{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:40:25Z","timestamp":1787013625780,"version":"build-2736575974"},"reference-count":48,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T00:00:00Z","timestamp":1696896000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp; Comm Disor"],"published-print":{"date-parts":[[2024,3]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Supporting psychosocial well\u2010being in aphasia is necessarily person\u2010centred, interdisciplinary and coordinated. Shortcomings in such support are described in Ireland and elsewhere. Speech and language therapists (SLTs) are integral; and describing current practice and barriers they experience is important for enhancing service delivery.<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n To understand how SLTs enact, and are supported to enact, aphasia psychosocial care in Ireland.<\/jats:p>\n <\/jats:sec>\n \n Methods & Procedures<\/jats:title>\n This is a cross\u2010sectional, online, self\u2010administered clinician survey targeting SLTs working minimally 1 year post\u2010qualification with persons with aphasia of any aetiology in Ireland. The survey questions were charted against key constructs of the implementation science framework, normalization process theory (NPT), and descriptive statistics were applied.<\/jats:p>\n <\/jats:sec>\n \n Outcomes & Results<\/jats:title>\n A total of 54 eligible datasets were included. SLTs believed psychosocial support to be part of their role, but perceived multiple barriers in enacting it. These included a lack of training, clinical supervision, management support, role recognition, and access to and joint working with mental health professionals and services.<\/jats:p>\n <\/jats:sec>\n \n Conclusions & Implications<\/jats:title>\n SLTs in Ireland face a range of individual and structural barriers, including care coordination and resourcing. There is a clear need not only for training, upskilling and mentorship, but also for wider changes around access to mental health professionals and clarity around the processes of referral, coordination and integration of aphasia care across settings. These findings comprise preliminary insights into current practices. Further research is needed as well as clarity on best\u2010practice pathways for different aetiologies of aphasia. Articulating current practices using NPT may have utility for developing empirically informed and principled interventions to improve service delivery.<\/jats:p>\n <\/jats:sec>\n \n WHAT THIS PAPER ADDS<\/jats:title>\n \n What is already known on this subject<\/jats:title>\n \n \n \n People with aphasia of all aetiologies are at risk of psychosocial problems. Shortcomings in access and the availability of appropriate support have been documented both internationally and in Ireland. To address this issue, an important first step is to understand how SLTs in Ireland currently enact and are supported to enact aphasia psychosocial care.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n What this study adds to the existing knowledge<\/jats:title>\n \n \n \n The findings describe the potential levers and barriers to progressing aphasia psychosocial care in Ireland. A range of individual, team and structural factors were identified. These were locally contextualized but similar issues are reported in other countries. Linking attitudes with NPT constructs provides a first step for further principled implementation projects.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n What are the practical and clinical implications of this study?<\/jats:title>\n \n \n \n Addressing psychosocial problems is perceived as a legitimate part of the speech and language therapy role. SLTs in Ireland enact a range of therapeutic approaches but may need opportunities for formal training and supervision, and for better coordination and integration with other mental health services and disciplines. Understanding differences in care pathways across the range of aphasia aetiologies is additionally important given the emphasis on post\u2010stroke aphasia in the literature.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n <\/jats:sec>","DOI":"10.1111\/1460-6984.12959","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T00:06:14Z","timestamp":1697069174000},"page":"698-714","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["How do speech and language therapists enact aphasia psychosocial support in Ireland? A cross\u2010sectional online survey informed by normalization process theory"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2798-2695","authenticated-orcid":false,"given":"Molly X.","family":"Manning","sequence":"first","affiliation":[{"name":"School of Allied Health University of Limerick Limerick Ireland"},{"name":"Public and Patient Involvement Research Unit, Health Research Institute University of Limerick Limerick Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caoimhe","family":"Cleary","sequence":"additional","affiliation":[{"name":"School of Allied Health University of Limerick Limerick Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitriona","family":"McCaughey","sequence":"additional","affiliation":[{"name":"School of Allied Health University of Limerick Limerick Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.14264\/uql.2019.75"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2020.1849952"},{"key":"e_1_2_10_4_1","first-page":"1","article-title":"A systematic review of rehabilitation interventions to prevent and treat depression in post\u2010stroke aphasia","volume":"19","author":"Baker C.","year":"2017","journal-title":"Disability and Rehabilitation"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2019.12.018"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.080372"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687030600790136"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/16501970510041262"},{"key":"e_1_2_10_9_1","unstructured":"Department of Health. (2019)Healthy Ireland framework 2013\u20132025: a framework for improved health and wellbeing [Online]. Ireland: Department of Health. Available:https:\/\/www.gov.ie\/en\/publication\/e8f9b1\u2010healthy\u2010ireland\u2010framework\u20102019\u20102025\/[Accessed 26.12.2022]."},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6.3.e34"},{"key":"e_1_2_10_11_1","unstructured":"Finch T.L. Girling M. May C.R. Mair F.S. Murray E. Treweek S. et\u00a0al. (2015)NoMAD: implementation measure based on Normalization Process Theory. 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