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Computerized script training for aphasia: preliminary results.

PURPOSE: This article describes computer software that was developed specifically for training conversational scripts and illustrates its use with 3 individuals with aphasia. METHOD: Three participants with chronic aphasia (Broca's, Wernicke's, and anomic) were assessed before and after 9 weeks of a...

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Published in:American Journal of Speech-Language Pathology Vol. 17; no. 1; pp. 19 - 35
Main Authors: Cherney LR, Halper AS, Holland AL, Cole R
Format: Journal Article
Published: American Speech-Language-Hearing Association Feb2008
Online Access:View this record in EBSCOhost
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      dt: Feb2008
      vid: 17
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        atl: Computerized script training for aphasia: preliminary results.
      aug:
        au:
          Cherney LR
          Halper AS
          Holland AL
          Cole R
        affil: Center for Aphasia Research, Rehabilitation Institute of Chicago, 345 East Superior Street, Chicago, IL 60611. E-mail: lcherney@ric.org.
      sug:
        subj:
          Aphasia Therapy
          Therapy, Computer Assisted Methods
          Aphasia Etiology
          Chronic Disease
          Clinical Assessment Tools
          Dominance, Cerebral Physiology
          Software
          Stroke Complications
      ab: PURPOSE: This article describes computer software that was developed specifically for training conversational scripts and illustrates its use with 3 individuals with aphasia. METHOD: Three participants with chronic aphasia (Broca's, Wernicke's, and anomic) were assessed before and after 9 weeks of a computer script training program. For each participant, 3 individualized scripts were developed, recorded on the software, and practiced sequentially at home. Weekly meetings with the speech-language pathologist occurred to monitor practice and assess progress. Baseline and posttreatment scripts were audiotaped, transcribed, and compared to the target scripts for content, grammatical productivity, and rate of production of script-related words. Interviews with the person with aphasia and his or her significant other were conducted at the conclusion of treatment. RESULTS: All measures (content, grammatical productivity, and rate of production of script-related words) improved for each participant on every script. Two participants gained more than 5 points on the Aphasia Quotient of the Western Aphasia Battery. Five positive themes were consistently identified from the exit interviews-increased verbal communication, improvements in other modalities and situations, communication changes noticed by others, increased confidence, and satisfaction with the software. CONCLUSION: Computer-based script training potentially may be an effective intervention for persons with chronic aphasia.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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