IMPEC : Illustration et modélisation de la fin de prise en charge. Interprétation dans un contexte d’aphasie vasculaire

Abstract : The questioning regarding the end of therapy (EOT) remains recurrent in the speech therapy clinical practice, and particularly during the follow-up care of neurological pathologies. Yet, it remains poorly documented. It also turns out that discharge depends on objective and subjective criteria, which can be interpreted differently according to the context of the pathology. We chose to study the EOT for aphasia, depending on whether it is vascular or primary progressive. Thus, this work developing the interpretation of the vascular context, completes the work of Fanny Capdessus on the interpretation of the progressive context. This study, the result of a common reflection, aims to develop a decision-making tool supposed to facilitate the EOT, then its experimentation by speech-therapists more or less experienced in the follow-up care of neurological pathologies. Besides, the study of the linguistic representations of the therapists, during the announcement, has been added. The results showed that discharge could be modeled as a relational network, synthesizing objective, personal and contextual data. This tool, called "IMPEC", turned out to be clinically relevant by confirming that it would make discharge more comfortable, and even more for speech therapists with less expertise in vascular aphasia. Moreover, these professionals had a greater benefit of IMPEC. Context-specific interpretation revealed differences in the interpretation of criteria, such as performance or quality of life. Finally, it would seem that there is no consensus on the most appropriate term at the time of the announcement, and that speech-therapists place linguistic representations and psychosocial strategies at the same level. These results are encouraging. It would be worth considering a pursuit of this study to develop and maximise the IMPEC.
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Master Thesis
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Céline Henri. IMPEC : Illustration et modélisation de la fin de prise en charge. Interprétation dans un contexte d’aphasie vasculaire. Sciences cognitives. 2018. ⟨dumas-02127212⟩

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