Pamela Enderby

Pamela Enderby
The University of Sheffield | Sheffield · School of Health and Related Research (ScHARR)

Ph.D., MSc, FRCSLT

About

242
Publications
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Introduction

Publications

Publications (242)
Article
Full-text available
Introduction: The UK's response to the COVID-19 pandemic presented multiple challenges to healthcare services including the suspension of non-urgent care. The impact on neurorehabilitation professions, including speech and language therapy (SLT), has been substantial. Objectives: To review the changes to SLT services triggered by the COVID-19 pande...
Article
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Background Healthcare professionals without specialist training in communication disorders may not know how to identify and support patients with communication disabilities during mental capacity assessments. To meet this need, a novel communication screening tool was developed and tested as part of a mental capacity assessment support toolkit. A...
Article
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Background Evidencing the impact of speech and language therapy interventions is challenging. The UK’s professional body for speech and language therapists (SLTs) is supporting a consistent approach to outcome measurement and analysis using Therapy Outcome Measures (TOMs). Objective To develop a digital solution for collecting TOMs data, evaluate...
Article
Background People with aphasia may improve their communication with speech and language therapy many months/years after stroke. However, NHS speech and language therapy reduces in availability over time post stroke. Objective This trial evaluated the clinical effectiveness and cost-effectiveness of self-managed computerised speech and language the...
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
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Background Community hospitals are small hospitals providing local inpatient and outpatient services. National surveys report that inpatient rehabilitation for older people is a core function but there are large differences in key performance measures. We have investigated these variations in community hospital ward performance. Objectives (1) To...
Article
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This study presents a framework for leadership of integrated, interprofessional health and social-care teams (IgT's) based on a previous literature review and a qualitative study. The theoretical framework for Integrated Team Leadership (IgTL) is based on contributions from fifteen professional and non-professional staff, in 8 community teams in th...
Article
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Background: Post-stroke aphasia might improve over many years with speech and language therapy; however speech and language therapy is often less readily available beyond a few months after stroke. We assessed self-managed computerised speech and language therapy (CSLT) as a means of providing more therapy than patients can access through usual ca...
Article
Speech and language therapists often contribute to public awareness campaigns as well as supporting, teaching and promoting the facilitation of speech, language, communication, and safe swallowing with the general public and health and social care professionals. These are sometimes considered as public health interventions. It is important to consi...
Article
Purpose: To review evidence describing how health and social care professionals in England and Wales assess mental capacity, in order to identify ways to improve practice. Methods: A systematised literature review was completed. Electronic databases of published medical, health and social care research and gray literature were searched. Journal art...
Article
Background Research underpinning evidence-based practice for speech and language therapists and phoniatrists is undoubtedly improving the impact of therapy. However, trials tend to include small numbers of subjects with specific criteria, which makes it difficult to generalize results to the heterogenous patient groups seeking these services. The u...
Article
Background: A core outcome set (COS; an agreed, minimum set of outcomes) was needed to address the heterogeneous measurement of outcomes in aphasia treatment research and to facilitate the production of transparent, meaningful, and efficient outcome data. Objective: The Research Outcome Measurement in Aphasia (ROMA) consensus statement provides...
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...
Article
Objective: Attention control comparisons in trials of stroke rehabilitation require care to minimize the risk of comparison choice bias. We compared the similarities and differences in SLT and social support control interventions for people with aphasia. Data sources: Trial data from the 2016 Cochrane systematic review of SLT for aphasia after s...
Article
Full-text available
Purpose The purpose of this study is to review evidence on the nature of effective leadership in interprofessional health and social care teams. Design/methodology/approach A critical review and thematic synthesis of research literature conducted using systematic methods to identify and construct a framework to explain the available evidence about...
Article
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Background: Dysphagia is common after stroke, affecting up to 50% of patients initially. It can lead to post-stroke pneumonia, which causes 30% of stroke-related deaths, a longer hospital stay and poorer health outcomes. Dysphagia care post-stroke generally focuses on the management of symptoms, via modified oral intake textures and adapted postur...
Poster
Full-text available
Poster describing the methods used to develop and test the mental capacity assessment toolkit I designed during my PhD and summarising the results I obtained during the feasibility study.
Conference Paper
Introduction: The Mental Capacity Assessment Support Toolkit (MCAST) was designed to enable multidisciplinary staff to: i) prepare, complete and document high quality mental capacity assessments; ii) identify patients with communication disorders; iii) select effective methods to support these patients to communicate during capacity assessments. Th...
Article
AAC service provision in the United Kingdom (UK) has evolved since the first service dedicated to the provision of communication aids opened in 1986. Within the UK, many health and care services are provided via government funding; however, the assessment and provision of AAC and specifically of speech-generating devices (SGDs) is inconsistent and...
Article
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Background Health technologies are being developed to help people living at home manage long-term conditions. One such technology is “lifestyle monitoring” (LM), a telecare technology based on the idea that home activities may be monitored unobtrusively via sensors to give an indication of changes in health-state. However, questions remain about LM...
Article
The purpose of this paper is to consider the many influences that have an impact on appropriate speech-language pathology service delivery. The competitive cooking and entertainment television program, MasterChef, is used as an analogy to consider the ingredients, blend and approach required to improve speech-language pathology services. Speech-lan...
Chapter
Full-text available
Dysphagia is the term used to describe swallowing disorders usually resulting from a neurological or physical impairment of the oral, pharyngeal or oesophageal mechanisms. Difficulty with swallowing may have life threatening consequences and can lead to an impaired quality of life. Electrical stimulation has recently become of interest to clinician...
Article
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Barriers to recovering the excess treatment costs associated with health research from local organisations in the United Kingdom can increase research costs, delay completion of high- quality studies and risk disenfranchising health trusts and patients from participation. The authors demonstrate how the process for recovering excess treatment costs...
Article
Purpose: To explore approaches to the assessment of mental capacity within acute hospital and intermediate care settings in England. Methods: Two focus group interviews were conducted with multidisciplinary staff (n=13) within a large hospital trust. Data were analysed using a Framework approach. Results: Three main themes were identified: i) the a...
Article
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S1 Using computerized adaptive testing Tim Croudace S2 Well-being: what is it, how does it compare to health and what are the implications of using it to inform health policy John Brazier O1 “Am I going to get better?”—Using PROMs to inform patients about the likely benefit of surgery Nils Gutacker, Andrew Street O2 Identifying Patient Reported Out...
Article
Aphasia significantly affects the individual, families, and communities. Timely, effective intervention is vital. Speech and language therapy (SLT) is a complex rehabilitation intervention targeting improvement in language and communication abilities (verbal comprehension, spoken language, reading, writing), activity, and participation. Therapy may...
Article
Full-text available
Introduction To understand the variation in performance between community hospitals, our objectives are: to measure the relative performance (cost efficiency) of rehabilitation services in community hospitals; to identify the characteristics of community hospital rehabilitation that optimise performance; to investigate the current impact of communi...
Article
Objectives: To identify the implications of living with untreated cleft palate and develop an outcome measure which reflects the broad impact of surgery but is sensitive to the physical impact, speech changes, and psychosocial implications of late intervention. Design, Participants, Setting: Focus groups and individual interviews were used to gath...
Article
Background There is no robust evidence that screening patients with acute stroke for dysphagia reduces the risk of stroke-associated pneumonia (SAP), or of how quickly it should be done after admission. We aimed to identify if delays in bedside dysphagia screening and comprehensive dysphagia assessments by a speech and language therapist (SALT) wer...
Chapter
Background: Aphasia is an acquired language impairment following brain damage that affects some or all language modalities: expression and understanding of speech, reading, and writing. Approximately one third of people who have a stroke experience aphasia. Objectives: To assess the effects of speech and language therapy (SLT) for aphasia follow...
Article
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Background: The move from nationally focused health services towards healthcare globalisation is apparent with the hope that healthcare services will ultimately follow similar quality standards and guidelines throughout the world. Aphasia United, an organisation representing a broad range of professionals and others interested in improving the live...
Article
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Aim: To explore the use, meaning and value of the term "rehabilitation potential". Method: The authors of this commentary met to discuss concerns relating to the pressure on health service staff created by reduced length of stay in acute settings of those who have suffered a stroke and the need to determine the potential of a patient for rehabil...
Article
Background Commissioners and providers require information relating to the number of people requiring a service in order to ensure provision is appropriate and equitable for the population they serve. There is little epidemiological evidence available regarding the prevalence of people who could benefit from augmentative and alternative communicati...
Article
Objectives: The objective was to identify a selection of the best examples of the public health contributions by Allied Health Professionals (AHPs) in order to encourage a wider awareness and participation from that workforce to public health practice. Study design: A mapping exercise was used to identify evidence-based interventions that could...
Article
Background: Despite many years of research, there is no certainty regarding the cause of stuttering. Although numerous interventions have been developed, a broad-based systematic review across all forms of intervention for adults and children was needed including views and perceptions of people who stutter. Objective: The aims of the study were...
Article
Full-text available
Background: Most of the studies have looked into the effect of typical antipsychotics on speech secondary to tardive dyskinesia. Aims: This study was aimed to explore the factors predicting the effect of atypical antipsychotic medications on the production of speech. Materials and methods: One hundred and forty patients on stable regimen of th...
Poster
Full-text available
Introduction: Hospital staff find mental capacity assessment challenging, especially when it involves a patient with a communication disorder. A tool was developed to support staff to assess mental capacity for patients with difficulties communicating secondary to stroke or dementia. Method: An iterative, qualitative, user-centred design including...
Article
Purpose: The speech-language pathology profession has explored a number of approaches to support efficient delivery of interventions for people with stroke-induced aphasia. This study aimed to explore the role of volunteers in supporting self-managed practice of computerised language exercises. Method: A qualitative interview study of the volunt...
Research
Poster describing study to develop and evaluate a mental capacity assessment support tool for health and social care staff to use when assessing decision-making capacity for patients with diagnoses of stroke or dementia.
Conference Paper
Full-text available
Introduction: Healthcare professionals often need to assess hospital patients' mental capacity to make informed decisions about their medical treatment and discharge arrangements. This assessment is challenging, especially when it involves patients with communication disorders, who need additional support to understand information about decisions...
Conference Paper
Full-text available
Summary of project for PIF website: Hospital patients are often asked to make important decisions about their treatment or care. Some patients will have difficulty making informed decisions, because they lack the mental capacity to understand and think about decisions and express a choice. This may be due to a neurological condition, such as strok...
Article
A range of interventions have been developed to treat stuttering in recent years. The effectiveness of these interventions has largely been assessed in studies focusing on the impact of specific types of therapy on patient outcomes. Relatively little is known about the factors that influence how the delivery and impact of different types of interve...
Article
Full-text available
Background: The growing range of available treatment options for people who stutter presents a challenge for clinicians, service managers and commissioners, who need to have access to the best available treatment evidence to guide them in providing the most appropriate interventions. While a number of reviews of interventions for specific populati...
Article
Full-text available
Background Despite many years of research, there is no certainty regarding the cause of stuttering. Although numerous interventions have been developed, a broad-based systematic review across all forms of intervention for adults and children was needed including views and perceptions of people who stutter. Objective The aims of the study were to r...
Article
Speech subsystems are susceptible to the effects of several factors including medications. The atypical antipsychotics can also adversely affect the speech because of its action on serotonin and dopamine neurotransmitters. The present study aims to analyze the speech characteristics associated with atypical antipsychotic risperidone. Speech of 92 p...
Article
Full-text available
Background: Aphasia affects the ability to speak, comprehend spoken language, read and write. One third of stroke survivors experience aphasia. Evidence suggests that aphasia can continue to improve after the first few months with intensive speech and language therapy, which is frequently beyond what resources allow. The development of computer so...
Article
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Background and design: This research was based on a reanalysis of a merged data set from two intermediate care (IC) projects in order to identify patient characte ristics associated with outcomes [Nancarrow SA, Enderby PM, Moran AM, Dixon S, Parker SG, Bradburn MJ, et al. The Relationship Between Workforce Flexibility and the Costs and Outcomes of...
Article
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This research aims to describe the factors associated with successful employment of allied health and social care assistants in community-based rehabilitation services (CBRS) in England. The research involved the thematic analysis of interviews and focus groups with 153 professionally qualified and assistant staff from 11 older people's interdiscip...
Article
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Reflective practice is used increasingly to enhance team functioning and service effectiveness; however, there is little evidence of its use in interdisciplinary teams. This paper presents the qualitative evaluation of the Interdisciplinary Management Tool (IMT), an evidence-based change tool designed to enhance interdisciplinary teamwork through s...
Article
Increasing demand on healthcare resources has led to a greater emphasis on the examination of the impact of service delivery on outcomes. Clinical assessments frequently do not cover all aspects of change associated with interventions for those with complex conditions. This paper reviews the need for more comprehensive outcome measurement suitable...
Article
Full-text available
Purpose: The field of Augmentative and Alternative Communication/Assistive Technology (AAC/AT) has an extensive literature of non-experimental case descriptions. This limits the generalisation of findings. The current study aimed to develop a template to contribute to single case experimental design specifically for the field of enquiry. Method:...
Article
Speech and language therapy (SLT) for aphasia can be difficult to access in the later stages of stroke recovery, despite evidence of continued improvement with sufficient therapeutic intensity. Computerized aphasia therapy has been reported to be useful for independent language practice, providing new opportunities for continued rehabilitation. The...
Article
Purpose: This article discusses the importance of outcome measures in improving Augmentative and Alternative Communication (AAC) services, reviews existing methods and introduces a new approach. Method: Three methods were used in this study. 1. A literature review identifying outcome measures used in AAC research. 2. A questionnaire to AAC servi...
Article
Full-text available
People of all ages with severe speech, voice and language impairments use a range of Augmentative and Alternative Communication (AAC) methods to assist them communicate their views and needs. AAC includes non technological systems such as signing, use of symbols and picture charts as well as sophisticated technology including dedicated computerised...
Article
To assess patient preferences for different models of care defined by location of care, frequency of care and principal carer within community-based health-care services for older people. Discrete choice experiment administered within a face-to-face interview. An intermediate care service in a large city within the United Kingdom. The projected sam...
Article
Full-text available
Background Interdisciplinary team work is increasingly prevalent, supported by policies and practices that bring care closer to the patient and challenge traditional professional boundaries. To date, there has been a great deal of emphasis on the processes of team work, and in some cases, outcomes. Method This study draws on two sources of knowled...
Article
Full-text available
People of all ages with severe speech and language impairments use a range of Augmentative and Alternative Communication (AAC) methods to assist them to communicate their views and needs. AAC includes non-technological systems such as signing, use of symbols and picture charts as well as sophisticated technology including dedicated computerised sys...
Article
Background: Speech and language therapy (SLT) for aphasia can be difficult to access in the later stages of stroke recovery, despite evidence of continued improvement with sufficient therapeutic intensity. Computerized aphasia therapy has been reported to be useful for independent language practice, providing new opportunities for continued rehabil...
Article
Dysarthria is a motor speech disorder which can be classified according to the underlying neuropathology and is associated with disturbances of respiration, laryngeal function, airflow direction, and articulation resulting in difficulties of speech quality and intelligibility. There are six major types of dysarthria: flaccid dysarthria associated w...
Article
We drew on a case study research design and used the method of narrative as performance to illustrate how individuals reinterpret life experience following Total Hip Replacement (THR) including how they change their understanding of self and create different identities for themselves through interaction. Two narrative accounts were selected from th...
Article
Bowen and colleagues’ robust randomised controlled trial (ACT NoW) concludes that speech and language therapy adds little to the conversational stimulation, social support, and attention provided by paid visitors in the first few months after stroke.1 However, the nested qualitative study found that early …
Book
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