ABSTRACT Background: Guidelines to support accessible goal setting with stroke survivors with aphasia are lacking. Aims: This review aimed to (i) determine the communication barriers and facilitators relevant to accessible goal setting for stroke survivors with aphasia and (ii) propose recommendations for accessible goal setting practice. Design: We conducted a narrative literature review incorporating a systematic search strategy. Methods & procedures: An electronic database search of abstracts was conducted from January 2003 to March 2018 in CINAHL, MEDLINE, AMED, ProQuest Central, and PsychINFO. We sought peer-reviewed articles including stroke survivors with aphasia, carers, or healthcare professionals that addressed (i) communication partner skills and behaviours and/or (ii) the physical environment. Study quality was appraised using the Mixed Methods Appraisal Tool (MMAT). Thematic analysis was conducted on key findings. Outcomes & results: 647 articles were identified. 70 full-text articles were screened for eligibility; 34 of which were included. We propose a model and recommendations to support accessible goal setting, including supportive conversation strategies and a modified physical environment. Conclusions: Specific evidence for accessible goal setting with stroke survivors with aphasia is lacking. Staff training and ongoing support is required for successful use of communication strategies and resources. Further research is needed to develop and evaluate accessible goal setting resources and training.

中文翻译：

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失语症患者交流可及性的叙述性回顾以及对中风后多学科目标设定的影响

摘要 背景：缺乏支持中风失语症幸存者制定可及目标的指南。目的：本综述旨在 (i) 确定与失语症中风幸存者的无障碍目标设定相关的沟通障碍和促进因素，以及 (ii) 为无障碍目标设定实践提出建议。设计：我们进行了一项包含系统搜索策略的叙述性文献综述。方法和程序：从 2003 年 1 月到 2018 年 3 月，在 CINAHL、MEDLINE、AMED、ProQuest Central 和 PsychINFO 中对摘要进行了电子数据库搜索。我们寻求同行评审的文章，包括患有失语症的中风幸存者、护理人员或医疗保健专业人员，这些文章涉及 (i) 沟通伙伴的技能和行为和/或 (ii) 物理环境。使用混合方法评估工具 (MMAT) 评估研究质量。对主要调查结果进行了专题分析。结果和结果：确定了 647 篇文章。筛选了 70 篇全文文章的资格；其中包括 34 个。我们提出了一个模型和建议来支持可访问的目标设定，包括支持性对话策略和修改后的物理环境。结论：缺乏为患有失语症的中风幸存者设定可及目标的具体证据。成功使用沟通策略和资源需要员工培训和持续支持。需要进一步研究来开发和评估可访问的目标设定资源和培训。确定了 647 篇文章。筛选了 70 篇全文文章的资格；其中包括 34 个。我们提出了一个模型和建议来支持可访问的目标设定，包括支持性对话策略和修改后的物理环境。结论：缺乏为患有失语症的中风幸存者设定可及目标的具体证据。成功使用沟通策略和资源需要员工培训和持续支持。需要进一步研究来开发和评估可访问的目标设定资源和培训。确定了 647 篇文章。筛选了 70 篇全文文章的资格；其中包括 34 个。我们提出了一个模型和建议来支持可访问的目标设定，包括支持性对话策略和修改后的物理环境。结论：缺乏为患有失语症的中风幸存者设定可及目标的具体证据。成功使用沟通策略和资源需要员工培训和持续支持。需要进一步研究来开发和评估可访问的目标设定资源和培训。缺乏为患有失语症的中风幸存者设定可及目标的具体证据。成功使用沟通策略和资源需要员工培训和持续支持。需要进一步研究来开发和评估可访问的目标设定资源和培训。缺乏为患有失语症的中风幸存者设定可及目标的具体证据。成功使用沟通策略和资源需要员工培训和持续支持。需要进一步研究来开发和评估可访问的目标设定资源和培训。