Dr Lucy Bryant is a Lecturer in Speech Pathology at UTS, and a certified practicing speech pathologist. Lucy’s main area of clinical and research expertise is in assessment and intervention of functional language and communication skills for people with developmental and acquired communication impairments, with a particular focus on the assessment of language in use. Her work also relates to the implementation of research evidence into the clinical practice of speech pathology, and the use of computer technologies to facilitate assessment and rehabilitation of language and communication skills. Lucy completed her Ph.D at the University of Newcastle, Australia examining the implementation of discourse analysis in clinical practice for people with aphasia following stroke. She received an Australian Government RTS scholarship 2014-2018, and her research was further recognised with a University of Newcastle Vice-Chancellor's award for Outstanding Candidate (2014-2018) and several faculty and university-level awards. She has clinical experience working with children and families in community and private practice settings and is passionate about delivering effective, engaging and enjoyable services to young children and families to develop communication skills. Lucy has a strong clinical and research interest in the role of technology in society and communication, and is exploring how developments in technology, particularly Virtual Reality, will influence the delivery of speech pathology services into the future.
Can supervise: YES
Virtual Reality technology in communication and rehabilitation
Technology applications in speech pathology practice
Discourse and language sample analysis
Implementation of research in clinical practice
Language disorders in children
Speech sound disorders in children
Assessment and treatment of functional communication
Linguistics in speech pathology
Power, E, Bryant, L & Shrubsole, K 2020, 'Making aphasia implementation stick: ensuring the sustainability of implementation', Speech, Language and Hearing, vol. 23, no. 1, pp. 25-29.View/Download from: Publisher's site
© 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group. Background: Evidence-practice gaps exist in aphasia rehabilitation across the continuum of care. The principles of implementation science have been utilised in recent research to reduce evidence-practice gaps and demonstrate improvements in clinical practice. However, the sustainability of these changes are unknown. Sustained outcomes are critical to establishing whether practice improvements have been maintained with clear ongoing health impacts for clients. Without sustained outcomes there is potential waste of time and resources in an already burdened health system. Aims: In this tutorial paper, we provide a brief introduction to clinical sustainability models and outline evidence for sustainability of outcomes in aphasia implementation research to date. Methods: We utilised a recent review of aphasia implementation studies to critically evaluate the sustainability of implementation research. Each included article was analysed with reference to (i) sustainability processes and measures, and (ii) important stages in designing, monitoring, and revising behaviour change. Two examples of aphasia implementation research are then presented to illustrate potential methods to enhance intermediate and long term sustainability. Results: None of the six reviewed studies contained a specific sustainability plan, and none included outcome measurement beyond 6 months post-intervention. While behaviour change approaches were utilised, no study implemented an iterative behaviour change strategy beyond one implementation cycle to address to ongoing or new implementation barriers. Discussion and Conclusions: Aphasia implementation research has not targeted implementation sustainability beyond a single 'revolution' of the implementation cycle. Future implementation efforts in aphasia require focus on a more continuous, iterative implementation process with reference to models of implementation that promote s...
Bryant, L, Brunner, M & Hemsley, B 2020, 'A review of virtual reality technologies in the field of communication disability: implications for practice and research.', Disability and Rehabilitation Assistive Technology, pp. 1-8.View/Download from: Publisher's site
BACKGROUND:Technology devices and applications including virtual reality (VR) are increasingly used in healthcare research and practice as tools to promote health and wellbeing. However, there is limited research examining the potential for VR to enable improved communication for people with communication disability. AIMS:To review: (a) current research using VR in speech-language pathology; and (b) the ethical and safety considerations of VR research, to inform an agenda for future research applying VR in the field of speech-language pathology. MAIN CONTRIBUTION:This review reveals that there is an emergent body of literature applying VR to improve or develop physical, psychological and communication interventions. Use of non-immersive virtual environments to provide speech-language pathology assessment or intervention for people with communication disability has demonstrated positive outcomes, with emerging evidence of the transfer of functional communication skills from virtual to real-world environments. However, the use of VR technology and immersive virtual environments in communication disability practice and research introduces safety and ethical issues that must be carefully considered. CONCLUSIONS:Research employing VR is in its infancy in the field of speech-language pathology. Early evidence from other healthcare disciplines suggests that VR is an engaging means of delivering immersive and interactive training to build functional skills that can be generalized to the real world. While the introduction of new technology requires careful consideration of research ethics and patient safety, future VR communication research could proceed safely with adequate engagement of interdisciplinary teams and technology specialists. Implications for rehabilitation Immersive virtual reality may be used in rehabilitation to simulate natural environments to practice and develop communication skills. The sense of immersion that can be achieved using virtual reality may...
Bryant, L, Ferguson, A, Valentine, M & Spencer, E 2019, 'Implementation of discourse analysis in aphasia: investigating the feasibility of a Knowledge-to-Action intervention', Aphasiology, vol. 33, no. 1, pp. 31-57.View/Download from: Publisher's site
Dahm, MR, Georgiou, A, Bryant, L & Hemsley, B 2019, 'Information infrastructure and quality person-centred support in supported accommodation: An integrative review.', Patient education and counseling, vol. 102, no. 8, pp. 1413-1426.View/Download from: Publisher's site
OBJECTIVES:To integrate findings on the information infrastructure for people with intellectual or developmental disability (I/DD) living in supported accommodation, to understand how documentation use impacts person-centred support. METHODS:We conducted an integrative literature review. Following screening by two independent reviewers, we included English language peer-reviewed empirical studies (n = 34) on documentation use for people with I/DD in domestic-scale supported accommodation. We appraised quality and extracted information for iterative comparative thematic and content analysis. RESULT:All studies reported written documentation regarding either the person with disability or the residence. Eighteen studies focused on health-specific information. We identified three key themes impacting on the person-centred support; 1) level of inclusion and independence of people with I/DD, 2) the culture of support within group homes, and 3) the quality use of information. CONCLUSIONS:Information infrastructure is closely aligned with the support culture in residences and can affect whether and to what extent key stakeholders (i.e., people with I/DD, family members) are involved in making decisions about healthcare and support needs. PRACTICE IMPLICATIONS:Surveying local service health information infrastructure can provide crucial insights which can be leveraged to improve the safety and quality of supports provided for people living in supported accommodation.
Hemsley, B, Meredith, J, Bryant, L, Wilson, NJ, Higgins, I, Georgiou, A, Hill, S, Balandin, S & McCarthy, S 2019, 'An integrative review of stakeholder views on Advance Care Directives (ACD): Barriers and facilitators to initiation, documentation, storage, and implementation', PATIENT EDUCATION AND COUNSELING, vol. 102, no. 6, pp. 1067-1079.View/Download from: Publisher's site
Hemsley, B, Steel, J, Sheppard, JJ, Malandraki, GA, Bryant, L & Balandin, S 2019, 'Dying for a meal: An integrative review of characteristics of choking incidents and recommendations to prevent fatal and nonfatal choking across populations', American Journal of Speech-Language Pathology, vol. 28, no. 3, pp. 1283-1297.View/Download from: Publisher's site
© 2019 American 1000 Speech-Language-Hearing Association. Purpose: The purpose of this study was to conduct an integrative review of original research, across adult populations relating to fatal or nonfatal choking on food, to understand ways to respond to and prevent choking incidents. Method: Four scientific databases (CINAHL, Medline, Web of Science, and EMBASE) were searched for original peerreviewed research relating to fatal or nonfatal choking on foods. Data were extracted on study characteristics; factors leading up to, events at the time of, and actions taken after the choking incident; and impacts of choking incidents. An integrative review of the findings across studies identified several risk factors and recommendations to reduce the risk of choking. Results: In total, 52 studies met the criteria for inclusion in this review, of which 31 were quantitative, 17 were qualitative, and 4 were of a mixed methods design. Studies reported the observations and narratives of bystanders or researchers, or else were large-scale autopsy studies, and included both the general public and people at risk of dysphagia. A range of food types were involved, and several actions were reported in response to food choking. Strategies to reduce the risk of choking were identified in the studies and are presented in 5 main categories. Conclusions: Factors leading up to choking incidents extend well beyond the individual to the environment for mealtimes; the provision of appropriate mealtime assistance and oral care; and regular monitoring of general health, oral health, and medications. Bystanders' increased awareness and knowledge of how to respond to choking are vital. The results of this review could be used to inform service policy and training, for individuals at risk of choking, the people who support them, and the general public. Further research is needed to explore choking prevention and airway protection in individuals with dysphagia.
Hemsley, B, Steel, J, Worrall, L, Hill, S, Bryant, L, Johnston, L, Georgiou, A & Balandin, S 2019, 'A Systematic Review of Falls in Hospital for Patients with Communication Disability: Highlighting an 'Invisible' Population', Journal of Safety Research, vol. 68, pp. 89-105.View/Download from: Publisher's site
Background: Patients with communication disability (associated with impairments of speech, language, hearing, or voice) have a three-fold increased risk of adverse events in hospital. A patient's ability to understand and communicate their needs may put them at risk of a fall in hospital.
Objective: To examine the role of communication disability in hospital falls risk.
Methods: This systematic review examined 61 studies on falls of adult hospital patients with or at high risk of communication disability. Information was extracted and analysed across studies to determine whether or not communication disability increased risk for falls, the nature of any increased risk, and any reasons for any increased risk.
Results: In total, 46 of the included studies (75%) reported specifically on participants with communication disability. Two thirds of the studies examining falls risk identified communication disability as contributing factor to falls. However, patients with communication disability were often deliberately excluded from the research, measures of communication or cognition were often not reported, and reasons for any increased risk for
falls of participants with communication disability were not discussed.
Conclusions: There is some evidence that communication disability is associated with increased risk of falls, but research to date has not adequately considered this problem, and questions regarding reasons for the increased risk remain. Practical Applications: Hospital falls risk measures, prevention strategies, and research should include patients with communication disability to ensure their falls risk is examined and managed appropriately. Including speech-language pathologists in hospital falls research teams could help to address the methodological and analytic challenges to including adults with communication disability and interpreting results for this group.
Wallace, SJ, Baker, C, Brandenburg, C, Bryant, L, Le Dorze, G, Power, E, Pritchard, M, Rose, ML, Rose, T, Ryan, B, Shrubsole, K, Simmons-Mackie, N, Togher, L & Trebilcock, M 2019, 'A how-to guide to aphasia services: celebrating Professor Linda Worrall's contribution to the field', Aphasiology, vol. 33, no. 7, pp. 888-902.View/Download from: Publisher's site
© 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group. Background: This article recognises Professor Linda Worrall's contribution to aphasiology and discusses research themes which have grown from her work. Aims: To review, summarise, and discuss literature relating to four themes which have emerged from the work of Professor Worrall: (1) Research capacity building; (2) Implementation of research evidence in clinical practice; (3) Meaningful outcome measurement; and (4) Improvement of psychological and emotional outcomes. Main contribution: A review of the literature, with examples of practical applications. Conclusions: The work of Professor Worrall has greatly influenced the field of aphasia; her legacy is the research capacity she has built in Australia and around the world.
Bryant, L, Spencer, E & Ferguson, A 2017, 'Clinical use of linguistic discourse analysis for the assessment of language in aphasia', APHASIOLOGY, vol. 31, no. 10, pp. 1105-1126.View/Download from: Publisher's site
McCarthy, S, Meredith, J, Bryant, L & Hemsley, B 2017, 'Legal and Ethical Issues Surrounding Advance Care Directives in Australia: Implications for the Advance Care Planning Document in the Australian My Health Record.', Journal of Law and Medicine, vol. 25, no. 1, pp. 136-149.
This article reviews legal and scientific literature relating to Advance Care Planning (ACP) and Advance Care Directives (ACDs) in Australia, for information about (a) opportunities or benefits of ACP and ACDs and (b) risks, barriers or difficulties in relation to ACP and ACDs. These are discussed in relation to
Bryant, L, Ferguson, A & Spencer, E 2016, 'Linguistic analysis of discourse in aphasia: A review of the literature', CLINICAL LINGUISTICS & PHONETICS, vol. 30, no. 7, pp. 489-518.View/Download from: Publisher's site
Bryant, L, Spencer, E, Ferguson, A, Craig, H, Colyvas, K & Worrall, L 2013, 'Propositional Idea Density in aphasic discourse', APHASIOLOGY, vol. 27, no. 8, pp. 992-1009.View/Download from: Publisher's site
Spencer, E & Bryant, L 2019, 'Discourse Analysis' in Lyons, R & McAllister, L (eds), Qualitative research in communication disorders: An introduction for students and clinicians, J&R Press, GUILDFORD.
Armstrong, E, Bryant, LE, Ferguson, A & Simmons-Mackie, N 2017, 'Approaches to Assessment and Treatment of Everyday Talk in Aphasia' in Papathanasiou, I & Coppens, P (eds), Aphasia and Related Neurogenic Communication Disorders, Jones & Bartlett Publishers.
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