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Related Concept Videos

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing01:23

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing

Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...

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A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
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Patient-reported changes in communication after computer-based script training for aphasia.

Larry M Manheim1, Anita S Halper, Leora Cherney

  • 1Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Archives of Physical Medicine and Rehabilitation
|April 7, 2009
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Summary
This summary is machine-generated.

A home-based computer intervention significantly reduced communication difficulties in adults with aphasia. This improvement was sustained after treatment, offering preliminary support for this approach.

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Area of Science:

  • Neurology
  • Speech-Language Pathology
  • Rehabilitation Medicine

Background:

  • Aphasia, a communication disorder resulting from brain damage, significantly impacts conversational abilities.
  • Patient-reported outcomes are crucial for evaluating the effectiveness of communication interventions.
  • Home-based, technology-assisted therapies offer potential for accessible and scalable aphasia rehabilitation.

Purpose of the Study:

  • To assess the impact of a home-based, computer-delivered intervention on patient-reported communication difficulty in adults with chronic aphasia.
  • To evaluate the sustainability of intervention effects on communication skills.

Main Methods:

  • A delayed treatment design was employed with 20 adults experiencing chronic aphasia.
  • Intervention involved personalized script development with a speech-language pathologist, followed by 9 weeks of intensive home computer practice.
  • Patient-reported communication difficulty was measured using the Communication Difficulty (CD) subscale of the Burden of Stroke Scale (BOSS).

Main Results:

  • The intervention led to a statistically significant decrease of 6.79 points on the BOSS CD subscale (P=.038).
  • This reduction in communication difficulty was maintained at the follow-up assessment.
  • The findings indicate a positive clinical impact on patient-reported outcomes.

Conclusions:

  • This study provides preliminary evidence supporting the use of home-based, computer-delivered interventions for improving communication in adults with aphasia.
  • The intervention demonstrated efficacy in reducing patient-reported communication challenges.
  • Further research is necessary to confirm the efficacy and effectiveness of this approach in larger populations.