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  • Title: 'Living with Aphasia the Best Way I Can': A Feasibility Study Exploring Solution-Focused Brief Therapy for People with Aphasia.
    Author: Northcott S, Burns K, Simpson A, Hilari K.
    Journal: Folia Phoniatr Logop; 2015; 67(3):156-67. PubMed ID: 26789122.
    Abstract:
    OBJECTIVE: Post-stroke aphasia can profoundly affect a person's social and emotional well-being. This study explored the feasibility of solution-focused brief therapy as an accessible intervention and investigated its impact on participants' psychosocial well-being. PARTICIPANTS AND METHODS: This is a small-scale repeated-measures feasibility study. Participants received between 3 and 5 therapy sessions. They were assessed on psychosocial outcome measures before and after therapy and took part in post-therapy in-depth qualitative interviews. Three men and 2 women with chronic aphasia took part (age range: 40s-70s). RESULTS: Participants found the therapy acceptable, and it was possible to adapt the approach so as to be communicatively accessible. Quantitative assessments showed encouraging trends in improved mood [pre-therapy General Health Questionnaire 12-item version (GHQ-12): mean (SD): 4.80 (4.60), median: 6; post-therapy GHQ-12: mean (SD): 2.00 (2.55), median: 1] and improved communicative participation [pre-therapy Communicative Participation Item Bank (CPIB): mean (SD): 7.80 (5.76), median: 7; post-therapy CPIB: mean (SD): 12.20 (4.44), median: 14]. Measures of social network and connectedness, however, remained stable. Themes emerging from the qualitative analysis included changes to mood, communicative participation, mobility, and everyday activities. CONCLUSIONS: This small-scale study suggests that solution-focused brief therapy is a promising approach to helping people with aphasia build positive change in their lives.
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