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Evidensbaserad logopedisk intervention vid nedsatt ordmobilisering hos personer med afasi: Ett systematiskt kunskapsunderlag för behandlingsmetoder
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Blom Johansson: Speech-Language Pathology.
2020 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Background: In Sweden there is currently no comprehensive information with in-depth descriptions, as well as degree of evidence, of treatment methods for word-finding difficulties, in aphasia. Clinical speech-language pathologists therefore often lack knowledge about the treatment methods that exist, their theoretical basis, how to perform the treatment, for what patients the methods are appropriate and what evidence they have.

Aim: The aim of this study was to compose an evidence-based summation with descriptions of treatment methods targeting word-finding difficulties for people with aphasia. Method: A systematic literature search for studies evaluating methods for treating word finding difficulties was conducted in September - October 2019. Searches were conducted in several databases and on the websites of the American Speech-Language-Hearing Association (ASHA) and Australian Aphasia Rehabilitation Pathway (AARP). Moreover, additional articles were hand searched. Articles that met the inclusion criteria were quality checked and the evidence strength for each method was assessed. Results: The majority of the included studies showed improved word-finding ability of the participants. However, most of the studies had few participants and were of a design that made it difficult to generalize the results and thus lower the evidence level. The assessment resulted in two treatment methods with moderately strong degree of evidence, one with limited evidence and four treatment methods with insufficient evidence. For one of the methods, the authors found no research and the evidence for that method could therefore not be assessed. Conclusion: To increase the degree of evidence of treatment methods for people with aphasia, more and larger studies with RCT design must be carried out.

Abstract [sv]

Bakgrund: Det finns i Sverige idag ingen samlad information som ingående beskriver samt anger en evidens för behandlingsmetoder inom ordmobiliseringssvårigheter vid afasi. Kliniska logopeder saknar därför ofta kunskap om vilka behandlingsmetoder som förekommer, deras teoretiska bas, hur man går tillväga, för vilka patienter metoderna passar och vilken evidens de har. Syfte: Studiens syfte är att utforma ett kunskapsunderlag med beskrivning samt evidensgradering av befintliga behandlingsmetoder vid ordmobiliseringssvårigheter hos personer med afasi. Metod: En systematisk litteratursökning av behandlingsmetoder vid ordmobiliseringssvårigheter genomfördes i september - oktober 2019. Sökningen genomfördes i ett flertal databaser samt på hemsidorna American Speech- Language-Hearing Association (ASHA) och Australian Aphasia Rehabilitation Pathway (AARP). Utöver detta handsöktes ytterligare artiklar. Artiklar som uppfyllde uppsatta inklusionskriterier kvalitetsgranskades och evidensstyrkan för varje metod bedömdes. Resultat: Majoriteten av de inkluderade studierna visade på förbättrad ordmobiliseringsförmåga hos deltagarna. Dock hade de flesta studier få deltagare och en design som gör det svårt att generalisera resultatet och därmed sänker evidensgraden. Evidensgranskningen resulterade i två metoder med måttligt stark tillförlitlighet, en metod med begränsad tillförlitlighet och fyra metoder med otillräcklig tillförlitlighet. En av metoderna hittade författarna ingen forskning om och den kunde därför inte evidensgranskas. Slutsats: För att öka behandlingsmetodernas evidensgrad behöver fler och större studier genomföras med RCT som studiedesign.

Place, publisher, year, edition, pages
2020. , p. 78
Series
Magisterarbete i logopedi ; 183
Keywords [en]
aphasia, treatment, anomia, speech-language pathologist, evidence
Keywords [sv]
afasi, behandling, ordmobiliseringssvårigheter, logoped, evidens
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-403646OAI: oai:DiVA.org:uu-403646DiVA, id: diva2:1390420
Subject / course
Speech and Language Pathology
Educational program
Degree of Master of Science in Speech and Language Pathology
Supervisors
Examiners
Available from: 2020-02-03 Created: 2020-01-31 Last updated: 2020-02-03Bibliographically approved

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