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Script Training Using Telepractice with Two Adults with Chronic Non-Fluent Aphasia
1DEPARTMENT OF COMMUNICATION SCIENCES & DISORDERS, NORTHERN ARIZONA UNIVERSITY, FLAGSTAFF, AZ, USA.
International Journal of Telerehabilitation
|December 28, 2018
Summary
Videoconferencing-delivered script training improved communication accuracy for individuals with chronic aphasia (a language disorder). This telepractice approach enhanced functional communication and participant satisfaction with speech therapy.
Area of Science:
- Neurology
- Speech-Language Pathology
- Telemedicine
Background:
- Chronic aphasia significantly impairs communication, impacting quality of life.
- Traditional speech therapy may face accessibility challenges for individuals with chronic aphasia.
- Script training is a recognized method for improving functional communication in aphasia.
Purpose of the Study:
- To evaluate the efficacy of script training delivered via videoconferencing for individuals with chronic non-fluent aphasia.
- To assess changes in script accuracy and overall communication effectiveness.
- To gauge participant satisfaction with telepractice for speech therapy.
Main Methods:
- Two male participants with chronic non-fluent aphasia engaged in collaborative script training with family members via videoconferencing.
- Functional scripts were co-developed by people with aphasia (PWA) and their family members.
- Script accuracy was quantified by the percentage of target words produced per turn; communication effectiveness was assessed using pre- and post-questionnaires.
Main Results:
- Participant 1 (Broca's aphasia) improved script accuracy from 0% to 87.5%.
- Participant 2 (Transcortical Motor aphasia) improved script accuracy from 20.2% to 63.5%.
- Participants reported enhanced communication effectiveness, increased confidence in technology-delivered therapy, and greater satisfaction.
Conclusions:
- Videoconferencing is a beneficial modality for delivering script training to individuals with chronic aphasia.
- Telepractice offers a viable and effective alternative for speech therapy, improving functional communication outcomes.
- Script training via telepractice shows promise in enhancing communication abilities and satisfaction for people with aphasia (PWA).
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