Post-stroke dysarthria : the psychosocial effects on primary communication partners

  • Shona Kelly

Student thesis: Master's Thesis

Abstract

Introduction: Dysarthria is a common speech impairment following stroke. It is probable that the impact of the communication difficulty will be transmitted to the patient's primary communication partners (PCPs). This research investigates the possible impact of dysarthria focusing on the psychosocial effects on the relatives. Method: Six participants with a relative with chronic post-stroke dysarthria (PwD) participated in an interview and completed two rating scales, which included a rating of their quality of life since the stroke, taking into consideration the effects of the dysarthria and one for their general well-being. Analysis and Results: Interview data was thematically analysed and rating scales were analysed using quantitative analysis. The varied forms of feedback provided complementary information. Thematic analysis of the interview data were configured around the relatives' understanding of stroke, in particular the dysarthria, and how this has impacted their lives. It also looked at how the relative is responding to the effects and their feelings on the dysarthria management. Three main themes identified were: 'Feelings', 'Relationships' and 'Stroke and Speech'. From this small sample there is some indication that PCPs are impacted by dysarthria post-stroke and indications that the severity of the dysarthria will determine the significance of this impact alongside the type of relationship which the relative has with the PwD. Conclusions: With the current focus on the impact on PCP in stroke rehabilitation it seems relevant to be collecting information about how PCPs view the impact of post-stroke dysarthria on their own well-being. With evidence from other areas of stroke research indicating the impact of the psychological impact on the PCP, SLTs need to be aware of how this particular speech impairment may be impacting on the PCPs of their patients so as to indicate what intervention they may provide.
Date of Award1 Jan 2013
LanguageEnglish
Awarding Institution
  • University Of Strathclyde
SupervisorCatherine MacKenzie (Supervisor) & Anja Lowit (Supervisor)

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