SLP Preparedness to Treat Co-occurring Aphasia and Auditory Impairment in Training and Practice

Abstract

Despite the prevalence of co-occurring aphasia and auditory impairment, speech-language pathologists are often inconsistent in screening for hearing issues during aphasia rehabilitation. Studies have shown knowledge gaps and lack of interprofessional resources may contribute to inadequate screenings; however; this topic remains largely understudied. As auditory impairment can have a profound therapeutic and social impact on persons with aphasia (PWA), it is important to understand the challenges both future and current clinicians face in conducting. The purpose of this mixed-method study is to identify audiologic-related knowledge gaps and perceived preparedness in working with PWA among graduate students and clinicians. Twenty-four participants (student n = 12, clinician n = 12) completed a questionnaire assessing knowledge of hearing screenings, confidence, and preparedness via closed and audio-recorded, open-ended responses. A Welch’s independent t-test and a Wilcoxon rank-sum test were conducted to determine if there were any group differences in knowledge score and perceived preparedness ratings. The open-ended responses regarding perceived preparedness were analyzed using reflexive thematic analysis. Results showed no statistically significant difference between graduate students and clinicians in knowledge scores or perceived preparedness ratings (p ≤ .05). Additionally, average scores for the students (M = 8.00, SD = 0.95) and clinicians (M = 7.42, SD = 1.62) were notably low (max score = 16). Qualitatively, three major themes emerged concerning perceived preparedness: Inadequate training for addressing co-occurring aphasia and auditory impairment, Limited resources and interprofessional barriers, and Ongoing training needs from graduate education to clinical practice. These findings support previous research and highlight the need for increased clinical exposure, ongoing interprofessional training and resources, as well as facility support which may help to improve overall treatment of co-occurring aphasia and auditory impairment.