Primary objective

To explore the clinical practice of communication partner training by Speech and Language Therapists for people with traumatic brain injury in the UK.

Study design

Online 97-item survey which addressed the practice of training both familiar and unfamiliar communication partners, and barriers and facilitators to implementation informed by the Theoretical Domains Framework.

Participants

169 Speech and Language Therapists from private and public settings in the UK.

Results

While 96% reported training familiar communication partners, only 58% reported training unfamiliar communication partners. Therapists reported providing communication partner training consistent with best practice 43% of the time. Evidence-based published programmes were used by 13.8% and 19.9% of participants for training familiar and unfamiliar partners, respectively. Therapists reported using outcomes for familiar and unfamiliar communication partners 83% and 78% of the time. The most frequently reported barrier was lack of behavioral regulation (e.g., planning). Most frequent perceived facilitators were clinicians wanting to deliver communication partner training and that training was part of therapists’ professional role (social professional role and identity).

Conclusions

Therapists were motivated to deliver communication partner training but reduced capability affected implementation. Further support to clinicians on outcome measurement with materials to develop workplace systems to monitor implementation is needed.

中文翻译：

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颅脑外伤的交流伙伴培训：英国言语和语言治疗师临床实践调查。

主要目标

探索言语和语言治疗师为英国颅脑外伤患者进行交流伙伴培训的临床实践。

学习规划

在线97个项目的调查，涉及了培训熟悉和不熟悉的通信合作伙伴以及在理论领域框架的指导下实施的障碍和促进者的实践。

参加者

169来自英国私人和公共场所的言语和语言治疗师。

结果

虽然96％的人报告了培训熟悉的交流伙伴的经历，但只有58％的人报告了培训陌生的交流伙伴的经历。治疗师报告说，有43％的时间为交流伙伴提供了与最佳实践一致的培训。分别有13.8％和19.9％的参与者使用基于证据的已发布程序来训练熟悉和不熟悉的伙伴。治疗师报告说，分别有83％和78％的时间将结果用于熟悉和不熟悉的交流伙伴。最常报告的障碍是缺乏行为调节（例如，计划）。最常被认为是促进者的是临床医生，他们希望提供交流伙伴培训，而培训是治疗师专业角色（社会专业角色和身份）的一部分。

结论

治疗师的动机是提供交流合作伙伴培训，但能力下降影响了实施。需要在临床结果测量方面为临床医生提供进一步支持，以开发工作场所系统以监测实施情况。