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Summary
This summary is machine-generated.

Web applications are highly feasible for Primary Progressive Aphasia (PPA) patients, showing high usage and minimal technical issues. This technology supports vital speech-language home practice and education for individuals with PPA.

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Area of Science:

  • Neurology
  • Speech and Language Pathology
  • Human-Computer Interaction

Background:

  • Primary Progressive Aphasia (PPA) is a dementia causing progressive language decline, limiting access to care due to intervention and clinician shortages.
  • Technology-supported interventions show promise for improving access to care for PPA patients.
  • No systematic exploration existed regarding factors influencing web application use in the PPA population.

Purpose of the Study:

  • To evaluate the usage and feasibility of an app-based intervention for individuals with PPA.
  • To gather quantitative engagement data and qualitative insights on user experience.
  • To assess the role of technology in supporting PPA interventions.

Main Methods:

  • A 12-month randomized controlled trial (Communication Bridge-2) involving 95 PPA participants.
  • Participants were encouraged to complete 30 minutes of app-based home practice exercises five days weekly.
  • Usage data (logins, completed exercises) and semi-structured post-study interviews (n=79) were analyzed using descriptive statistics and thematic coding.

Main Results:

  • Participants logged in an average of 5.88 times/week and completed exercises on 3.99 days/week.
  • Most users (85%) reported few technical challenges, with common issues being software updates or connectivity.
  • A majority (90%) found the computer-based format helpful, with many (29%) describing the app as user-friendly after training, fostering confidence and motivation.

Conclusions:

  • Web applications demonstrate high usage and feasibility for supporting communication and language interventions in PPA.
  • All participants engaged with the app weekly, completing home practice exercises.
  • Findings support web applications as viable tools for PPA home practice and education, challenging assumptions about technology use in older adults with cognitive-communication impairments.