ReaDySpeech for people with dysarthria after stroke · ReaDySpeech for people with dysarthria after...

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ReaDySpeech for people with dysarthria after stroke Claire Mitchell NIHR Doctoral Research Fellow Speech and Language Therapist University of Manchester

Transcript of ReaDySpeech for people with dysarthria after stroke · ReaDySpeech for people with dysarthria after...

Page 1: ReaDySpeech for people with dysarthria after stroke · ReaDySpeech for people with dysarthria after stroke Claire Mitchell NIHR Doctoral Research Fellow Speech and Language Therapist

ReaDySpeech for people with dysarthria after stroke

Claire Mitchell NIHR Doctoral Research Fellow Speech and Language Therapist University of Manchester

Page 2: ReaDySpeech for people with dysarthria after stroke · ReaDySpeech for people with dysarthria after stroke Claire Mitchell NIHR Doctoral Research Fellow Speech and Language Therapist

Dysarthria:

• Impaired intelligibility

• Cochrane review update

• Clinical practice

Page 3: ReaDySpeech for people with dysarthria after stroke · ReaDySpeech for people with dysarthria after stroke Claire Mitchell NIHR Doctoral Research Fellow Speech and Language Therapist

Aims of PhD

• Work package 1

• Evidence - Update dysarthria Cochrane review

• Acceptability of online programme for speech

therapy ‘ReaDySpeech’

• Work package 2

• Feasibility study for phase 3 trial

Page 4: ReaDySpeech for people with dysarthria after stroke · ReaDySpeech for people with dysarthria after stroke Claire Mitchell NIHR Doctoral Research Fellow Speech and Language Therapist

Work package 1: Acceptability of ReaDySpeech

Work package 2: Feasibility randomised controlled trial

Evaluation of feasibility trial – can we run a phase 3 trial?

Supported by

‘Ever-ready’ PPI group

Work package 1: Cochrane Review

PhD study to evaluate the evidence, acceptability, feasibility

Page 5: ReaDySpeech for people with dysarthria after stroke · ReaDySpeech for people with dysarthria after stroke Claire Mitchell NIHR Doctoral Research Fellow Speech and Language Therapist

Work package 1: Why ReaDySpeech?

• Online

• Personalised

• Adapts to progress

• Video clips

• Therapy tool

• Independent practice

• Video of background to ReaDySpeech

https://www.youtube.com/watch?v=SFFbZJkSHfg&in

dex=1&list=PLNMfY4RIl5P9b3yHpkqvlI-DnjiUpwGHk

Page 6: ReaDySpeech for people with dysarthria after stroke · ReaDySpeech for people with dysarthria after stroke Claire Mitchell NIHR Doctoral Research Fellow Speech and Language Therapist
Page 7: ReaDySpeech for people with dysarthria after stroke · ReaDySpeech for people with dysarthria after stroke Claire Mitchell NIHR Doctoral Research Fellow Speech and Language Therapist
Page 8: ReaDySpeech for people with dysarthria after stroke · ReaDySpeech for people with dysarthria after stroke Claire Mitchell NIHR Doctoral Research Fellow Speech and Language Therapist

Work Package 1: Acceptability findings

• Recruitment n=5 (anticipated 8)

• Not meeting inclusion criteria;

• Too early post stroke n=4

• No Wi-Fi n=2

• Met inclusion criteria but not recruited n=3 (2

disliked computers/1 prolong d/c)

• Acceptability: Therapists & patients

Page 9: ReaDySpeech for people with dysarthria after stroke · ReaDySpeech for people with dysarthria after stroke Claire Mitchell NIHR Doctoral Research Fellow Speech and Language Therapist

Work Package 2:Feasibility RCT

Inclusion criteria: dysarthria post stroke, 1 week post stroke & no upper limit, sufficient English, hearing, vision, language & cognitive skills

Recruitment target n=36 Randomised 2:1 Intervention : Control

Baseline measures

Exclusion criteria: progressive neurological condition

Intervention arm ReaDySpeech and Usual care target n=24

Intervention arm Usual care target n=12

Blinded outcome measures 8/10 weeks post recruitment • Dysarthria Therapy Outcome Measure • Communication Outcome after Stroke Scale • Frenchay Dysarthria Assessment • Euroquol 5D-5L

Page 10: ReaDySpeech for people with dysarthria after stroke · ReaDySpeech for people with dysarthria after stroke Claire Mitchell NIHR Doctoral Research Fellow Speech and Language Therapist

Progress so far…

• Finalising Cochrane Review

• WP1 finished and acceptable

• WP2 ongoing recruitment n=9 out of 36 total

• Feasibility study to end October 2016

• Started follow up outcome measures

Page 11: ReaDySpeech for people with dysarthria after stroke · ReaDySpeech for people with dysarthria after stroke Claire Mitchell NIHR Doctoral Research Fellow Speech and Language Therapist

Follow up interview quote from 99 year

old, female

“Oh it was very good, it was like a book…well, I will

explain, it was a book….…made of glass, words

and sentences appeared, swoosh, and got bigger.

It was very good”

Page 12: ReaDySpeech for people with dysarthria after stroke · ReaDySpeech for people with dysarthria after stroke Claire Mitchell NIHR Doctoral Research Fellow Speech and Language Therapist

ACKNOWLEDGMENTS

Dr Paul Conroy

Dr Audrey Bowen

Professor Sarah Tyson

Speech & Language Therapists at:

East Lancashire Hospitals NHS Trust

Salford Royal NHS Foundation Trust

Central Manchester University

Hospitals NHS Foundation Trust

University Hospital of South

Manchester NHS Foundation Trust

Page 13: ReaDySpeech for people with dysarthria after stroke · ReaDySpeech for people with dysarthria after stroke Claire Mitchell NIHR Doctoral Research Fellow Speech and Language Therapist

The ReaDySpeech study is funded by the National Institute

for Health Research Doctoral Fellowship Programme.

This report presents independent research funded by the

National Institute for Health Research (NIHR). The views

expressed are those of the author and not necessarily

those of the NHS, the NIHR or the Department of Health