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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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Abstract:
Discourse (a unit of language longer than a single sentence) is fundamental to everyday communication. People with aphasia (a language impairment occurring most frequently after stroke, or other brain damage) have communication difficulties which lead to less complete, less coherent, and less complex discourse. Although there are multiple reviews of discourse assessment and an emerging evidence base for discourse intervention, there is no unified theoretical framework to underpin this research. Instead, disparate theories are recruited to explain different aspects of discourse impairment; or symptoms are reported without a hypothesis about the cause. What is needed is a theoretical framework that would clarify the specific linguistic skills that create completeness, coherence, and complexity (i.e. richness) in discourse; and illuminate both the processes involved in discourse production and the reasons for breakdown. This paper reports a review and synthesis of the theoretical literature relevant to spoken discourse in aphasia discourse; and we propose a novel theoretical framework which unites these disparate sources. This framework is currently being tested as the foundation for LUNA (Linguistic Underpinnings of Narrative in Aphasia) treatment research. In this paper we outline the novel framework and exemplify how it might be used to guide clinical practice and research. Future collaborative research is needed to progress this framework into a processing model for spoken discourse.
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Keyword:
BF Psychology; RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
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URL: https://doi.org/10.3390/brainsci11020183 http://www.mdpi.com/journal/brainsci https://openaccess.city.ac.uk/id/eprint/25556/1/LUNA%20Framework%20paper.pdf https://openaccess.city.ac.uk/id/eprint/25556/
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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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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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