"... Trial and error ...": speech-language pathologists' perspectives of working with Indigenous Australian adults with acquired communication disorders

Cochrane, Frances Clare, Brown, Louise, Siyambalapitiya, Samantha, and Plant, Christopher (2016) "... Trial and error ...": speech-language pathologists' perspectives of working with Indigenous Australian adults with acquired communication disorders. International Journal of Speech-Language Pathology, 18 (5). pp. 420-431.

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Abstract

Purpose: This study explored speech-language pathologists' (SLPs) perspectives about factors that influence clinical management of Aboriginal and Torres Strait Islander adults with acquired communication disorders (e.g. aphasia, motor speech disorders).

Method: Using a qualitative phenomenological approach, seven SLPs working in North Queensland, Australia with experience working with this population participated in semi-structured in-depth interviews. Qualitative content analysis was used to identify categories and overarching themes within the data.

Result: Four categories, in relation to barriers and facilitators, were identified from participants' responses: (1) The Practice Context; (2) Working Together; (3) Client Factors; and (4) Speech-Language Pathologist Factors. Three overarching themes were also found to influence effective speech pathology services: (1) Aboriginal and Torres Strait Islander Cultural Practices; (2) Information and Communication; and (3) Time.

Conclusion: This study identified many complex and inter-related factors which influenced SLPs' effective clinical management of this caseload. The findings suggest that SLPs should employ a flexible, holistic and collaborative approach in order to facilitate effective clinical management with Aboriginal and Torres Strait Islander people with acquired communication disorders.

Item ID: 46385
Item Type: Article (Research - C1)
ISSN: 1754-9515
Keywords: acquired, speech-language pathology, cross-cultural
Date Deposited: 09 Nov 2016 07:40
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 60%
11 MEDICAL AND HEALTH SCIENCES > 1109 Neurosciences > 110904 Neurology and Neuromuscular Diseases @ 20%
20 LANGUAGE, COMMUNICATION AND CULTURE > 2004 Linguistics > 200404 Laboratory Phonetics and Speech Science @ 20%
SEO Codes: 92 HEALTH > 9203 Indigenous Health > 920302 Aboriginal and Torres Strait Islander Health - Health Status and Outcomes @ 100%
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