This applied dissertation was designed as a single-blinded prospective study to determine the efficacy of dysphagia therapy when integrated with emotional counseling in the nursing-home environment. The study examined the effect of rational emotive counseling when integrated with the delivery of dysphagia therapy. Rational emotive counseling is based on the principles of rational emotive behavioral therapy as purported by Albert Ellis. Treatment was implemented for two groups of patients undergoing swallow therapy. The control group received dysphagia therapy without emotional counseling while the experimental group received dysphagia therapy with the integration of rational emotive counseling. Pretreatment and posttreatment swallow outcomes were assessed for each participant using three subscales (eating, fear, and, mental health) of the SWAL-QOL portion of the SWAL-QOL and SWAL-CARE Outcome Tools for Dysphagia, the Functional Oral Intake Scale (FOIS) for dysphagia, a Visual Analogue Scale (VAS) task, and the Mann Assessment of Swallowing Ability (MASA). The data derived from the abbreviated version of the SWAL-QOL, the VAS and the MASA provided continuous data that were well suited for the calculation of the descriptive statistics of means and standard deviations.
A 2 (group) × 2 (depression diagnosis) × 2 (time) multivariate analysis of variance (MANOVA) was performed to examine the four hypotheses; specifically, the three way interaction between group, depression diagnosis, and time determined if the four groups (control and no depression, control and depression, experimental and no depression, experimental and depression) changed differently from pretest to posttest. The study indicated the use of brief rational emotive counseling as an integrated component of swallow therapy by speech-language pathologists in the nursing-home environment does render improved psychosocial outcomes in the management of patients who have dysphagia without compromising biophysical outcomes.
|School:||Nova Southeastern University|
|School Location:||United States -- Florida|
|Source:||DAI-B 71/12, Dissertation Abstracts International|
|Subjects:||Social work, Speech therapy, Counseling Psychology|
|Keywords:||Counseling, Deglutition disorders, Depression, Dysphagia|
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