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The Influence Of Intensive Treatment In A Cohort Model On Psychosocial Well-Being Of Patients With Aphasia: An Investigation Of Patients’ Quality Of Life Across Three Service Delivery Models, Helena Riley

Graduate Student Theses, Dissertations, & Professional Papers

Aphasia, a common communication disorder following a stroke, significantly impacts psychosocial wellbeing and quality of life. Despite advancements in rehabilitation frameworks, traditional impairment-based interventions prevail, leaving gaps in addressing holistic needs. This study aims to compare patient-reported outcome measures (PROMs) between intensive comprehensive aphasia programs (ICAP), modified ICAPs (mICAPs) and individual usual care (UC) service delivery models for aphasia intervention. Eighteen participants with aphasia were broadly recruited for this study. Each completed a series of PROMs pre-and post-treatment examining psychosocial wellbeing, communicative participation, and health related quality of life. Results indicate that intensive programs show potential for greater gains in …

The Impact Of Treatment Dosage On Cognitive-Linguistic Outcomes Of Patients With Aphasia: An Investigation Of Three Service Delivery Models, Adele J. Derendinger

Graduate Student Theses, Dissertations, & Professional Papers

This study addresses the gap in literature by directly comparing the effectiveness of Intensive Comprehensive Aphasia Programs (ICAPs) and modified ICAPs (mICAPs) to usual care service delivery models for people with aphasia. Through a prospective study design, cognitive-linguistic function change scores across different service delivery models were examined. The findings reveal significant within-group improvements in cognitive-linguistic function for participants in ICAPs, with some improvement seen in mICAPs and usual care conditions. Intensive models demonstrated greater improvement compared to non-intensive usual care models, particularly evident in the Western Aphasia Battery – Revised and the Boston Naming Test – Second Edition. …

An Investigation Of Three Rehabilitation Models On Cognitive-Linguistic And Psychosocial Well-Being Outcomes For Stroke Survivors With Chronic Aphasia, Jenna Ray Griffin

Graduate Student Theses, Dissertations, & Professional Papers

Aphasia, a typically chronic language impairment that impacts expressive and receptive language but does not impact intelligence, occurs in approximately 30 - 40% of stroke survivors. Chronic aphasia negatively impacts functional communication, communicative participation, and psychosocial well-being in stroke survivors. Access to care during the post-acute phase of recovery is limited, requiring novel models of rehabilitation that are person-centered and holistic. The intensive comprehensive aphasia program (ICAP) model has shown proof-of-concept, feasibility, and acceptability to improve patient cognitive-linguistic outcomes, psychosocial well-being, and communicative participation. However, outcomes from an ICAP have not been compared to usual care aphasia therapy or to …

The Impact Of Cognitive Function On Patient Language And Quality Of Life Outcomes For Stroke Survivors With Aphasia Who Participate In An Intensive Comprehensive Aphasia Program (Icap), Kortney M. Krieger

Graduate Student Theses, Dissertations, & Professional Papers

Background: Aphasia is an acquired language disorder that impairs communication, across all modalities of language (i.e., reading, writing, speaking, and comprehension). Aphasia most commonly results from damage to the left hemisphere of the brain (e.g., stroke, traumatic brain injury). Cognitive function including attention, memory, and executive functioning may negatively impact patient outcomes during post-acute rehabilitation of aphasia. Intensive Comprehensive Aphasia Programs (ICAPs) provide intensive, evidence-based and holistic treatment for a cohort of stroke survivors. The impact of these cognitive functions on language outcomes following participation in an ICAP has not been explored.

Aims: To investigate the impact of extralinguistic cognition …

The Impact Of Depression On Treatment Outcomes For Patients With Aphasia Who Participate In An Intensive Comprehensive Aphasia Program (Icap), Harley B. Kincheloe

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Abstract

Background: Aphasia is a multi-modal impairment resulting from left-hemisphere stroke. Aphasia is often accompanied by post-stroke depression. Acquiring aphasia and depression is seen to hinder quality of life and rehabilitative outcomes. Traditional stroke therapy often does not monitor or treat psychological difficulties such as depression. Such psychological difficulties hinder progress in recovery and may need to be addressed in therapy to ensure the best possible outcomes.

Aims: In response to the lack of psychological support for persons with aphasia, this literature review aims to explore the impact of depression on functional outcomes. Furthermore, this literature review will explore how …

The Impact Of Salient Naming Targets During Aphasia Therapy, Kathy Kay Molesh, Catherine Off Ph.D., Craig Mcfarland Ph.D., Jenna Griffin M.S.

Graduate Student Theses, Dissertations, & Professional Papers

Translational research has led to aphasia therapies that incorporate principles of experience dependent neuroplasticity. The neuroplasticity principle of salience has received less attention from speech language pathologists than other principles, such as dose and treatment intensity. Incorporating salience in aphasia therapies has the potential to increase functional outcomes by addressing multiple aspects of the World Health Organization’s International Classification of Functioning, Disability and Health. This study explored the impact of salient stimuli targets on picture naming acquisition and maintenance for two individuals with chronic aphasia, following cerebrovascular accident. Participants were enrolled in a five-week Intensive Comprehensive Aphasia Program (ICAP) at …

Caregiver Perspectives: A Phenomenological Study Of Group Education During An Intensive Comprehensive Aphasia Program, Maggie Colstad

Graduate Student Theses, Dissertations, & Professional Papers

The purpose of this study was to explore the benefits of a caregiver education, training, and wellness program to improve caregiver outcomes in the context of aphasia rehabilitation. Eight caregivers participated in one-hour group treatment sessions across four weeks as part of an intensive comprehensive aphasia program. Information about stroke and aphasia was provided in a didactic format, and facilitative communication strategies were discussed and practiced using Kolb’s (1984) experiential learning cycle model. This qualitative study adhered to Moustakas’ phenomenological approach. Participant post-treatment interviews were transcribed and coded for themes relating to their experiences throughout the treatment program. Caregivers described …

Neuroplasticity, Dosage, And Repetition Priming Effects In Individuals With Stroke-Induced Aphasia, Jenna Ray Griffin

Graduate Student Theses, Dissertations, & Professional Papers

Intensity significantly impacts aphasia treatment efficacy, yet research protocols have not answered questions about optimal intensity and/or dosage. A single-subject ABA design investigated the influence of repetition priming on naming performance for four individuals with stroke-induced aphasia. The participants completed an intensive training protocol with repeated attempts to name pictures. Independent variables included training status and stimulus dosage. The dependent variable was response accuracy. Response accuracy increased for all participants during the training phase, and training effects persisted through the maintenance phase for all participants. Stimulus dosage did not consistently influence response accuracy for the participants.