title: The impact of stroke-related dysarthria on social participation and implications for rehabilitation.
abstract: BACKGROUND
  Each year an estimated 30,000-45,000 UK individuals experience stroke-related dysarthria (impairment of movements required to produce speech). Many will experience persistent dysarthria long after discharge from stroke services. Although we have some insight into the impact of other communication impairments, we have very limited information on the impact of dysarthria on social participation.
  
  
  OBJECTIVE
  To explore the impact of dysarthria on social participation following stroke.
  
  
  METHODS
  We report data from in-depth semi-structured interviews with 24 individuals with stroke-related dysarthria.
  
  
  RESULTS
  Our findings suggest a complex association between the severity of an individual's dysarthria and the impact on their social participation. Participants' descriptions highlighted their experiences of social participation and isolation. We further suggest that, in some cases, the coping strategies adopted by the participants could be seen to further exacerbate this isolation. These results have important implications for the prioritisation, planning and delivery of therapeutic interventions for people with dysarthria.
  
  
  CONCLUSIONS
  The impact of stroke-related dysarthria transcends the physiological impairment to impact upon individuals' social participation, which is key to the process of rehabilitation. The development and evaluation of the effectiveness of an intervention that addresses these impacts is the next challenge for therapists and researchers working in this area.
authors.affiliation: Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK. m.brady@gcal.ac.uk
authors.forename: Marian C
authors.initials: MC
authors.lastname: Brady
authors.forename: Alexander M
authors.initials: AM
authors.lastname: Clark
authors.forename: Sylvia
authors.initials: S
authors.lastname: Dickson
authors.forename: Gillian
authors.initials: G
authors.lastname: Paton
authors.forename: Rosaline S
authors.initials: RS
authors.lastname: Barbour
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004401:Dysarthria / Q000209:etiology / Q000523:psychology* / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012720:Severity of Illness Index; D012917:Social Adjustment; D013070:Speech Therapy / Q000379:methods; D020521:Stroke / Q000150:complications* / Q000523:psychology; D000071939:Stroke Rehabilitation