Medicine and Health Sciences Commons^™

The Ethics Of Patient And Public Involvement Across The Research Process: Towards Partnership With People With Aphasia, Deborah Hersh, Mark Israel, Ciara Shiggins

Research outputs 2014 to 2021

Background:

Conducting Patient and Public Involvement (PPI) in health research is a way of building knowledge that incorporates the experience of service users, adds research impact, and helps avoid wasting resources on findings that have little relevance to people or cannot be implemented. We argue that there is a need to extend ethical considerations currently focused on research participants with aphasia to encompass and guide expectations of involvement in partnerships with people with aphasia across the research lifecycle.

Method:

We use the 2018 revision of the Australian National Statement on Ethical Conduct in Human Research as the framework for this …

Hearing Threshold Levels Of Australian Coal Mine Workers: A Retrospective Cross-Sectional Study Of 64196 Audiograms, Adelle Liebenberg, Alan M. Brichta, Valerie M. Nie, Sima Ahmadi, Carole L. James

Research outputs 2014 to 2021

Objective

This study examined the hearing threshold levels (HTL) of workers commencing employment in Australian coal mines in the State of New South Wales (NSW). The aim was to establish if some degree of hearing loss was identifiable in the mandatory pre-employment audiograms of workers.

Design

This was an observational, retrospective, repeated cross-sectional study. Study Sample De-identified audiometric records of 64196 employees entering NSW coal mining in three representative five-year periods between 1991–2015 were utilised

Results

Although HTLs were lower (better) in more recent years, the results showed clinically significant hearing loss ( ≥ 25dBHL) for older workers, 45–60 years. …

Therapeutic Relationships In Aphasia Rehabilitation: Using Sociological Theories To Promote Critical Reflexivity, Felicity Bright, Stacie Attrill, Deborah Hersh

Research outputs 2014 to 2021

© 2020 The Authors. International Journal of Language & Communication Disorders published by John Wiley & Sons Ltd on behalf of Royal College of Speech and Language Therapists Background: Therapeutic relationships are fundamental in aphasia rehabilitation, influencing patient experience and outcomes. While we have good understandings of the components of therapeutic relationships, there has been little exploration of how and why therapists construct and enact relationships as they do. Sociological theories may help develop nuanced understanding of the values, assumptions and structures that influence practice, and may facilitate critical reflexivity on practice. Aims: To explore the potential for theoretical approaches …

Creating A Theoretical Framework To Underpin Discourse Assessment And Intervention In Aphasia, Lucy Dipper, Jane Marshall, Mary Boyle, Deborah Hersh, Nicola Botting, Madeline Cruice

Research outputs 2014 to 2021

Discourse (a unit of language longer than a single sentence) is fundamental to everyday communication. People with aphasia (a language impairment occurring most frequently after stroke, or other brain damage) have communication difficulties which lead to less complete, less coherent, and less complex discourse. Although there are multiple reviews of discourse assessment and an emerging evidence base for discourse intervention, there is no unified theoretical framework to underpin this research. Instead, disparate theories are recruited to explain different aspects of discourse impairment, or symptoms are reported without a hypothesis about the cause. What is needed is a theoretical framework that …

Predictors Of Poststroke Aphasia Recovery: A Systematic Review-Informed Individual Participant Data Meta-Analysis, The Rehabilitation And Recovery Of People With Aphasia After Stroke (Release) Collaborators

Research outputs 2014 to 2021

Background and Purpose: The factors associated with recovery of language domains after stroke remain uncertain. We described recovery of overall-language-ability, auditory comprehension, naming, and functional-communication across participants’ age, sex, and aphasia chronicity in a large, multilingual, international aphasia dataset. Methods: Individual participant data meta-analysis of systematically sourced aphasia datasets described overall-language ability using the Western Aphasia Battery Aphasia-Quotient; auditory comprehension by Aachen Aphasia Test (AAT) Token Test; naming by Boston Naming Test and functional-communication by AAT Spontaneous-Speech Communication subscale. Multivariable analyses regressed absolute score-changes from baseline across language domains onto covariates identified a priori in randomized controlled trials and all …