PMID- 21401817
OWN - NLM
STAT- MEDLINE
DCOM- 20141209
LR  - 20220311
IS  - 1460-6984 (Electronic)
IS  - 1368-2822 (Linking)
VI  - 46
IP  - 2
DP  - 2011 Mar-Apr
TI  - National survey of speech and language therapy provision for people with 
      Parkinson's disease in the United Kingdom: therapists' practices.
PG  - 189-201
LID - 10.3109/13682822.2010.484849 [doi]
AB  - BACKGROUND: Communication and swallowing changes feature prominently in 
      Parkinson's disease. People with Parkinson's disease appear under-represented in 
      speech-language therapy clinics in the United Kingdom. The nature of the 
      speech-language therapy services in the UK to people with Parkinson's disease has 
      not been examined. AIMS: To ascertain the number of speech-language therapists in 
      the UK who work with people with Parkinson's disease; to establish the nature of 
      contacts in terms of caseloads, referral stages and routes, management practices, 
      assessments and treatments employed; and to reflect on service provision in 
      relation to published guidelines. METHODS & PROCEDURES: A questionnaire survey of 
      speech-language therapists. OUTCOMES & RESULTS: A total of 185 speech-language 
      therapists responded. They were treating a median of three (inter-quartile range 
      (IQR) = 1-6) people with Parkinson's disease with a further median of five (IQR = 
      1-10) on review. The majority of contacts were for assessment and advice given, 
      especially in later and earlier stages of Parkinson's disease. Typically, 
      respondents offered a median of six sessions (IQR = 6-8) of treatment, each 
      session lasting a median of 45 min (IQR = 45-60), delivered over a median period 
      of 42 days (IQR = 28-56). Speech-language therapists worked in a variety of 
      settings, predominantly hospital. They received referrals principally from 
      medical specialities, from whom the majority had support. Referrals were 
      perceived in general to be later in Parkinson's disease progression than desired. 
      Assessment focused primarily on impairment measures, in contrast to a belief that 
      therapy focus on activity and participation issues. Speech-language therapists 
      were relatively confident in treating people with Parkinson's disease, but 75% 
      wanted more training. CONCLUSIONS & IMPLICATIONS: Speech-language therapist 
      services for people with Parkinson's disease in the UK are restricted on most 
      dimensions. Management practices often do not match guideline suggestions. 
      Consideration needs to be given to the training for, content of and delivery of 
      speech-language therapy services for people with Parkinson's disease.
CI  - (c) 2010 Royal College of Speech & Language Therapists.
FAU - Miller, Nick
AU  - Miller N
AD  - Institute of Health and Society, Speech-Language Sciences, University Newcastle, 
      Newcastle, UK. nicholas.miller@ncl.ac.uk
FAU - Deane, Katherine H O
AU  - Deane KH
FAU - Jones, Diana
AU  - Jones D
FAU - Noble, Emma
AU  - Noble E
FAU - Gibb, Catherine
AU  - Gibb C
LA  - eng
GR  - G-0615/PUK_/Parkinson's UK/United Kingdom
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Int J Lang Commun Disord
JT  - International journal of language & communication disorders
JID - 9803709
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Communication
MH  - Data Collection
MH  - Deglutition
MH  - Guideline Adherence
MH  - Health Knowledge, Attitudes, Practice
MH  - *Health Services Accessibility
MH  - Humans
MH  - Language Disorders/etiology/*therapy
MH  - Language Therapy/*standards
MH  - Middle Aged
MH  - Parkinson Disease/*complications
MH  - Practice Guidelines as Topic
MH  - Referral and Consultation
MH  - Speech Disorders/etiology/*therapy
MH  - Speech Therapy/*standards
MH  - United Kingdom
EDAT- 2011/03/16 06:00
MHDA- 2014/12/15 06:00
CRDT- 2011/03/16 06:00
PHST- 2011/03/16 06:00 [entrez]
PHST- 2011/03/16 06:00 [pubmed]
PHST- 2014/12/15 06:00 [medline]
AID - 10.3109/13682822.2010.484849 [doi]
PST - ppublish
SO  - Int J Lang Commun Disord. 2011 Mar-Apr;46(2):189-201. doi: 
      10.3109/13682822.2010.484849.