Speech or Language Impairment Following Stroke
Conditions
Keywords
functional communicative ability, cost effectiveness, service user preferences
Brief summary
This study investigates the effectiveness and cost-effectiveness of speech and language therapy for adults who suffer communication difficulties following a stroke.
Detailed description
Research Question: This is the pilot phase of a two-phase study. Phase 1 - What is the feasibility of conducting a randomised controlled trial of therapy for adults with post-stroke communication impairment? to be followed in 2006 by Phase 2 - What are the effectiveness, costs and service user preferences, for the provision of speech and language therapy for communication difficulties experienced by people in hospital with a stroke? Methodology: Phase 1 - Qualitative (focus groups & individual interviews) and quantitative (pilot RCT). Phase 2 - Qualitative (focus groups & individual interviews) and quantitative (a pragmatic, multicentred, randomised controlled trial, stratified by diagnosis and therapist/centre, using an 'intention to treat' approach). Discrete choice experiments will be used to determine cost effectiveness. Outcome Measures: The primary outcome will be functional communicative ability. The economic analysis will estimate the incremental cost effectiveness and net benefit of the intervention group compared to the control group from a societal perspective. The qualitative study will examine service users' and carers' perspectives on the process and effects of Speech and Language Therapy or the control treatment. Sample Group: Adults with dysarthria or aphasia, seen early after admission to hospital with a stroke. Exclusions: subarachnoid haemorrhage, progressive dementia, expected recovery without therapy.
Interventions
PROCEDURESpeech and Language therapy for dysarthria and/or aphasia
Sponsors
NHS Health Technology Assessment Programme
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
ECT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults with communication impairment following a new stroke
Exclusion criteria
* Not fluent in the English language * Subarachnoid haemorrhage * Pre-existing, progressive dementia or learning disability * Palliative care only or deceased since admission * Resident outside the treatment area
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome will be functional communicative ability. | — |
Secondary
| Measure | Time frame |
|---|---|
| The economic analysis to estimate incremental cost effectiveness and net benefit of the intervention. Qualitative study to examine service users' and carers' perspectives Speech and Language Therapy vs control treatment. | — |
Countries
United Kingdom
Outcome results
None listed