The feasibility, usability and acceptability of a tablet-based aphasia therapy in the acute phase following stroke

Cock, Elien De; Batens, Katja; Feiken, Judith; Hemelsoet, Dimitri; Oostra, Kristine; Herdt, Veerle De

doi:10.1016/j.jcomdis.2020.106070

Cited by 12 publications

(6 citation statements)

References 38 publications

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“…Another factor that could affect the technical feasibility of self-managed computer-based aphasia treatment was the ability of participants to use the SPT independently: five of the six participants (83%) achieved independent use of the SPT. This is similar to the percentage reported in other studies of self-delivered, computer-based treatments (e.g., Kurland et al 2018;De Cock et al, 2021). The level of independent use likely reflects the aphasia-friendly design of the human-computer-interface (HCI) of the SPT which was informed by the small but developing field of research into aphasiafriendly HCIs (e.g., Brandenburg et al, 2013).…”

Section: Discussionsupporting

confidence: 81%

A feasibility study of a novel computer-based treatment for sentence production deficits in aphasia, delivered by a combination of clinician-led and self-managed treatment sessions

2022

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Background: There is increasing evidence that face-to-face treatments for verb and sentence production deficits in aphasia can be effective. However, very few studies have investigated supplementing such treatments with self-managed computer-based home practice. Given the increasing importance of computer-based aphasia treatment, it is imperative that the feasibility of this mode of delivering verb and sentence treatments is explored. Aims: This study explored the feasibility and preliminary effectiveness of a novel computer-based treatment for sentence production deficits in aphasia, delivered by a combination of face-to-face and self-managed treatment sessions. The effect of treatment on verb and sentence production, discourse and functional communication was assessed. Methods & Procedures:The study used a pre-post design with six single cases: three males and three females aged 49 -81 years. The Sentence Production Treatment (SPT) was developed based on the evidence from systematic reviews of verb-in-isolation and sentence treatments respectively. The SPT was low dose (8 hours) and clinician delivered, supplemented by a minimum set level (16 hours) of self-managed computer-based treatment. The feasibility of the SPT was investigated by: monitoring recruitment and retention of participants; logging any technical issues; assessing the fidelity of faceto-face treatment delivery using checklists; and monitoring compliance with self-delivered treatment.Outcomes & Results: The SPT was found to be feasible and acceptable to the six participants. Treatment effects were noted on trained verb production and sentence production for five participants each. Generalisation to untrained verb and sentence targets and discourse was more limited, however four participants perceived functional communication improvements. Conclusions:The study represents the first preliminary evidence that a computer-based sentence level treatment for sentence production deficits in aphasia, which included a self-managed component, is feasible and can be effective. Given these overall positive findings of feasibility and benefit, further feasibility testing is warranted, exploring intervention refinement and candidacy.

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Section: Discussionsupporting

confidence: 81%

A feasibility study of a novel computer-based treatment for sentence production deficits in aphasia, delivered by a combination of clinician-led and self-managed treatment sessions

2022

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“…The main premise in pursuing technology-assisted therapy is to facilitate access (by reducing costs and/or logistical barriers like location/ transportation) and/or increase the amount of practice an individual can complete, given the large number of hours needed to facilitate learning. Good compliance, ease-of-use, and satisfaction have been reported with these studies [101,102,103], which is encouraging given a primary motivation of increasing total amount of practice time. Results from VR, telerehabilitation, and computer-/tablet-based treatment studies are overwhelmingly positive, but lack of comparison studies and/or adequate control groups/tasks makes it difficult to identify superior protocols or attribute outcomes to the technological component of the treatment [104,105].…”

Section: Language Speech and Communicationsupporting

confidence: 61%

Reversing the Ruin: Rehabilitation, Recovery, and Restoration After Stroke

Stockbridge

Bunker

Hillis

2022

Curr Neurol Neurosci Rep

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Purpose of Review Stroke is a common cause of disability in aging adults. A given individual’s needs after stroke vary as a function of the stroke extent and location. The purpose of this review was to discuss recent clinical investigations addressing rehabilitation of an array of overlapping functional domains. Recent Findings Research is ongoing in the domains of movement, cognition, attention, speech, language, swallowing, and mental health. To best assist patients’ recovery, innovative research has sought to develop and evaluate behavioral approaches, identify and refine synergistic approaches that augment the response to behavioral therapy, and integrate technology where appropriate, particularly to introduce and titrate real-world complexity and improve the overall experience of therapy. Summary Recent and ongoing trials have increasingly adopted a multidisciplinary nature — augmenting refined behavioral therapy approaches with methods for increasing their potency, such as pharmaceutical or electrical interventions. The integration of virtual reality, robotics, and other technological advancements has generated immense excitement, but has not resulted in consistent improvements over more universally accessible, lower technology therapy.

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“…However, in all the above studies, only participants with mild stroke and the ability to walk were included. Only 1 of the included studies, Kizoni et al (46), targeted the assessment of upper limb deficits through app solutions supporting hand activity among stroke survivors. One of the included studies showed that an app solution was reliable to support the measurement of pulmonary function among chronic stroke survivors (71).…”

Section: App Solutions To Support Assessment (N = 16)mentioning

confidence: 99%

Use of Mobile/Tablet and Web-Based Applications to Support Rehabilitation After Stroke: A Scoping Review

Marwaa

Guidetti

Ytterberg

et al. 2022

JRM

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Aim: The aim of this study was to describe, and review evidence of mobile and web-based applications being used to support the rehabilitation process after stroke. The secondary aim was to describe participants’ stroke severity, and use of applications in relation to, respectively, the setting and phase of the rehabilitation process. Method: A scoping review methodology was used to identify studies, through databases as PubMed, Cinahl, Embase and AMED. Additionally, grey literature was searched. The studies were categorized using the model of rehabilitation by Derick Wade. Results: The literature search resulted in 10,142 records. Thirty-six studies were included in which applications were used to support: assessment (n=13); training (n=20); discharge from hospital (n=2); and both training and discharge from hospital (n=1). Of the 36 studies, 25 studies included participants with mild to moderate stroke, and four studies included participants with severe stroke. In seven studies the stroke severity was not reported. Eighteen studies included participants with chronic stroke, 12 acute-subacute stroke, and three included participants with acute and/or subacute and/or chronic stroke. In three studies, stroke onset was not reported. Applications were used in a rehabilitation setting (n=16), home setting (n=13), both settings (n=3). In four studies the setting were not reported. Conclusion: Most included studies of applications developed to support the rehabilitation process after stroke have been explorative. They included primarily participants with mild or moderate stroke and focused on a limited aspect of the rehabilitation process, e.g., assessment or training. Future applications to support stroke rehabilitation should accommodate stroke survivors’ and caregivers’ need for solutions, irrespective of stroke severity and throughout the entire rehabilitation process.

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The feasibility, usability and acceptability of a tablet-based aphasia therapy in the acute phase following stroke

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Cited by 12 publications

References 38 publications

A feasibility study of a novel computer-based treatment for sentence production deficits in aphasia, delivered by a combination of clinician-led and self-managed treatment sessions

A feasibility study of a novel computer-based treatment for sentence production deficits in aphasia, delivered by a combination of clinician-led and self-managed treatment sessions

Reversing the Ruin: Rehabilitation, Recovery, and Restoration After Stroke

Use of Mobile/Tablet and Web-Based Applications to Support Rehabilitation After Stroke: A Scoping Review

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