{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T23:49:20Z","timestamp":1788738560777,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,5,23]],"date-time":"2012-05-23T00:00:00Z","timestamp":1337731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp; Comm Disor"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:title>Abstract\u2002<\/jats:title><jats:p><jats:italic>Background:<\/jats:italic> Despite recognition of the need for increased long\u2010term support for people with aphasia following stroke, there remains limited evidence for effective service\u2010level interventions.<\/jats:p><jats:p><jats:italic>Aims:<\/jats:italic> To evaluate the outcomes and experiences of people participating in the Communication Hub for Aphasia in North Tyneside (CHANT), a 2\u2010year partnership project between health, local authority and third\u2010sector services, shaped by people with aphasia, which provided a coordinated programme of support and interventions for people with long\u2010term aphasia following stroke.<\/jats:p><jats:p><jats:italic>Methods &amp; Procedures:<\/jats:italic> Quantitative and qualitative methods were used in the evaluation. Thirty\u2010nine participants with aphasia were recruited to the 12\u2010month study as they became part of CHANT, with 20 completing all measures at the end of the study. Participants had no other speech and language therapy during the study. Quantitative measures (before and after intervention) were used for quality of life, self\u2010report outcomes and goal attainment. Three of the participants with aphasia and three further people involved in the service (carer, volunteer, public sector worker) each agreed to a series of five semi\u2010structured interviews over a 9\u2010month period. A total of 28 interviews were collected using neutral interviewers; these were transcribed and analysed by a team within NVivo8 software, based on interpretive principles from grounded theory. Thematic analysis of the narratives explored the experience of engaging with CHANT, and the barriers and facilitators affecting quality of life.<\/jats:p><jats:p><jats:italic>Outcomes &amp; Results:<\/jats:italic> People with aphasia made significant gains in quality of life (in particular, in communication and psychosocial adjustment to stroke) and self\u2010report measures of change. A total of 82% of real\u2010life goals set as part of intervention were fully or partially achieved at follow\u2010up. Five core themes emerged from the narratives: \u2018Quality of life\u2019, \u2018Barriers\u2019, \u2018Facilitators\u2019, \u2018Types of CHANT activity\u2019 and \u2018Effectiveness\u2019. The intervention was evaluated through the theme of \u2018Effectiveness\u2019 in relation to the other themes, encapsulating emerging participant views (including the type and timeliness of activity, expectations of outcomes, resources and perceived value). The impact of the intervention was also analysed in terms of identifying barriers and providing facilitators.<\/jats:p><jats:p><jats:italic>Conclusions &amp; Implications:<\/jats:italic> The quantitative and qualitative (narrative) findings were complementary in demonstrating the effectiveness of the CHANT service delivery model. Moreover, the narratives, through a longitudinal perspective, provided evidence about people's experience of intervention for long\u2010term aphasia. The findings provide foundations for further work into long\u2010term recovery, intervention and adjustment to aphasia post\u2010stroke.<\/jats:p>","DOI":"10.1111\/j.1460-6984.2012.00153.x","type":"journal-article","created":{"date-parts":[[2012,5,23]],"date-time":"2012-05-23T12:01:07Z","timestamp":1337774467000},"page":"398-412","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Evaluating the effectiveness of intervention in long\u2010term aphasia post\u2010stroke: the experience from CHANT (Communication Hub for Aphasia in North Tyneside)"],"prefix":"10.1111","volume":"47","author":[{"given":"Katharyn","family":"Mumby","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Whitworth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,5,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/146879410100100307"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687031003755429"},{"key":"e_1_2_8_4_1","volume-title":"Supporting Life after Stroke: A Review of Services for People Who Have Had a Stroke and their Carers","author":"Care Quality Commission","year":"2011"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/17549507.2010.520090"},{"key":"e_1_2_8_6_1","unstructured":"Connect (Communication Disabiity Network) 2009 Communication Access Toolkit(available at:http:\/\/www.ukconnect.org)."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687030802565849"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687030244000707"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/13682820903223633"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.108.534487"},{"key":"e_1_2_8_11_1","volume-title":"National Stroke Strategy","author":"Department of Health","year":"2007"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000183622.75135.a4"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000081987.46660.ED"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215508101729"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687039708249415"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.3109\/13682829809179409"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2001\/051)"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687030701282595"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/0968759042000283629"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687039708249416"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnhum.2010.00183"},{"key":"e_1_2_8_22_1","volume-title":"The Stroke Association UK Stroke Survivor Needs Survey: Final Report September 2010","author":"McKevitt C.","year":"2010"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1468794106058870"},{"key":"e_1_2_8_24_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta2160","article-title":"Qualitative research methods in health technology assessment: a review of the literature","volume":"2","author":"Murphy E.","year":"1998","journal-title":"Health Technol Assessment"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687040143000159"},{"key":"e_1_2_8_26_1","first-page":"18","article-title":"Connecting the North East","author":"Quinn J.","year":"2008","journal-title":"RCSLT Bulletin"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687030500532786"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687030600798287"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1191\/0269215505cr785oa"},{"key":"e_1_2_8_30_1","volume-title":"International Classification for Functioning, Disability and Health (ICF)","author":"World Health Organisation> (WHO)","year":"2001"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687038.2010.508530"}],"container-title":["International Journal of Language &amp; 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