ABSTRACT Background: Attentive Reading with Constrained Summarization-Written (ARCS-W) is a treatment in development that was adapted to improve written and spoken discourse in people with mild aphasia by targeting the cognitive requirements of discourse production. The current research represents the second report of ARCS-W and aimed to refine the protocol and replicate previous results. Aims: Determine if and to what extent ARCS-W affects the following abilities at post-treatment and one-month post-treatment:1. Micro and macrolinguistic written discourse abilities.2. Micro and macrolinguistic spoken discourse abilities.3. Other measures of language, including confrontation naming (spoken and written), sentence production and functional communication. Methods & Procedures: ARCS-W was administered to two participants with mild aphasia in a pre- to post-treatment design. Treatment required attentive reading followed by constrained summarization of novel news articles in the written and spoken modalities. Constraints were: use specific words, use complete sentences, stay on topic. Treatment outcomes evaluated micro (correct information units, complete utterances, grammatically complex utterances) and macrolinguistic (main events and main ideas, global coherence) discourse structure, confrontation naming, sentence production, and functional communication. Outcomes & Results: Both participants demonstrated improvement in untrained discourse at micro and macro levels. Participant 1 improved lexical specificity in confrontation naming and the proportion of main events and main ideas conveyed in discourse, and Participant 2 improved topic maintenance and lexical retrieval in discourse. Conclusions: There are few treatments for people with mild aphasia that work at a discourse level and these findings provide further evidence that ARCS-W may be a treatment option to improve written and spoken discourse in this population.

中文翻译：

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Attentive Reading with Constrained Summarization-Written，一种针对轻度失语症的多模态话语级治疗

摘要 背景：带有约束性总结的专注阅读（ARCS-W）是一种发展中的治疗方法，通过针对话语产生的认知要求，适用于改善轻度失语症患者的书面和口头话语。当前的研究代表了 ARCS-W 的第二份报告，旨在完善协议并复制以前的结果。目的：确定 ARCS-W 是否以及在多大程度上影响治疗后和治疗后 1 个月的以下能力：1．微观和宏观语言书面话语能力。2。微观和宏观语言的口语话语能力。3。其他语言测量，包括对抗命名（口语和书面语）、句子产生和功能交流。方法和程序：ARCS-W 在治疗前至治疗后的设计中对两名患有轻度失语症的参与者进行了管理。治疗需要专心阅读，然后以书面和口头形式对新的新闻文章进行有限的总结。限制条件是：使用特定的词，使用完整的句子，停留在主题上。治疗结果评估微观（正确的信息单元、完整的话语、语法复杂的话语）和宏观语言（主要事件和主要思想、全局连贯性）话语结构、对抗命名、句子产生和功能交流。结果和结果：两位参与者都在微观和宏观层面上展示了未经训练的话语的改进。参与者 1 提高了对抗命名的词汇特异性以及话语中传达的主要事件和主要思想的比例，参与者 2 改进了话语中的主题维护和词汇检索。结论：对于轻度失语症患者，很少有在话语层面起作用的治疗方法，这些发现提供了进一步的证据，证明 ARCS-W 可能是改善该人群书面和口头话语的一种治疗选择。