Subjective Experiences of Speech and Language Therapy in Patients with Parkinson’s Disease: A Pilot Study

Abstract

Purpose. Parkinson’s disease can produce a range of speech-language pathologies, which may require intervention. While evaluations of speech-language therapy have been undertaken, no work has been undertaken to capture patients’ experiences of therapy. This was the aim of the present study.Methods. Semistructured interviews, using themes derived from the literature, were conducted with nine Parkinson’s disease patients, all of whom had undergone speech-language therapy. Participants’ responses were analysed in accordance with Thematic Network Analysis.Results. Four themes emerged:emotional reactions(frustration, embarrassment, lack of confidence, disappointment, and anxiety);physical impact(fatigue, breathing and swallowing, and word production);practical aspects(cost of treatment, waiting times, and the actual clinical experience); andexpectations about treatment(met versus unmet).Conclusions. While many benefits of speech-language therapy were reported, several negative issues emerged which could impact adversely on rehabilitation. Parkinson’s disease is associated with a range of psychological and physical sequelae, such as fatigue and depression; recognising any individual experiences which could exacerbate the existing condition and incorporating these into treatment planning may improve rehabilitation outcomes.