Phonological and orthographic cueing therapy: A case of generalised improvement

Greenwood, Alison; Grassly, Jennie; Hickin, Julie; Best, Wendy

doi:10.1080/02687030903168220

Cited by 43 publications

(40 citation statements)

References 30 publications

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“…These results are in line with the review of Nickels (2002) which also suggested that some gains previously attributed to generalisation might in fact be due to repeated exposure of control items as part of probing during treatment. Moreover, despite the fact that some studies have shown positive carry-over effects into people's connected speech (e.g., Conroy, Sage, & Lambon Ralph, 2009;Greenwood, Grassly, Hickin, & Best, 2010), the evidence for this kind of generalisation is quite sparse.…”

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confidence: 85%

Functionally relevant items in the treatment of aphasia (part I): Challenges for current practice

2013

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Background: Aphasiologists are motivated to select "functional", "relevant" and "useful" items for use in therapy; yet the field lacks discussion on what is meant by these terms and how to identify such items. Aims: The purpose of this article is to review the meaning of "functionally relevant" in the aphasia treatment literature and to specify challenges in identifying potentially relevant items for therapy.Main Contribution: This article shows that aphasiologists lack clear definitions, strategies and concrete tools to assist with identification of functionally relevant items for language therapy. Two main categories of functional vocabulary are defined-personally chosen vocabulary and generally frequent vocabulary. The review of the existing aphasia literature demonstrates the strengths and weaknesses of these approaches. Two critical points are raised related to selection of therapy items using data from language corpora. Firstly, it is paradoxical that aphasiologists often try to target the most common vocabulary in therapy but that language corpora have not been used to determine the identity of the most frequent words. Secondly, the analyses of the language corpora show that the most frequent spoken words represent a wide variety of word classes, such as adjectives, adverbs and pronouns. Yet, only a few treatment studies have targeted words other than concrete nouns and verbs. Conclusions: There is a need to use objective sources to identify and choose treatment targets. In addition, more therapy attempts should be directed to words other than the most concrete nouns and verbs. Use of frequency-based lists provides one way to identify and increase the number of items that are potentially relevant across people. Frequency-based vocabulary lists can also be used as a tool when asking people with aphasia or their significant others to identify items that they personally think should be targeted in therapy. Without creating and publishing common tools for this purpose, change in practice is difficult.

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confidence: 85%

Functionally relevant items in the treatment of aphasia (part I): Challenges for current practice

2013

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“…29,39,40 An alternative explanation may lie in the therapy dose and/or content. Participants received only 8 hours of therapist led intervention, supplemented by homework practice.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2015

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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. Clinical Rehabilitation, 30(4), pp. 359-373. doi: 10.1177/0269215515582074 This is the accepted version of the paper.This version of the publication may differ from the final published version. Outcome measures: Feasibility was assessed by recruitment and attrition rates, participant observations and interviews, and treatment fidelity checking. Effects of therapy on word retrieval Permanentwere assessed by tests of picture naming and naming in conversation.Results: Twenty-one participants were recruited over 17 months, with one lost at baseline.Compliance and satisfaction with the intervention was good. Treatment fidelity was high for both remote and face to face delivery (1251/1421 therapist behaviours were compliant with the protocol). Participants who received therapy improved on picture naming significantly more than controls (mean numerical gains: 20.2 (remote from University); 41 (remote from clinical site); 30.8 (face to face); 5.8 (attention control); p <.001). There were no significant differences between groups in the assessment of conversation. Conclusions:Word finding therapy can be delivered via mainstream internet video conferencing.Therapy improved picture naming, but not naming in conversation.3

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“…It would be a logical step then, to look for other levels of evidence to guide clinical practice in aphasia therapy after stroke. It is here that we find an abundance of high quality single-case design [13][14][15] and small group studies [16][17][18] to support the provision of different types of aphasia therapy provided at various phases in the recovery journey. The vast majority of this research, however, does not include people with aphasia in the very early (within two weeks) and early (two to six weeks) post-stroke recovery phases (See examples of studies investigating very early and early intervention).…”

Section: Introductionmentioning

confidence: 99%

“…The vast majority of this research, however, does not include people with aphasia in the very early (within two weeks) and early (two to six weeks) post-stroke recovery phases (See examples of studies investigating very early and early intervention). [13][14][15][16][17][18] Given the constant high demand for limited speech pathology services during (very) early recovery combined with the need to comply with health-funding regulators and the potential for therapy-induced recovery, 19,20 it is crucial that speech pathologists deliver evidence-based efficient and efficacious aphasia therapy interventions.…”

Section: Introductionmentioning

confidence: 99%

Amount of Therapy Matters in Very Early Aphasia Rehabilitation after Stroke: A Clinical Prognostic Model

et al. 2013

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Phonological and orthographic cueing therapy: A case of generalised improvement

Cited by 43 publications

References 30 publications

Functionally relevant items in the treatment of aphasia (part I): Challenges for current practice

Functionally relevant items in the treatment of aphasia (part I): Challenges for current practice

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

Amount of Therapy Matters in Very Early Aphasia Rehabilitation after Stroke: A Clinical Prognostic Model

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