Assessing the Effectiveness of Communication Therapy in the North West (The ACT NoW Pilot Study)

NCT ID: NCT00158106


Title
Assessing the Effectiveness of Communication Therapy in the North West (The ACT NoW Pilot Study)
Purpose
This study investigates the effectiveness and cost-effectiveness of speech and language therapy for adults who suffer communication difficulties following a stroke.
Details
Research Question: This is the pilot phase of a two-phase study. Phase 1 - What is the feasibility of conducting a randomised controlled trial of therapy for adults with post-stroke communication impairment? to be followed in 2006 by Phase 2 - What are the effectiveness, costs and service user preferences, for the provision of speech and language therapy for communication difficulties experienced by people in hospital with a stroke? Methodology: Phase 1 - Qualitative (focus groups & individual interviews) and quantitative (pilot RCT). Phase 2 - Qualitative (focus groups & individual interviews) and quantitative (a pragmatic, multicentred, randomised controlled trial, stratified by diagnosis and therapist/centre, using an 'intention to treat' approach). Discrete choice experiments will be used to determine cost effectiveness. Outcome Measures: The primary outcome will be functional communicative ability. The economic analysis will estimate the incremental cost effectiveness and net benefit of the intervention group compared to the control group from a societal perspective. The qualitative study will examine service users' and carers' perspectives on the process and effects of Speech and Language Therapy or the control treatment. Sample Group: Adults with dysarthria or aphasia, seen early after admission to hospital with a stroke. Exclusions: subarachnoid haemorrhage, progressive dementia, expected recovery without therapy.
Conditions
Speech or Language Impairment Following Stroke
Keywords
functional communicative ability, cost effectiveness, service user preferences
Source
NHS Health Technology Assessment Programme
Sponsors
NHS Health Technology Assessment Programme
Status
Completed
Acronym
Last Updated
06 Sep 2005
URL
Official Link
Locations
United Kingdom