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A Telehealth Adaptation Of A Treatment For Chronic Stuttering
Funder
National Health and Medical Research Council
Funding Amount
$389,400.00
Summary
Stuttering can have devastating effects on psychological development, social adjustment, and the realisation of educational and vocational potential. Best practice treatments for chronic stuttering in adulthood and late adolescence stop or reduce stuttering with a systematic process of speech restructuring. However, speech restructuring treatment for chronic stuttering is specialised and resource intensive. Probably half of Australians with chronic stuttering cannot access such specialised treat ....Stuttering can have devastating effects on psychological development, social adjustment, and the realisation of educational and vocational potential. Best practice treatments for chronic stuttering in adulthood and late adolescence stop or reduce stuttering with a systematic process of speech restructuring. However, speech restructuring treatment for chronic stuttering is specialised and resource intensive. Probably half of Australians with chronic stuttering cannot access such specialised treatment services because of distance and lifestyle factors, and because clinicians do not have the resources to provide the treatment. These problems present a research challenge. The present project aims to meet this challenge by developing an innovative treatment model for adults who stutter based on telehealth. This treatment model will make the treatment accessible to all rural and urban dwelling patients with chronic stuttering, and will make the treatment deliverable by every clinician. The research will have significant impact for many end users.Read moreRead less
The Contribution Of Dopamine To Regulation Of Orofacial, Limb And Trunk Control: System Or Function Specific Effects?
Funder
National Health and Medical Research Council
Funding Amount
$493,124.00
Summary
Treatment for Parkinson's disease, including dopamine replacement therapy and deep brain stimulation, fail to produce the same beneficial effects on all movement systems. Whereas limb function is the primary beneficiary of these treatments, other functions such as speech and postural control are less responsive. Critical to the research is the postulate that such differences may have arisen due to the fact that previous studies of dopamine and movement control have investigated distinct motor sy ....Treatment for Parkinson's disease, including dopamine replacement therapy and deep brain stimulation, fail to produce the same beneficial effects on all movement systems. Whereas limb function is the primary beneficiary of these treatments, other functions such as speech and postural control are less responsive. Critical to the research is the postulate that such differences may have arisen due to the fact that previous studies of dopamine and movement control have investigated distinct motor systems via the assessment of distinct movement constructs, making cross system comparisons an impossible task. The proposed research will assess the effect of Parkinson's disease, deep brain stimulation and dopamine on identical muscle functions within the orofacial, trunk and limb muscle systems. To this end, the results generated from this resarch have the potential to reconceptualise working models of brain-muscle relationships. Further the research will provide guidance for future studies that aim to eradicate trade-off effects (e.g. limb function improved but not speech) relating to symptom relief for people with Parkinson's disease.Read moreRead less
Use Of Innovative Mobile Telehealth Technology To Enable A New Service Delivery Solution For Dysphagia Management
Funder
National Health and Medical Research Council
Funding Amount
$207,231.00
Summary
Dysphagia, the term used to describe a swallowing difficulty, affects up to 30% of people over 65 years of age. Speech pathologists are responsible for diagnosing and managing dysphagia, however there is a shortfall between the number of clinicians available and the large number of individuals with this condition. The study aims to validate a way to assess dysphagia using telehealth, to increase access to speech pathology services particularly for patients in rural health settings.
The Effects Of Treating Comorbid Social Phobia In Adults Who Stutter
Funder
National Health and Medical Research Council
Funding Amount
$196,245.00
Summary
Stuttering is a distressing and common speech disorder that prevents normal communication, hinders attainment of occupational potential, and can cause a lifetime of embarrassment and anxiety in everyday speaking situations. Around half of all adults who stutter have a condition called social phobia, which involves excessive anxiety in social situations. This is an important observation, because it is well known that treatments for adults who stutter are not particularly effective for some patien ....Stuttering is a distressing and common speech disorder that prevents normal communication, hinders attainment of occupational potential, and can cause a lifetime of embarrassment and anxiety in everyday speaking situations. Around half of all adults who stutter have a condition called social phobia, which involves excessive anxiety in social situations. This is an important observation, because it is well known that treatments for adults who stutter are not particularly effective for some patients. In this research project, we investigate the possibility that this is because existing treatments have not addressed the fact that many adults who stutter have levels of social anxiety in everyday speaking situations. In this experiment, half the subjects receive a standard treatment and the other half receive a standard treatment plus cognitive behaviour therapy designed to alleviate their social anxiety.Read moreRead less
Home-based Speech Treatment For Parkinsons Disease Via Telerehabilitation : Clinical And Economic Outcomes.
Funder
National Health and Medical Research Council
Funding Amount
$485,793.00
Summary
Parkinson's Disease affects a person's ability to speak clearly. Speech pathologists can provide effective treatment for this speech disorder. Access to a speech pathologist, however, is difficult for many people with Parkinson's Disease due to their physical difficulties and the limited availability of speech pathology services in rural areas. This study demonstrates the use of telerehabilitation to deliver speech treatment to people with Parkinson's Disease in their own homes via the Internet.
Randomised Trial Of An Innovative Treatment For Early Stuttering.
Funder
National Health and Medical Research Council
Funding Amount
$482,568.00
Summary
Stuttering begins early in life and has destructive effects on human development. These include failure to attain occupational potential and psychiatric illness. This project is a clinical trial to compare a new treatment with best practice. The new treatment has many potential benefits. It is simpler and may take less time, and can be used more easily by clinicians.
What People With Aphasia Want: Towards Person-centred Goal-setting In Aphasia Rehabilitation
Funder
National Health and Medical Research Council
Funding Amount
$427,702.00
Summary
Consumers of health services expect their concerns and priorities to form part of their health care. People with aphasia have difficulty communicating their needs and speech pathologists are challenged to plan therapy to meet aphasic clients' needs. Family members of people with aphasia also have unrecognised concerns. The first aim of this study is to determine the goals of people with aphasia and their families and to gain their perspective of whether these goals were addressed in speech thera ....Consumers of health services expect their concerns and priorities to form part of their health care. People with aphasia have difficulty communicating their needs and speech pathologists are challenged to plan therapy to meet aphasic clients' needs. Family members of people with aphasia also have unrecognised concerns. The first aim of this study is to determine the goals of people with aphasia and their families and to gain their perspective of whether these goals were addressed in speech therapy. The study will then seek the perspective of their treating speech pathologists about the goals of therapy and the challenges that speech pathologists face in practising person-centered goal setting. This study will not only provide a framework for aphasia services in Australia but also provide data that will inform professional educational programs about person-centered practice for speech pathologists and other health professionals. It will also contribute to current theories on collaborative goal setting in a rehabilitation context.Read moreRead less
A Telehealth Application For The Assessment And Treatment Of Disordered Speech In Parkinson's Disease
Funder
National Health and Medical Research Council
Funding Amount
$362,875.00
Summary
People with Parkinson's disease frequently develop soft, indistinct, and monotonous speech that significantly affects the person's ability to communicate with his or her family, and the community in general. To date, the most effective treatment for the speech disturbance seen in persons with Parkinson's disease is the Lee Silverman Voice Treatment (LSVT ) program that focuses on improving the individual's vocal loudness and quality, resulting in improved speech intelligibility. For many people ....People with Parkinson's disease frequently develop soft, indistinct, and monotonous speech that significantly affects the person's ability to communicate with his or her family, and the community in general. To date, the most effective treatment for the speech disturbance seen in persons with Parkinson's disease is the Lee Silverman Voice Treatment (LSVT ) program that focuses on improving the individual's vocal loudness and quality, resulting in improved speech intelligibility. For many people with this disease, accessing this effective treatment for their speech disorder is very difficult due to their physical disabilities, the distances they are required to travel, and the availability of speech pathologists. This project aims to overcome these access issues through the development of a telehealth system that will enable speech pathologists to assess and treat people with Parkinson's disease who have a speech disorder across the Internet using videoconferencing. It is intended that this research will ultimately enable people with Parkinson's disease to be treated within their own home or local community.Read moreRead less
Evaluating The Effectiveness Of Therapy For Word Production Impairments In Aphasia.
Funder
National Health and Medical Research Council
Funding Amount
$231,500.00
Summary
This project addresses the remediation of language disorders following brain damage (aphasia). It targets the difficulties people with aphasia have in retrieving and accurately producing the words they need to communicate. These word production impairments are an extremely common symptom of aphasia and may be of different types. They are often severe but can be improved with treatment. However, there is no one task that is effective for every person with word production impairments in aphasia. U ....This project addresses the remediation of language disorders following brain damage (aphasia). It targets the difficulties people with aphasia have in retrieving and accurately producing the words they need to communicate. These word production impairments are an extremely common symptom of aphasia and may be of different types. They are often severe but can be improved with treatment. However, there is no one task that is effective for every person with word production impairments in aphasia. Unfortunately, to date research has failed to investigate adequately the relationship between the type of word production disorder and the appropriate treatment task to successfully remediate it - matching treatment to impairment remains a process of 'trial and error'. As therapy is a time consuming (and hence costly) process, it is clearly desirable to be able to select the best treatment as quickly as possible. This project aims to address this issue. We will investigate the effectiveness of two tasks which are commonly used by speech pathologists in their treatment of people with word retrieval impairments: answering a question regarding the meaning of a word (e.g. Does a cat purr?), and naming a picture with the help of the first sound of the word (e.g. the sound kuh' to help name a picture of a cat). We will determine if after treatment with these tasks, word retrieval and conversation skills improve; and in particular if one task is more effective for one type of word retrieval problem (e.g. retrieving the sounds of the word) than for another (e.g. impaired word meanings). The results of this study will enable Speech Pathologists to select the correct treatment with more accuracy than is currently possible, providing benefits in terms of increased communication ability for aphasic individuals (and hence greater social participation, quality of life, and reduced depression) and benefiting the Health Service Providers through more cost effective service delivery.Read moreRead less
Determinants Of Successfully Living With Aphasia After Stroke: A Prospective Cohort Mixed Methods Study
Funder
National Health and Medical Research Council
Funding Amount
$469,003.00
Summary
People with the communication disability of aphasia following stroke are critical of rehabilitation services. This project seeks to determine what it takes to live successfully with aphasia so that aphasia rehabilitation can be improved. Participants will be interviewed over the first 12 months following the stroke. The most important factors contributing to success will be identified and barriers and facilitators described. The most important factors can then be targeted in rehabilitation.