{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T20:58:22Z","timestamp":1760043502832},"reference-count":48,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,8,9]],"date-time":"2012-08-09T00:00:00Z","timestamp":1344470400000},"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;amp; Comm Disor"],"published-print":{"date-parts":[[2012,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Background:<\/jats:italic> The broad life implications of acquired dysarthria are recognized, but they have received little attention in stroke management. Reports of group therapy, which may be a suitable approach to intervention, are not available for stroke\u2010related dysarthria.<\/jats:p><jats:p><jats:italic>Aims:<\/jats:italic> To examine the operational feasibility of and response to a new eight\u2010session weekly group intervention programme, <jats:italic>Living with Dysarthria<\/jats:italic>, designed for people with chronic dysarthria following stroke and their main communication partners.<\/jats:p><jats:p><jats:italic>Methods &amp; Procedures:<\/jats:italic> The target participation was for programme completion by two groups of eight people with dysarthria (PWD) and available family members (FMs) or carers. An active recruitment strategy was undertaken from the speech and language therapy case records for the previous 6 years in two hospitals with combined annual stroke admissions of over 500 people. Twelve PWD and seven FMs were recruited (group 1: seven PWD and four FMs; group 2: five PWD and three FMs). Speech intelligibility, communication effectiveness, general well\u2010being, quality of communication life, and knowledge of stroke and dysarthria were assessed pre\u2010 and post\u2010programme. Each PWD and FM also set an individual goal and rated their achievement of this on a 0\u201310 scale.<\/jats:p><jats:p><jats:italic>Outcomes &amp; Results:<\/jats:italic> Recruitment to the programme was lower than anticipated and below target. The 12 PWD were recruited from 62 initial contacts, which was the total number who according to available information met the criteria. The programme was viable: it ran to plan, with only minor content alterations, in community accommodation, and with good participant engagement. Group median score changes were in a positive direction for all measures and effect sizes ranged from 0.17 (quality of communication life) to 0.46 (intelligibility). Significant post\u2010programme changes were present for intelligibility and knowledge of stroke and dysarthria (<jats:italic>p<\/jats:italic>= 0.05). Participants\u2019 ratings of goal achievements ranged from 6 (some change) to 10 (a lot of change).<\/jats:p><jats:p><jats:italic>Conclusions &amp; Implications:<\/jats:italic> The recruitment experience revealed a take\u2010up rate of around 20% from PWD following stroke, informing future planning. The participant engagement and performance results from the piloting of the programme indicate that the <jats:italic>Living with Dysarthria<\/jats:italic> programme is viable and has potential for effecting positive change. Further testing is justified.<\/jats:p>","DOI":"10.1111\/j.1460-6984.2012.00180.x","type":"journal-article","created":{"date-parts":[[2012,8,9]],"date-time":"2012-08-09T08:25:07Z","timestamp":1344500707000},"page":"709-724","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["The <i>Living with Dysarthria<\/i> group: implementation and feasibility of a group intervention for people with dysarthria following stroke and family members"],"prefix":"10.1111","volume":"47","author":[{"given":"Catherine","family":"Mackenzie","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gillian","family":"Paton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shona","family":"Kelly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marian","family":"Brady","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Muir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,8,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3181920e33"},{"key":"e_1_2_8_3_1","first-page":"167","volume-title":"Group Treatment of Neurogenic Communication Disorders: The Expert Clinician's Approach","author":"Boyle M.","year":"1999"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2010.517897"},{"issue":"1655","key":"e_1_2_8_5_1","first-page":"927","article-title":"Developing and evaluating complex interventions: the new Medical Research Council guidance","volume":"337","author":"Craig P.","year":"2008","journal-title":"British Medical Journal"},{"key":"e_1_2_8_6_1","volume-title":"Motor Speech Disorders","author":"Darley F. L.","year":"1975"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/13682820701862228"},{"key":"e_1_2_8_8_1","first-page":"433","article-title":"The communicative effectiveness survey: investigating its item\u2010level psychometrics","volume":"15","author":"Donovan N. J.","year":"2007","journal-title":"Journal of Medical Speech\u2013Language Pathology"},{"key":"e_1_2_8_9_1","volume-title":"Motor Speech Disorders: Substrates, Differential Diagnosis and Management","author":"Duffy J. R.","year":"2005"},{"key":"e_1_2_8_10_1","volume-title":"Group Treatment of Neurogenic Communication Disorders: The Expert Clinician's Approach","author":"Elman R. J.","year":"2007"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1064009"},{"key":"e_1_2_8_12_1","volume-title":"Therapy Outcome Measures for Rehabilitation Professionals","author":"Enderby P.","year":"2006"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39590.732037.47"},{"key":"e_1_2_8_15_1","volume-title":"A User\u2019s Guide to the General Health Questionnaire","author":"Goldberg D.","year":"1988"},{"key":"e_1_2_8_16_1","article-title":"Dysarthria and group intervention","author":"Griffiths S.","year":"2011","journal-title":"Royal College of Speech and Language Therapists Bulletin"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1159\/000111799"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-9-35"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687039708249415"},{"key":"e_1_2_8_20_1","first-page":"483","volume-title":"Management of Motor Speech Disorders in Children and Adults","author":"Hustad K. C.","year":"1999"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.28.10.1871"},{"key":"e_1_2_8_22_1","first-page":"8","article-title":"Group therapy to improve communicative participation in people with multiple sclerosis and dysarthria","volume":"11","author":"Laing C.","year":"2007","journal-title":"Way Ahead"},{"key":"e_1_2_8_23_1","volume-title":"SPPARC: Supporting Partners of People with Aphasia in Relationships & Conversations","author":"Lock S.","year":"2001"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215509336055"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.3109\/17549507.2011.524940"},{"key":"e_1_2_8_26_1","unstructured":"Mackenzie C. Kelly S. Paton G. Brady M.andMuir M.The living with dysarthria group for post\u2010stroke dysarthria: the participant voice (in preparation)."},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/13682820600861776"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/026921559701100110"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1191\/0269215503cr596oa"},{"key":"e_1_2_8_30_1","volume-title":"Quality of Communication Life Scale","author":"Paul D. R.","year":"2004"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687030444000822"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2004.04.003"},{"key":"e_1_2_8_33_1","volume-title":"Royal College of Speech and Language Therapists Clinical Guidelines","author":"Royal College of Speech and Language Therapists","year":"2005"},{"key":"e_1_2_8_34_1","volume-title":"Evidence\u2010based Medicine: How to Practice and Teach EBM","author":"Sackett D. L.","year":"2000"},{"key":"e_1_2_8_35_1","volume-title":"Management of Patients with Stroke or TIA; Assessment, Investigation, Immediate Management and Secondary Prevention","author":"Scottish Intercollegiate Guidelines Network (SIGN)","year":"2008"},{"key":"e_1_2_8_36_1","volume-title":"National Report Stroke Services in Scottish Hospitals","author":"Scottish Stroke Care Audit","year":"2011"},{"key":"e_1_2_8_37_1","first-page":"290","volume-title":"Language Intervention Strategies in Aphasia and Related Neurogenic Communication Disorders","author":"Simmons\u2010Mackie N.","year":"2008"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2010.08.026"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001919.pub2"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1310\/RED5-V47T-8MJN-JY9H"},{"key":"e_1_2_8_41_1","first-page":"97","volume-title":"Assessment of Motor Speech Disorders","author":"Walshe M.","year":"2011"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2010.511685"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1080\/13682820802317536"},{"key":"e_1_2_8_44_1","volume-title":"International Classification of Functioning, Disability, and Health: ICF","author":"World Health Organization","year":"2001"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687030802698152"},{"key":"e_1_2_8_46_1","first-page":"123","volume-title":"Assessment of Motor Speech Disorders","author":"Yorkston K. M.","year":"2011"},{"key":"e_1_2_8_47_1","volume-title":"Speech Intelligibility Test","author":"Yorkston K.","year":"1996"},{"key":"e_1_2_8_48_1","volume-title":"Management of Motor Speech Disorders in Children and Adults","author":"Yorkston K. M.","year":"2010"},{"key":"e_1_2_8_49_1","volume-title":"Management of Motor Speech Disorders in Children and Adults","author":"Yorkston K.","year":"1999"}],"container-title":["International Journal of Language &amp; Communication Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1460-6984.2012.00180.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1460-6984.2012.00180.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T17:04:21Z","timestamp":1697389461000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1460-6984.2012.00180.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8,9]]},"references-count":48,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2012,11]]}},"alternative-id":["10.1111\/j.1460-6984.2012.00180.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1460-6984.2012.00180.x","archive":["Portico"],"relation":{},"ISSN":["1368-2822","1460-6984"],"issn-type":[{"value":"1368-2822","type":"print"},{"value":"1460-6984","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,8,9]]},"assertion":[{"value":"2012-08-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}