People with aphasia’s perspectives of the therapeutic alliance during speech-language intervention: A Q methodological approach

LAWTON, Michelle, HADDOCK, Gillian, CONROY, Paul, SERRANT, Laura and SAGE, Karen (2019). People with aphasia’s perspectives of the therapeutic alliance during speech-language intervention: A Q methodological approach. International journal of speech-language pathology, 1-11.

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Official URL: https://www.tandfonline.com/doi/full/10.1080/17549...
Link to published version:: https://doi.org/10.1080/17549507.2019.1585949

Abstract

Purpose: To identify which elements of the therapeutic alliance are important to people with aphasia (PWA) attending speech-language pathology post-stroke. Method: A Q methodology design was adopted to explore which elements of the therapeutic alliance were valued by PWA. Statements (n = 453) relevant to the research question were extrapolated from the literature and qualitative interviews. A representative sample of statements (n = 38) was identified from the expansive data set. PWA (n = 23) sorted statements hierarchically according to whether they thought the statement was important or unimportant. Completed Q sorts were analysed using a by-person factor analysis. Result: Analysis yielded a five-factor solution, representing five distinct viewpoints: (1) acknowledge me, help me to understand; (2) respect me, listen to me; (3) challenge me, direct me; (4) understand me, laugh with me; and (5) hear me, encourage me. Conclusion: The findings highlight the need for clinicians to adopt a flexible and idiosyncratic approach to therapeutic alliance construction in order to meet the relational needs of a heterogeneous population. This is the first study to use Q methodology with PWA, demonstrating that Q methodology is an effective and viable method for investigating subjectivity in this population.

Item Type: Article
Additional Information: ** From Crossref via Jisc Publications Router **Journal IDs: pissn 1754-9507; eissn 1754-9515 **History: issued 15-04-2019; published_online 15-04-2019
Uncontrolled Keywords: Speech and Hearing, LPN and LVN, Otorhinolaryngology, Language and Linguistics, Research and Theory
Identification Number: https://doi.org/10.1080/17549507.2019.1585949
SWORD Depositor: Louise Beirne
Depositing User: Louise Beirne
Date Deposited: 02 May 2019 09:30
Last Modified: 17 Jun 2019 14:00
URI: http://shura.shu.ac.uk/id/eprint/24513

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