Predictors of wellbeing in young adults with post-stroke aphasia

Abstract

Event Abstract Back to Event Predictors of wellbeing in young adults with post-stroke aphasia Vasiliki Kladouchou1*, Katerina Hilari1 and Nicola Botting1 1 Division of Language & Communication Science, School of Health Sciences, City University of London, United Kingdom Background. In health research, there is an increasing interest in the impact of disorders on people’s wellbeing. Psychosocial difficulties are common sequels of language disorders and aphasia. However, psychosocial wellbeing and quality of life are rarely included as outcomes in aphasia speech and language therapy studies [1,2]. Understanding the predictors of wellbeing in people with aphasia is crucial before targeted interventions and services can be developed. The limited existing evidence in the field of post-stroke aphasia reflects mostly older adults, the typical population affected by stroke. There is a gap in the literature concerning young adults, who are in a life stage characterised by distinct needs [3] and wants and increased responsibilities. This should be addressed, as needs of this age group usually are not met by standard stroke services [3,4], while the incidence of stroke in young adults is rising [5]. This presentation will focus on differences in wellbeing between young people with aphasia and neuro-typical controls, and explore what factors are associated with/predict wellbeing. Methodology. The study is cross-sectional. Young adults (18-40 years old) with aphasia and neuro-typical controls are recruited from community settings. Questionnaires and scales are administered to all participants on wellbeing (main outcome measure) and aspects that may affect it (including demographic, social, emotional, psychological, health, language and cognition). Independent-samples t-tests will be used to investigate differences in wellbeing between aphasia and control groups, and Pearson’s and Spearman’s correlations, as relevant, to explore wellbeing correlates. Factors associated with wellbeing and group (dummy-coded variable: aphasia vs. control) will be entered into multiple regression analysis to investigate predictors of wellbeing. Results. Data collection will be completed in June 2019 and is anticipated to have 40 controls and at least 25 people with aphasia. We predict that wellbeing in young people with aphasia will be poorer compared to controls. This is based on previous relevant literature concerning older people; being younger though may lead to different patterns in wellbeing. In terms of factors relating/predicting wellbeing, we expect in addition to language and cognition, social functioning and emotional state to be important, as current research shows that poor wellbeing in aphasia is largely linked to psychosocial issues [6]. Given the paucity of previous research in this population though, we are unable to make specific predictions in relation to the rest of variables under study. Discussion. Understanding the different pathways to low wellbeing in young people with aphasia will help stakeholders direct resources for maximum effect. Investigating younger people’s difficulties with psychosocial adjustment (including academic, vocational, and social aptitude) will help facilitate more effective targeting of preventive and protective strategies for young adults with aphasia in the future. Adjusting care to their specific support requirements, goals and desires will help them achieve their full potential and a better quality of life. Acknowledgements This abstract is part of a PhD project funded by City, University of London and the Worshipful Company of Saddlers.