A Randomized Controlled Trial of the Effects of Group Conversation Treatment on Monologic Discourse in Aphasia

Autor/inn/en	Hoover, Elizabeth; DeDe, Gayle; Maas, Edwin
Titel	A Randomized Controlled Trial of the Effects of Group Conversation Treatment on Monologic Discourse in Aphasia
Quelle	In: Journal of Speech, Language, and Hearing Research, 64 (2021) 12, S.4861-4875 (15 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Hoover, Elizabeth) ORCID (Maas, Edwin)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1092-4388
Schlagwörter	Groups; Speech Therapy; Aphasia; Discourse Analysis; Social Isolation; Outcomes of Treatment; Comparative Analysis; Diagnostic Tests; Pictorial Stimuli; Task Analysis; Story Telling; Standardized Tests; Speech Communication; Maintenance; Massachusetts (Boston); Pennsylvania (Philadelphia) + Suchen Sie Ihr Suchwort? Entwicklungsproximale Sprachtherapie; Logotherapie; Expressive Aphasie; Aphasie; Diskursanalyse; Soziale Isolation; Diagnostic test; Diagnostischer Test; Fantasieanregung; Aufgabenanalyse; Standadised tests; Standardisierter Test
Abstract	Purpose: Evidence has shown that group conversation treatment may improve communication and reduce social isolation for people with aphasia. However, little is known about the impact of conversation group treatment on measures of discourse. This project explored the impact of conversation treatment on measures of monologic discourse. Method: In this randomized controlled trial, 48 participants with chronic aphasia were randomly assigned to dyadic, large group, or control conditions. Conversation group treatment was provided for 1 hr, twice per week, for 10 weeks. Discourse samples were collected and coded at pretreatment, posttreatment, and 6-week maintenance. There were three narrative tasks: (1) Comprehensive Aphasia Test (CAT) picture description; (2) Cat Rescue Picture; and (3) Cinderella retell. All narratives were coded using the percent correct information units (percent CIUs), the CAT standardized narrative analysis method, and the complete utterance (CU) method. Results: No significant changes were observed on percent CIU, which was the primary outcome measure. The treated groups demonstrated improvement on aspects of the CU method following treatment, whereas the control group did not. Significant changes were observed for other CIU measures and the CAT standardized narrative analysis in both the treated and control groups. Conclusions: The results suggest that the CU measures were more sensitive to the effects of conversation treatment in monologic discourse compared to CIU and CAT measures. Changes were more common in absolute rather than relative values, suggesting that conversation treatment impacts the overall amount of language produced rather than efficiency of production. (As Provided).
Anmerkungen	American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01