National survey of speech and language therapy provision for people with Parkinson's disease in the United Kingdom: therapists’ practices
Identifieur interne : 000591 ( Main/Corpus ); précédent : 000590; suivant : 000592National survey of speech and language therapy provision for people with Parkinson's disease in the United Kingdom: therapists’ practices
Auteurs : Nick Miller ; Katherine H. O. Deane ; Diana Jones ; Emma Noble ; Catherine GibbSource :
- International Journal of Language & Communication Disorders [ 1368-2822 ] ; 2011-03.
English descriptors
Abstract
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.
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DOI: 10.3109/13682822.2010.484849
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ISTEX:D14A92FD99E40C320E18DD84E3174C64737CEFDDLe document en format XML
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Deane</name><affiliation><mods:affiliation>School of Nursing and Midwifery, University of East Anglia, Norwich, UK</mods:affiliation></affiliation></author><author><name sortKey="Jones, Diana" sort="Jones, Diana" uniqKey="Jones D" first="Diana" last="Jones">Diana Jones</name><affiliation><mods:affiliation>School of Health, Community, and Educational Studies, University of Northumbria, Newcastle, UK</mods:affiliation></affiliation></author><author><name sortKey="Noble, Emma" sort="Noble, Emma" uniqKey="Noble E" first="Emma" last="Noble">Emma Noble</name><affiliation><mods:affiliation>Institute of Health and Society, University of Newcastle, Newcastle, UK</mods:affiliation></affiliation></author><author><name sortKey="Gibb, Catherine" sort="Gibb, Catherine" uniqKey="Gibb C" first="Catherine" last="Gibb">Catherine Gibb</name><affiliation><mods:affiliation>School of Health, Community, and Educational Studies, University of Northumbria, Newcastle, UK</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:D14A92FD99E40C320E18DD84E3174C64737CEFDD</idno><date when="2011" year="2011">2011</date><idno type="doi">10.3109/13682822.2010.484849</idno><idno type="url">https://api.istex.fr/document/D14A92FD99E40C320E18DD84E3174C64737CEFDD/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">000591</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">National survey of speech and language therapy provision for people with Parkinson's disease in the United Kingdom: therapists’ practices</title><author><name sortKey="Miller, Nick" sort="Miller, Nick" uniqKey="Miller N" first="Nick" last="Miller">Nick Miller</name><affiliation><mods:affiliation>Institute of Health and Society, Speech–Language Sciences, University Newcastle, Newcastle, UK</mods:affiliation></affiliation></author><author><name sortKey="Deane, Katherine H O" sort="Deane, Katherine H O" uniqKey="Deane K" first="Katherine H. 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Deane</name><affiliation><mods:affiliation>School of Nursing and Midwifery, University of East Anglia, Norwich, UK</mods:affiliation></affiliation></author><author><name sortKey="Jones, Diana" sort="Jones, Diana" uniqKey="Jones D" first="Diana" last="Jones">Diana Jones</name><affiliation><mods:affiliation>School of Health, Community, and Educational Studies, University of Northumbria, Newcastle, UK</mods:affiliation></affiliation></author><author><name sortKey="Noble, Emma" sort="Noble, Emma" uniqKey="Noble E" first="Emma" last="Noble">Emma Noble</name><affiliation><mods:affiliation>Institute of Health and Society, University of Newcastle, Newcastle, UK</mods:affiliation></affiliation></author><author><name sortKey="Gibb, Catherine" sort="Gibb, Catherine" uniqKey="Gibb C" first="Catherine" last="Gibb">Catherine Gibb</name><affiliation><mods:affiliation>School of Health, Community, and Educational Studies, University of Northumbria, Newcastle, UK</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">International Journal of Language & Communication Disorders</title><idno type="ISSN">1368-2822</idno><idno type="eISSN">1460-6984</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2011-03">2011-03</date><biblScope unit="volume">46</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="189">189</biblScope><biblScope unit="page" to="201">201</biblScope></imprint><idno type="ISSN">1368-2822</idno></series><idno type="istex">D14A92FD99E40C320E18DD84E3174C64737CEFDD</idno><idno type="DOI">10.3109/13682822.2010.484849</idno><idno type="ArticleID">JLCD27</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1368-2822</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Parkinson's disease</term><term>speech–language therapy practice</term><term>survey</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Nick Miller</name><affiliations><json:string>Institute of Health and Society, Speech–Language Sciences, University Newcastle, Newcastle, UK</json:string></affiliations></json:item><json:item><name>Katherine H. O. Deane</name><affiliations><json:string>School of Nursing and Midwifery, University of East Anglia, Norwich, UK</json:string></affiliations></json:item><json:item><name>Diana Jones</name><affiliations><json:string>School of Health, Community, and Educational Studies, University of Northumbria, Newcastle, UK</json:string></affiliations></json:item><json:item><name>Emma Noble</name><affiliations><json:string>Institute of Health and Society, University of Newcastle, Newcastle, UK</json:string></affiliations></json:item><json:item><name>Catherine Gibb</name><affiliations><json:string>School of Health, Community, and Educational Studies, University of Northumbria, Newcastle, UK</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Parkinson's disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>speech–language therapy practice</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>survey</value></json:item></subject><articleId><json:string>JLCD27</json:string></articleId><language><json:string>eng</json:string></language><abstract>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. 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O.</forename><surname>Deane</surname></persName><affiliation>School of Nursing and Midwifery, University of East Anglia, Norwich, UK</affiliation></author><author><persName><forename type="first">Diana</forename><surname>Jones</surname></persName><affiliation>School of Health, Community, and Educational Studies, University of Northumbria, Newcastle, UK</affiliation></author><author><persName><forename type="first">Emma</forename><surname>Noble</surname></persName><affiliation>Institute of Health and Society, University of Newcastle, Newcastle, UK</affiliation></author><author><persName><forename type="first">Catherine</forename><surname>Gibb</surname></persName><affiliation>School of Health, Community, and Educational Studies, University of Northumbria, Newcastle, UK</affiliation></author></analytic><monogr><title level="j">International Journal of Language & Communication Disorders</title><idno type="pISSN">1368-2822</idno><idno type="eISSN">1460-6984</idno><idno type="DOI">10.1111/(ISSN)1460-6984</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2011-03"></date><biblScope unit="volume">46</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="189">189</biblScope><biblScope unit="page" to="201">201</biblScope></imprint></monogr><idno type="istex">D14A92FD99E40C320E18DD84E3174C64737CEFDD</idno><idno type="DOI">10.3109/13682822.2010.484849</idno><idno type="ArticleID">JLCD27</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2011</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>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.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Parkinson's disease</term></item><item><term>speech–language therapy practice</term></item><item><term>survey</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>article category</head><item><term>Research Report</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2011-03">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/D14A92FD99E40C320E18DD84E3174C64737CEFDD/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1460-6984</doi><issn type="print">1368-2822</issn><issn type="electronic">1460-6984</issn><idGroup><id type="product" value="JLCD"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="INTERNATIONAL JOURNAL OF LANGUAGE AND COMMUNICATION DISORDERS">International Journal of Language & Communication Disorders</title></titleGroup></publicationMeta><publicationMeta level="part" position="03102"><doi origin="wiley">10.1111/jlcd.2011.46.issue-2</doi><numberingGroup><numbering type="journalVolume" number="46">46</numbering><numbering type="journalIssue" number="2">2</numbering></numberingGroup><coverDate startDate="2011-03">March‐April 2011</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="6" status="forIssue"><doi origin="wiley">10.3109/13682822.2010.484849</doi><idGroup><id type="unit" value="JLCD27"></id></idGroup><countGroup><count type="pageTotal" number="13"></count></countGroup><titleGroup><title type="tocHeading1">Research Reports</title><title type="articleCategory">Research Report</title></titleGroup><copyright>© 2010 Royal College of Speech & Language Therapists</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.4.7 mode:FullText" date="2011-03-15"></event><event type="firstOnline" date="2011-03-15"></event><event type="publishedOnlineFinalForm" date="2011-03-15"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-31"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-24"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="189">189</numbering><numbering type="pageLast" number="201">201</numbering></numberingGroup><correspondenceTo>Address correspondence to: Nick Miller, Speech–Language Sciences, University Newcastle, George VI Building, Newcastle NE1 7RU, UK; e‐mail: <email>nicholas.miller@ncl.ac.uk</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JLCD.JLCD27.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>(<i>Received 6 November 2009; accepted 8 April 2010</i>)</unparsedEditorialHistory><countGroup><count type="figureTotal" number="2"></count><count type="tableTotal" number="7"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="36"></count><count type="linksCrossRef" number="59"></count></countGroup><titleGroup><title type="main">National survey of speech and language therapy provision for people with Parkinson's disease in the United Kingdom: therapists’ practices</title><title type="shortAuthors"><i>Nick Miller</i> et al.</title><title type="short"><i>Speech and language therapy for Parkinson's disease: a survey</i></title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Nick</givenNames><familyName>Miller</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Katherine H. O.</givenNames><familyName>Deane</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a3"><personName><givenNames>Diana</givenNames><familyName>Jones</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a4"><personName><givenNames>Emma</givenNames><familyName>Noble</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a3"><personName><givenNames>Catherine</givenNames><familyName>Gibb</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="GB"><unparsedAffiliation>Institute of Health and Society, Speech–Language Sciences, University Newcastle, Newcastle, UK</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="GB"><unparsedAffiliation>School of Nursing and Midwifery, University of East Anglia, Norwich, UK</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="GB"><unparsedAffiliation>School of Health, Community, and Educational Studies, University of Northumbria, Newcastle, UK</unparsedAffiliation></affiliation><affiliation xml:id="a4" countryCode="GB"><unparsedAffiliation>Institute of Health and Society, University of Newcastle, Newcastle, UK</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">Parkinson's disease</keyword><keyword xml:id="k2">speech–language therapy practice</keyword><keyword xml:id="k3">survey</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p> <i>Background:</i> 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.</p><p> <i>Aims:</i> 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.</p><p> <i>Methods & Procedures:</i> A questionnaire survey of speech–language therapists.</p><p> <i>Outcomes & Results:</i> 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.</p><p> <i>Conclusions & Implications:</i> 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.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>National survey of speech and language therapy provision for people with Parkinson's disease in the United Kingdom: therapists’ practices</title></titleInfo><titleInfo type="abbreviated"><title>Speech and language therapy for Parkinson's disease: a survey</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>National survey of speech and language therapy provision for people with Parkinson's disease in the United Kingdom: therapists’ practices</title></titleInfo><name type="personal"><namePart type="given">Nick</namePart><namePart type="family">Miller</namePart><affiliation>Institute of Health and Society, Speech–Language Sciences, University Newcastle, Newcastle, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Katherine H. O.</namePart><namePart type="family">Deane</namePart><affiliation>School of Nursing and Midwifery, University of East Anglia, Norwich, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Diana</namePart><namePart type="family">Jones</namePart><affiliation>School of Health, Community, and Educational Studies, University of Northumbria, Newcastle, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Emma</namePart><namePart type="family">Noble</namePart><affiliation>Institute of Health and Society, University of Newcastle, Newcastle, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Catherine</namePart><namePart type="family">Gibb</namePart><affiliation>School of Health, Community, and Educational Studies, University of Northumbria, Newcastle, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2011-03</dateIssued><edition>(Received 6 November 2009; accepted 8 April 2010)</edition><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">2</extent><extent unit="tables">7</extent><extent unit="references">36</extent></physicalDescription><abstract lang="en">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.</abstract><subject lang="en"><genre>Keywords</genre><topic>Parkinson's disease</topic><topic>speech–language therapy practice</topic><topic>survey</topic></subject><relatedItem type="host"><titleInfo><title>International Journal of Language & Communication Disorders</title></titleInfo><genre type="Journal">journal</genre><subject><genre>article category</genre><topic>Research Report</topic></subject><identifier type="ISSN">1368-2822</identifier><identifier type="eISSN">1460-6984</identifier><identifier type="DOI">10.1111/(ISSN)1460-6984</identifier><identifier type="PublisherID">JLCD</identifier><part><date>2011</date><detail type="volume"><caption>vol.</caption><number>46</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>189</start><end>201</end><total>13</total></extent></part></relatedItem><identifier type="istex">D14A92FD99E40C320E18DD84E3174C64737CEFDD</identifier><identifier type="DOI">10.3109/13682822.2010.484849</identifier><identifier type="ArticleID">JLCD27</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2010 Royal College of Speech & Language Therapists</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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