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I changed a lot as a human: Implementation of LPAA
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DOI：10.1080/02687038.2026.2624734.png)
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Abstract
En 中文
BackgroundAphasia disrupts multiple aspects of communication, including speaking, reading, writing, and/or understanding. These disruptions impede participation in previously enjoyed activities, ranging from social gatherings to vocational tasks. Despite the potential for partial recovery, many individuals continue to experience reduced life participation and diminished quality of life long after their neurological injury. While traditional speech-language interventions have predominantly targeted impairment-based linguistic deficits, there is increasing evidence that a focus on life participation may yield more meaningful improvements in everyday communication and overall quality of life.AimsThis pilot study aimed to build on prior research by integrating the perspectives of persons with aphasia (PWA) and utilizing a mixed methods approach to evaluate changes in functional communication, communication confidence, and quality of life after one year of therapy grounded in the Life Participation Approach to Aphasia (LPAA).Methods & ProceduresEight PWA participated in individual and group therapy across two academic semesters. Quantitative measures included pre- and post-assessments using the Communication Confidence Rating Scale for Aphasia (CCRSA), the Assessment for Living with Aphasia (ALA), and the Scenario Test. Qualitative data were collected through structured focus groups to explore participants' perceptions of therapy and its impact on their everyday lives.OutcomesReliable change index and cut-off scores revealed changes in four of the eight PWA. Thematic analysis of focus group transcripts yielded 86 codes, categorized into four major themes - personalization of therapy, involvement, the PERSON with aphasia, and outcomes of the aphasia lab - and 11 minor themes. PWA enjoyed the interactions with other PWA and the graduate students. PWA created their goals and felt involved throughout the therapeutic process. Before the Aphasia Lab, some PWA participated in activities outside of therapy noting how these interactions facilitated speech. Others voiced frustration with communication partners and their own communication challenges. After participating in the Aphasia Lab, PWA discussed increased socialization, confidence, and communication.ConclusionsThese findings offer preliminary support for the impact of LPAA-based therapy on improving quality of life for individuals with aphasia. Results underscore the importance of incorporating client perspectives as well as increasing focus on life participation during individual and group therapy to foster increased confidence and quality of life.
Keywords:
Aphasia
life participation
focus groups
mixed methods
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