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Title:	Exploring dysarthria management services among speech-language therapists in Malaysia
Authors:	Abeer Muneer Altaher (P86136)
Supervisor:	Chu Shin Ying, Dr.
Keywords:	Dysarthria Speech Disorders Speech-Language Pathology Universiti Kebangsaan Malaysia -- Dissertations Dissertations, Academic -- Malaysia
Issue Date:	13-Jun-2022
Description:	This study explored dysarthria services delivered by speech-language therapists (SLTs), includes exploring communication participation and quality of life among patients with dysarthria and their caregivers in Malaysia. There are three phases in this study, and data is collected using questionnaires and interviews. First phase determined the knowledge, perceptions, and practices among SLTs by administering a researcherdesigned survey. Second phase determined the communication participation difficulties and levels of the quality of life (QoL) faced by patients with dysarthria using the Communicative Participation Item Bank (CPIB) and the European Health Interview Survey-Quality of Life (EUROHIS-QOL). Third phase explored stress levels and the QoL of the caregivers of patients with dysarthria with the EUROHIS-QOL and the Kingston Caregiver Stress Scale (KCSS). Qualitative interviews were analyzed using thematic analysis. Malaysian SLTs reported a high level of knowledge, accurate perceptions, and practice related to dysarthria. Three major themes emerged from the SLTs' interviews: management practices, challenges, and overcoming challenges. Patients' communication participation were reported with almost equal percentage for both high and low level. The relationship between quality of life and communication participation was positive, indicating that patients who had a higher level of communication participation had a better quality of life. Five major themes emerged from patients' information: communication breakdown, physical functioning, social interaction, emotional reaction, and coping with Parkinson's disease. Approximately one third of the caregivers who reported having a high quality of life were experiencing higher stress level. The relationship between overall stress and quality of life was negative, indicating that caregivers who had lower stress levels showed a higher quality of life. For caregivers, four major themes emerged: communication challenges, coping with communication challenges, becoming more dependent and reduction in social participation. These has potentially leading to decreasing the communication challenges faced by patients. In conclusion, this research provide better understanding in the barriers that impact communication participation, and provide strategies for overcome the barriers and the impacts on QoL for patients and caregivers Keywords: Speech disorder, communication, dysarthria, speech-language therapy, International Classification of Functioning Disability and Health model, and quality of life,Ijazah Doktor Falsafah (Sains Pertuturan)
Pages:	154
Publisher:	UKM, Kuala Lumpur
Appears in Collections:	Faculty of Health Sciences / Fakulti Sains Kesihatan

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