ReaDySpeech for people with dysarthria after stroke
Claire Mitchell NIHR Doctoral Research Fellow Speech and Language Therapist University of Manchester
Dysarthria:
• Impaired intelligibility
• Cochrane review update
• Clinical practice
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
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
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
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
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
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
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”
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
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
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