Erin Godecke

Erin Godecke
Edith Cowan University · School of Medical and Health Science

BSc. Speech and Hearing Science; PhD Human Communication Science

About

84
Publications
28,371
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866
Citations
Citations since 2016
61 Research Items
746 Citations
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2016201720182019202020212022050100150
Introduction
Erin's primary research is in the area of very early rehabilitation (VER) in post-stroke aphasia. Her PhD was the first RCT in Australia to investigate the effects of VER in aphasia. She is a Chief Investigator on the Very Early Rehabilitation in SpEech (VERSE) trial being conducted in Australia which is investigating the efficacy and cost-effectiveness of very early aphasia therapy in stroke recovery. Her other research includes and enhancing early communication opportunity in stroke recovery.

Publications

Publications (84)
Article
Post-stroke lateropulsion is prevalent. The global inconsistency in terminology used to describe the condition presents obstacles in accurately comparing research results, reaching consensus on use of measurement tools, agreeing upon a consistent approach to rehabilitation, and translating research to clinical practice. Commencing in 2021, 20 inter...
Article
Full-text available
Background Aboriginal Australians are known to suffer high levels of acquired brain injury (stroke and traumatic brain injury) yet experience significant barriers in accessing rehabilitation services. The aim of the Healing Right Way trial is to evaluate a culturally secure intervention for Aboriginal people with newly acquired brain injury to impr...
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Background: People with language problems following stroke (aphasia) benefit from speech and language therapy. Optimising speech and language therapy for aphasia recovery is a research priority. Objectives: The objectives were to explore patterns and predictors of language and communication recovery, optimum speech and language therapy intervention...
Article
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Background Treatment fidelity is inconsistently reported in aphasia research, contributing to uncertainty about the effectiveness of types of aphasia therapy following stroke. We outline the processes and outcomes of treatment fidelity monitoring in a pre-specified secondary analysis of the VERSE trial. Methods VERSE was a 3-arm, single-blinded RC...
Article
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Background While meta-analyses confirm treatment for chronic post-stroke aphasia is effective, a lack of comparative evidence for different interventions limits prescription accuracy. We investigated whether Constraint-Induced Aphasia Therapy Plus (CIAT-plus) and/or Multimodality Aphasia Therapy (M-MAT) provided greater therapeutic benefit compared...
Article
Purpose: A person with post-stroke lateropulsion pushes their body toward their hemiparetic side and/or resists accepting weight onto their nonparetic side. Research findings regarding long-term persistence of lateropulsion and its association with function are lacking. This study reports associations between lateropulsion severity (Four Point Push...
Article
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Background: Collation of aphasia research data across settings, countries and study designs using big data principles will support analyses across different language modalities, levels of impairment, and therapy interventions in this heterogeneous population. Big data approaches in aphasia research may support vital analyses, which are unachievable...
Article
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Background Developing, monitoring, and reporting of fidelity are essential and integral components to the design of randomised controlled trials (RCTs) in stroke and aphasia. Treatment fidelity refers to the degree to which an intervention is delivered as intended and is directly related to the quality of the evidence generated by RCTs. Clear docum...
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Background and Purpose Optimizing speech and language therapy (SLT) regimens for maximal aphasia recovery is a clinical research priority. We examined associations between SLT intensity (hours/week), dosage (total hours), frequency (days/week), duration (weeks), delivery (face to face, computer supported, individual tailoring, and home practice), c...
Article
Background Lateropulsion is a common impairment after stroke. Regardless of stroke severity, functional recovery is slower in people with lateropulsion, resulting in requirement for longer rehabilitation duration. In Australia, inpatient rehabilitation funding is determined via the Australian National Sub-Acute and Non-Acute Patient Classification...
Article
Introduction People with communication disability after stroke need interventions to optimise healthcare communication and rehabilitation outcomes. Current evidence syntheses do not adequately inform the management of communication disability during the first 90 days post-stroke. Purpose To explore the scope of literature for the management of com...
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Background Patients in hospital following stroke express a desire to continue therapy tasks outside of treatment activities. However, they commonly describe experiences of boredom and inactivity. An enriched environment aims to provide opportunities for physical, cognitive and social activity and informed the development of a Communication Enhanced...
Article
Purpose A lack of social interaction during early stroke recovery can negatively affect neurological recovery and health-related quality of life of patients with aphasia following stroke. A Communication Enhanced Environment (CEE) model was developed to increase patient engagement in language activities early after stroke. This study aimed to exami...
Article
Objective Develop and test a person-centred goal-setting package for discharge care planning in acute and rehabilitation stroke units. Methods A multidisciplinary, expert working group (n = 15), and consumer group (n = 4) was convened. A multistage iterative approach was used to develop and test the package. Stages included: (i) contextual underst...
Article
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Background Key elements of treatment fidelity include treatment integrity (adherence to the treatment protocol) and treatment differentiation (the difference in treatment ingredients in the control and intervention groups). The Very Early Rehabilitation in SpEech (VERSE) trial established treatment fidelity at the macro level for key components of...
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Introduction Despite higher incidence of brain injury among Aboriginal compared with non-Aboriginal Australians, suboptimal engagement exists between rehabilitation services and Aboriginal brain injury survivors. Aboriginal patients often feel culturally insecure in hospital and navigation of services post discharge is complex. Health professionals...
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Coordination of international aphasia research would minimise duplication of effort, support synergistic international activities across languages and multidisciplinary perspectives, and promote high-quality conduct and reporting of aphasia research, thereby increasing the relevance, transparency, and implementation of findings. The Collaboration o...
Article
Introduction: Stroke patients with aphasia are often excluded from person-centred goal setting as part of their clinical care, despite a recommendation for person-centred goal setting in national clinical guidelines. Aim: To develop and field test an aphasia supplement to a person-centred goal setting package for stroke to better meet the needs of...
Article
Purpose A person with post-stroke lateropulsion actively pushes themselves toward their hemiplegic side, or resists moving onto their non-hemiplegic side. This study aimed to determine the association of lateropulsion severity with: • Change in function (Functional Independence Measure – FIM) and lateropulsion severity (Four-Point Pusher Score – 4P...
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Objectives: To explore barriers and facilitators to patient communication in an acute and rehabilitation ward setting from the perspectives of hospital staff, volunteers and patients following stroke. Design: A qualitative descriptive study as part of a larger study which aimed to develop and test a Communication Enhanced Environment model in an...
Article
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While high-quality meta-analyses have confirmed the effectiveness of aphasia therapy after stroke, there is limited evidence for the comparative effectiveness of different aphasia interventions. Two commonly used interventions, Constraint-induced Aphasia Therapy Plus (CIAT Plus) and Multi-modality Aphasia Therapy (M-MAT), are hypothesised to rely o...
Article
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Background and Purpose The factors associated with recovery of language domains after stroke remain uncertain. We described recovery of overall-language-ability, auditory comprehension, naming, and functional-communication across participants’ age, sex, and aphasia chronicity in a large, multilingual, international aphasia dataset. Methods Individ...
Article
Dose articulation is a universal issue of intervention development and testing. In stroke recovery, dose of a nonpharmaceutical intervention appears to influence outcome but is often poorly reported. The challenges of articulating dose in nonpharmacological stroke recovery research include: (1) the absence of specific internationally agreed dose re...
Article
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Background Effectiveness of early intensive aphasia rehabilitation after stroke is unknown. The Very Early Rehabilitation for SpEech trial (VERSE) aimed to determine whether intensive aphasia therapy, beginning within 14 days after stroke, improved communication recovery compared to usual care. Methods Prospective, randomized, single-blinded trial...
Article
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Purpose: Speech and language pathology (SLP) for aphasia is a complex intervention delivered to a heterogeneous population within diverse settings. Simplistic descriptions of participants and interventions in research hinder replication, interpretation of results, guideline and research developments through secondary data analyses. This study aimed...
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Purpose: To examine the inter-rater reliability, intra-rater reliability, internal consistency and practice effects associated with a new test, the Brisbane Evidence-Based Language Test. Methods: Reliability estimates were obtained in a repeated-measures design through analysis of clinician video ratings of stroke participants completing the Brisba...
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Purpose: To describe the development and determine the diagnostic accuracy of the Brisbane Evidence-Based Language Test in detecting aphasia. Methods: Consecutive acute stroke admissions (n = 100; mean = 66.49y) participated in a single (assessor) blinded cross-sectional study. Index assessment was the ∼45 min Brisbane Evidence-Based Language Test....
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Aphasia research uses the length of time within rehabilitation sessions as the main measure of dosage. Few papers detail therapeutic ingredients or outline the number of times these were delivered over the treatment period. The present observational study identified therapeutic ingredients in the Very Early Rehabiltiation in SpEech (VERSE) trial an...
Article
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Background: Usual care is the term used to describe everyday practice in the management of a client within a profession. The knowledge of the tasks used in therapy and key therapeutic processes used within these treatments, provides critical information about if and how the therapy works. The Very Early Rehabilitation in SpEech Randomised Controlle...
Article
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Background: Speech and language therapy (SLT) benefits people with aphasia following stroke. Group level summary statistics from randomised controlled trials hinder exploration of highly complex SLT interventions and a clinically relevant heterogeneous population. Creating a database of individual participant data (IPD) for people with aphasia aims...
Article
Moving research evidence to practice can take years, if not decades, which denies stroke patients and families from receiving the best care. We present the results of an international consensus process prioritizing what research evidence to implement into stroke rehabilitation practice to have maximal impact. An international 10-member Knowledge Tr...
Article
Moving research evidence to practice can take years, if not decades, which denies stroke patients and families from receiving the best care. We present the results of an international consensus process prioritizing what research evidence to implement into stroke rehabilitation practice to have maximal impact. An international 10-member Knowledge Tr...
Article
Rationale The comparative efficacy and cost-effectiveness of constraint-induced and multi-modality aphasia therapy in chronic stroke are unknown. Aims and hypotheses In the COMPARE trial, we aim to determine whether Multi-Modal Aphasia Treatment (M-MAT) and Constraint-Induced Aphasia Therapy Plus (CIAT-Plus) are superior to usual care (UC) for chr...
Article
Full-text available
Background: Speech and language therapy (SLT) benefits people with aphasia following stroke. Group level summary statistics from randomised controlled trials hinder exploration of highly complex SLT interventions and a clinically relevant heterogeneous population. Creating a database of individual participant data (IPD) for people with aphasia aims...
Article
Background: Treatment fidelity is at the heart of evidence-based practice and treatment fidelity processes help to determine the ‘active ingredients’ of a treatment. Hinckley and Douglas in 2013 reviewed treatment fidelity processes in published aphasia trials and found 14% of aphasia treatment studies reported treatment fidelity. This led the auth...
Conference Paper
Full-text available
View presentation at https://www.youtube.com/watch?v=2QaILUmuLq4&feature=youtu.be
Article
Background: Limited evidence exists to support very early intensive aphasia rehabilitation after stroke. VERSE is a PROBE trial designed to determine whether two types of intensive aphasia therapy, beginning within 14 days of acute stroke, provide greater therapeutic and cost-effectiveness than usual care. Objective: To publish the detailed stat...
Conference Paper
Full-text available
Background: Speech and language therapy (SLT) interventions for people with aphasia are complex-for example, interventions vary by delivery model (face-to-face, tele-rehabilitation), dynamic (group, 1-to-1) and provider. Therapists tailor the functional relevance and intervention difficulty to the individual's needs. Therapy regimes are planned at...
Conference Paper
Full-text available
SPA Conference Abstract Treatment Fidelity in Very Early Rehabilitation in SpEech (VERSE): What works in Aphasia Therapy? Emily Riseley, Natalie A Ciccone, Erin Godecke Edith Cowan University, Joondalup, Western Australia Background Few large scale clinical trials have focused on aphasia intervention. The Very Early Rehabilitation in SpeEch (VERSE)...
Presentation
Full-text available
Round table discussion about treatment fidelity in aphasia. The following discussed: - Literature review of treatment fidelity reporting in Aphasia RCTs - Framework for conceptualizing treatment fidelity in aphasia research -Example of Treatment Fidelity procedures in Very Early Rehabilitation for SpEech (VERSE) trial.
Article
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Background and purpose Accurate aphasia diagnosis is important in stroke care. A wide range of language tests are available and include informal assessments, tests developed by healthcare institutions and commercially published tests available for purchase in pre-packaged kits. The psychometrics of these tests are often reported online or within th...
Data
PRISMA checklist for systematic reviews. (DOCX)
Article
Full-text available
Indigenous peoples throughout the world, despite being known to suffer from increased risk of stroke and traumatic brain injury (TBI), are marginalised in terms of access to rehabilitation services and have poorer health outcomes than non-indigenous peoples. Speech-language pathology services for indigenous people with aphasia have rarely been disc...
Article
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Background and aims Stroke clinical guidelines recommend that “All patients should be screened for communication deficits using a screening tool that is valid and reliable” (p.90). Current speech pathology practice does not meet this recommendation instead relying on clinical experience or informal language screeners which have not undergone valida...
Conference Paper
Full-text available
Background: Aphasia affects a third of stroke survivors equating to an estimated 50,000 people in the UK and 5.6 million worldwide annually. Due to its impact on social functioning, emotional wellbeing, hospital discharge destination and returning to work, effective and efficient rehabilitation interventions are vital. Systematic review evidence ba...
Article
Purpose of review: Early rehabilitation is recommended in many guidelines, with limited evidence to guide practice. Brain neurobiology suggests that early training, at the right dose, will aid recovery. In this review, we highlight recent trials of early mobilization, aphasia, dysphagia and upper limb treatment in which intervention is commenced w...
Conference Paper
Full-text available
Background/Aims Chronic post-stroke aphasia impacts 30% of stroke survivors. The aim of this trial is to determine whether two contrasting, intensive treatments, Constraint Induced Aphasia Therapy (CIAT) and Multi-Modal Aphasia Therapy (M-MAT), are superior and cost-effective than usual care (UC). The variable response to these therapies may be acc...
Article
Full-text available
Rationale: The efficacy of rehabilitation therapy for aphasia caused by stroke is uncertain. Aims and hypothesis: The Very Early Rehabilitation of Speech (VERSE) trial aims to determine if intensive prescribed aphasia therapy (VERSE) is more effective and cost saving than non-prescribed, intensive (usual care-plus) and non-intensive usual care (...
Conference Paper
Full-text available
Background: Aphasia is a communication disorder caused by damage to the language centres of the brain due to Traumatic Brain Injury or Stroke. The Western Aphasia Battery Aphasia Quotient (AQ) is a standardised test battery with high testretest reliability but is negatively affected by a ceiling effect. Maximal Potential Recovery (MPR) is calculate...
Article
Background: Therapy fidelity is rarely reported in aphasia research. This omission contributes to the lack of clarity surrounding the efficacy of aphasia therapy. This paper reports the processes developed, and the barriers and facilitators involved in measuring therapy fidelity in a complex clinical trial – VERSE, an Australian three-arm RCT inves...
Article
Background: Therapy fidelity is rarely reported in aphasia research. This omission contributes to the lack of clarity surrounding the efficacy of aphasia therapy. This paper reports the processes developed, and the barriers and facilitators involved in measuring therapy fidelity in a complex clinical trial – VERSE, an Australian three-arm RCT inves...
Article
Background: Chronic post-stroke aphasia directly impacts 30% of stroke survivors and countless family and friends. Finding effective treatments for aphasia is a top international research priority. Two potent treatment types used in chronic aphasia are Constraint Induced Aphasia Therapy (CIAT) and Multi-Modal Aphasia Therapy (M-MAT). Participant re...
Article
Full-text available
Background: Communication outcomes following stroke are improved when treatments for aphasia are administered early, within the first 3 months after stroke, and provided for more than 2 hours per week. However, uncertainty remains about the optimal type of aphasia therapy. Aims: We compared constraint-induced aphasia therapy (CIAT) with individual...
Article
Full-text available
Objectives To develop and validate a national set of best practice statements for use in post-stroke aphasia rehabilitation. Design Literature review and statement validation using the RAND/UCLA Appropriateness Method (RAM). Participants A national Community of Practice of over 250 speech pathologists, researchers, consumers and policymakers develo...
Article
Background: Therapy fidelity is rarely reported in aphasia research. This omission contributes to the lack of clarity surrounding the efficacy of aphasia therapy. This paper reports the processes developed, and the barriers and facilitators involved in measuring therapy fidelity in a complex clinical trial – VERSE, an Australian three-arm RCT inves...
Article
Full-text available
Background: Therapy fidelity is rarely reported in aphasia research. This omission contributes to the lack of clarity surrounding the efficacy of aphasia therapy. This paper reports the processes developed, and the barriers and facilitators involved in measuring therapy fidelity in a complex clinical trial – VERSE, an Australian three-arm RCT inves...
Article
Full-text available
Very early aphasia rehabilitation studies have shown mixed results. Differences in therapy intensity and therapy type contribute significantly to the equivocal results. To compare a standardized, prescribed very early aphasia therapy regimen with a historical usual care control group at therapy completion (4-5 weeks post-stroke) and again at follow...
Article
Full-text available
Background and aim: The effects of very early aphasia therapy on recovery are equivocal. This article examines predictors of very early aphasia recovery through statistical modeling. Methods: This study involved a secondary analysis of merged data from two randomized, single-blind trials conducted in Australian acute and subacute hospitals. Stud...
Article
Full-text available
This article examines the ways in which individuals with aphasia communicate opinions and feelings using evaluative language during conversation in an aphasia group. Evaluative language refers to semantic resources conveying emotions, judgments, and valuations and includes emotive adjectives, nouns, verbs, and adverbs as well as metaphor. Although...