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If we build it, will they use it? Phase I observational evaluation of ReaDySpeech, an online therapy programme for people with dysarthria after stroke

机译:如果我们建造它,他们会使用吗?脑卒中后构音障碍患者在线治疗程序ReaDySpeech的I期观察评估

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Purpose: To explore the acceptability of using ReaDySpeech, an online speech therapy programme for people with dysarthria after stroke, within usual clinical practice. This early clinical testing underpins future research evaluation of ReaDySpeech. Methods: A prospective, observational design involving interviews with speech and language therapists with experience of using ReaDySpeech. This included the usability of ReaDySpeech, therapists’ training/support needs, ease of recruitment of therapist and patient participants, ReaDySpeech technical issues and therapy content. Therapists also provided feedback from the patient participants. Results: Six therapists working in hospital and community-based settings used ReaDySpeech with five patients (12–28?weeks post-stroke, four female, mean age 71?years). Therapists found it was easy to use, training/support was sufficient and they reported positive feedback from participants. Areas to address involved patients’ access to Wi-Fi, ease of navigation, content improvements and difficulties recruiting people more than 12?weeks post-stroke as most patients had already been discharged. Conclusions: ReaDySpeech was acceptable and generally feasible to use in clinical practice. This early phase research testing has been essential to improve navigation within the therapy software and content. ReaDySpeech can now be further evaluated with a phase two feasibility trial with earlier recruitment following stroke.
机译:目的:探讨在常规临床实践中使用ReaDySpeech(一种针对中风后构音困难的人的在线语音治疗程序)的可接受性。这项早期的临床测试为ReaDySpeech的未来研究评估奠定了基础。方法:前瞻性,观察性设计,涉及对具有使用ReaDySpeech经验的语言和语言治疗师的采访。其中包括ReaDySpeech的可用性,治疗师的培训/支持需求,简化治疗师和患者参与者的招募,ReaDySpeech的技术问题和治疗内容。治疗师还提供了来自患者参与者的反馈。结果:六名在医院和社区机构工作的治疗师对五名患者进行了ReaDySpeech治疗(中风后12-28周,四名女性,平均年龄71岁)。治疗师发现它易于使用,培训/支持足够,他们报告了参与者的积极反馈。由于大多数患者已经出院,因此涉及的领域涉及患者获得Wi-Fi的访问权限,导航的便利性,内容的改进以及中风后12周以上招募人员的困难。结论:ReaDySpeech是可以接受的,并且在临床实践中通常可行。这项早期研究测试对于改善治疗软件和内容中的导航至关重要。 ReaDySpeech现在可以通过第二阶段可行性试验进行进一步评估,并在卒中后更早招募。

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