Third-party disability: An analysis of speech-language therapists’ experiences in adult dysphagia management in South Africa

African Journal of Disability

 
 
Field Value
 
Title Third-party disability: An analysis of speech-language therapists’ experiences in adult dysphagia management in South Africa
 
Creator Coutts, Kim Meyerowitz, Daniella
 
Subject speech pathology; rehabilitation dysphagia; third-party disability; third-party caregivers; counselling; ICF framework; South Africa
Description Background: Dysphagia, a swallowing impairment, has left people in need of assistance and care. Therefore, the lives of caregivers to those individuals with dysphagia change drastically. There is scarce research about the difficulties experienced by caregivers in caring for their loved ones with dysphagia, a phenomenon known as third-party disability (TPD).Objectives: This study explored Speech Language Therapists’ (SLTs’) experiences with caregivers when managing adult patients living with dysphagia in South Africa.Method: This study made use of a qualitative approach through an online survey with an optional follow-up interview using an adapted framework of the International Classification of Functioning, Disability and Health (ICF) model. Thirteen participants took part in the survey and two completed the follow-up online interview. Data were analysed using a top-down thematic analysis approach.Results: Third-party caregivers receive counselling at various times with different content because of the lack of a standardised counselling protocol. Furthermore, using the ICF framework, the article identified that environmental, and contextual factors contribute to TPD. However, not all ICF components were applicable, and additional relevant factors were not captured.Conclusion: Understanding SLTs’ experiences in managing TPD in the adult dysphagia population was achieved.Contribution: The study contributes to literature regarding TPD of adult patients living with dysphagia and has captured the role of the SLT in managing TPD in diverse settings across South Africa.
 
Publisher AOSIS
 
Contributor
Date 2026-01-31
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/ajod.v15i0.1841
 
Source African Journal of Disability; Vol 15 (2026); 9 pages 2226-7220 2223-9170
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://ajod.org/index.php/ajod/article/view/1841/4066 https://ajod.org/index.php/ajod/article/view/1841/4067 https://ajod.org/index.php/ajod/article/view/1841/4068 https://ajod.org/index.php/ajod/article/view/1841/4069
 
Coverage Africa 2024 speech language pathologists
Rights Copyright (c) 2026 Kim Coutts, Daniella Meyerowitz https://creativecommons.org/licenses/by/4.0
ADVERTISEMENT