured?
Therapy Outcome Measures by RCSLT uses WHO framework :)
Communication Effectiveness Survey
Simple and short
Measures communication participation.
Dysarthria Impact Profile
Appropriate for any dysarthria
Measures personal afffect it has.
