A Usability Study of Internet-Based Therapy for Naming Deficits in Aphasia

Simić, Tijana; Léonard, Carol; Laird, Laura; Cupit, Jennifer; Höbler, Fiona; Rochon, Elizabeth

doi:10.1044/2016_ajslp-15-0030

Cited by 22 publications

(49 citation statements)

References 22 publications

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“…High levels of participant satisfaction are commonly found in telerehabilitation studies and have also been cited in other usability studies involving telerehabilitation (Simic et al, 2016). As in the Wade et al (2003) study participants in this study reported high levels of motivation to practice intensively and reported that this was achievable because they could access the therapy at home and had autonomy over their practice schedule.…”

Section: Discussionmentioning

confidence: 54%

“…As found by both Galliers et al (2012) and Simic et al (2016), the end-user design approach was successful in identifying features of the program that should be modified to enhance the usability and acceptability of the software for the users with aphasia. Furthermore, the collection of usability and acceptability data from both observation in a real world setting and interview provided additional confidence that the most important areas were identified for refinement.…”

Section: Discussionmentioning

confidence: 86%

“…Furthermore, the collection of usability and acceptability data from both observation in a real world setting and interview provided additional confidence that the most important areas were identified for refinement. Simic et al (2016) also employed this combination of data sources in their usability study of a synchronous telepractice system for anomia therapy. As in these previous studies, the use of communication supports during the interviews enabled those participants with more severe expressive difficulties to participate in providing their perspective and so provided a rich data set (Galliers et al, 2012; Simic et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…However, the methodology of the end-user design approach relies heavily on communication skills and so the inclusion of people with aphasia as participants in the end-user design process may be particularly challenging (Galliers et al, 2012). Nevertheless, a number of studies have implemented aspects of the end-user design approach in order to enhance the usability of CBAT programs for people with aphasia (Boyd-Graber et al, 2006; Allen et al, 2008; Koppenol et al, 2010; Galliers et al, 2012; Simic et al, 2016). The study which most comprehensively included end-users in the design approach was that by Galliers et al (2012) which aimed to develop a gesture therapy tool for people with aphasia.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, the Galliers et al (2012) study provided researchers and developers alike with useful strategies in how best to promote the participation of people with aphasia in this end-user design approach. The Simic et al (2016) study included both end-user groups in their usability study involving a synchronous telepractice program, PhonoCom. In keeping with the end-user design process, this paper explores the development of a novel asynchronous telerehabilitation platform, called eSALT (eSALT: Enabling Speech and Language Therapy that is effective, electronic, and everywhere) and reports data from a usability study with two end-user groups and discusses how this data was used to further refine eSALT.…”

Section: Introductionmentioning

confidence: 99%

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Refining an Asynchronous Telerehabilitation Platform for Speech-Language Pathology: Engaging End-Users in the Process

Hill

Breslin²

2016

Front. Hum. Neurosci.

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Asynchronous telerehabilitation in which computer-based interventions are remotely monitored and adapted offline is an emerging service delivery model in the rehabilitation of communication disorders. The asynchronous nature of this model may hold a benefit over its synchronous counterpart by eliminating scheduling issues and thus improving efficiency in a healthcare landscape of constrained resource allocation. The design of asynchronous telerehabilitation platforms should therefore ensure efficiency and flexibility. The authors have been engaged in a program of research to develop and evaluate an asynchronous telerehabilitation platform for use in speech-language pathology. eSALT is a novel asynchronous telerehabilitation platform in which clinicians design and individualize therapy tasks for transfer to a client's mobile device. An inbuilt telerehabilitation module allows for remote monitoring and updating of tasks. This paper introduces eSALT and reports outcomes from an usability study that considered the needs of two end-user groups, people with aphasia and clinicians, in the on-going refinement of eSALT. In the study participants with aphasia were paired with clinicians who used eSALT to design and customize therapy tasks. After training on the mobile device the participants engaged in therapy at home for a period of 3 weeks, while clinicians remotely monitored and updated tasks. Following the home trial, participants, and clinicians engaged in semi-structured interviews and completed surveys on the usability of eSALT and their satisfaction with the platform. Content analysis of data involving five participants and three clinicians revealed a number of usability themes including ease of use, user support, satisfaction, limitations, and potential improvements. These findings were translated into a number of refinements of the eSALT platform including the development of a client interface for use on the Apple iPad®, greater variety in feedback options to both the participant and clinician, automatic transfer of results to the clinician, and expansion of the task template list. This research highlights the importance of including end-users in the process of technology refinement, in order to ensure effective and efficient use of the technology. Future directions for research are discussed including clinical trials in which the effectiveness of and adherence to intervention protocols using asynchronous telerehabilitation are examined.

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Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Refining an Asynchronous Telerehabilitation Platform for Speech-Language Pathology: Engaging End-Users in the Process

Hill

Breslin²

2016

Front. Hum. Neurosci.

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Scoping Review über die Wirksamkeit einer Screen-to-Screen-Therapie im Vergleich zu einer Face-to-Face-Therapie bei Patient*innen mit Aphasie auf die Benennleistungen

Cordes

Loukanova

Forstner

2020

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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Hintergrund: Etwa 35.000 Menschen in Deutschland erlitten im Jahr 2019 eine Aphasie infolge eines Schlaganfalls. Eine der häufigsten Manifestationen einer Aphasie stellen Wortfindungsstörungen dar. In Zeiten der COVID-19-Pandemie ermöglicht die befristete Zulassung der Videotherapie die Aufrechterhaltung einer sprachtherapeutischen Behandlung. Daraus ergibt sich die Notwendigkeit zu untersuchen, welche Wirksamkeit eine Screen-to-Screen-Therapie über ein Videokonferenzsystem gegenüber einer herkömmlichen Face-to-Face-Therapie bei erwachsenen Aphasiepatient*innen auf die Benennleistungen hat. Methode: Im Rahmen eines Scoping Reviews wurde eine Literaturrecherche in den Datenbanken Cochrane, Pubmed und Web of Science für den Zeitraum Februar 2010 bis 2020 durchgeführt. Eingeschlossen wurden deutsch-und englischsprachige Studien, welche die Wirksamkeit einer klassischen Face-to-Face-Therapie mit einer Screen-to-Screen-Therapie bei Erwachsenen mit Aphasie miteinander vergleichen und als einen Outcome die Benennleistung erhoben haben. Die Auswahl der Studien erfolgte mithilfe des PRISMA-Flussdiagramms. Ergebnisse: Insgesamt konnten fünf Studien gefunden werden. Sowohl die Face-to-Face-Therapie als auch die Screen-to-Screen-Therapie zeigten in einer italienischen Crossover-Studie, einer kanadischen randomisierten Studie und einer in Großbritannien durchgeführten quasi-randomisierten Studie signifikante Verbesserungen der Benennleistungen. Keine Verbesserungen wurden für beide Interventionsformen in einer israelischen Crossover-Studie festgestellt. In einer deutschen Vergleichsstudie wurden für die Face-to-Face-Therapie signifikante Verbesserungen der Benennleistungen gemessen, deren Ergebnis sich jedoch nicht signifikant von der Interventionsgruppe der Screen-to-Screen-Therapie unterschied. Diskussion: In allen eingeschlossenen Studien hatten die Screen-to-Screen-Therapie und die Face-to-Face-Therapie eine vergleichbare Wirksamkeit auf die Benennleistungen. Die Ergebnisse sprechen für die Realisierbarkeit einer Screen-to-Screen-Therapie unter Alltagsbedingungen. Möglicherweise ist diese Therapieform jedoch nicht immer umsetzbar. Barrieren für eine Screen-to-Screen-Therapie können die Bedienung von Technologien sowie Einschränkungen des Gesichtsfeldes infolge eines Neglects sein. Limitationen des Scoping Reviews sind, dass lediglich die Benennleistungen als Outcome betrachtet wurden sowie die geringe Anzahl der eingeschlossenen Studien. Schlussfolgerung: Im Hinblick auf die Tatsache, dass eine Screen-to-Screen-Therapie während der COVID-19-Pandemie für viele Patient*innen die einzige Möglichkeit einer sprachtherapeutischen Behandlung darstellt, ist es positiv zu werten, dass die Screen-to-Screen-Therapie genauso wirksam ist wie die Face-to-Face-Therapie. Die Screen-to-Screen-Therapie kann einen erweiterten Zugang zu der Gesundheitsversorgung sowie fachlicher Expertise im Gesundheitswesen ermöglichen. Die Aufrechterhaltung der sprachtherapeutischen Versorgung während der COVID-19-Pandemie kann dadurch weitestgehend gesich...

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Effects of a Tablet-Based Home Practice Program With Telepractice on Treatment Outcomes in Chronic Aphasia

Kurland

Liu

Stokes

2018

J Speech Lang Hear Res

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Unsupervised home practice with weekly video teleconferencing support is effective. This study demonstrates that even individuals with chronic severe aphasia, including those with no prior smart device or even computer experience, can attain independent proficiency to continue practicing and improving their language skills beyond therapy discharge. This could represent a low-cost therapy option for individuals without insurance coverage and/or those for whom mobility is an obstacle to obtaining traditional aphasia therapy.

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A Usability Study of Internet-Based Therapy for Naming Deficits in Aphasia

Abstract: It is important to consider usability and the clinician's perspective in developing telepractice applications in speech-language pathology. Future directions include assessing the efficacy of remote treatment and collecting a larger sample of clinician data.

Cited by 22 publications

References 22 publications

Refining an Asynchronous Telerehabilitation Platform for Speech-Language Pathology: Engaging End-Users in the Process

Refining an Asynchronous Telerehabilitation Platform for Speech-Language Pathology: Engaging End-Users in the Process

Scoping Review über die Wirksamkeit einer Screen-to-Screen-Therapie im Vergleich zu einer Face-to-Face-Therapie bei Patient*innen mit Aphasie auf die Benennleistungen

Effects of a Tablet-Based Home Practice Program With Telepractice on Treatment Outcomes in Chronic Aphasia

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