Improving Language in Individual Conversation-Level Therapy: Group and Individual Results of ECoLoGiC Treatment for People With Moderate and Severe Aphasia.
Purpose: The aim of this study was to evaluate group- and individual-level impact of ECoLoGiC (Expanding Communication and Language Opportunities Generated in Conversation) Treatment (ECoLoGiC-Tx), an aphasia intervention aimed at improving conversational language. In addition, treatment fidelity fo...
| Publicado en: | American Journal of Speech-Language Pathology Vol. 35; no. 2; pp. 476 - 500 |
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| Autores principales: | , , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
American Speech-Language-Hearing Association
Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192247750&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192247750 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10580360 5E7 jtl: American Journal of Speech-Language Pathology issn: 10580360 maglogo: N pubinfo: dt: Mar2026 vid: 35 iid: 2 pid: 42 pub: American Speech-Language-Hearing Association place: Rockville, Maryland artinfo: ui: 192247750 192247750 192247750 10.1044/2025_AJSLP-25-00113 192247750 ppf: 476 ppct: 24 formats: tig: atl: Improving Language in Individual Conversation-Level Therapy: Group and Individual Results of ECoLoGiC Treatment for People With Moderate and Severe Aphasia. aug: au: Leaman, Marion C. Edmonds, Lisa A. Oleson, Jacob J. Williams, Kristine N. affil: University of Kansas Medical Center, Kansas City sug: subj: Communication Aphasia Rehabilitation Severity of Disability Speech Therapy Language Therapy Methods Treatment Outcomes Speech-Language Pathology Rehabilitation, Speech and Language Human Grammar Reading Quasi-Experimental Studies Stroke Complications Pilot Studies Clinical Trials Task Performance and Analysis Funding Source Language Tests Scales ab: Purpose: The aim of this study was to evaluate group- and individual-level impact of ECoLoGiC (Expanding Communication and Language Opportunities Generated in Conversation) Treatment (ECoLoGiC-Tx), an aphasia intervention aimed at improving conversational language. In addition, treatment fidelity for the speechlanguage pathologists (SLPs) who delivered treatment was evaluated, providing feasibility data to optimize successful future field implementation. Method: Ten people with moderate or severe aphasia completed 10 weeks of ECoLoGiC-Tx delivered twice weekly for 1 hr. Testing occurred at pretreatment, posttreatment, and at 6 weeks maintenance. Conversation/monologue samples were collected three times per testing phase. Group results were analyzed using linear mixed models. Individual data were analyzed using effect size and minimal detectable change criteria. Treatment fidelity was analyzed using an established 23-point checklist. Results: Robust results indicate generalization across measure types at group and individual levels. Participants improved their ability to convey meaning in conversation, the primary focus of ECoLoGiC-Tx. They demonstrated an average gain of 11.31 points on the Western Aphasia Battery-Revised (range: -1 to 21.5), and 7/10 participants shifted to a less impaired category of severity (e.g., from severe to moderate aphasia). Group-level change did not occur for reading, sentence construction in a picture task or in monologue, or Grammaticality in conversation/monologue. SLP fidelity was 97.3%. Conclusions: Pilot study findings were replicated, with robust group and individual results. Exceptional improvements occurred for 9/10 participants. Results demonstrate generalization of skills to conversation and reduced aphasia severity for most participants. Deliverability of ECoLoGiC-Tx was evidenced by very high treatment fidelity by practicing SLPs, suggesting good potential for successful field implementation. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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