Clinical Outcomes of PD Check-In, a Model for Supported Self-Managed Maintenance of Speech in Parkinson's Disease: A Phase 1 Study

Autor/inn/en	Finnimore, Ann; Theodoros, Deborah; Rumbach, Anna F.
Titel	Clinical Outcomes of PD Check-In, a Model for Supported Self-Managed Maintenance of Speech in Parkinson's Disease: A Phase 1 Study
Quelle	In: International Journal of Language & Communication Disorders, 58 (2023) 2, S.241-255 (15 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1368-2822
DOI	10.1111/1460-6984.12772
Schlagwörter	Neurological Impairments; Speech Impairments; Intervention; Maintenance; Self Management; Program Effectiveness; Speech Skills; Satisfaction; Motivation; Self Efficacy + Suchen Sie Ihr Suchwort? Neurodegenerative Erkrankung; Speech impairment; Speech handicap; Speech handicaps; Language handicps; Language impairments; Sprachbehinderung; Selbstmanagement; Mündliche Leistung; Sprachfertigkeit; Zufriedenheit; psychologische; Motivation (psychologisch); Self-efficacy; Selbstwirksamkeit
Abstract	Background: For many people with Parkinson's disease (PWPD), the long-term maintenance of speech following intensive treatment remains elusive. PD Check-In, a model for supported self-managed maintenance of speech following LSVT LOUD®, was developed and evaluated. Aims: To evaluate the impact of PD Check-In on vocal intensity and level of satisfaction of PWPD and their communication partners (CPs) over 24 months following LSVT LOUD. Methods & Procedures: A repeated-measures study design examined the impact of PD Check-In on the speech of 16 PWPD. Participants received LSVT LOUD followed by PD Check-In at 6 and 12 weeks, and 6, 12 and 24 months after treatment. Outcome measures included acoustic measures of vocal intensity (sound pressure level--SPL) during sustained phonation, functional phrases, reading, and monologue, and satisfaction questionnaires for PWPD and their CPs. Outcomes & Results: A significant treatment effect for time (p < 0.01) was identified for all SPL variables. Planned comparisons showed significant improvements for each variable pre- to post-LSVT LOUD. There was a significant maintenance effect for SPL maximum sustained phonation only, post-LSVT LOUD to 24 months. SPL remained significantly above baseline for functional phrases and maximum sustained phonation at 24 months. Participants' satisfaction with PD Check-In was high, at 93.75% for PWPD and 79.99% for CPs, at 24 months post-treatment. Long intervals between appointments led PWPD to feel less motivated about speech practice but more confident in self-management. Conclusions & Implications: For PWPD and CPs, maintenance of speech following LSVT LOUD encompasses more than acoustic outcomes. (As Provided).
Anmerkungen	Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01