Clinical interpretation and application of patient-reported communicative participation outcomes after stroke, and the influence of psychosocial factors

项目概要/摘要 许多经历过中风的人都有语言和/或言语障碍。这些 损伤改变了一个人的沟通方式，并显著影响他们在生活中的参与， 小的方式。与有沟通障碍的人一起工作的临床医生，被称为言语障碍， 语言病理学家或SLP，经常使用问卷调查来了解他们的客户参与不同的 沟通情况。一个这样的调查问卷是沟通参与项目库，或CPIB。 此问卷有助于SLP了解客户的沟通障碍对其日常生活的影响 他们使用这些信息来帮助制定治疗计划和目标。然而，研究表明， 我们认为，除了言语/语言障碍之外，其他因素也可能影响一个人回答问题的方式。 在CPIB。可能影响对CPIB反应的一些因素包括社会心理因素，如 慢性压力、抑郁、恢复力和自我效能。如果SLP不另外询问这些因素， 提供CPIB，他们可能会误解CPIB分数，错过客户的重要需求。的 每个人的交际参与与心理社会因素之间的联系往往被忽视 因为SLP在测量这些因素或它们如何影响治疗及其结果方面几乎没有培训。 这种对客户需求的误解可能会影响治疗计划和目标， 帮助个人客户。为了解决这个问题，本研究项目将研究如何应对CPIB 与中风后有沟通障碍的人的这些心理社会因素有关。项目 分为两个研究。研究一的目的是探讨慢性阻塞性肺疾病患者的CPIB和心理社会因素， 中风后沟通障碍者的压力、抑郁、恢复力和自我效能， 了解这些因素如何影响他们参与日常生活。研究小组会问 参与者提供关于自己的基本信息（年龄，中风日期等），完整的演讲和 语言测试，完成CPIB和询问心理社会因素的问卷，并回答 关于这些问卷中所提出的主题的访谈问题。9个月后，研究小组 我会要求这些人重复问卷调查和部分采访，以帮助了解这些人是如何做到的。 因素随时间而变化。研究2的目的是检查SLP如何使用CPIB来理解 参与和其他经验，以及他们如何考虑治疗中的心理社会因素 目标和活动。研究小组将要求使用CPIB的SLP完成调查和随访 采访他们如何使用这份问卷，包括他们如何考虑的心理社会经验， 他们的客户在治疗计划。本研究项目的结果将澄清重要但被忽视的 沟通参与和中风后的心理社会因素之间的联系，并提供 关于SLP如何使用CPIB为个人客户创建更好的治疗计划的关键信息。

Project Summary/Abstract Many people who have experienced a stroke have language and/or speech impairments. These impairments alter how a person communicates, and significantly impacts their participation in life in both major and minor ways. Clinicians who work with individuals with communication impairments, called Speech- Language Pathologists or SLPs, often use questionnaires to learn about their clients’ participation in different communication situations. One such questionnaire is the Communicative Participation Item Bank, or the CPIB. This questionnaire helps SLPs understand the impact of the client’s communication impairment on their daily life, and they use this information to help create treatment plans and goals. However, research evidence tells us that factors other than the speech/language impairment may contribute to how a person answers questions on the CPIB. Some factors that may influence responses to the CPIB include psychosocial factors such as chronic stress, depression, resilience, and self-efficacy. If the SLP does not ask about these factors in addition to providing the CPIB, they may misinterpret CPIB scores and miss important needs of their client. The connection between each individual’s communicative participation and psychosocial factors is often neglected because SLPs have little training on measuring these factors or how they impact treatment and its outcomes. This misunderstanding about clients’ needs may influence treatment plans and goals in a way that does not help individual clients. To address this problem, this research project will examine how responses to the CPIB are related to these psychosocial factors for people with communication impairments after stroke. The project is divided into 2 studies. The purpose of Study 1 is to examine the CPIB and psychosocial factors of chronic stress, depression, resilience, and self-efficacy with individuals with post-stroke communication impairments to understand how these factors may influence their participation in daily life. The research team will ask participants to provide basic information about themselves (age, stroke date, etc.), complete speech and language tests, complete the CPIB and questionnaires that ask about the psychosocial factors, and answer interview questions about the topics presented in these questionnaires. Nine months later, the research team will ask these individuals to repeat the questionnaires and part of the interview to help understand how these factors change over time. The purpose of Study 2 is to examine how SLPs use the CPIB to understand the participation and other experiences of their clients, and how they consider psychosocial factors in treatment goals and activities. The research team will ask SLPs who use the CPIB to complete a survey and follow-up interview about how they use this questionnaire, including how they consider the psychosocial experiences of their clients in treatment planning. The results of this research project will clarify the important but neglected connection between communicative participation and psychosocial factors following a stroke, and provide critical information about how SLPs can use the CPIB to create better treatment plans for individual clients.