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September 14, 2026AphasiologyOpen Access

Speech-Language pathologists’ experiences introducing a modified Intensive comprehensive aphasia programme (mICAP) in regular healthcare: a multicentre mixed method study

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Authors

MSMarika SchützIHIngrid HenrikssonTUTrandur Ulfarsson

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Overview

Multicentre mixed-methods study reveals high clinical benefit but substantial implementation barriers in speech-language pathologists, highlighting the need for flexible care adaptations.

Key Points

  • To evaluate speech-language pathologists' perspectives regarding the feasibility, acceptability, and engagement of implementing a six-week modified Intensive Comprehensive Aphasia Programme in routine healthcare.
  • Conducted a multicentre convergent mixed-methods study across 13 regular healthcare clinics in Sweden.
  • Analyzed quantitative survey data and free-text responses from 21 speech-language pathologists following programme delivery.
  • Completed semi-structured qualitative interviews with a subgroup of five speech-language pathologists using thematic analysis.
  • Survey findings demonstrated high acceptability and satisfaction, with speech-language pathologists reporting noticeable gains in patient speech-language skills, functional communication, and motivation even among those with severe deficits.
  • Qualitative analysis identified six overarching themes, balancing positive psychosocial outcomes and clinician professional growth against challenges such as high initial workload and difficulty integrating structured therapy into regular care.
  • Delivery feasibility was substantially limited by organizational barriers including staffing shortages and scheduling issues, while computer-based exercises, telerehabilitation, and team support served as critical facilitators.

Cite This Study

Schütz et al. (2026) studied this question.

synapsesocial.com/papers/6aa7b3850926e14a848b27eahttps://doi.org/10.1080/02687038.2026.2725582
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