Effectiveness of interventions

ASPIRE: Aphasia Intervention description in research

Lead: Evy Vish-Brink
The aim of this project is to make an inventory of aphasia treatment studies, comparing 2 conditions of SLT. Source for treatment studies: 13 reviews and Pubmed for recent studies. Studies (n= about 125) are evaluated according the TiDIER-method, described by Hoffman et al. in BMJ 2014, to get insight in the gaps in aphasia treatment research, concerning content and descriptive quality. Finally, we will compare the research data with the methods used in clinical practice.

Inventory of clinical practice aphasia treatment: i-CLIP

Lead: Sue Franklin 
SLT services for stroke vary both regionally and internationally. A team led by Prof Sue Franklin at the University of Limerick has devised a survey of current practice to gather information on the amount and types of treatment available across COST countries that are involved in the Collaboration of Aphasia Trialists. These countries include Australia, Belgium, Croatia, Cyprus, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Israel, Italy, Lithuania, Malta, Netherlands, Norway, Portugal, Serbia, Spain, Sweden, the united Kingdom, Russia, South Africa and New Zealand. All of the collated information on SLT services will be compared with current evidence based treatment recommendations and published in a peer-reviewed publication and summarised on the CATs website.

Aphasia Research Priorities

Lead: Sue Franklin
Team: Dearbhla Harhen, Michelle Hayes, Sasha McManus, Alex Pollock

A previous priority setting partnership with the James Lind Alliance identified the top ten research priorities for life after stroke. Aphasia-related issues feaured twice in this top ten list. The current aphasia research priority project expands on this earlier work to examine more closely the research priorities specific to the field of aphasia.

Initiated in October 2014, this project uses the same priority setting methodology outlined by the James Lind Alliance.

These aphasia research priorites have been identified; findings have been disseminated at research conferences, and are currently in preparation for publication.

REhabilitation and recovery of peopLE with Aphasia after StrokE (RELEASE) is a National Institute of Health Research (NIHR) funded project.

Outcomes: We will produce information on

  • The components of aphasia therapy that best facilitate recovery (in general and for different types of people, stroke and aphasia)
  • The optimum therapy (timing, intensity, frequency, duration, repetition) and home practice routine (in general and for different types of people, stroke and aphasia)
  • The usual patterns of recovery from aphasia (with and without therapy)
  • What aspects indicate someone will make a good (or not so good) recovery from aphasia

For more information please email RELEASE@gcu.ac.uk

International Population Registry for Aphasia after Stroke (I-PRAISE)

Those with aphasia who are included in RCTs represent only a small proportion of those who are affected by post-stroke aphasia in the wider clinical population. the evidence base for therapy which is generated from these participants may not be applicable to all of those with aphasia who are typically seen in clinics and hospitals. We seek to address gaps in knowledge by examining recovery and service provision for aphasia across Europe.

Aims :

  • Describe the clinical aphasia population across Europe
  • Describe the clinical treatments for aphasia after stroke in the general population across Europe
  • Examine the outcomes after clinical intervention for aphasia, across different countries

Aphasia telerehabilitation early post stroke (PhD Fellowship)

Team: Hege Prag Øra, Frank Becker, Melanie Kirmess, Marian Brady

Funder: Regional Health Trust South East Norway, full time grant for equivalent of 3 years FTE. Start: 1st Aug 2015 End 31st July 2019 (over 4 years)

Transforming access to cost effective aphasia services: the Australian Aphasia Centre for Research Excellence

Team: Linda Worrall, Miranda Rose, Leanne Togher, Tim Shaw, David Copland, Lyndsey Nickels, Erin Godecke, Marian Brady, Julie Bernhardt, Geoffrey Donnan, Dominic Cadillac, Anne Hill, Emma Power, Nina Simmons-Mackie, Deborah Hersh, Robyn O’Halloran

Funder: Australian Government National Health and Medical Research Council. Submission Jan 2016