Effects of Script Training to Improve Discourse in a Patient With Chronic Aphasia.

Purpose: Script training is a well-known treatment designed to improve functional communication in patients with aphasia. In this clinical study, we examined the effects of low-tech script training for J.W., a 73-year-old patient with chronic nonfluent aphasia acquired at age 60 years. Method: Using...

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Publicado en:Perspectives of the ASHA Special Interest Groups Vol. 9; no. 1; pp. 35 - 49
Autores principales: Hollo, Alexandra, Ensar, Büşra, Meigh, Kimberly M.
Formato: clinical trial research tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Feb2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2024
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        10.1044/2023_PERSP-23-00161
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        atl: Effects of Script Training to Improve Discourse in a Patient With Chronic Aphasia.
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        au:
          Hollo, Alexandra
          Ensar, Büşra
          Meigh, Kimberly M.
        affil: Division of Communication Sciences and Disorders, West Virginia University School of Medicine, Morgantown
      sug:
        subj:
          Aphasia Therapy
          Chronic Disease Therapy
          Speech Therapy Methods
          Speech Production Measurement
          Human
          Male
          Aged
          Clinical Trials
          Pretest-Posttest Design
          Stroke Patients
          Language Therapy
          Language Tests
          Grammar
          Speech and Language Assessment
          Time Factors
          Speech Rate
          Communication
          Outcome Assessment
          Descriptive Statistics
          Funding Source
          Aged: 65+ years
          Male
      ab: Purpose: Script training is a well-known treatment designed to improve functional communication in patients with aphasia. In this clinical study, we examined the effects of low-tech script training for J.W., a 73-year-old patient with chronic nonfluent aphasia acquired at age 60 years. Method: Using a single-subject, multiple-baseline design across three scripts, we assessed the effects of script training on percent script correct (PSC) and words per minute (WPM). The study took place in a university-based outpatient clinic and consisted of six training sessions plus 15 min of recommended daily homework. We adapted standard procedures in accordance with J.W.'s individual strengths, limitations, and preferences. Results: J.W. reached criterion (PSC = 80%) within two to three training sessions across three scripts (pretreatment: M = 17%, posttreatment: M = 83%). Moreover, he improved in communication effectiveness, nearly doubling his rate of speech from pre- (M = 31.53 WPM) to posttreatment (M = 59.59 WPM) sessions. Conclusions: We conclude that a brief script training intervention improved the ability to communicate effectively and efficiently for this patient with chronic aphasia. Anecdotally, J.W. also reported using the scripts successfully outside of the therapy room on a regular basis and expressed an interest in using script training in the future. Although methodological limitations of this clinical study must be considered, low-tech script training appears to have benefited this patient's ability to engage in functional discourse even 13 years post-stroke.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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