Sorting the "mixed bag" of semantic tasks in aphasia therapy: a scoping review.

Background: Semantic therapy tasks are popular in aphasia rehabilitation, with many different treatments reported that claim to target semantic processing and to effect improvement. While most tasks involve some semantic processing, the term "semantic therapy task" generally refers to tasks with an...

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Published in:Aphasiology Vol. 39; no. 7; pp. 968 - 1006
Main Authors: Shenoy, Rajath, Harvey, Sam, Krishnan, Gopee, Nickels, Lyndsey
Format: glossary questions and answers research systematic review tables/charts Journal Article
Published: Taylor & Francis Ltd Jul2025
Online Access:View this record in EBSCOhost
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        02687038
        B6J
      jtl: Aphasiology
      issn: 02687038
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    pubinfo:
      dt: Jul2025
      vid: 39
      iid: 7
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        186083011
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        186083011
        186083011
        10.1080/02687038.2024.2401421
        186083011
      ppf: 968
      ppct: 38
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        atl: Sorting the "mixed bag" of semantic tasks in aphasia therapy: a scoping review.
      aug:
        au:
          Shenoy, Rajath
          Harvey, Sam
          Krishnan, Gopee
          Nickels, Lyndsey
        affil: Department of Speech and Hearing, Manipal Academy of Higher Education, Manipal, India
      sug:
        subj:
          Task Performance and Analysis Evaluation
          Semantics Utilization
          Aphasia Rehabilitation
          Speech Therapy Methods
          Language Processing
          Human
          Funding Source
          Scoping Review
          Stroke Complications
          Stroke Patients
          Descriptive Statistics
          Cues
          Program Implementation
          Reading
      ab: Background: Semantic therapy tasks are popular in aphasia rehabilitation, with many different treatments reported that claim to target semantic processing and to effect improvement. While most tasks involve some semantic processing, the term "semantic therapy task" generally refers to tasks with an explicit focus on meaning (e.g. semantic feature analysis, odd-one out), rather than tasks that only require implicit semantic processing (e.g. repetition in the presence of the picture). Despite the focus on meaning, the active ingredients underpinning explicit semantic tasks remain unclear. Aim: This research aimed to examine the prevalence and change over time in the use of different explicit semantic therapy tasks, identifying the steps within each task and the variability of these tasks and steps across studies. Method and procedures: Scoping review methodology was used to systematically search for studies published before November 3, 2022. Studies were included if they reported primary data that included participants with stroke aphasia and described semantic therapy tasks. We documented explicit semantic tasks and their component steps, and examined variability across semantic therapy studies. Outcomes and results: 8,571 records were screened, 631 full-text articles assessed for eligibility, and 244 articles were included. We identified 67 distinct semantic tasks. Over time, there was a significant increase in the studies using semantic feature analysis (i.e. semantic feature generation protocol ± semantic feature review), and a corresponding decrease in the studies using other tasks. There was considerable variability in the implementation of semantic tasks, with different combinations of steps. We examined two tasks in detail (semantic feature generation, cueing hierarchy). Variability in the implementation of semantic feature generation included differences in the features used, whether or not feature choice was provided, whether feature repetition was required, and the inclusion of additional tasks (e.g. response elaboration training). Cueing hierarchies varied in the type, number, and order of cues provided. Conclusion: This scoping review demonstrates the continued and increasing use of explicit semantic tasks in aphasia rehabilitation. By detailing the steps used in explicit semantic tasks, we highlight variability in their implementation. Semantic tasks are often multicomponent, multimodal and/or combined with additional tasks, and the vast majority include a word-form component (e.g. picture naming, repetition in the presence of a picture). The active ingredients of semantic tasks are obscured by this variability. Future research is required to further our understanding of the active and essential ingredients of semantic therapy provided to people with aphasia.
      pubtype: Academic Journal
      doctype:
        glossary
        questions and answers
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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