Management of communication function following non-traumatic subarachnoid haemorrhage: a survey examining speech-language therapists’ clinical practices and perspectives

Abstract

ABSTRACT Non-traumatic subarachnoid haemorrhage [Nt-SAH] is a type of haemorrhagic stroke which commonly occurs following cerebral aneurysm. While communication impairments are a known complication of Nt-SAH, little is known about speech-language therapists’ [SLTs] clinical practices and perspectives with this population. This study aimed to examine the clinical practices and perspectives of Australian SLTs in assessing and managing communication function following Nt-SAH. An anonymous web-based survey was developed and reported according to the Checklist for Reporting Results of Internet E-surveys (CHERRIES). The survey comprised 21 items across four domains: (1) Demographic and service context information, (2) Practices in managing communication function following SAH, (3) Clinician self-rated confidence and satisfaction, and (4) Information sources, research, and training priorities. The survey was distributed via multiple online platforms to practicing SLTs in Australia. Open-ended responses were analysed using content analysis, while closed-ended responses were analysed using frequency counts/percentages. Twenty-seven participants’ responses were analysed. Cognitive-communication impairments were the most frequently reported communication impairment observed (85.7%) in the Nt-SAH population. Assessment was primarily conducted using informal measures (70.4%). Provision of education (89.2%) and compensatory management strategies (85.7%) were the most frequently reported interventions provided. SLTs use a range of assessment and treatment options for communication function in the Nt-SAH population. Further research is required to develop assessment and intervention specific to the Nt-SAH population for implementation in clinical practice.