{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T19:23:32Z","timestamp":1770837812415,"version":"3.50.1"},"reference-count":49,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T00:00:00Z","timestamp":1703808000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Aphasia, a common consequence of stroke, which affects both communication and social functioning, and in turn, quality of life, is on the rise due to increases in stroke prevalence and survival rate. The rehabilitation of post\u2010stroke aphasia primarily falls within the purview of speech\u2010language pathology and research supports the effectiveness of such services. However, provision of aphasia rehabilitation services in sub\u2010Saharan Africa is associated with challenges.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study aimed to examine rehabilitation services for individuals with post\u2010stroke aphasia in Ghana by exploring the roles of the stakeholder groups involved in the assessment and treatment of post\u2010stroke aphasia in Ghana, as well as the challenges they encounter in providing or identifying services. The stakeholder groups included educational institutions, interdisciplinary healthcare professionals, and family caregivers of individuals with post\u2010stroke aphasia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>A qualitative case study approach was used to collect and integrate from multiple sources data such as demographic information, interview responses and program syllabi to develop a holistic image. Fifteen respondents from the stroke and speech therapy units at Komfo Anokye and Korle\u2010Bu Teaching Hospitals, University of Ghana, and University of Health and Allied Sciences, Ghana were purposively sampled. Interview questions were developed and centred on aphasia education and training, knowledge of speech\u2010language pathology services, speech\u2010language pathology service delivery, access to speech\u2010language pathology services, challenges in both delivery and access to speech\u2010language pathology services and suggestions for improving speech\u2010language pathology services. In\u2010person and virtual interviews were conducted after demographic information was collected. Interviews were analysed thematically, and demographic information and program syllabi were triangulated with the interview data collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>All stakeholder groups identified concerns with current aphasia services in Ghana. Issues raised included the insufficient number of speech\u2010language pathologists, lack of awareness of speech\u2010language pathology services for post\u2010stroke aphasia (among healthcare professionals and the public), absence of aphasia management information and clinical training in educational programming, lack of interest in speech\u2010language pathology training programs, financial challenges, spiritual and traditional beliefs and geographic barriers (i.e., speech\u2010language pathology services are currently available in only a few cities).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>These findings emphasised the need to improve post\u2010stroke aphasia rehabilitation in Ghana. The process of data collection itself educated respondents on the importance of post\u2010stroke aphasia rehabilitation, and by identifying barriers, strategies to improving services, such as designing standardised aphasia assessments for the Ghanaian context, can now be initiated.<\/jats:p><\/jats:sec><jats:sec><jats:title>WHAT THIS PAPER ADDS<\/jats:title><jats:sec><jats:title>What is already known on the subject<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>To address post\u2010stroke aphasia, evidence\u2010based speech\u2010language pathology services are provided. However, there is a paucity of studies on post\u2010stroke aphasia services in Ghana, preventing an accurate report of services and practices in the country.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this study adds<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>This study provides an overview of the existing rehabilitation services for post\u2010stroke aphasia in Ghana. It highlights challenges facing the existing services and suggested strategies to improve post\u2010stroke aphasia services.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What are the clinical implications of this work?<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>The study created awareness among healthcare professionals and general public (study participants) about the importance of rehabilitation services for post\u2010stroke aphasia. Based on the study findings, appropriate stakeholders such as policy makers, researchers, and healthcare professionals can further design assessments and interventions to improve rehabilitation, including speech\u2010language pathology services, for post\u2010stroke aphasia in Ghana.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.13000","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T07:50:07Z","timestamp":1703836207000},"page":"1308-1321","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Rehabilitation of post\u2010stroke aphasia in Ghana"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3637-0965","authenticated-orcid":false,"given":"Keren","family":"Kankam","sequence":"first","affiliation":[{"name":"Health and Rehabilitation Sciences, Faculty of Health Sciences University of Western Ontario  London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Murray","sequence":"additional","affiliation":[{"name":"Health and Rehabilitation Sciences, Faculty of Health Sciences University of Western Ontario  London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,12,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41582\u2010021\u201000542\u20104"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2022.120303"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2014.972581"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.12669\/pjms.37.5.2314"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/17549507.2012.743035"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.46743\/2160\u20103715\/2008.1573"},{"key":"e_1_2_10_8_1","volume-title":"World regional geography: people, places, and globalization","author":"Berglee R.","year":"2012"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/das026"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1747493016660102"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2020.1722264"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2015.06.010"},{"key":"e_1_2_10_14_1","unstructured":"Ghana Statistical Service. 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