A comparison of remote therapy, face to face therapy and an attention control intervention for people with aphasia: a quasi-randomised controlled feasibility study

Woolf, Celia; Caute, Anna; Haigh, Zula; Galliers, Julia; Wilson, Stephanie; Kessie, Awurabena; Hirani, Shashivadan P.; Hegarty, Barbara C.; Marshall, Jane

doi:10.1177/0269215515582074

Cited by 81 publications

(94 citation statements)

References 38 publications

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“…Multicue is a program that provides self-cued naming treatment, which has been used by one study (Doesborgh et al, 2004 ) that found significant gains on the BNT. Finally, several studies have investigated the effectiveness of general naming treatment provided through computers or tablets (Bruce and Howard, 1987 ; Loverso et al, 1992 ; Fridriksson et al, 2009 ; Harnish et al, 2014 ; Kurland et al, 2014 ; Woolf et al, 2016 ), all of which found gains for performance on trained items and the studies that tested standardized measures showed corresponding improvement (PNT, BDAE, BNT, Porch Index of Communicative Ability (PICA, Porch, 1971 ); as well as other measures such as the profile of word errors and retrieval in speech (POWERS, Herbert et al, 2013 ).…”

Section: Previous Technology-based Rehabilitation Studiesmentioning

confidence: 99%

“…Of the 11 studies that focused treatment on only the naming domain (Bruce and Howard, 1987 ; Loverso et al, 1992 ; Aftonomos et al, 1997 ; Fink et al, 2002 ; Doesborgh et al, 2004 ; Raymer et al, 2006 ; Ramsberger and Marie, 2007 ; Fridriksson et al, 2009 ; Harnish et al, 2014 ; Kurland et al, 2014 ; Woolf et al, 2016 ), nine tested and found within task improvement, five of six studies that examined within task generalization found improvement, seven of eight studies that looked for gains on impairment-based measures found improvement, and the one study that examined functional/QOL measures did not find improvement. Additionally, four studies tested and found maintenance of within task improvement or maintenance of treatment-induced gains on standardized measures.…”

Section: Questions That Can Now Be Examinedmentioning

confidence: 99%

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Technology-Based Rehabilitation to Improve Communication after Acquired Brain Injury

Roches

Kıran

2017

Front. Neurosci.

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The utilization of technology has allowed for several advances in aphasia rehabilitation for individuals with acquired brain injury. Thirty-one previous studies that provide technology-based language or language and cognitive rehabilitation are examined in terms of the domains addressed, the types of treatments that were provided, details about the methods and the results, including which types of outcomes are reported. From this, we address questions about how different aspects of the delivery of treatment can influence rehabilitation outcomes, such as whether the treatment was standardized or tailored, whether the participants were prescribed homework or not, and whether intensity was varied. Results differed by these aspects of treatment delivery but ultimately the studies demonstrated consistent improvement on various outcome measures. With these aspects of technology-based treatment in mind, the ultimate goal of personalized rehabilitation is discussed.

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Section: Previous Technology-based Rehabilitation Studiesmentioning

confidence: 99%

Section: Questions That Can Now Be Examinedmentioning

confidence: 99%

Technology-Based Rehabilitation to Improve Communication after Acquired Brain Injury

Roches

Kıran

2017

Front. Neurosci.

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“…Interventions with people with aphasia (PWA) harness technology in increasingly diverse ways to deliver individualized impairment based programs (see for example Nouwens et al, 2013; Des Roches et al, 2015; Palmer et al, 2015), rehabilitate functional communication (Bilda, 2011; Marshall et al, 2013), promote social participation (Wilson et al, 2015), provide education (Rose et al, 2010) and enable remote delivery and continued rehabilitation in the context of limited resource (van de Sandt-Koenderman, 2011; Woolf et al, 2016). …”

Section: Introductionmentioning

confidence: 99%

Conversation Therapy with People with Aphasia and Conversation Partners using Video Feedback: A Group and Case Series Investigation of Changes in Interaction

Best

Maxim

Heilemann

et al. 2016

Front. Hum. Neurosci.

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Conversation therapies employing video for feedback and to facilitate outcome measurement are increasingly used with people with post-stroke aphasia and their conversation partners; however the evidence base for change in everyday interaction remains limited. We investigated the effect of Better Conversations with Aphasia (BCA), an intervention that is freely available online at https://extend.ucl.ac.uk/. Eight people with chronic agrammatic aphasia, and their regular conversation partners participated in the tailored 8 week program involving significant video feedback. We explored changes in: (i) conversation facilitators (such as multi-modal turns by people with aphasia); and (ii) conversation barriers (such as use of test questions by conversation partners). The outcome of intervention was evaluated directly by measuring change in video-recorded everyday conversations. The study employed a pre-post design with multiple 5 minute samples of conversation before and after intervention, scored by trained raters blind to the point of data collection. Group level analysis showed no significant increase in conversation facilitators. There was, however, a significant reduction in the number of conversation barriers. The case series data revealed variability in conversation behaviors across occasions for the same dyad and between different dyads. Specifically, post-intervention there was a significant increase in facilitator behaviors for two dyads, a decrease for one and no significant change for five dyads. There was a significant decrease in barrier behaviors for five dyads and no significant change for three dyads. The reduction in barrier behaviors was considerable; on average change from over eight to fewer than three barrier behaviors in 5 minutes of conversation. The pre-post design has the limitation of no comparison group. However, change occurs in targeted conversational behaviors and in people with chronic aphasia and their partners. The findings suggest change can occur after eight therapy sessions and have implications for clinical practice. A reduction in barrier behaviors may be easier to obtain, although the controlled case series results demonstrate a significant increase in conversation facilitators is also possible. The rehabilitation tool is available online and video technology was central to delivering intervention and evaluating change.

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“…This recruitment rate of 2.6 patients per month is a respectable number compared to other trials of speech-language telerehabilitation. In our trial, only 28 % of the patients screened were excluded which is lower than reported in other trials [23,24].…”

Section: Discussionmentioning

confidence: 56%

The effect of augmented speech-language therapy delivered by telerehabilitation on poststroke aphasia—a pilot randomized controlled trial

et al. 2020

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Objective: Pilot a definitive randomized controlled trial of speech-language telerehabilitation in poststroke aphasia in addition to usual care with regard to recruitment, drop-outs, and language effects. Design: Pilot single-blinded randomized controlled trial. Setting: Telerehabilitation delivered from tertiary rehabilitation center to participants at their home or admitted to secondary rehabilitation centers. Subjects: People with naming impairment due to aphasia following stroke. Intervention: Sixty-two participants randomly allocated to 5 hours of speech and language telerehabilitation by videoconference per week over four consecutive weeks together with usual care or usual care alone. The telerehabilitation targeted functional, expressive language. Main measures: Norwegian Basic Aphasia Assessment: naming (primary outcome), repetition, and auditory comprehension subtests; Verb and Sentence Test sentence production subtest and the Communicative Effectiveness Index at baseline, four weeks, and four months postrandomization. Data were analyzed by intention to treat. Results: No significant between-group differences were seen in naming or auditory comprehension in the Norwegian Basic Aphasia Assessment at four weeks and four months post randomization. The telerehabilitation group ( n = 29) achieved a Norwegian Basic Aphasia Assessment repetition score of 8.9 points higher ( P = 0.026) and a Verb and Sentence Test score 3 points higher ( P = 0.002) than the control group ( n = 27) four months postrandomization. Communicative Effectiveness Index was not significantly different between groups, but increased significantly within both groups. No adverse events were reported. Conclusion: Augmented telerehabilitation via videoconference may be a viable rehabilitation model for aphasia affecting language outcomes poststroke. A definitive trial with 230 participants is needed to confirm results.

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A comparison of remote therapy, face to face therapy and an attention control intervention for people with aphasia: a quasi-randomised controlled feasibility study

Cited by 81 publications

References 38 publications

Technology-Based Rehabilitation to Improve Communication after Acquired Brain Injury

Technology-Based Rehabilitation to Improve Communication after Acquired Brain Injury

Conversation Therapy with People with Aphasia and Conversation Partners using Video Feedback: A Group and Case Series Investigation of Changes in Interaction

The effect of augmented speech-language therapy delivered by telerehabilitation on poststroke aphasia—a pilot randomized controlled trial

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