Positive effects of speech and language therapy group interventions in primary progressive aphasia: A systematic review

Background Primary progressive aphasia (PPA) is a neurodegenerative condition characterised by a prominent and progressive deterioration in language abilities, which significantly impacts quality of life and interpersonal relationships. Speech and language therapy plays a crucial role in offering in...

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Veröffentlicht in:International journal of language & communication disorders 2024-09, Vol.59 (5), p.1832-1849
Hauptverfasser: Watanabe, Miyuki, Cartwright, Jade, Pierce, John E.
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Sprache:eng
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Zusammenfassung:Background Primary progressive aphasia (PPA) is a neurodegenerative condition characterised by a prominent and progressive deterioration in language abilities, which significantly impacts quality of life and interpersonal relationships. Speech and language therapy plays a crucial role in offering interventions. Group intervention is one mode of delivery that could benefit communication functioning and overall wellbeing of people with PPA (pwPPA) and their care partners. Group interventions are also more efficient than one‐to‐one intervention and may facilitate peer support. Aims The aim of this review was to systematically evaluate the current evidence for the effectiveness of speech and language therapy groups for pwPPA and their care partners. Specifically, this paper considered three questions: 1.What evidence‐based speech and language therapy groups for pwPPA and their care partners have been reported to date? 2.Are group communication interventions effective in improving quality of life and communication function for pwPPA and their care partners? 3.Are group communication interventions that are designed for people with communication difficulties of other aetiologies (such as stroke) effective for pwPPA? In addition, this review aimed to describe the structure and content of groups, including aims, disciplines involved, size and frequency of group meetings, and outcome measures. Methods MEDLINE, CINAHL and PsycINFO were used to retrieve articles of interest. A total of 10 studies published between 2009 and 2022 met the eligibility criteria and therefore were included in this study. Data were extracted from the articles regarding the structure and content of groups. Main Contribution Although evidence is currently limited, results suggest that speech and language therapy group intervention can improve specific linguistic processes, the use of communication strategies and psychosocial well‐being. The importance of multidisciplinary input and care partners’ involvement in groups was highlighted, along with the benefits of creative non‐verbal activities as tools for self‐expression. There is also initial evidence that telehealth group provision and one‐off group sessions may be feasible and can benefit psychosocial well‐being. Lastly, intentional recruitment and explicit education on different aphasia types are described as important when pwPPA participate in groups with mixed diagnoses. Conclusions The literature on speech and language therapy group inte
ISSN:1368-2822
1460-6984
1460-6984
DOI:10.1111/1460-6984.13031