Detailed needs assessment

2018 ◽  
Author(s):  
Traolach S. Brugha
Keyword(s):  
Quality Of Life ◽  
Risk Management ◽  
Multidisciplinary Approach ◽  
Management Plan ◽  
Language Therapy ◽  
Speech And Language Therapy ◽  
Randomized Controlled ◽  
Controlled Treatment ◽  
Diagnostic Approaches

Patients with more complex presentations that include autism may require more detailed assessments involving a multidisciplinary approach. This chapter covers a range of measures that are used in clinical practice and in randomized controlled treatment trials in adults, which add more detailed information. These may be helpful in planning for the interventions described in subsequent chapters. Advanced diagnostic approaches will be considered, which call upon neuropsychology, speech and language therapy, social work, occupational therapy, and the use of quality of life approaches. More detailed assessments should consider an assessment of risk to self and others sufficient to develop a risk management plan where appropriate.

scholarly journals Investigating a new tablet-based telerehabilitation app in patients with aphasia: a randomised, controlled, evaluator-blinded, multicentre trial protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037702
Author(s):  
Arif Sinan Uslu ◽  
Stephan M Gerber ◽  
Nadine Schmidt ◽  
Carina Röthlisberger ◽  
Patric Wyss ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cognitive Training ◽  
High Frequency ◽  
Verbal Communication ◽  
Speech And Language ◽  
Language Therapy ◽  
Speech And Language Therapy ◽  
Language Functions ◽  
Randomised Controlled

IntroductionAphasia is a common language disorder acquired after stroke that reduces the quality of life of affected patients. The impairment is frequently accompanied by a deficit in cognitive functions. The state-of-the-art therapy is speech and language therapy but recent findings highlight positive effects of high-frequency therapy. Telerehabilitation has the potential to enable high-frequency therapy for patients at home. This study investigates the effects of high-frequency telerehabilitation speech and language therapy (teleSLT) on language functions in outpatients with aphasia compared with telerehabilitative cognitive training. We hypothesise that patients training with high-frequency teleSLT will show higher improvement in language functions and quality of life compared with patients with high-frequency tele-rehabilitative cognitive training (teleCT).Methods and analysisThis study is a randomised controlled, evaluator-blinded multicentre superiority trial comparing the outcomes following either high-frequency teleSLT or teleCT. A total of 100 outpatients with aphasia will be recruited and assigned in a 1:1 ratio stratified by trial site and severity of impairment to one of two parallel groups. Both groups will train over a period of 4 weeks for 2 hours per day. Patients in the experimental condition will devote 80% of their training time to teleSLT and the remaining 20% (24 min/day) to teleCT, vice versa for patients in the control condition. The primary outcome measure is the understandability of verbal communication on the Amsterdam Nijmegen Everyday Language Test and secondary outcome measures are intelligibility of the verbal communication, impairment of receptive and expressive language functions, confrontation naming. Other outcomes measures are quality of life and acceptance (usability and subjective experience) of the teleSLT system.Ethics and disseminationThis study is approved by the Ethics Committee Bern (ID 2016-01577). Results will be submitted to a peer-reviewed journal.Trial registration numberNCT03228264.

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