Consistent long-term practice leads to consistent improvement: Benefits of self-managed therapy for language and cognitive deficits using a digital therapeutic

Frontiers in Digital Health, Год журнала: 2023, Номер 5

Опубликована: Апрель 11, 2023

Although speech-language therapy (SLT) is proven to be beneficial recovery of post-stroke aphasia, delivering sufficiently high amounts dosage remains a problem in real-world clinical practice. Self-managed SLT was introduced solve the problem. Previous research showed 10-week period, increased frequency could lead better performance, however, it uncertain if still affects performance over longer period practice time and whether gains can seen following several months.This study aims evaluate data from health app (Constant Therapy) investigate relationship between amount improvements 30-week treatment period. Two cohorts users were analyzed. One comprised patients with consistent average weekly other cohort whose had higher variability.We conducted two analyses who used Constant Therapy. The first contains 537 "consistent" users, while second 2,159. split into three consecutive windows calculate amount. In each grouped by their low (0-15 min/week), medium (15-40 min/week) moderate (greater than 40 groups. Linear mixed-effects models employed significant factor affecting performance. Pairwise comparison also applied slope difference groups.For cohort, (β = .002, t17,700 7.64, P < .001) .003, t9,297 7.94, groups improvement compared group. group greater For variable analysis 2, same trend shown windows, weeks 21-30, insignificant .001, t 1.76, .078).This related outcomes 6 months digital self-managed therapy. It that regardless exact pattern practice, leads sustained gains.

Язык: Английский

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Treatment for Childhood Apraxia of Speech: Past, Present, and Future

Journal of Speech Language and Hearing Research, Год журнала: 2024, Номер 67(9S), С. 3495 - 3520

Опубликована: Май 20, 2024

The purposes of this review article were to provide an introduction and "bird's-eye" overview the current evidence base for treatment childhood apraxia speech (CAS), identify some gaps trends in rapidly growing literature, formulate future research directions, order advance clinical practice children with CAS.

Язык: Английский

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An exploration of anomia rehabilitation in drug-resistant temporal lobe epilepsy

Epilepsy & Behavior Reports, Год журнала: 2024, Номер 27, С. 100681 - 100681

Опубликована: Янв. 1, 2024

Around 40% of patients who undergo a left temporal lobe epilepsy (LTLE) surgery suffer from anomia (word-finding difficulties), condition that negatively impacts quality life. Despite these observations, language rehabilitation is still understudied in LTLE. We assessed the effect four-week on four drug-resistant LTLE after their surgery. The was based cognitive descriptions word finding deficits Its primary ingredients were psycholinguistic tasks and psychoeducation approach to help cope with daily communication issues. repeatedly naming skills for trained untrained words, before during therapy using an A-B design follow-up replication. Subjective complaint standardized assessments also collected. demonstrated effectiveness program words despite persistence seizures. Furthermore, encouraging results observed items. Variable changes observed. One patient conducted protocol as self-rehabilitation responded similarly others, different manner intervention. These open promising avenues helping epileptic suffering anomia. For example, this post-operative could easily be adapted preoperatively.

Язык: Английский

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Telepractice for bilingual and multilingual people with aphasia: a scoping review

Aphasiology, Год журнала: 2024, Номер unknown, С. 1 - 23

Опубликована: Июль 11, 2024

Язык: Английский

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Co‐constructed communication therapy for individuals with acquired brain injury: A systematic review

International Journal of Language & Communication Disorders, Год журнала: 2023, Номер 59(2), С. 496 - 518

Опубликована: Янв. 14, 2023

Abstract Background Meaningful, varied, joyful conversation is an important therapy target for adults with language or cognitive–communication disorders following acquired brain injury (ABI). However, the complexity of daily communication often reduced to component parts within intervention programmes, mixed evidence generalization everyday conversation. Interventions targeting co‐construction a dyad offer structured way in which retain and treat elements individuals their partner (CP). Such interventions exist but they are variably labelled, different ABI populations have not been synthesized. Aims To identify nature, scope effects studies co‐constructed ABI. Method This systematic review was completed using PRISMA Guidelines. Six databases (MEDLINE, Embase, CINAHL, Scopus, LLBA, PsychInfo) were searched 1210 screened. Data extracted rated methodological quality completeness reporting. Outcome measures treatment collated through descriptive synthesis. Main Contribution highlights emerging base relation approach that targets communication. Co‐constructed reported by 13 studies, from total 206 participants post‐stroke aphasia, traumatic progressive impairments. These take range formats, including referential tasks, retell/recount therapies training programmes. Methodological evaluation indicated mostly low‐level study designs. Heterogeneity identified primary outcome measures, 28 unique across studies. Most demonstrated change task‐specific broad measures. Conclusions may clinicians systematic, protocolized, replicable More high‐quality, experimental designs complete reporting psychometrically sound needed strengthen base. What Paper Adds already known on this subject Everyday ABI, there gains generalizing life. Many reduce such as naming sentence construction. A capture social, dyadic, interactive multifaceted nature We propose term ‘co‐constructed interventions’ genre semi‐structured dialogue. (such multimodal situating tasks dyads), combined (where stimuli prompt interactions responses can be scored against normative data). paper adds existing knowledge proposes describes distinct discourse current novel operational definition communication’. potential actual clinical implications work? directly goals interactive, task. identified, collaborative storytelling problem‐solving. will interest working ABI; useful, aspects synthesis encourages clinicians’ informed, evidence‐based decisions around these interventions.

Язык: Английский

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Embedding the rehabilitation treatment specification system (RTSS) into clinical practice: an evaluation of a pilot teaching programme

BMC Medical Education, Год журнала: 2023, Номер 23(1)

Опубликована: Фев. 2, 2023

Abstract Background Deficiency in the provision and quality of treatment specification by rehabilitation clinicians impairs ability to differentiate effective from ineffective elements treatment. The standardised language system (RTSS) has been proposed as a countermeasure. To date, there is no evidence its use clinical practice what effect it may have. This study aimed assess pilot teaching programme embed RTSS into an inpatient oncology physiotherapy team. objectives were evaluate programme’s on; participants’ familiarity perceived benefit RTSS, uptake, reasoning, their feelings attitudes towards adopting RTSS. provides evaluation which will subsequently inform larger iteration ongoing Health Education England (HEE) project aiming disseminate improve physiotherapists’ specification. Methods A 6-week, multi-modal based upon socio-constructivist theory was delivered 10 physiotherapists at large urban UK trust 2021. Self-reported measures case note audits assessed before after on benefit, reasoning. post-teaching focus group undertaken. It qualitatively analysed using inductive, independent thematic approach clinicians’ reflection adoption. Results Ten participants (8F, 29.4(±3.5) years) with variable experience completed (six 1-hour lecture/case-based-learning sessions weekly) 85% mean attendance. Nine yielded complete data for analyses, 7 participated group. There significant improvements self-reported confidence Furthermore, reasoning overall specifically knowledge application. But this not reflected uptake language, nor emergent notes. Qualitative analyses revealed that while conceptual understanding relative advantage pervasive, they articulated translating academic disposition challenge. Conclusions shown be improving despite remaining low. Future iterations should tested across specialisms sample consideration pedagogical cultural support diffusion

Язык: Английский

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Rehabilitation Treatment Specification System: Identifying Barriers, Facilitators, and Strategies for Implementation in Research, Education, and Clinical Care

Archives of Physical Medicine and Rehabilitation, Год журнала: 2022, Номер 104(4), С. 562 - 568

Опубликована: Окт. 26, 2022

Язык: Английский

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Looking at gesture: The reciprocal influence between gesture and conversation

Journal of Communication Disorders, Год журнала: 2023, Номер 106, С. 106379 - 106379

Опубликована: Сен. 26, 2023

Язык: Английский

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Self-Improved Language Production in Nonfluent Aphasia Through Automated Recursive Self-Feedback

American Journal of Speech-Language Pathology, Год журнала: 2024, Номер unknown, С. 1 - 15

Опубликована: Сен. 20, 2024

Background: Persons with nonfluent aphasia (PWNA) use feedback from external agents (e.g., speech-language pathologists) and self-feedback to improve their language production. The extent which PWNA can production using alone is underexplored. In a proof-of-concept study, we developed an automated recursive procedure demonstrate the two who used improved of sentences trained untrained scripts. current Rehabilitation Response Specification System as framework replicate our initial findings. Method: We tested effects treatments: script in four persons chronic aphasia. compared treatment by measuring percent produced, speaking rate, speech initiation latency participants received treatments remotely through mini tablets versions mobile app developed. All each intensively for 14 sessions across 2–3 weeks. estimated clinical improvements scripts nonoverlap all pairs analysis performance pretreatment posttreatment. Results: Both PWNA's Recursive rate latency, generalized participants. External did not generalize improvement Conclusions: Our findings confirm evidence that self-improve sentence self-feedback. This novel enables autonomously enhance over time. Given mechanics procedure, propose its utility constrained linguistic idiosyncrasies cultures. Consequently, it has potential bypass barriers care. Supplemental Material: https://doi.org/10.23641/asha.27007060

Язык: Английский

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Word Retrieval Treatments in Aphasia: A Survey of Professional Practice

Aphasiology, Год журнала: 2022, Номер 37(7), С. 954 - 979

Опубликована: Апрель 29, 2022

Background Researchers have identified many assessment and treatment options for word retrieval impairments in individuals with aphasia. The extent to which these are used clinical practice is not well understood.Aims We surveyed speech-language pathologists better understand their use familiarity approaches aphasia.Methods & Procedures developed a brief survey examining 12 14 aphasic impairments. An anonymous link was disseminated pathologists.Outcomes Results experienced pool of 81 respondents report they commonly address In primarily employ standardized aphasia naming tests (e.g., Boston Naming Test; Kaplan et al., 2001). Many also informal tools supplement testing. Three were by the majority respondents. Two incorporate single picture naming, cueing hierarchies Semantic Feature Analysis, third fosters sentences, Verb Network Strengthening Treatment.Conclusions While addressed practice, further implementation science work needed examine empirically-supported methods, including how fidelity maintained foster positive outcomes across settings.

Язык: Английский

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