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A Systematically Conducted Scoping Review of the Evidence and Fidelity of Treatments for Verb and Sentence Deficits in Aphasia: Sentence Treatments
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An umbrella review of aphasia intervention description in research: The AsPIRE project
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In: Research outputs 2014 to 2021 (2022)
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Creating a novel approach to discourse treatment through coproduction with people with aphasia and speech and language therapists
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Creating a theoretical framework to underpin discourse assessment and intervention in aphasia
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A systematic review of language and communication intervention research delivered in groups to older adults living in care homes
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An Umbrella Review of Aphasia Intervention descriPtion In Research: the AsPIRE project
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Creating a novel approach to discourse treatment through coproduction with people with aphasia and speech and language therapists
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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
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The City Gesture Checklist: The development of a novel gesture assessment
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UK speech and language therapists’ views and reported practices of discourse analysis in aphasia rehabilitation
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A Systematically Conducted Scoping Review of the Evidence and Fidelity of Treatments for Verb Deficits in Aphasia: Verb-in-Isolation Treatments
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Abstract:
Purpose: Aphasia research demonstrates increasing interest in the treatment of verb retrieval deficits. This systematically conducted scoping review reports on the level and fidelity of the current evidence for verb treatments; on its effectiveness regarding the production of trained and untrained verbs, functional communication, sentences, and discourse; and on the potential active ingredients. Recommendations to guide clinical decision making and future research are made. Method: The computerized database search included studies from January 1980 to September 2018. The level of evidence of each study was documented, as was fidelity in terms of treatment delivery, enactment, and receipt. Studies were also categorized according to the treatment methods used. Results: Thirty-seven studies were accepted into the review, and all but 1 constituted a low level of evidence. Thirty-three studies (89%) described treatment in sufficient detail to allow replication, dosage was poorly reported, and the fidelity of treatment was rarely assessed. The most commonly reported treatment techniques were phonological and semantic cueing in 25 (67.5%) and 20 (54%) studies, respectively. Retrieval of trained verbs improved for 80% of participants, and improvements generalized to untrained verbs for 15% of participants. There was not sufficient detail to evaluate the impact of treatment on sentence production, functional communication, and discourse. Conclusions: The evidence for verb treatments is predominantly of a low level. There are encouraging findings in terms of treatments being replicable; however, this is tempered by poor monitoring of treatment fidelity. The quality of verb treatment research would be improved by researchers reaching consensus regarding outcome measures (including generalization to, e.g., sentences and discourse) by manualizing treatment to facilitate implementation and exploring the opinions of participants. Finally, while treatment is largely effective in improving production of trained verbs, lack of generalization to untrained items leads to the recommendation that personally relevant verbs are prioritized.
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Keyword:
P Philology. Linguistics
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URL: https://doi.org/10.1044/2019_AJSLP-CAC48-18-0234 https://openaccess.city.ac.uk/id/eprint/23198/1/Verb-in-Isolation%20Tx%20Review%20Paper%20AJSLP%202019.pdf https://openaccess.city.ac.uk/id/eprint/23198/
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The influence of conversation parameters on gesture production in aphasia
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Psychometric properties of discourse measures in aphasia: acceptability, reliability, and validity
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How do speakers with and without aphasia use syntax and semantics across two discourse genres?
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The use and function of gestures in word-finding difficulties in aphasia
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Cultural adaptation and psychometric testing of The Scenario Test UK for people with aphasia
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Psychometric properties of discourse measures in aphasia: acceptability, reliability, and validity
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