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ISRCTN
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ISRCTN37002304
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ClinicalTrials.gov identifier
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Public title
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Supported Communication to Improve Participation in Rehabilitation of people with moderate-severe aphasia after a first stroke: a pilot study (SCIP-R)
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Scientific title
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Acronym
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SCIPR
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Serial number at source
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9370
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Study hypothesis
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About a third of people who have a stroke for the first time experience aphasia, a communication disorder affecting speaking, understanding, writing or reading. Aphasia is associated with longer stays in hospital and has severe consequences for all aspects of life. People with aphasia may not fully benefit from stroke rehabilitation for a number of reasons to do with their communication. They may be unable to understand questions, follow instructions, or express their needs. This may lead to misunderstanding and frustration. Information must be communicated in particular ways to be accessible to them, or they may need additional help to set goals. Staff are not necessarily trained in the skills to support people with aphasia in these ways.
‘Supported communication’ uses a set of techniques to make communication accessible for people with aphasia. A skilled communication partner uses low-tech resources such as pen/paper, pictures, symbols, calendars, or gestures to break down barriers and enable understanding and expression. Research with community volunteers and students has shown that there are beneficial effects for conversation and engagement.
Supported communication could be used by any member of the stroke team to help patients with aphasia to engage more fully in rehabilitation. It has the potential to improve the quality of care, and address some of the key aims of stroke rehabilitation such as adapting to disability, and increasing quality of life and wellbeing.
Previous studies have mostly focused on its use outside the clinical context. This study aims to build on this evidence and see whether supported communication is a technique that can be learned by stroke unit staff, and used during every day rehabilitation to enhance participation and improve outcomes for people with aphasia.
The results of the study will be used to strengthen the design of a more comprehensive trial.
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Lay summary
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Not provided at time of registration
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Ethics approval
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10/H0310/69
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Study design
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Non-randomised; Interventional; Design type: Process of Care
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Countries of recruitment
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United Kingdom
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Disease/condition/study domain
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Topic: Stroke Research Network; Subtopic: Rehabilitation; Disease: Therapy type
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Participants - inclusion criteria
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1. Staff participants: nurses drawn from all day shifts (Bands 57)
2. Qualified therapy staff (Bands 57)
3. Therapy / healthcare assistants (Band 4)
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Participants - exclusion criteria
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Medical staff will be excluded: rotation of FY1 doctors makes it unlikely that they would be able to complete participation in the study
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Anticipated start date
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15/06/2011
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Anticipated end date
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30/09/2012
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Status of trial
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Ongoing |
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Patient information material
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Target number of participants
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Planned Sample Size: 100; UK Sample Size: 100
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Interventions
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‘Supported communication’ uses a set of techniques to make communication accessible for people with aphasia. A skilled communication partner uses low tech resources such as pen/paper, pictures, symbols, calendars, or gestures to break down barriers and enable understanding and expression. Supported communication could be used by any member of the stroke team to help patients with aphasia to engage more fully in rehabilitation.; Study Entry : Registration only
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Primary outcome measure(s)
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Stroke and Aphasia Quality of Life Scale (SAQOL39g); Timepoint(s): Discharge from unit and 6 month follow-up
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Secondary outcome measure(s)
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Not provided at time of registration
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Sources of funding
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National Institute for Health Research (NIHR) (UK) - Research for Patient Benefit (RfPB) programme
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Trial website
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Publications
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Contact name
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Dr
SImon
Horton
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Address
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School of Allied Health Professions
The Queen's Building
Earlham Road
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City/town
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Norwich
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Zip/Postcode
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NR4 7TJ
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Country
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United Kingdom
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Email
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s.horton@uea.ac.uk
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Sponsor
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NHS Norfolk (UK)
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Address
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Lakeside 400
Old Chapel Way
Broadland Business Park Thorpe St Andrew
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City/town
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Norwich
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Zip/Postcode
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NR7 0WG
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Country
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United Kingdom
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Date applied
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26/07/2011
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Last edited
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26/07/2011
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Date ISRCTN assigned
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26/07/2011
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