Speech-language pathology services for Aboriginal and Torres Strait Islander peoples post stroke or TBI: A qualitative case exploration.

Conference Contribution ResearchOnline@JCU
Cochrane, Frances;Appleby, Morgan;Siyambalapitiya, Samantha;Cornwell, Petrea
Abstract

Background: Aboriginal and Torres Strait Islander peoples experience negative impacts to their wellbeing and reduced health service access and engagement due to acquired communication disorders (ACD), unsafe hospital experiences, and dislocation from home and family (Armstrong et al., 2023; Fitts et al., 2019). Communication and cultural difference between Aboriginal and Torres Strait Islander peoples and non-Indigenous speech pathologists (SP); along with SPs’ lack of cultural responsiveness, may contribute to communication breakdown, and culturally inappropriate ACD assessment and intervention approaches (Cochrane et al., 2023; Fitts et al., 2019). Aim/s: This study aimed to explore “how” and “why” SP services are delivered for Aboriginal and Torres Strait Islander adults with ACDs in hospital, and the experiences of those involved in the delivery and receipt of these services. Method: The study employed an instrumental case study design, informed by culturally responsive principles (Stake, 2006). Data were collected from two Aboriginal and Torres Strait Islander patients, and four SPs, including an Aboriginal SP. Multiple data collection methods were used including medical record review, participant observation, interviews, focus group, and reflective diaries; and were analysed using qualitative content analysis. Results: Preliminary data analysis revealed seven categories. The categories related to: 1) Finding out about patients’ culture; 2) Collaboration with IHLOs; 3) Aboriginal SP helps patients and non-Indigenous SPs; 4) Building rapport; 5) Indigenous patients’ hospital experiences; 6) Assessment experiences and approaches; and 7) Rehab experiences and approaches. Discussion and conclusions: SPs attempt to use informal and rapport building approaches to facilitate culturally responsive practice. SPs find it challenging to build rapport with patients, or adapt assessment and therapy approaches, especially when trying to balance patient and workplace needs. The invaluable connections and shared experiences Aboriginal SPs have with patients was highlighted. To facilitate a safe and culturally supportive environment, SPs must develop rapport and connections with patients, collaborate with IHLOs early in the patients’ hospital journey, and ensure ACD assessment and rehabilitation approaches are personally relevant and culturally appropriate for patients.

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IARC 2024: International Aphasia Rehabilitation Conference

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17

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Brisbane, QLD, Australia

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International Aphasia Rehabilitation Conference

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Brisbane, QLD, Australia

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