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1
Creating a novel approach to discourse treatment through coproduction with people with aphasia and speech and language therapists
Hersh, D.; Scarth, L.; Bannister, J.. - : Informa UK Limited, 2021
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Creating a novel approach to discourse treatment through coproduction with people with aphasia and speech and language therapists
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
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: P Philology. Linguistics; RC Internal medicine
URL: https://openaccess.city.ac.uk/id/eprint/24272/
https://openaccess.city.ac.uk/id/eprint/24272/3/Dipper%20at%20al.%202020.pdf
https://doi.org/10.1080/02687038.2020.1765305
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4
UK speech and language therapists’ views and reported practices of discourse analysis in aphasia rehabilitation
Cruice, M.; Botting, N.; Marshall, J.. - : Wiley, 2020
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5
Increasing the intensity and comprehensiveness of aphasia services: identification of key factors influencing implementation across six countries
Trebilcock, M.; Worrall, L.; Ryan, B.. - : Informa UK Limited, 2019
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6
Psychometric properties of discourse measures in aphasia: acceptability, reliability, and validity
Pritchard, M.; Hilari, K.; Cocks, Naomi. - : John Wiley & Sons Ltd., 2018
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7
Integration of speech and gesture in aphasia
Cocks, Naomi; Byrne, S.; Pritchard, M.. - : John Wiley & Sons Ltd., 2018
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8
Autobiographical memory in aphasia: an exploratory study
Pritchard, M.; Dipper, L.; Salis, C.. - : Informa UK Limited, 2018
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9
Integration of speech and gesture in aphasia
Cocks, N.; Byrne, S.; Pritchard, M.. - : Taylor & Francis, 2018
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10
How do speakers with and without aphasia use syntax and semantics across two discourse genres?
Walkden, E.; Dipper, L.; Cruice, M.. - : Taylor & Francis (Routledge), 2018
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11
Cultural adaptation and psychometric testing of The Scenario Test UK for people with aphasia
Hilari, K.; Galante, L.; Huck, Anneline. - : Taylor & Francis, 2018
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12
Psychometric properties of discourse measures in aphasia: acceptability, reliability, and validity
Pritchard, M.; Hilari, K.; Cocks, N.. - : Wiley, 2018
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13
Reviewing the quality of discourse information measures in aphasia
Pritchard, M.; Hilari, K.; Cocks, Naomi. - : John Wiley & Sons Ltd., 2017
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14
Reviewing the Quality of Discourse Information Measures in Aphasia
Pritchard, M.; Hilari, K.; Cocks, N.. - : Wiley, 2017
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15
Language and iconic gesture use in procedural discourse by speakers with aphasia
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16
The language–gesture connection: Evidence from aphasia
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17
The language-gesture connection: Evidence from aphasia
Morgan, G.; Dipper, L.; Cocks, N.. - : Taylor & Francis, 2015
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18
Language and Iconic Gesture Use in Procedural Discourse by Speakers with Aphasia
Morgan, G.; Dipper, L.; Pritchard, M.. - : Taylor & Francis (Routledge), 2015
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19
The benefits of a 5-day dysphagia intensive placement
Cocks, Naomi; Harding, C.; Pritchard, M.. - : Informa Healthcare, 2014
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20
The benefits of a 5-day dysphagia intensive placement
Cocks, N.; Harding, C.; Pritchard, M.. - : INFORMA HEALTHCARE, 2014
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