Background: The term 'communicative participation' refers to participation in the communication a... more Background: The term 'communicative participation' refers to participation in the communication aspects of life roles at home, at work, and in social and leisure situations. Participation in life roles is a key element in biopsychosocial frameworks of health such as the World Health Organization's (WHO) International Classification of Functioning, Disability and Health (ICF), and the Aphasia Framework for Outcomes Measurement (AFROM). The Communicative Participation Item Bank (CPIB) was developed as a patient-reported measure of communicative participation for adults. Initial validation focused on adults with motor speech or
Background Intensive Comprehensive Aphasia Programs (ICAPs) implement evidence-based, holistic th... more Background Intensive Comprehensive Aphasia Programs (ICAPs) implement evidence-based, holistic therapies in a short-duration cohort model. ICAPs are growing in popularity, yet there are still relat...
Background-Although aphasia rehabilitation has been shown to be efficacious, many questions remai... more Background-Although aphasia rehabilitation has been shown to be efficacious, many questions remain regarding how best to deliver treatment to maximize functional gains for persons with aphasia. Treatment delivery variables, such as intensity and dosage, are likely to influence both behavioral and structural changes during anomia treatment. While numerous protocols have concluded that treatment intensity positively impacts functional outcomes, few studies to date have examined the role that dose plays in patient outcomes for anomia treatment. Aims-This study sought to investigate how manipulating dose of repeated confrontation naming within sessions influences naming in persons with aphasia. Repeated practice of confrontation naming, without feedback, was hypothesized to improve trained but not untrained words, to be persistent after withdrawal, and to be sensitive to the number of trials (i.e., dose) within sessions. Methods and Procedures-A single-subject ABA design with replication across seven participants with aphasia was used to investigate the influence of repeated confrontation naming attempts on the acquisition and maintenance of trained pictures relative to untrained pictures. Training involved repeated attempts to name pictures, along with repeated exposure to pictures of objects (nouns) and their names, without feedback. The primary independent variable was within session dose; the dependent variable was naming accuracy. Outcomes and Results-Naming accuracy improved for all participants for trained pictures across both acquisition and maintenance phases per visual inspection; such positive effects were not observed for untrained pictures. Effect size calculations indicate that three of seven
Background Intensive Comprehensive Aphasia Programs (ICAPs) implement evidence-based, holistic th... more Background Intensive Comprehensive Aphasia Programs (ICAPs) implement evidence-based, holistic therapies in a short-duration cohort model. ICAPs are growing in popularity, yet there are still relat...
We do not foresee any risks associated with this study. 7. What will happen to information about ... more We do not foresee any risks associated with this study. 7. What will happen to information about me? By clicking on the 'I agree, start questionnaire' button, this tells us you want to take part in the study. We will collect, store and keep information about you in ways that may reveal your ICAP and who you are. We will publish information as summaries of responses-we will not identify which programs made each response. We will keep your information for 5 years after the project is completed. After this time we will destroy all of your data. The storage, transfer and destruction of your data will be undertaken in accordance with the Research Data Management Policy https://policies.latrobe.edu.au/document/view.php?id=106/.
Clinical aphasia researchers have demonstrated efficacy across both phonological and semantic tre... more Clinical aphasia researchers have demonstrated efficacy across both phonological and semantic treatment approaches for individuals with anomia (e.g., Boyle, 2004; Kendall, et al., 2008; Renvall et al., 2007). As this research continues to emerge, clinicians are gaining invaluable knowledge about the ideal treatment approach to select for each client or treatment context. Simultaneously, neuroscience research is progressing rapidly and clinical researchers have begun to manipulate principles of neuroplasticity to optimize treatment paradigms (e.g., Kleim & Jones, 2008; Kurland, et al., 2010; Ludlow et al., 2008). One variable that has gained a substantial amount of attention is treatment intensity; participants who receive a greater number of treatment sessions improve to a greater degree than those who receive conventional aphasia therapy (e.g., Brady, et al., 2012; Meinzer et al., 2011). Research protocols have yet to be designed that systematically manipulate intensity variables t...
Background: Stroke survivors with aphasia often experience reduced psychosocial well-being. Inten... more Background: Stroke survivors with aphasia often experience reduced psychosocial well-being. Intensive comprehensive aphasia programs (ICAPs) are an ideal model in which to treat persons with aphasia (PWAs) to improve both cognitivelinguistic impairments and psychosocial well-being. Aims: To investigate the impact of a university-based ICAP on psychosocial well-being using measures of depression, aphasiarelated quality of life, and communicative participation. Methods & Procedures: Thirty-seven PWAs (13 females, 24 males; mean age of 65 years; mean time post onset of 60 months) participated in a university-based ICAP across six ICAP sessions. Psychosocial outcome measures were administered before and after participating in an ICAP including: Geriatric Depression Scale (GDS), Assessment of Living with Aphasia (ALA), and Communicative Effectiveness Index (CETI). Paired samples t-tests were used to compare pre-and post-ICAP performance on each measure, and Pearson's r correlation coefficients were used to evaluate potential relations between measures, as well as relations between measures and demographic and treatment variables. Outcomes & Results: Depression, as measured by the GDS, significantly decreased pre-to post-ICAP. Pre-treatment scores for the GDS and ALA were significantly correlated. Change scores for the GDS were predictive of change scores for the ALA and CETI. PWAs who had the lowest educational attainment showed the greatest change on the GDS and ALA. Conclusions: Results suggest that the ICAP service delivery model has the potential to improve psychosocial well-being by reducing depression and improving quality of life. Findings provide preliminary evidence that the ICAP model can be efficacious when implemented in a university setting.
Patient-centered care is extending the sphere of health care beyond the patient, focusing attenti... more Patient-centered care is extending the sphere of health care beyond the patient, focusing attention upon the family caregiver(s). In this context, patient–family relationships are at the center of consistent, well-developed interprofessional interventions that encompass caregiver education, training, and wellness. Cohort models of intervention include groups of patients who start and stop a program or intervention simultaneously. One such cohort-based service delivery model is an intensive comprehensive aphasia program (ICAP), which provides an ideal context in which to address holistic care for the person with aphasia and his or her family caregivers. The interprofessional family caregiver intervention program of the ICAP at the University of Montana is twofold: (1) speech–language pathologists and graduate student clinicians in speech–language pathology provide family caregiver education and resources, communication training, and psychosocial support and (2) a licensed professiona...
Background: The term 'communicative participation' refers to participation in the communication a... more Background: The term 'communicative participation' refers to participation in the communication aspects of life roles at home, at work, and in social and leisure situations. Participation in life roles is a key element in biopsychosocial frameworks of health such as the World Health Organization's (WHO) International Classification of Functioning, Disability and Health (ICF), and the Aphasia Framework for Outcomes Measurement (AFROM). The Communicative Participation Item Bank (CPIB) was developed as a patient-reported measure of communicative participation for adults. Initial validation focused on adults with motor speech or
As much of this literature proposes, for individuals with moderate to severe aphasia, successful ... more As much of this literature proposes, for individuals with moderate to severe aphasia, successful communicative interactions requires skill, and often training, on the part of the unimpaired communication partners. Training communication partners to facilitate or support conversation represents a highly positive trend in aphasia management. Programmatic treatments focusing on partner and family training in aphasia have included Conversational Coaching (Holland, 1991), Family Member Training (Simmons, Kearns, & Potechin, 1987), Communication Partners (Lyon, 1988), Supported Conversation for Adults with Aphasia (SCA) (Kagan, 1998), and Family Intervention for Chronic Aphasia (FICA) (Rogers, Alarcon, & Olswang, 1999). Research concerning the efficacy of partner training has indicated that communication with the individual with aphasia can be improved by teaching communication partners strategies to facilitate communication, even if the person with aphasia does not participate in the training (Simmons, Kearns, & Potechin, 1987). Improvements have been observed among individuals with aphasia on measures of functional communication following intervention designed to improve communication with their spouses (Lyon et al., 1997; Wahrborg & Borenstein, 1989). The improvements observed with partner training suggest that 'good' communication partners can help unmask the underlying communicative competencies of the individual with aphasia by enabling them to communicate better than they can talk (Holland, 1991; Simmons-Makie & Damico, 1995). Given promising indications that partner training is an efficacious and necessary component of treatment, especially for individuals with severe aphasia, more research in this area is needed to further develop treatment methods and evaluate the efficacy of these interventions. However, prior to investigating treatment efficacy, it is imperative that reliable and valid methods of quantifying the quality of communicative interactions be established so that changes due to treatment can be detected. Unfortunately, at present, neither operational definitions nor empirically derived inventories of what constitutes "good communication" among individuals with aphasia are available. Thus, the systematic study of social interaction, especially for the purposes of improving evaluation and treatment of individuals with aphasia, would be greatly advanced by the development of reliable and valid methodology capable of quantifying the quality of communication. Methods Each of the three methods used to quantify the quality of communication involved the use of a corpus of 24 conversations, collected during two types of conversation (aphasic-chosen and general conversational topics) from twelve dyads. The videotapes were made with the knowledge and consent of the participants during a single session. The dyads were instructed to first communicate about anything they would like to discuss, general conversation, and topics such as future plans, recent events, and household projects were provided as suggestions. After completing five-minutes of conversation, the unimpaired partner left the room while the experimenter assisted the individual with aphasia to choose a conversational topic. Subsequently, the partner returned and the second, aphasic-chosen conversation was videotaped. Paper, pens, and the communication notebook of the individual with aphasia were available to use during both conversations. Twominute segments (minutes three and four) from each conversation were used for the analyses.
Background: Although aphasia rehabilitation has been shown to be efficacious, many questions rema... more Background: Although aphasia rehabilitation has been shown to be efficacious, many questions remain regarding how best to deliver treatment to maximize functional gains for persons with aphasia. Treatment delivery variables, such as intensity and dosage, are likely to influence both behavioral and structural changes during anomia treatment. While numerous protocols have concluded that treatment intensity positively impacts functional outcomes, few studies to date have examined the role that dose plays in patient outcomes for anomia treatment. Aims: This study sought to investigate how manipulating dose of repeated confrontation naming within sessions influences naming in persons with aphasia. Repeated practice of confrontation naming, without feedback, was hypothesized to improve trained but not untrained words, to be persistent after withdrawal, and to be sensitive to the number of trials (i.e., dose) within sessions. Methods and Procedures: A single-subject ABA design with replication across seven participants with aphasia was used to investigate the influence of repeated confrontation naming attempts on the acquisition and maintenance of trained pictures relative to untrained pictures. Training involved repeated attempts to name pictures, along with repeated exposure to pictures of objects (nouns) and their names, without feedback. The primary independent variable was within session dose; the dependent variable was naming accuracy. Outcomes and Results: Naming accuracy improved for all participants for trained pictures across both acquisition and maintenance phases per visual inspection; such positive effects were not observed for untrained pictures. Effect size calculations indicate that three of seven participants demonstrated considerable change for trained items, while one of seven participants demonstrated meaningful change for untrained items. The high-dose condition elicited small 4 DOSE AND ANOMIA effect sizes for one participant, and large effect sizes for two of seven participants, while the lowdose condition elicited small and medium effect sizes for two of seven participants. Conclusions: Participants across a variety of aphasia severity levels responded positively to two doses of repeated confrontation naming practice, without feedback, across phases of this naming protocol. Results are in line with principles of neuroplasticity and demonstrate that repeated practice, without feedback, can produce significant and persistent changes in naming ability for some persons with aphasia.
Background: The term 'communicative participation' refers to participation in the communication a... more Background: The term 'communicative participation' refers to participation in the communication aspects of life roles at home, at work, and in social and leisure situations. Participation in life roles is a key element in biopsychosocial frameworks of health such as the World Health Organization's (WHO) International Classification of Functioning, Disability and Health (ICF), and the Aphasia Framework for Outcomes Measurement (AFROM). The Communicative Participation Item Bank (CPIB) was developed as a patient-reported measure of communicative participation for adults. Initial validation focused on adults with motor speech or
Background Intensive Comprehensive Aphasia Programs (ICAPs) implement evidence-based, holistic th... more Background Intensive Comprehensive Aphasia Programs (ICAPs) implement evidence-based, holistic therapies in a short-duration cohort model. ICAPs are growing in popularity, yet there are still relat...
Background-Although aphasia rehabilitation has been shown to be efficacious, many questions remai... more Background-Although aphasia rehabilitation has been shown to be efficacious, many questions remain regarding how best to deliver treatment to maximize functional gains for persons with aphasia. Treatment delivery variables, such as intensity and dosage, are likely to influence both behavioral and structural changes during anomia treatment. While numerous protocols have concluded that treatment intensity positively impacts functional outcomes, few studies to date have examined the role that dose plays in patient outcomes for anomia treatment. Aims-This study sought to investigate how manipulating dose of repeated confrontation naming within sessions influences naming in persons with aphasia. Repeated practice of confrontation naming, without feedback, was hypothesized to improve trained but not untrained words, to be persistent after withdrawal, and to be sensitive to the number of trials (i.e., dose) within sessions. Methods and Procedures-A single-subject ABA design with replication across seven participants with aphasia was used to investigate the influence of repeated confrontation naming attempts on the acquisition and maintenance of trained pictures relative to untrained pictures. Training involved repeated attempts to name pictures, along with repeated exposure to pictures of objects (nouns) and their names, without feedback. The primary independent variable was within session dose; the dependent variable was naming accuracy. Outcomes and Results-Naming accuracy improved for all participants for trained pictures across both acquisition and maintenance phases per visual inspection; such positive effects were not observed for untrained pictures. Effect size calculations indicate that three of seven
Background Intensive Comprehensive Aphasia Programs (ICAPs) implement evidence-based, holistic th... more Background Intensive Comprehensive Aphasia Programs (ICAPs) implement evidence-based, holistic therapies in a short-duration cohort model. ICAPs are growing in popularity, yet there are still relat...
We do not foresee any risks associated with this study. 7. What will happen to information about ... more We do not foresee any risks associated with this study. 7. What will happen to information about me? By clicking on the 'I agree, start questionnaire' button, this tells us you want to take part in the study. We will collect, store and keep information about you in ways that may reveal your ICAP and who you are. We will publish information as summaries of responses-we will not identify which programs made each response. We will keep your information for 5 years after the project is completed. After this time we will destroy all of your data. The storage, transfer and destruction of your data will be undertaken in accordance with the Research Data Management Policy https://policies.latrobe.edu.au/document/view.php?id=106/.
Clinical aphasia researchers have demonstrated efficacy across both phonological and semantic tre... more Clinical aphasia researchers have demonstrated efficacy across both phonological and semantic treatment approaches for individuals with anomia (e.g., Boyle, 2004; Kendall, et al., 2008; Renvall et al., 2007). As this research continues to emerge, clinicians are gaining invaluable knowledge about the ideal treatment approach to select for each client or treatment context. Simultaneously, neuroscience research is progressing rapidly and clinical researchers have begun to manipulate principles of neuroplasticity to optimize treatment paradigms (e.g., Kleim & Jones, 2008; Kurland, et al., 2010; Ludlow et al., 2008). One variable that has gained a substantial amount of attention is treatment intensity; participants who receive a greater number of treatment sessions improve to a greater degree than those who receive conventional aphasia therapy (e.g., Brady, et al., 2012; Meinzer et al., 2011). Research protocols have yet to be designed that systematically manipulate intensity variables t...
Background: Stroke survivors with aphasia often experience reduced psychosocial well-being. Inten... more Background: Stroke survivors with aphasia often experience reduced psychosocial well-being. Intensive comprehensive aphasia programs (ICAPs) are an ideal model in which to treat persons with aphasia (PWAs) to improve both cognitivelinguistic impairments and psychosocial well-being. Aims: To investigate the impact of a university-based ICAP on psychosocial well-being using measures of depression, aphasiarelated quality of life, and communicative participation. Methods & Procedures: Thirty-seven PWAs (13 females, 24 males; mean age of 65 years; mean time post onset of 60 months) participated in a university-based ICAP across six ICAP sessions. Psychosocial outcome measures were administered before and after participating in an ICAP including: Geriatric Depression Scale (GDS), Assessment of Living with Aphasia (ALA), and Communicative Effectiveness Index (CETI). Paired samples t-tests were used to compare pre-and post-ICAP performance on each measure, and Pearson's r correlation coefficients were used to evaluate potential relations between measures, as well as relations between measures and demographic and treatment variables. Outcomes & Results: Depression, as measured by the GDS, significantly decreased pre-to post-ICAP. Pre-treatment scores for the GDS and ALA were significantly correlated. Change scores for the GDS were predictive of change scores for the ALA and CETI. PWAs who had the lowest educational attainment showed the greatest change on the GDS and ALA. Conclusions: Results suggest that the ICAP service delivery model has the potential to improve psychosocial well-being by reducing depression and improving quality of life. Findings provide preliminary evidence that the ICAP model can be efficacious when implemented in a university setting.
Patient-centered care is extending the sphere of health care beyond the patient, focusing attenti... more Patient-centered care is extending the sphere of health care beyond the patient, focusing attention upon the family caregiver(s). In this context, patient–family relationships are at the center of consistent, well-developed interprofessional interventions that encompass caregiver education, training, and wellness. Cohort models of intervention include groups of patients who start and stop a program or intervention simultaneously. One such cohort-based service delivery model is an intensive comprehensive aphasia program (ICAP), which provides an ideal context in which to address holistic care for the person with aphasia and his or her family caregivers. The interprofessional family caregiver intervention program of the ICAP at the University of Montana is twofold: (1) speech–language pathologists and graduate student clinicians in speech–language pathology provide family caregiver education and resources, communication training, and psychosocial support and (2) a licensed professiona...
Background: The term 'communicative participation' refers to participation in the communication a... more Background: The term 'communicative participation' refers to participation in the communication aspects of life roles at home, at work, and in social and leisure situations. Participation in life roles is a key element in biopsychosocial frameworks of health such as the World Health Organization's (WHO) International Classification of Functioning, Disability and Health (ICF), and the Aphasia Framework for Outcomes Measurement (AFROM). The Communicative Participation Item Bank (CPIB) was developed as a patient-reported measure of communicative participation for adults. Initial validation focused on adults with motor speech or
As much of this literature proposes, for individuals with moderate to severe aphasia, successful ... more As much of this literature proposes, for individuals with moderate to severe aphasia, successful communicative interactions requires skill, and often training, on the part of the unimpaired communication partners. Training communication partners to facilitate or support conversation represents a highly positive trend in aphasia management. Programmatic treatments focusing on partner and family training in aphasia have included Conversational Coaching (Holland, 1991), Family Member Training (Simmons, Kearns, & Potechin, 1987), Communication Partners (Lyon, 1988), Supported Conversation for Adults with Aphasia (SCA) (Kagan, 1998), and Family Intervention for Chronic Aphasia (FICA) (Rogers, Alarcon, & Olswang, 1999). Research concerning the efficacy of partner training has indicated that communication with the individual with aphasia can be improved by teaching communication partners strategies to facilitate communication, even if the person with aphasia does not participate in the training (Simmons, Kearns, & Potechin, 1987). Improvements have been observed among individuals with aphasia on measures of functional communication following intervention designed to improve communication with their spouses (Lyon et al., 1997; Wahrborg & Borenstein, 1989). The improvements observed with partner training suggest that 'good' communication partners can help unmask the underlying communicative competencies of the individual with aphasia by enabling them to communicate better than they can talk (Holland, 1991; Simmons-Makie & Damico, 1995). Given promising indications that partner training is an efficacious and necessary component of treatment, especially for individuals with severe aphasia, more research in this area is needed to further develop treatment methods and evaluate the efficacy of these interventions. However, prior to investigating treatment efficacy, it is imperative that reliable and valid methods of quantifying the quality of communicative interactions be established so that changes due to treatment can be detected. Unfortunately, at present, neither operational definitions nor empirically derived inventories of what constitutes "good communication" among individuals with aphasia are available. Thus, the systematic study of social interaction, especially for the purposes of improving evaluation and treatment of individuals with aphasia, would be greatly advanced by the development of reliable and valid methodology capable of quantifying the quality of communication. Methods Each of the three methods used to quantify the quality of communication involved the use of a corpus of 24 conversations, collected during two types of conversation (aphasic-chosen and general conversational topics) from twelve dyads. The videotapes were made with the knowledge and consent of the participants during a single session. The dyads were instructed to first communicate about anything they would like to discuss, general conversation, and topics such as future plans, recent events, and household projects were provided as suggestions. After completing five-minutes of conversation, the unimpaired partner left the room while the experimenter assisted the individual with aphasia to choose a conversational topic. Subsequently, the partner returned and the second, aphasic-chosen conversation was videotaped. Paper, pens, and the communication notebook of the individual with aphasia were available to use during both conversations. Twominute segments (minutes three and four) from each conversation were used for the analyses.
Background: Although aphasia rehabilitation has been shown to be efficacious, many questions rema... more Background: Although aphasia rehabilitation has been shown to be efficacious, many questions remain regarding how best to deliver treatment to maximize functional gains for persons with aphasia. Treatment delivery variables, such as intensity and dosage, are likely to influence both behavioral and structural changes during anomia treatment. While numerous protocols have concluded that treatment intensity positively impacts functional outcomes, few studies to date have examined the role that dose plays in patient outcomes for anomia treatment. Aims: This study sought to investigate how manipulating dose of repeated confrontation naming within sessions influences naming in persons with aphasia. Repeated practice of confrontation naming, without feedback, was hypothesized to improve trained but not untrained words, to be persistent after withdrawal, and to be sensitive to the number of trials (i.e., dose) within sessions. Methods and Procedures: A single-subject ABA design with replication across seven participants with aphasia was used to investigate the influence of repeated confrontation naming attempts on the acquisition and maintenance of trained pictures relative to untrained pictures. Training involved repeated attempts to name pictures, along with repeated exposure to pictures of objects (nouns) and their names, without feedback. The primary independent variable was within session dose; the dependent variable was naming accuracy. Outcomes and Results: Naming accuracy improved for all participants for trained pictures across both acquisition and maintenance phases per visual inspection; such positive effects were not observed for untrained pictures. Effect size calculations indicate that three of seven participants demonstrated considerable change for trained items, while one of seven participants demonstrated meaningful change for untrained items. The high-dose condition elicited small 4 DOSE AND ANOMIA effect sizes for one participant, and large effect sizes for two of seven participants, while the lowdose condition elicited small and medium effect sizes for two of seven participants. Conclusions: Participants across a variety of aphasia severity levels responded positively to two doses of repeated confrontation naming practice, without feedback, across phases of this naming protocol. Results are in line with principles of neuroplasticity and demonstrate that repeated practice, without feedback, can produce significant and persistent changes in naming ability for some persons with aphasia.
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