A multimodal communication program for aphasia during inpatient rehabilitation: A case study

Wallace, Sarah E.; Purdy, Mary; Skidmore, Elizabeth R.

doi:10.3233/nre-141136

Cited by 18 publications

(13 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hence, increased score of switching between modalities, in this study, demonstrated that patients were able to use different modalities for communication goals. This finding is consistent with the results presented by prior studies ( 22 , 25 ). The use of alternative communication modalities requires access to different types of semantic information that we include both patients have nearly normal semantic processing.…”

Section: Discussionsupporting

confidence: 94%

“…The results of the present study demonstrated that both participants showed an increase in the frequency and accuracy of each modality after intervention by the MCP. These findings are similar to Purdy and Wallace’s studies ( 17 , 22 ). These researchers showed the integrated MCP can improve the use of different modalities in acute and chronic phases.…”

Section: Discussionsupporting

confidence: 93%

“…In consistent with the brain neuroplasticity studies; this study demonstrated that even in chronic phase of aphasia, learning occurred ( 18 ). Some studies have reported that people with aphasia benefit from informational redundancy, and comprehend better when information is presented through multiple modalities rather than a single modality, additionally, with all type modalities for expressing concepts to be learned, patients can use them to compensate communication challenges ( 2 , 22 ). The MCP has these properties, and one of our purposes in this study was to investigate the frequency of each of the learned modalities.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of multimodal communication program on patients with chronic aphasia: a single-subject A-B-A design study

et al. 2018

View full text Add to dashboard Cite

Background and aimAphasia as a common consequence of stroke, is an acquired neurologic communication disorder that can affect symbol language processing. Different types of intervention approaches have been introduced. Multimodal Communication Program (MCP) is a new augmentative alternative communication approach in chronic aphasia. The aim of this study was to investigate the effect of MCP on communication skills of patients with chronic aphasia.MethodsThis prospective, single subject, A-B-A design study was done during 2016 in Semnan, Iran. Participants were two patients with severe aphasia with a single left-hemisphere stroke. Three phases, including baseline, intervention and follow-up were administered. The patients received nine-hour intervention, over 10 working days.ResultsThree different scores were calculated for each patient: verbal efforts, the frequency of each modality and the accuracy of switching between modalities and the reaction time. The frequency of verbal modality increased for both patients. They could switch between modalities more successfully than before the intervention. The results for the reaction time, however were challenging. The onset reaction time decreased for patient 1, and increased during switching between modalities, and patient 2 showed the opposite.ConclusionThe MCP can improve the communication skills in patients with chronic post stroke aphasia. However, some factors, such as reduction of the patients’ reaction time is probably related to the amount of allocated resources during intervention.Trial registrationThe trial was registered at IRCT center with ID: IRCT2016032325194N3.FundingThe study was financed by Semnan University of Medical Sciences (Grant no.: A-10-333-3).

show abstract

Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of multimodal communication program on patients with chronic aphasia: a single-subject A-B-A design study

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Various researchers have explored modifications of MCP to identify different elements that may increase the benefit people with aphasia derive from this intervention. For example, Wallace, Purdy, and Skidmore (2014) investigated a MCP provided 6 days per week for 2 to 3 weeks during acute stroke rehabilitation. Descriptions of the two participants’ performance during decontextualized modality retrieval tasks suggested that treatment increased the participants’ accurate productions of the treated communication modalities.…”

Section: Modality Switching Interventionmentioning

confidence: 99%

“…An instructional program, which also addresses potential executive function impairments, may help people repair communication breakdowns. There is preliminary evidence to suggest that multimodal interventions can also be delivered with high intensity (Attard, Rose, & Lanyon, 2013; Purdy & Wallace, 2016; Wallace et al, 2014). Third, early instruction in the use of alternative communication for people with progressive conditions allows for learning to occur when cognitive abilities are strongest and supportive of new learning (Beukelman & Mirenda, 2013).…”

Section: Applications To Primary Progressive Aphasiamentioning

confidence: 99%

Effects of a Combined Semantic Feature Analysis and Multimodal Treatment for Primary Progressive Aphasia: Pilot Study

Rebstock

Wallace

2018

Communication Disorders Quarterly

Self Cite

View full text Add to dashboard Cite

Primary progressive aphasia (PPA) is a neurodegenerative condition characterized by language and cognitive decline. Word-retrieval deficits are the most common PPA symptom and contribute to impaired spoken expression. Intense semantic interventions show promise for improving word retrieval in people with PPA. In addition, people with PPA may learn to use alternative communication modalities when they are unable to retrieve a word. However, executive function impairments can cause people to struggle to switch among modalities to repair communication breakdowns.This study examined the effects of a combined semantic feature analysis and multimodal communication program (SFA+MCP) on word-retrieval accuracy, switching among modalities, and overall communicative effectiveness in a person with PPA. An adult female with PPA completed SFA+MCP. Baseline, probe, intervention, and postintervention sessions were completed to measure word-retrieval accuracy and switching between communication modalities. A postintervention listener task was completed to measure communicative effectiveness. Changes in word-retrieval accuracy and switching were minimal. However, the listeners’ identification of the participant’s communication attempts was more accurate following treatment, suggesting increased overall communicative effectiveness. Further investigations of SFA+MCP, specifically relative to timing, intensity, and appropriate modifications for people with cognitive impairments associated with PPA are warranted.

show abstract

Communicative Strengths in Severe Aphasia: The Famous People Protocol and Its Value in Planning Treatment

Holland

Forbes

Fromm

et al. 2019

Am J Speech Lang Pathol

View full text Add to dashboard Cite

Purpose This clinical focus article describes the development and use of the Famous People Protocol (FPP), a clinical tool for observing the strategies people with severe aphasia (PWSA) can use to communicate when speech is limited. Its goal is to provide a systematic approach to identifying individually appropriate communication strategies for PWSA. Method Though not a test, the FPP's development and pilot testing were consonant with qualitative approaches to test development. Eighty-one people with aphasia and 37 nonaphasic participants were given the current version of FPP and the Western Aphasia Battery–Revised (WAB-R; Kertesz, 2006 ). This clinical focus article reports on the 36 PWA who scored near or below the mean WAB score of the larger group. Results The FPP has a maximum score of 100 based on (a) identification of famous people in different categories, entertainers, athletes, U.S. presidents, sports figures, and internationally famous people, and (b) responses to additional questions about the famous people. Identification is scored quantitatively on a 3-point scale, and question responses are scored correct (1) or incorrect (0). Mean scores for the PWSA and control groups were 54.6 and 95.2, respectively. FPP and WAB-R scores were moderately correlated ( r = .67). Qualitative results describe the variety of strategies that PWSA used on the FPP. Conclusions The FPP is a way for clinicians to engage PWSA in an activity that can reveal personally relevant strategies to help PWSA communicate more effectively. The strategies can then become the basis for subsequent training on using them conversationally. Appendixes provide examples of clinical approaches.

show abstract

A multimodal communication program for aphasia during inpatient rehabilitation: A case study

Cited by 18 publications

References 31 publications

Effects of multimodal communication program on patients with chronic aphasia: a single-subject A-B-A design study

Effects of multimodal communication program on patients with chronic aphasia: a single-subject A-B-A design study

Effects of a Combined Semantic Feature Analysis and Multimodal Treatment for Primary Progressive Aphasia: Pilot Study

Communicative Strengths in Severe Aphasia: The Famous People Protocol and Its Value in Planning Treatment

Contact Info

Product

Resources

About