ABSTRACT

Background

While communication partner training (CPT) is recommended in the treatment of aphasia, more research on the long-term effect of CPT is needed to enhance the knowledge base about its effects.

Aim

To measure the effects both during training and maintenance phases of a CPT offered to a spouse of a man with aphasia by using quantitative and qualitative procedures.

Method

One couple participated in 8 sessions of CPT. Conversations were recorded at baseline, throughout the intervention and three months post-intervention. The intervention targeted the type of questions asked by the spouse and the use of extended pauses in conversation. We defined these behaviors and counted their occurrences using a software. Visual analysis and standard deviation band analysis were performed. Also, the spouse participated in a semi-structured interview before and after intervention, which was analysed qualitatively.

Outcomes & Results

Positive changes were observed during intervention – more open-ended questions were produced, and the number of pauses increased – but these improvements were not maintained three months later. The spouse reported that CPT had changed their daily communication and that it provided support for her.

Conclusions & Implications

The quantitative results gave precise and specific information on how the spouse responded to CPT overtime and that could lead to suggestions regarding the content of the intervention in order to promote maintenance in future studies. The qualitative analysis reflected the broader impact of CPT on the couple’s communication.

中文翻译：

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跟踪交流伙伴培训期间和之后的对话变化：一项探索性研究

摘要

背景

虽然在治疗失语症时建议进行沟通伙伴培训 (CPT)，但需要对 CPT 的长期影响进行更多研究，以增强有关其影响的知识基础。

目标

通过使用定量和定性程序来衡量提供给失语症男性配偶的 CPT 在训练和维持阶段的效果。

方法

一对夫妇参加了8次CPT。在基线、整个干预过程和干预后三个月记录对话。干预的目标是配偶提出的问题类型和谈话中长时间停顿的使用。我们定义了这些行为并使用软件计算了它们的发生次数。进行了视觉分析和标准偏差带分析。此外，配偶在干预前后参加了半结构化访谈，并对其进行了定性分析。

结果和结果

在干预期间观察到了积极的变化——提出了更多的开放式问题，停顿的次数增加了——但这些改进在三个月后并没有保持下去。配偶报告说，CPT 改变了他们的日常交流方式，并为她提供了支持。

结论与启示

定量结果提供了有关配偶如何应对 CPT 加班的精确和具体信息，这可能会导致有关干预内容的建议，以促进未来研究中的维持。定性分析反映了 CPT 对夫妻交流的更广泛影响。