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To develop an understanding of the perceptions by Aboriginal Australians with acquired communication disorder following brain injury have of rehabilitation services and test the feasibility and acceptability of a culturally tailored model of rehabilitation delivered via one of two models: face to face or using telehealth technology.
Project leader: Associate Professor Natalie Ciccone, Associate Dean (Allied Health), School of Medical and Health Sciences, Edith Cowan University.
Administering organisation: Edith Cowan University
Project timeline: 1 May 2018—1 April 2019
Using a single case, mixed methods design, the study involved 11 Aboriginal participants from the Perth metropolitan area with acquired communication disorders after brain injury. The therapy involved 16 X 1 hour treatment sessions provided twice weekly by a speech pathologist and Aboriginal co-worker incorporating a yarning framework and family involvement. Pre-therapy interviews gathered participants’ thoughts on therapy and their expectations of the therapy. Post-therapy interviews explored the participants’ views of the therapy provided. Therapists were interviewed at study completion to develop a sense of clinical acceptability.
Analysis of the results indicate that it is feasible to provide speech pathology intervention co-jointly with a speech pathologist and Aboriginal co-worker and to implement a yarning framework – a conversation-based approach following Aboriginal discourse structures (broadly based on Bessarab & Ng’andu 2010). The therapy was considered acceptable to participants, and both modes of delivery — face to face and using tele-rehabilitation technology — were also well received. Participants also reported communication improvements across the treatment period
Edith Cowan University