{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T00:39:24Z","timestamp":1759365564011,"version":"build-2065373602"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T00:00:00Z","timestamp":1708387200000},"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>Maintenance of speech outcomes following speech\u2010language therapy (SLT) in Parkinson's disease (PD) is an unmet expectation of people with PD (PWPD) and poorly defined in SLT practice. PD Check\u2010In, a model for supported self\u2010managed maintenance of speech following Lee Silverman Voice Treatment (LSVT) LOUD was investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To investigate the impact of the semi\u2010structured component of PD Check\u2010In on the adoption of self\u2010management concepts and behaviours and the identification of facilitators, barriers and strategies for speech maintenance by PWPD over 24 months post\u2010treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and procedure<\/jats:title><jats:p>Following LSVT LOUD, 16 PWPD participated in individual PD Check\u2010In semi\u2010structured discussions with a SLT at 6 and 12 weeks, and 6, 12 and 24 months post treatment. A two\u2010stage qualitative content analysis was applied: directed content analysis using categories from the theoretical framework of PD Check\u2010In followed by inductive content analysis to identify subcategories.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes and results<\/jats:title><jats:p>Statements from PWPD indicated adoption of seven concepts of self\u2010management across participants and across time. Six concepts from the theoretical framework of PD Check\u2010In (partnerships, self\u2010reflection, maintenance barriers and facilitators, revision of LSVT LOUD skill, goal setting and maintenance strategies), and one new category, participation, emerged from the analysis. Self\u2010reflection, maintenance facilitators and barriers and participation were most prevalent in discussions. PWPD identified facilitators, barriers and strategies for maintenance across time points.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions and implications<\/jats:title><jats:p>Statements from PWPD indicated a positive impact of SLT\u2010supported self\u2010management of speech using self\u2010tailored strategies for sustainable maintenance according to their individual circumstances and needs.<\/jats:p><\/jats:sec><jats:sec><jats:title>WHAT THIS PAPER ADDS<\/jats:title><jats:sec><jats:title>What is already known on this subject<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>People with Parkinson's disease (PWPD) have expressed their need for speech\u2010language therapy (SLT) services that are accessible for the duration of the condition and responsive to their expectation of maintaining speech following treatment. Outcomes for maintenance of the treatment effect following Lee Silverman Voice Treatment (LSVT) LOUD are variable.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds to existing knowledge<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>This study presents the outcomes of five PD Check\u2010In interventions delivered in semi\u2010structured discussions between PWPD and a SLT over 24 months following LSVT LOUD for the development of self\u2010management skills and behaviours. PWPD adopted self\u2010management positively using self\u2010tailored strategies for sustainable maintenance according to their individual circumstances and needs.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What are the potential or actual clinical implications of this work?<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>PWPD responded positively to the individual development of self\u2010management skills and behaviours over time. Individuality and flexible responsivity are features of PD Check\u2010In which resonate with PWPD and speak to SLT supported self\u2010managed maintenance of speech as a long\u2010term model for PD.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.13024","type":"journal-article","created":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T13:29:43Z","timestamp":1708435783000},"page":"1628-1646","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The impact of PD Check\u2010In on self\u2010management skills for maintenance of speech after intensive treatment"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6751-1479","authenticated-orcid":false,"given":"Ann","family":"Finnimore","sequence":"first","affiliation":[{"name":"The University of Queensland, School of Health and Rehabilitation Sciences  Brisbane Australia"},{"name":"The Prince Charles Hospital Metro North Hospital &amp; 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