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'Now I am myself’: exploring how people with post-stroke aphasia experienced Solution Focused Brief Therapy within the SOFIA Trial

Northcott, S. ORCID: 0000-0001-8229-5452, Simpson, A., Thomas, S., Barnard, R., Burns, K., Hirani, S. and Hilari, K. ORCID: 0000-0003-2091-4849 (2021). 'Now I am myself’: exploring how people with post-stroke aphasia experienced Solution Focused Brief Therapy within the SOFIA Trial. Qualitative Health Research,

Abstract

Aphasia, a language disability, can profoundly affect a person’s mood and identity. The experiences of participants who received Solution Focused Brief Therapy, a psychological intervention, were explored in the SOlution Focused brief therapy In post-stroke Aphasia (SOFIA) Trial. Thirty participants with chronic aphasia, 14 with severe aphasia, participated in in-depth interviews, analyzed using Framework Analysis. Two overarching themes emerged: valued therapy components (exploring hopes, noticing achievements, companionship, sharing feelings, relationship with therapist); and perceptions of progress ( mood, identity, communication, relationships, independence). Participants were categorized into four groups: (1) ‘changed’, therapy had a meaningful impact on a person’s life; (2) ‘connected’, therapy valued primarily for companionship; (3) ‘complemental’, therapy complemented a participant’s upward trajectory; and (4) ‘discordant’, therapy misaligned with participants’ preference for impairment-based language work. This study suggests it is feasible to adapt a psychological therapy for people with aphasiawho perceive it as valuable.

Publication Type: Article
Additional Information: This article has been accepted for publication and will be published in "Qualitative Health Research" (http://www.uk.sagepub.com/journals/Journal200926). Reuse is restricted to non-commercial and no derivative uses.
Publisher Keywords: aphasia; psychological therapy; Solution Focused Brief Therapy; SOFIA Trial
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RC Internal medicine
Departments: School of Health Sciences > Healthcare Services Research & Management
School of Health Sciences > Language & Communication Science
Date Deposited: 07 May 2021 10:38
URI: https://openaccess.city.ac.uk/id/eprint/26102
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