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      The effects of COVID-19 on the rehabilitation of persons with aphasia: A scoping review

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          Abstract

          BACKGROUND: The impact of the Coronavirus disease 2019 (COVID-19) pandemic was more pronounced on the well-being of persons with disabilities, especially in low- and middle-income countries. There is documented evidence of the rippling effects of COVID-19 on persons with disabilities. However, not much is known about the impact of COVID-19 on the rehabilitation of persons with aphasia OBJECTIVE: The scoping review explores how COVID-19 affected the rehabilitation of persons living with aphasia METHOD: A scoping review was conducted using Arksey and O'Malley's framework. A search was conducted on Science Direct, PubMed, Medline, Scopus, ProQuest and Google Scholar, to identify relevant studies published between 2019 and 2022. Data were analysed using thematic analysis RESULTS: Most studies regarding the effects of COVID-19 on persons living with aphasia were conducted in the United Kingdom. Five themes emerged from the data, namely, (1) negative impact on rehabilitative care, (2) telehealth and its limitations, (3) impact on social participation, (4) compromised caregiver involvement and (5) mental health challenges CONCLUSIONS: Findings highlight the need for healthcare professionals to pursue innovative ways in which aphasia rehabilitation and conversational support programmes can be made accessible to persons with aphasia, despite the limitations brought about by a pandemic. Telerehabilitation programmes need to be tailored to the needs of persons with aphasia if they are to be successful. This study highlights the importance and need for the prioritisation of mental health services for persons with aphasia and their caregivers during a pandemic

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          Scoping studies: advancing the methodology

          Background Scoping studies are an increasingly popular approach to reviewing health research evidence. In 2005, Arksey and O'Malley published the first methodological framework for conducting scoping studies. While this framework provides an excellent foundation for scoping study methodology, further clarifying and enhancing this framework will help support the consistency with which authors undertake and report scoping studies and may encourage researchers and clinicians to engage in this process. Discussion We build upon our experiences conducting three scoping studies using the Arksey and O'Malley methodology to propose recommendations that clarify and enhance each stage of the framework. Recommendations include: clarifying and linking the purpose and research question (stage one); balancing feasibility with breadth and comprehensiveness of the scoping process (stage two); using an iterative team approach to selecting studies (stage three) and extracting data (stage four); incorporating a numerical summary and qualitative thematic analysis, reporting results, and considering the implications of study findings to policy, practice, or research (stage five); and incorporating consultation with stakeholders as a required knowledge translation component of scoping study methodology (stage six). Lastly, we propose additional considerations for scoping study methodology in order to support the advancement, application and relevance of scoping studies in health research. Summary Specific recommendations to clarify and enhance this methodology are outlined for each stage of the Arksey and O'Malley framework. Continued debate and development about scoping study methodology will help to maximize the usefulness and rigor of scoping study findings within healthcare research and practice.
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            Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

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              Respiratory virus shedding in exhaled breath and efficacy of face masks

              We identified seasonal human coronaviruses, influenza viruses and rhinoviruses in exhaled breath and coughs of children and adults with acute respiratory illness. Surgical face masks significantly reduced detection of influenza virus RNA in respiratory droplets and coronavirus RNA in aerosols, with a trend toward reduced detection of coronavirus RNA in respiratory droplets. Our results indicate that surgical face masks could prevent transmission of human coronaviruses and influenza viruses from symptomatic individuals.
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                Author and article information

                Journal
                sajcd
                South African Journal of Communication Disorders
                S. Afr. J. Commun. Disord.
                South African Speech-Language-Hearing Association (SASLHA) (Johannesburg, Gauteng, South Africa )
                0379-8046
                2225-4765
                2022
                : 69
                : 2
                : 1-9
                Affiliations
                [01] Johannesburg orgnameUniversity of the Witwatersrand orgdiv1Faculty of Humanities orgdiv2Department of Speech Pathology South Africa
                Article
                S2225-47652022000200010 S2225-4765(22)06900200010
                10.1016/s0140-6736(20)31142-9
                6451c3a0-8036-4689-bfce-8923a962b81c

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 01 February 2022
                : 12 May 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 58, Pages: 9
                Product

                SciELO South Africa

                Categories
                Original Research

                aphasia,COVID-19 pandemic,rehabilitation,telehealth,social participation

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