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Using images to support communication in aphasia rehabilitation
Thesis (PhD (Speech-Language Pathology))--University of Pretoria, 2025.
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2025
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| _version_ | 1867613527946035200 |
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| access_status_str | Open Access |
| author2 | Van der Linde, Jeannie |
| author_browse | Van der Linde, Jeannie |
| author_facet | Van der Linde, Jeannie |
| collection | Thesis |
| dc_rights_str_mv | © 2024 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Thesis (PhD (Speech-Language Pathology))--University of Pretoria, 2025. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/103427 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:37:34.574Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/103427 Using images to support communication in aphasia rehabilitation Van der Linde, Jeannie bhavani.pillay@up.ac.za Dada, S. Pillay, Bhavani Sarveshvari UCTD Images Image preferences Visuographic supports Persons living with aphasia Self-captured photographs Speech-language therapist (SLT) Aphasia Thesis (PhD (Speech-Language Pathology))--University of Pretoria, 2025. BACKGROUND : Images – a widely used tool in aphasia rehabilitation – reduce the degree to which persons living with aphasia (PWA) must rely on symbolic processing and may support their communication. However, variability exists in how speech-language therapists (SLTs) select and use images. Research on how PWA select and use image types is limited. Across three studies, presented in three journal manuscripts, this research project sought to explore SLTs’ image selection and use when working with PWA, PWA’s image preferences, and PWA’s experiences with image self-capture respectively. METHOD : The first study used a custom-designed electronic survey to describe the perspectives of South African SLTs and SLTs from other international contexts on image use in aphasia rehabilitation. The second study investigated a sample of the image preferences of individuals with mild to moderate aphasia through an adapted verbal survey conducted on a video-conferencing platform. The third study involved a multiple case study design and described the experiences of adults with mild to moderate aphasia in capturing photographs using mobile phones. RESULTS AND DISCUSSION : Most of the SLTs were found to use images in assessment (n=62 out of 75; 82.7%) and treatment (n=77 out of 92; 72.8%) of PWA. Study 1 showed that SLTs preferred coloured images. South African SLTs more frequently considered culture and religious orientation than did SLTs from other countries. Time constraints and large caseloads, PWA’s variable responses to images, and a lack of resources were the main challenges to image selection and use. Study 2 revealed that PWA in this sample also preferred coloured images, particularly photographs (n=11, 91.7%). Images had to be clear, transparent and meaningful to be considered for selection. The images that were preferred depended on the communication need. Also, participants felt more confident using images (n=10, 83.3%) than selecting them (n=8, 66.7%). Participants in Study 3 reported a positive experience of photograph capture. High-context photographs (n=75 of 116, 64.7%) predominated, and included more objects than people. However, photographs were low in content (85 of 116, 73.3%). CONCLUSION : The findings of this research project highlight the importance of image considerations in designing and selecting images as communication supports for PWA. Collaboration with the person with aphasia is crucial and warrants a systematic approach to functional image selection and use. Speech-Language Pathology and Audiology PhD (Speech-Language Pathology) Unrestricted Faculty of Humanities SDG-03: Good health and well-being SDG-10: Reduces inequalities 2025-07-16T14:42:59Z 2025-07-16T14:42:59Z 2025-09 2025-07 Thesis * S2025 http://hdl.handle.net/2263/103427 https://doi.org/10.25403/UPresearchdata.29581100 en © 2024 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | UCTD Images Image preferences Visuographic supports Persons living with aphasia Self-captured photographs Speech-language therapist (SLT) Aphasia Using images to support communication in aphasia rehabilitation |
| title | Using images to support communication in aphasia rehabilitation |
| title_full | Using images to support communication in aphasia rehabilitation |
| title_fullStr | Using images to support communication in aphasia rehabilitation |
| title_full_unstemmed | Using images to support communication in aphasia rehabilitation |
| title_short | Using images to support communication in aphasia rehabilitation |
| title_sort | using images to support communication in aphasia rehabilitation |
| topic | UCTD Images Image preferences Visuographic supports Persons living with aphasia Self-captured photographs Speech-language therapist (SLT) Aphasia |
| url | http://hdl.handle.net/2263/103427 https://doi.org/10.25403/UPresearchdata.29581100 |