Better Conversations Communication Partner Training for Progressive and Non-Progressive Aphasia: What Can We Learn...

Area of Science:

• Speech and Language Therapy
• Neurology
• Rehabilitation Medicine

Background:

• Better Conversations Communication Partner Training (CPT) offers individualized strategies for people with communication difficulties and their partners.
• Optimal intensity and dosage for CPT lack research evidence, despite the rise of high-dose aphasia programs.
• This project investigated the acceptability and outcomes of an intensive group CPT model for family dyads.

Purpose of the Study:

• To assess the feasibility and outcomes of an intensive group-based Better Conversations Communication Partner Training (CPT) program.
• To explore participant experiences and the acceptability of the intensive group CPT model.
• To evaluate changes in goal attainment, communication behaviors, confidence, and participation.

Main Methods:

• Developed intensive group programs for non-progressive aphasia and primary progressive aphasia (PPA).
• Delivered 2-week programs (8 days, 4 face-to-face, 4 remote) comprising strategy training, video feedback, and psychological support.
• Collected data through participant interviews, post-treatment, and 3-month follow-up outcome measures.

Main Results:

• Participants received 26 hours of CPT over 2 weeks; the group format and face-to-face sessions were valued.
• While generally acceptable, the intensive dosage was challenging for some individuals with PPA and their partners.
• Most participants (26/31) achieved their self-set communication goals, reporting increased confidence and participation.

Conclusions:

• Intensive group CPT is an acceptable and beneficial intervention for family dyads, including those with non-progressive aphasia and PPA.
• Participants achieved communication goals and reported enhanced confidence and participation.
• Further research is needed to optimize CPT dosage and scheduling for diverse conditions and disease trajectories.