Medicine and Health Sciences Commons^™

”To Be Or Not To Be – It’S Good”: Actor And Student Experiences In A Drama Club For People With Aphasia, Jade K. Hannan

Senior Theses

Individuals with aphasia, a disorder caused by damage to the brain’s language network, confront a variety of social and emotional struggles. While leaving their cognition largely intact, aphasia tremendously impacts a person’s ability to communicate confidently, fracturing their social network and contributing to feelings of loneliness and frustration. To address this persistent need in the chronic aphasia population, the Play on Words drama club at the University of South Carolina provides a forum for people with aphasia (PWA) to engage in dramatic exercises focused on non-verbal communication of emotions, ideas, and stories, culminating the production of an original devised play. …

Impact Of Covid-19 On Individuals With Aphasia: Effects On Quality Of Life And Communication, Kaci L. Gammon

Honors College Theses

Speech-language pathologists (SLPs) help people with aphasia (PWA) manage their communication symptoms and become more independent by supporting them linguistically and emotionally. During COVID-19, speech and language services were not as readily available to PWA due to quarantine restrictions resulting in isolation within this population. Individuals with aphasia had to redirect and find a new way to function daily. This study explored factors that affected quality of communication and quality of life for PWA during the pandemic, including technology, living situation, timing of stroke, and speech-language pathology services. Through an online survey, PWA from across the country expressed how their …

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. …

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 …

Recursive Functional Learning In Nonfluent Aphasia, Gerald C. Imaezue

Dissertations, Theses, and Capstone Projects

People with nonfluent aphasia (PWNA) require feedback from an external agent as well self-feedback to facilitate performance of language production tasks. The extent to which PWNA can use self-feedback alone to improve their task performance is unknown. In addition, it is argued that self-feedback may reinforce or minimize performance errors over time. To test whether either is the case, we introduce an original learning mechanism, recursive functional learning, which uses self-feedback loops to optimize recursively multiple subsystems (cognitive and linguistic subsystems) that PWNA engage during task performance. We used this mechanism to underpin a novel automated procedure we developed, recursive …

The Effect Of Visual Feedback On Vocal Compensation Abilities In Individuals With Post-Stroke Aphasia, Marissa Rylee Olson

Theses and Dissertations

Speech production is a complex and highly organized process comprised of various sensory and perceptual components. Post-stroke aphasia can impair speech production abilities by interrupting individuals’ ability to detect and correct speech errors and produce their targeted behavior. Contemporary models of speech production aim to understand the relationship between sensory systems and the human ability to produce perceptually accurate speech. This study seeks to understand the relationship between visual feedback and vocal compensation abilities in individuals with post-stroke aphasia to determine the effectiveness of incorporating visual feedback into therapeutic expressive language intervention. It was hypothesized that that the multi-sensory experimental …

Benefit Of Visual Speech Information For Word Comprehension In Post-Stroke Aphasia, Anna Krason, Gabriella Vigliocco, Marja-Liisa Mailend, Harrison Stoll, Rosemary Varley, Laurel J. Buxbaum

Moss-Magee Rehabilitation Papers

Aphasia is a language disorder that often involves speech comprehension impairments affecting communication. In face-to-face settings, speech is accompanied by mouth and facial movements, but little is known about the extent to which they benefit aphasic comprehension. This study investigated the benefit of visual information accompanying speech for word comprehension in people with aphasia (PWA) and the neuroanatomic substrates of any benefit. Thirty-six PWA and 13 neurotypical matched control participants performed a picture-word verification task in which they indicated whether a picture of an animate/inanimate object matched a subsequent word produced by an actress in a video. Stimuli were either …

The Relationship Between Communicative Confidence And Identity In Everyday Life For People With Aphasia, Karina Escobar

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Aphasia is primarily a neurological language disorder, which can also affect cognition, attention, and executive functioning skills. In recent years, researcher has taken an interest in understanding quality of life for people with aphasia, specifically communicative confidence, social relationships, and identity. The aim of this study was to determine how communicative confidence and social relationships affect a person’s identity, as well as the importance of therapy groups. We designed and used confidence and independence survey scales pre-aphasia, post-aphasia but before attending aphasia therapy groups, and post-aphasia and after having attended aphasia therapy groups. We also asked clarifying questions based on …

Students' Understanding Of Self-Management In Aphasia Treatment, Maryse Azer

Honors College Theses

Aphasia is a neurogenic language disorder caused by damage to the language areas of the brain in the left hemisphere, resulting in speech and language impairments. People with aphasia (PWA) often receive services from speech-language pathologists (SLPs) who provide screening, assessment, diagnosis, and treatment to address communication deficits. Aphasia is a chronic condition and PWA experience symptoms throughout their lives. Healthcare costs related to aphasia account for $46 billion annually. Provider shortages, lack of transportation, insurance constraints, and travel expenses can leave PWA without adequate care. One possible solution to the costs and access issues is the implementation of self-management …

Implementation Of Life Participation Approach For Persons With Aphasia, Allison Cosma, Lauren Blodgett, Monika Bozickovic Bozickovic

2023 SLP Posters

Objectives

• Explain the Life Participation Approach to Aphasia (LPAA) and how it relates to persons with aphasia and their caregivers.
• Discuss the significance of Life Participation Approach to Aphasia (LPAA) and explain how it can be implemented in the community, as well as what resources are available for Persons with aphasia (PWA) and their caregivers.
• Perform activities that observe the Life Participation Approach to Aphasia.

Benefits Of Online Support Groups For People With Aphasia (Pwa), Benjamin Norell

2023 SLP Posters

Research on quality of life for People with Aphasia (PWA) post-stroke. Benefits of Life Participation Approach to Aphasia (LPAA).

Post-Aphasia Diagnosis: The Impact Of Social And Emotional Stress On Language, Sarah Alagna

2023 SLP Posters

“Up to 62-70% of persons with aphasia following a stroke experience symptoms of depression. Furthermore, multiple studies indicate that the QOL (Quality of Life) of persons with aphasia is significantly worse than the QOL of stroke survivors without aphasia” (Kristinsson & Halldorsdottir, 2021, p.244). Aphasia is a diagnosis that can cause social and emotional isolation by affecting one’s ability to communicate daily needs and wants. Regarding treatment, the utilization of specific treatment approaches, therapy techniques, and group treatment interventions will be discussed in relation to emphasizing addressing linguistic factors instead of incorporating the social and emotional needs of people with …

People With Aphasia Rehabilitation: Post-Stroke Depression Considerations​, Allison Frey

2023 SLP Posters

The aim of this poster is to provide speech-language pathologists an overview of the development of post-stroke depression (PSD) in individuals with aphasia and its impact on rehabilitation outcomes. Information provided regarding the underlying causes for development of PSD for people with aphasia (PWA) that aids referring for appropriate screening and assessment. PSD treatment considerations and outcomes for PWA will also be discussed. Given the high prevalence of people with aphasia developing PSD, adults with aphasia are 7.408 times more likely to exhibit PSD symptoms when compared to adults without aphasia (Zanella et al., 2022). In closing, it is important …

The Language Of Love: Dating With Aphasia, Eleanor Krobath, Katelynn Morris

2023 SLP Posters

“Stroke and aphasia can negatively affect a person’s ability to maintain healthy social relationships, both within the family and also with friends and the wider network” (Fotiadou et al., 2014). However, very few studies explicitly target skills needed for successful dating among clients with aphasia. Survey data was collected from adults with chronic aphasia to determine perceived barriers, confidence, fear, and success associated with dating, and previous experience in speech therapy. This session will include a literature review related to aspects of communication needed for successful dating, aphasia-related deficits, and the potential impact on the dating process. Participant responses will …

The Effect Of Yoga & Mindfulness On Chronic Aphasia, Marisa Perry

2023 SLP Posters

This presentation aims to describe the relationship between yoga/meditation and aphasia, lists considerations for implementation of yoga/meditation for people with aphasia, and identifies potential benefits of yoga/meditation for people with aphasia.

Effects Of Diabetes On Speech And Language Across The Lifespan, Tayla Slay

2023 SLP Posters

According to the CDC, “diabetes is a chronic health condition that affects the way your body turns food into energy”. More than 37 million adults in the United States have diabetes which is the seventh leading cause of death in the United States. With diabetes affecting such a large portion of the population, what do speech-language pathologists need to know about how blood sugar affects speech and language in various types of individuals? This literature review explores the effects of language development later in the life of babies born to mothers with diabetes. The effects that diabetes has on adults’ …

Aphasia Beyond The Western Aphasia Battery Cutoff: What To Do?, Sarah Schuckmann

2023 SLP Posters

Aphasia is a complex language disorder that can vary in severity dependent upon the amount of damage in specific areas of the brain responsible for language expression and comprehension. Typically, the extent of the disorder, and prediction for successful treatment is assessed and confirmed by a set of comprehensive language tests conducted by a speech-language pathologist. The Western Aphasia Battery-Revised (WAB-R) is commonly used to assess the linguistic and non-linguistic skills most frequently affected by aphasia. A score of 93.8 or above distinguishes an individual as normal or non-aphasic; however, many people with aphasia score above this cut-off and still …

Precision Rehabilitation For Aphasia By Patient Age, Sex, Aphasia Severity, And Time Since Stroke? A Prespecified, Systematic Review-Based, Individual Participant Data, Network, Subgroup Meta-Analysis, Release Collaborators, Jacqueline Hinckley

HPD Articles

BACKGROUND: Stroke rehabilitation interventions are routinely personalized to address individuals' needs, goals, and challenges based on evidence from aggregated randomized controlled trials (RCT) data and meta-syntheses. Individual participant data (IPD) meta-analyses may better inform the development of precision rehabilitation approaches, quantifying treatment responses while adjusting for confounders and reducing ecological bias. AIM: We explored associations between speech and language therapy (SLT) interventions frequency (days/week), intensity (h/week), and dosage (total SLT-hours) and language outcomes for different age, sex, aphasia severity, and chronicity subgroups by undertaking prespecified subgroup network meta-analyses of the RELEASE database. METHODS: MEDLINE, EMBASE, and trial registrations were systematically …

Indirectly And Directly Involved Students' Perspectives On Multi-Modal Communication Treatment In Persons With Aphasia, Emily Lewis

Honors Theses

Our study investigated the perspectives of students who were either directly or indirectly involved in the Multi-modal communication treatment (MCT) sessions for persons with aphasia. Two undergraduate and two graduate students were recruited from the University of Mississippi who participated in the MCT sessions. We collected their perspectives through semi-structured interviews and used thematic qualitative analysis to analyze our data. We reported themes from the indirectly involved students and the directly involved students and compared how the themes were similar and different between the indirectly and directly involved students. We discussed that both direct and indirect experience for clinical therapy …

Assessing The Bilingual Advantage: Is Support Found In Aphasia Patients?, Alexa Juarez-Le, Caroline Kerrigan

Kean Quest Graduate

No abstract provided.

How Differences In Personal Style Can Impact Participation In Group Therapy Sessions Across Delivery Models, Chelsea A. Libreros-Cortes, Kylie Trebour, Nicholas Zablocki

Kean Quest Graduate

No abstract provided.

Investigating The Impact Of Nonlinguistic Cognitive Reserve On Naming Pre- And Post-Treatment, Lillian Jarold

Theses and Dissertations

Background: The relationship between linguistic and nonlinguistic cognition in persons with aphasia is complex and often debated in the literature. Furthermore, the impact of nonlinguistic cognition on aphasia treatment outcomes is unclear. The present study sought 1) to examine the relationship between WAIS scores and performance on a test of naming and 2) to examine the relationship between WAIS scores and change scores on a test of naming between baseline and post-treatment in persons with chronic aphasia.

Method: This retrospective study utilized data from participants (N=102) who were recruited for a multi-center cross-over trial (POLAR: Predicting Outcomes of Language Rehabilitation). …

Transcranial Alternating Current Stimulation As An Adjuvant For Nonfluent Aphasia Therapy: A Proof-Of-Concept Study, Lynsey Mcgrath Keator

Theses and Dissertations

Identifying effective and efficient rehabilitation tools is crucial to improve language outcomes for persons living with chronic aphasia. Speech entrainment has proved to be particularly successful in improving speech output in nonfluent aphasia. It is hypothesized that, for patients with aberrant oscillatory synchronization between anterior and posterior language regions of the left hemisphere, speech entrainment may act as an external gaiting mechanism to bolster an impaired efference copy and improve synchrony between these regions. Theoretical and empirical evidence supports this idea that speech production relies on anterior-posterior connectivity in the left hemisphere.

Transcranial alternating current stimulation (tACS) delivers low, periodically-alternating …

The Effects Of Spoken Self-Disclosure Scripts On Nonaphasic Listeners' Perceptions Of People With Aphasia, Colleen B. Ward

Masters Theses

Purpose: The purpose of this study was to investigate the effects of spoken self-disclosure scripts on nonaphasic listeners’ perceptions of people with aphasia (PWA). Self-disclosure is a tool that PWA can utilize in the event that they want a conversation partner to know of their communication disorder. However, limited research has been conducted on the effects of aphasia self-disclosure or whether it affects perceptions of PWA from neurotypical communication partners. If self-disclosure is determined to make a positive impact on a communicative interaction, it could be grounds for encouraging PWA who are interested to develop a self-disclosure script or use …

The Impact Of Background Noise On The Communicative Experience Of People With Mild To Moderate Aphasia: A Qualitative Study, Riley Robertson Hegewald

Theses and Dissertations

This study examined how retelling stories with a variety different background noise conditions affected the communicative experiences of people with aphasia (PWA). Participants included 11 adults with mild to moderate aphasia and 11 age- and gender-matched controls. Participants participated in a semi-structured interview immediately following the experimental measure where they were asked open-ended questions regarding their experience retelling stories and how those experiences related to their everyday lives. Results revealed three themes related to how participants responded to communicating in noise: (a) cognitive reactions, (b) emotional reactions, and (c) social reactions. The findings suggest that PWA exert more effort when …

Results Of The Compare Trial Of Constraint-Induced Or Multimodality Aphasia Therapy Compared With Usual Care In Chronic Post-Stroke Aphasia, Miranda L. Rose, Lyndsey Nickels, David Copland, Leanne Togher, Erin Godecke, Marcus Meinzer, Tapan Rai, Dominique A. Cadilhac, Joosup Kim, Melanie Hurley, Abby Foster, Marcella Carragher, Cassie Wilcox, John E. Pierce, Gillian Steel

Research outputs 2022 to 2026

Background:

While meta-analyses confirm treatment for chronic post-stroke aphasia is effective, a lack of comparative evidence for different interventions limits prescription accuracy. We investigated whether Constraint-Induced Aphasia Therapy Plus (CIAT-plus) and/or Multimodality Aphasia Therapy (M-MAT) provided greater therapeutic benefit compared with usual community care and were differentially effective according to baseline aphasia severity.

Methods:

We conducted a three-arm, multicentre, parallel group, open-label, blinded endpoint, phase III, randomised-controlled trial. We stratified eligible participants by baseline aphasia on the Western Aphasia Battery-Revised Aphasia Quotient (WAB-R-AQ). Groups of three participants were randomly assigned (1:1:1) to 30 hours of CIAT-Plus or M-MAT or to …

The Nature Of Word Errors And Response Time In Individuals With Aphasia, Alexandra M. Georges

ETD Archive

Anomia is a relevant language deficit secondary to aphasia that is treated in the speech-language pathologist profession. Most aphasia diagnoses utilize aspects of confrontational naming tasks during speech therapy or testing. This study investigated the nature of word errors and the response time (RT) in persons with aphasia (PWA). Six individuals, three with nonfluent and three with fluent aphasia were asked to name objects in four common categories (occupational tools, everyday objects, food, and clothing) presented under two conditions (1) picture objects on a computer screen and (2) real physical objects. To measure RT and word error, participants were instructed …

Exploring Discourse Markers As A Treatment Outcome Measure For Aphasia, Anna K. Cedoz

Masters Theses

Discourse Markers (DMs) are communicative tools or resources that people use to organize conversations. The use of DMs among individuals with aphasia has been documented to support their communicative competence (Simmons-Mackie & Damico, 1996). Further research on the use of DMs by individuals with aphasia has been limited. The current study features a secondary analysis using existing data from Devanga (2020), which studied the effects of Collaborative Referencing Intervention (CRI; Hengst et al., 2010) on three participants with chronic aphasia. This study analyzed 18 conversation probes from one participant across baseline, treatment, and maintenance phases with clinician and spouse partners. …

Differential Effects Of Speech And Language Therapy And Rtms In Chronic Versus Subacute Post-Stroke Aphasia: Results Of The Northstar-Ca Trial, Anna Zumbansen, Heike Kneifel, Latifa Lazzouni, Anja Ophey, Sandra E. Black, Joyce L. Chen, Dylan Edwards, Thomas Funck, Alexander Erich Hartmann, Wolf Dieter Heiss, Franziska Hildesheim, Sylvain Lanthier, Paul Lespérance, George Mochizuki, Caroline Paquette, Elizabet Rochon, Ilona Rubi-Fessen, Jennie Valles, Susan Wortman-Jutt, Alexander Thiel

Research outputs 2022 to 2026

Background & objective: Contralesional 1-Hz repetitive transcranial magnetic stimulation (rTMS) over the right pars triangularis combined with speech-language therapy (SLT) has shown positive results on the recovery of naming in subacute (5–45 days) post-stroke aphasia. NORTHSTAR-CA is an extension of the previously reported NORTHSTAR trial to chronic aphasia (>6 months post-stroke) designed to compare the effectiveness of the same rTMS protocol in both phases. Methods: Sixty-seven patients with left middle cerebral artery infarcts (28 chronic, 39 subacute) were recruited (01-2014 to 07-2019) and randomized to receive rTMS (N = 34) or sham stimulation (N = 33) with SLT for …

Dosage, Intensity, And Frequency Of Language Therapy For Aphasia: A Systematic Review-Based, Individual Participant Data Network Meta-Analysis., Rehabilitation And Recovery Of People With Aphasia After Stroke (Release) Collaborators, Jackie Hinckley

HPD Articles

BACKGROUND AND PURPOSE: Optimizing speech and language therapy (SLT) regimens for maximal aphasia recovery is a clinical research priority. We examined associations between SLT intensity (hours/week), dosage (total hours), frequency (days/week), duration (weeks), delivery (face to face, computer supported, individual tailoring, and home practice), content, and language outcomes for people with aphasia.

METHODS: Databases including MEDLINE and Embase were searched (inception to September 2015). Published, unpublished, and emerging trials including SLT and ≥10 individual participant data on aphasia, language outcomes, and time post-onset were selected. Patient-level data on stroke, language, SLT, and trial risk of bias were independently extracted. Outcome …