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Effect of an intensive comprehensive aphasia program on language and communication in chronic aphasia
Aphasiology ( IF 2 ) Pub Date : 2021-08-17 , DOI: 10.1080/02687038.2021.1959016
Noémie Auclair-Ouellet 1, 2, 3 , Lauren Tittley 1 , Kelly Root 1
Affiliation  

ABSTRACT

Intensity has been identified as an important determinant of treatment effectiveness in aphasia, especially in the chronic phase. Intensive Comprehensive Aphasia Program (ICAP) is a popular treatment delivery model that includes an array of treatment approaches provided at a high level of intensity. Only a few studies have reported the effect of ICAPs on language and communication so far. The effect of intensity on different interventions provided as part of the program should also be studied to optimize the delivery schedule. The first aim of this study was to measure the effect of an ICAP for people with chronic aphasia using consensus outcome measures and other standard tests. The second aim was to test the effect of intensity on naming treatments provided during the ICAP. People with aphasia (n = 7) who had their strokes at least 6 months before the beginning of the study attended an ICAP that was provided for 4 hours a day, 3 days a week over 4 weeks (48 hours in total). On each treatment day, participants received 2 hours of individual therapy, 1 hour of technology-based therapy, and 1 hour of group therapy. Individual therapy included a naming treatment using two equivalent lists of words. One list was treated once a week for 4 weeks while the other was treated on four consecutive treatment days. Lists were controlled for word length, word frequency, number of words from a specific semantic category, and average naming accuracy at baseline. Both lists were treated using the same approach. As a group, participants had higher total scores on the Boston Naming Test (BNT) after attending the ICAP. The change on the Western Aphasia Battery – Revised Aphasia Quotient (WAB-R AQ) was not significant. No change was observed on measures of emotional well-being, quality of life, and functional communication. Individual comparisons using published benchmarks for significant change following aphasia treatments showed significant changes in all participants on the BNT, the WAB-R AQ, or both. Participants made significant naming gains for words treated once a week over four weeks and words treated on four consecutive treatment days. There was no difference between the two naming treatment schedules. All participants made measurable language gains following their participation in an ICAP. More studies are needed to understand the effect of intensity on components of ICAPs and to apply this knowledge to optimize treatments.



中文翻译:

强化综合失语计划对慢性失语症患者语言和交流的影响

摘要

强度已被确定为失语症治疗效果的重要决定因素,尤其是在慢性期。强化综合失语症计划 (ICAP) 是一种流行的治疗实施模式,其中包括以高强度提供的一系列治疗方法。迄今为止,只有少数研究报告了 ICAP 对语言和交流的影响。还应研究强度对作为计划一部分提供的不同干预措施的影响,以优化交付时间表。本研究的第一个目的是使用共识结果测量和其他标准测试来衡量 ICAP 对慢性失语症患者的影响。第二个目的是测试强度对 ICAP 期间提供的命名处理的影响。失语症患者(n= 7) 在研究开始前至少 6 个月中风的人参加了为期 4 周、每周 3 天、每天 4 小时的 ICAP(总共 48 小时)。在每个治疗日,参与者接受 2 小时的个体治疗、1 小时的技术治疗和 1 小时的团体治疗。个体治疗包括使用两个等效单词列表的命名治疗。一份名单每周治疗一次,持续 4 周,而另一份名单则连续治疗 4 天。列表的词长、词频、来自特定语义类别的词数和基线的平均命名准确度被控制。两个列表都使用相同的方法处理。作为一个群体,参加 ICAP 后,参与者在波士顿命名测试 (BNT) 中的总分更高。西方失语症电池 - 修订的失语商 (WAB-R AQ) 的变化并不显着。在情绪健康、生活质量和功能沟通方面没有观察到变化。使用已发表的失语症治疗后显着变化基准进行的个体比较显示,所有参与者在 BNT、WAB-R AQ 或两者上都有显着变化。参与者在四个星期内每周处理一次的单词和连续四个治疗日处理的单词的命名方面取得了显着的进步。两种命名治疗方案之间没有区别。所有参与者在参加 ICAP 后都取得了可衡量的语言进步。需要更多的研究来了解强度对 ICAP 成分的影响,并将这些知识应用于优化治疗。

更新日期:2021-08-17
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