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An aphasia research agenda – a consensus statement from the collaboration of aphasia trialists
In: Research outputs 2014 to 2021 (2022)
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Creating a theoretical framework to underpin discourse assessment and intervention in aphasia
In: Research outputs 2014 to 2021 (2021)
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Treatment for improving discourse in aphasia: A systematic review and synthesis of the evidence base
In: Research outputs 2014 to 2021 (2021)
Abstract: Background: Improved discourse production is a priority for all key stakeholders in aphasia rehabilitation. A Cochrane review of randomised controlled trials (RCTs) for aphasia found speech and language therapy treatment to be effective for improving the ability to communicate in everyday interaction. However, this large-scale review did not focus exclusively on treatment for discourse production and did not include other treatment research designs. Thus, the extent of the evidence base addressing discourse interventions is currently unclear. Objective: The present study undertakes the first systematic review of research on treatment for discourse production in aphasia, appraises the quality of the evidence base; characterises the methods for measuring outcomes; and describes discourse treatment in terms of both content and efficacy. Design: Scopus, Medline, and EmBase databases were searched, providing 334 records. Twenty-five studies (reporting on 127 participants) met inclusion criteria and were reviewed with the following research questions: What is the quality of the study designs used? How complete is the intervention reporting? What is the range, type, and content of outcome measures used? What is the range, type, and content of discourse treatments reported to date? Are discourse treatments efficacious? Results: Seven of the 25 studies met the criteria for quality review, with 3 RCTs scoring moderately well and 3 (of 4) case studies scoring moderate-low. Most studies had adequate levels of completeness of treatment reporting, with 3 scoring highly. There were 514 different outcome measures reported across the 25 studies, with measures of words-in-discourse the most common. Studies were grouped into six treatment categories: “word production in discourse”, “sentence production in discourse”, “discourse macrostructure”, “discourse scripts”, “multi-level”, and “no consensus”. Twenty-two studies reported post-treatment gains, most commonly noted in increased word production. Changes in sentence production and discourse macrostructure were present but infrequently assessed. Conclusions: Discourse treatment is an emerging field of research. Despite limitations in the evidence base, there are clear positive signs that discourse treatment is efficacious. There is emerging evidence for beneficial effects on word and sentence production in discourse, for improved discourse macrostructure, and for treatments working at multiple levels of language. To strengthen the evidence in this field and improve outcomes for people with aphasia, we need more discourse treatment research using an explicit theoretical rationale, high-quality study designs, more complete reporting, and agreed treatment and assessment methods.
Keyword: Aphasia; connected speech; discourse; intervention; Medicine and Health Sciences; narrative; treatment
URL: https://ro.ecu.edu.au/ecuworkspost2013/8382
https://doi.org/10.1080/02687038.2020.1765305
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4
Intensive Comprehensive Aphasia Programmes: a systematic scoping review and analysis using the TIDieR checklist for reporting interventions ...
Monnelly, Katie; Marshall, Jane; Cruice, Madeline. - : Taylor & Francis, 2021
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Intensive Comprehensive Aphasia Programmes: a systematic scoping review and analysis using the TIDieR checklist for reporting interventions ...
Monnelly, Katie; Marshall, Jane; Cruice, Madeline. - : Taylor & Francis, 2021
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6
Development of a self-management intervention for stroke survivors with aphasia using co-production and behaviour change theory: An outline of methods and processes
In: PLoS One (2021)
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7
Treatment fidelity of technology-enhanced reading therapy (CommuniCATE) for people with aphasia
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8
Delivering group support for people with aphasia in a virtual world: experiences of service providers.
Caute, Anna; Cruice, Madeline; Devane, Niamh. - : Taylor and Francis, 2021
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9
Preliminary outcomes from a pilot study of personalised online supported conversation for participation intervention for people with Aphasia
Cruice, Madeline; Woolf, Celia; Caute, Anna. - : Informa UK Limited, 2021
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10
Creating a Theoretical Framework to Underpin Discourse Assessment and Intervention in Aphasia
In: Brain Sci (2021)
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11
Assessing Parent Behaviours in Parent–Child Interactions with Deaf and Hard of Hearing Infants Aged 0–3 Years: A Systematic Review
In: J Clin Med (2021)
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12
Assessing Parent-Child Interaction in Infant Deafness
In: Curr Opin Otolaryngol Head Neck Surg (2021)
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13
An aphasia research agenda - a consensus statement from the collaboration of aphasia trialists.
In: Ali, Myzoon Soroli, Efstathia Jesus, Luis M. T. Cruice, Madeline Isaksen, Jytte Visch-Brink, Evy Grohmann, Kleanthes K. Jagoe, C. Kukkonen, Tarja Varlokosta, Spyridoula Hernández Sacristán, Carlos Rosell Clari, Vicent Palmer, Rebecca Martinez Ferreiro, Silvia Godecke, Erin Wallace, Sarah J. McMenamin, Ruth Copland, David Breitenstein, Caterina Bowen, Audrey Laska, Ann-Charlotte Hilari, Katerina Brady, Marian C. 2021 An aphasia research agenda - a consensus statement from the collaboration of aphasia trialists. Aphasiology 1 21 (2021)
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14
UK speech and language therapists' views and reported practices of discourse analysis in aphasia rehabilitation
In: Research outputs 2014 to 2021 (2020)
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15
Establishing consensus on a definition of aphasia: an e-Delphi study of international aphasia researchers
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16
A core outcome set for aphasia treatment research: The ROMA consensus statement
In: Research outputs 2014 to 2021 (2019)
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17
Technology‐enhanced reading therapy for people with aphasia: findings from a quasi‐randomized waitlist controlled study
Caute, Anna; Woolf, Celia; Wilson, Stephanie. - : American Speech-Language-Hearing Association, 2019
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18
Technology-enhanced writing therapy for people with aphasia: results of a quasi-randomized waitlist controlled study
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19
Increasing the intensity and comprehensiveness of aphasia services: identification of key factors influencing implementation across six countries
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20
Reporting interventions in communication partner training: a critical review and narrative synthesis of the literature
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