Patient-reported changes in communication after computer-based script training for aphasia.

Arch Phys Med Rehabil

Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Published: April 2009

AI Article Synopsis

  • The study evaluated a home-based, computer-delivered intervention aimed at improving conversational skills in adults with aphasia, focusing on patient-reported communication difficulties.
  • Twenty participants received training in creating personalized conversational scripts and engaged in 9 weeks of intensive computer practice, monitored by a speech-language pathologist.
  • Results showed a significant decrease in reported communication difficulties, indicating potential benefits of this intervention, though further research is needed to validate its effectiveness.

Article Abstract

Objective: To evaluate changes in patient-reported communication difficulty after a home-based, computer-delivered intervention designed to improve conversational skills in adults with aphasia.

Design: Delayed treatment design with baseline, preintervention, postintervention, and follow-up observations.

Setting: Outpatient rehabilitation.

Participants: Twenty subjects with chronic aphasia.

Interventions: Sessions with the speech-language pathologist to develop personally relevant conversational scripts, followed by 9 weeks of intensive home practice using a computer program loaded on a laptop, and weekly monitoring visits with the speech-language pathologist.

Main Outcome Measure: Communication Difficulty (CD) subscale of the Burden of Stroke Scale (BOSS).

Results: The intervention resulted in a statistically and clinically significant decrease of 6.79 points (P=.038) in the CD subscale of the BOSS during the intervention, maintained during the follow-up period.

Conclusions: The findings of this study provide positive albeit preliminary and limited support for the use of a home-based, computer-delivered language intervention program for improving patient-reported communication outcomes in adults with chronic aphasia. Additional research will be required to examine the efficacy and effectiveness of this intervention.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.apmr.2008.10.022DOI Listing

Publication Analysis

Top Keywords

patient-reported communication
8
communication difficulty
8
home-based computer-delivered
8
intervention
5
patient-reported changes
4
communication
4
changes communication
4
communication computer-based
4
computer-based script
4
script training
4

Similar Publications

Purpose: The range of impairments in children with neurodisability (ND) complicates data collection, yet individualising materials and procedures could enable more children to self-report. This study introduces the Cognitive Accessibility Tracking Questionnaire (CATQ), designed to monitor changes enhancing accessibility ("adaptations") in interview-administered patient-reported outcome measures (PROMs). The CATQ is used in a longitudinal study of mental health and participation in children with ND investigating adaptation use and its utility in assessing the risk of bias introduced by these adaptations.

View Article and Find Full Text PDF

Digital Health Innovations to Catalyze the Transition to Value-Based Health Care.

JMIR Med Inform

January 2025

Department of Public Administration, Law School, Hangzhou City University, Hangzhou, China.

The health care industry is currently going through a transformation due to the integration of technologies and the shift toward value-based health care (VBHC). This article explores how digital health solutions play a role in advancing VBHC, highlighting both the challenges and opportunities associated with adopting these technologies. Digital health, which includes mobile health, wearable devices, telehealth, and personalized medicine, shows promise in improving diagnostic accuracy, treatment options, and overall health outcomes.

View Article and Find Full Text PDF

Identifying Patient Subgroups in the Heterogeneous Chronic Pain Population Using Cluster Analysis.

J Pain

January 2025

Center for Translational Immunology (CTI), University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.

Chronic pain is an ill-defined disease with complex biopsychosocial aspects, posing treatment challenges. We hypothesized that treatment failure results, at least partly, from limited understanding of diverse patient subgroups. We aimed to identify subgroups using psychological variables, allowing for more tailored interventions.

View Article and Find Full Text PDF

Background: Most cancer survivors have multiple cardiovascular risk factors, increasing their risk of poor cardiovascular and cancer outcomes. The Automated Heart-Health Assessment (AH-HA) tool is a novel electronic health record clinical decision support tool based on the American Heart Association's Life's Simple 7 cardiovascular health (CVH) metrics to promote CVH assessment and discussion in outpatient oncology. Before proceeding to future implementation trials, it is critical to establish the acceptability of the tool among providers and survivors.

View Article and Find Full Text PDF

Background: Radiotherapy (RT) in head and neck cancer (HNC) can cause multiple side effects such as nausea, pain, taste loss, fatigue, oral mucositis, xerostomia, and acute radiation-associated dysphagia (RAD). These factors threaten patients' oral intake (OI) during this RT. Reduced OI can cause weight loss, dehydration, malnutrition, and various comorbidities.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!