Supporting People With Aphasia in Practice: A Cross-Sectional Survey of Occupational Therapists and Psychologists in Ireland

Abstract

Purpose

Aphasia is a risk factor for poor psychological functioning. Coordinated care across Speech and Language Therapists (SLTs) and other professionals with a role in psychological health, such as Psychologists (PSYs) and Occupational Therapists (OTs), is key to improving outcome. Health professionals’ skills in aphasia communication are linked with ability to provide effective health and psychological care. Prior to effective design and implementation of aphasia communication training, it is necessary to understand local contexts and clinician perspectives. This study examined current practices and needs of PSYs and OTs in Ireland in relation to supporting psychological needs of people with aphasia.

Methods

This was an online, self-administered cross-sectional survey targeting OTs and PSYs, minimally a year post-qualification, currently working with people with aphasia in Ireland. Data were subjected to descriptive statistics and reported narratively.

Results

Forty-four clinicians took part (30 OTs, 14 PSYs). Respondents reported high prevalence of psychological concerns among their clients with aphasia. Despite a lack of formal training, respondents reported use of a wide range of communication techniques and experienced good collegial support. Confidence in delivering psychological support and supporting complex conversations was lower. Aphasia training, interdisciplinary working, including with SLTs, and managerial support were identified as key needs.

Conclusions

There is a need to develop and pilot aphasia training interventions that meet the needs of clinicians working with people with aphasia across different settings. The findings will have relevance for delivering coordinated aphasia psychological care in Ireland and internationally.