Maori aspirations following stroke: A pathway forward for the speech-language therapy field

BackgroundAttempts to improve Indigenous health outcomes are evident in the speech-language therapy (SLT) field, although they are restricted by a limited evidence base. Prior research has shown that SLT services do not always meet Indigenous stroke survivors' needs, however, few studies have investigated this phenomenon and fewer have explored solutions. Consequently, the SLT field lacks knowledge of appropriate and optimal supports.AimsTo identify and compare experiences and aspirations of Maori stroke survivors, whanau (family), and speech-language therapists (SLTs) in Aotearoa New Zealand regarding SLT service provision.Methods & ProceduresKaupapa Maori research and interpretive description methodologies underpinned this study. Four Maori stroke survivors, two whanau members, and five SLTs participated in semi-structured interviews. Data were analysed using constant comparative analysis and collaboratively interpreted during a hui (meeting) between researchers and participants.Outcomes & ResultsAnalysis highlighted six themes spanning experiences and aspirations: (1) tautoko (support), (2) kaupapa Maori (Maori approach), (3) whanaungatanga (relationships), (4) tino rangatiratanga (autonomy), (5) taiao (environment), and (6) konekeneke (change). Positive aspects of SLT were described, however, Maori often did not receive optimal supports. Aspirations centred on changes to SLT services and the wider healthcare system.ConclusionsAdaptations to SLT services are indicated to improve the quality of SLT received by Maori following stroke. To meet aspirations described in this study, the SLT profession may incorporate Maori approaches; prioritise strong, collaborative relationships; offer more autonomy to Maori stroke survivors; support the development of SLTs and SLT students; increase public awareness; and encourage change in the wider healthcare system. Many aspirations identified in the current study are consistent with those identified by Indigenous people in Australia, suggesting that some common solutions may exist to improving Indigenous SLT services.