Assessing the Effectiveness of Communication Therapy in the North West (The ACT NoW Pilot Study)
Study Details
Study Description
Brief Summary
This study investigates the effectiveness and cost-effectiveness of speech and language therapy for adults who suffer communication difficulties following a stroke.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Research Question: This is the pilot phase of a two-phase study. Phase 1 - What is the feasibility of conducting a randomised controlled trial of therapy for adults with post-stroke communication impairment? to be followed in 2006 by Phase 2 - What are the effectiveness, costs and service user preferences, for the provision of speech and language therapy for communication difficulties experienced by people in hospital with a stroke? Methodology: Phase 1 - Qualitative (focus groups & individual interviews) and quantitative (pilot RCT). Phase 2 - Qualitative (focus groups & individual interviews) and quantitative (a pragmatic, multicentred, randomised controlled trial, stratified by diagnosis and therapist/centre, using an 'intention to treat' approach). Discrete choice experiments will be used to determine cost effectiveness.
Outcome Measures: The primary outcome will be functional communicative ability. The economic analysis will estimate the incremental cost effectiveness and net benefit of the intervention group compared to the control group from a societal perspective. The qualitative study will examine service users' and carers' perspectives on the process and effects of Speech and Language Therapy or the control treatment.
Sample Group: Adults with dysarthria or aphasia, seen early after admission to hospital with a stroke. Exclusions: subarachnoid haemorrhage, progressive dementia, expected recovery without therapy.
Study Design
Outcome Measures
Primary Outcome Measures
- The primary outcome will be functional communicative ability. []
Secondary Outcome Measures
- The economic analysis to estimate incremental cost effectiveness and net benefit of the intervention. Qualitative study to examine service users' and carers' perspectives Speech and Language Therapy vs control treatment. []
Eligibility Criteria
Criteria
Inclusion Criteria:
- Adults with communication impairment following a new stroke
Exclusion Criteria:
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Not fluent in the English language
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Subarachnoid haemorrhage
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Pre-existing, progressive dementia or learning disability
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Palliative care only or deceased since admission
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Resident outside the treatment area
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Human Communication and Deafness, School of Psychological Sciences, Humanities Devas Street, The University of Manchester | Manchester | United Kingdom | M13 9PL |
Sponsors and Collaborators
- NHS Health Technology Assessment Programme
Investigators
- Principal Investigator: Audrey Bowen, PhD, The University of Manchester, UK
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HTA ref. 02/11/04
- ISRCTN78617680
- 04/MRE03/30