The experiences of speech pathology referral and communicative participation in adults with cerebellar ataxia.

The purpose of this study was to identify potential barriers to speech pathology referral in ataxia, as well as potential factors influencing satisfaction with speech pathology and communicative participation. An online survey study included questions about participant demographics, referral and acc...

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Publicado en:International Journal of Speech-Language Pathology Vol. 25; no. 6; pp. 849 - 861
Autores principales: Hilger, Allison, Dunne-Platero, Kylie
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Dec2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2023
      vid: 25
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/17549507.2022.2134455
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        atl: The experiences of speech pathology referral and communicative participation in adults with cerebellar ataxia.
      aug:
        au:
          Hilger, Allison
          Dunne-Platero, Kylie
        affil: Department of Speech, Language, and Hearing Sciences, University of Colorado, Boulder, CO, USA
      sug:
        subj:
          Speech-Language Pathology
          Referral and Consultation
          Social Participation In Adulthood
          Cerebellar Ataxia Therapy
          Human
          Adult
          Surveys
          Questionnaires
          Logistic Regression
          Dysarthria
          Data Analysis Software
          Descriptive Statistics
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: The purpose of this study was to identify potential barriers to speech pathology referral in ataxia, as well as potential factors influencing satisfaction with speech pathology and communicative participation. An online survey study included questions about participant demographics, referral and access to speech pathology, satisfaction with speech pathology, and communicative participation via the Communicative Participation Item Bank (CPIB). We analysed 118 eligible responses from individuals with ataxia. Results from Bayesian regression models indicated that the overall referral rate to speech pathology was 64% for the respondents with a speech impairment, predicted by lower income, less education, and greater self-perceived speech severity. Additionally, sex, self-perceived speech severity, and length of speech impairment predicted more restricted communicative participation. For the respondents who were referred for speech pathology, overall satisfaction with speech pathology was neutral to high but most individuals reported little to no improvement in their speech. Referral rate to speech pathology was low given that dysarthria and dysphagia are highly likely to occur in ataxia. Considerations should be made for perceived speech severity, sex, and length of speech impairment in evaluating communicative participation. Lastly, there is a vital need for evidence-based treatment for ataxic dysarthria.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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