{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T17:39:12Z","timestamp":1789148352398,"version":"build-2803163510"},"reference-count":45,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,8,5]],"date-time":"2018-08-05T00:00:00Z","timestamp":1533427200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Australian Postgraduate Award"},{"name":"Human Research Ethics Committee","award":["HREC\/16\/QPAH\/52"],"award-info":[{"award-number":["HREC\/16\/QPAH\/52"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp; Comm Disor"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Effective implementation strategies to improve speech and language therapists\u2019 (SLTs) aphasia management practices are needed. Australian SLTs working in the acute setting have reported inconsistent implementation of post\u2010stroke aphasia guideline recommendations. Therefore, implementation efforts to address these gaps are necessary. However, little is known about the effectiveness of behaviour\u2010change strategies in SLTs providing acute aphasia management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study designed and tested the feasibility, acceptability and potential effectiveness of a tailored implementation strategy to improve acute SLTs\u2019 uptake of evidence in two areas of practice: aphasia\u2010friendly information provision; and collaborative goal setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>A pilot cluster randomized controlled trial design was used (retrospective trial registration number ACTRN12618000170224). Four acute SLT teams were randomly assigned to receive either Intervention A (targeted at improving information provision) or Intervention B (targeted at improving collaborative goal setting), and were blinded to their allocation. Interventions were tailored to address known barriers and included a face\u2010to\u2010face workshop incorporating behaviour\u2010change techniques. Outcomes addressed the research questions of feasibility (e.g., treatment fidelity and retention of participants), acceptability (e.g., post\u2010study focus groups) and potential effectiveness (e.g., medical record audits and behaviour construct surveys). The quantitative data were recorded at baseline and 3\u20136\u2010month follow\u2010up, allowing for change scores to be calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>All four clusters completed the study, with 37 SLTs participating. The majority of participants were female (36\/37 = 97.3%), entry\u2010level clinicians (15\/37 = 40.5%), with a mean age of 30 years. Medical record data from 107 patients were included (post\u2010intervention <jats:italic>n<\/jats:italic> = 61; information provision intervention <jats:italic>n<\/jats:italic> = 36, goal\u2010setting intervention <jats:italic>n<\/jats:italic> = 25). Overall, there was a significant improvement in the target behaviour for Intervention A (mean improvement 52.78%, <jats:italic>p<\/jats:italic> = 0.001), but a small non\u2010significant change in the target behaviour for Intervention B (8.46%, <jats:italic>p<\/jats:italic> = 0.406). There were potentially significant changes seen in several, but not all, of the domains targeted by the interventions (e.g., Knowledge (<jats:italic>p<\/jats:italic> = 0.014), Beliefs about Capabilities (<jats:italic>p<\/jats:italic> = 0.032), and Environmental Context and Resources (<jats:italic>p<\/jats:italic> = 0.000) for Intervention A).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>This study showed that a tailored implementation intervention targeting acute SLTs\u2019 aphasia management practices was feasible to deliver and acceptable for most participants. In addition, the interventions were potentially effective, particularly for the information provision behaviour targeted by Intervention A. It was possible partially to explain the mechanisms of behaviour change that occurred during the study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1460-6984.12419","type":"journal-article","created":{"date-parts":[[2018,8,7]],"date-time":"2018-08-07T07:17:41Z","timestamp":1533626261000},"page":"1021-1056","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["The Acute Aphasia IMplementation Study (AAIMS): a pilot cluster randomized controlled trial"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7805-2447","authenticated-orcid":false,"given":"Kirstine","family":"Shrubsole","sequence":"first","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland  Brisbane QLD Australia"},{"name":"School of Health and Human Sciences Southern Cross University  Gold Coast QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Worrall","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences The University of Queensland  Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2638-0406","authenticated-orcid":false,"given":"Emma","family":"Power","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences The University of Sydney  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise A.","family":"O'Connor","sequence":"additional","affiliation":[{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,8,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/11.3.187"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0605-9"},{"issue":"4","key":"e_1_2_8_4_1","first-page":"CD005470","article-title":"Tailored interventions to address identified determinants of practice","volume":"29","author":"Baker R.","year":"2015","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-7-36"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2165\/00002512-200522020-00006"},{"issue":"7881","key":"e_1_2_8_7_1","first-page":"19","article-title":"Consort 2010 Statement: Extension to cluster randomised trials","volume":"345","author":"Campbell M. 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