Communication Bridge: A pilot feasibility study of Internet-based speech-language therapy for individuals with progressive aphasia

Alzheimer's & Dementia : Translational Research & Clinical Interventions
Emily J RogalskiBecky Khayum

Abstract

Individuals with aphasia symptoms due to neurodegenerative dementia are under-referred for speech-language therapy (SLT) services. We sought to determine the feasibility of utilizing telepractice, via Internet video conferencing, to connect an individual with progressive aphasia due to dementia to a speech-language pathologist for treatment. Participants received an Initial Evaluation, 8 person-centered Internet-based SLT sessions and two Post-Therapy Evaluations. The feasibility of providing web-based SLT, strategies used and their compliance, functional gains and the duration of benefit were assessed. Thirty-four participants from 21 states and Canada were enrolled. Thirty-one participants completed the 6-month Evaluation. Speech-language pathologist-assessed and self-reported functional gains, as well as increased confidence in communication were documented at 2-months and maintained at 6-months post-enrollment. Internet-based SLT using person-centered interventions provides a feasible model for delivering care to individuals with dementia and mild/moderate aphasia symptoms who have an engaged care-partner and prior familiarity with a computer.

References

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Citations

Jul 31, 2019·Practical Neurology·Anna VolkmerJonathan D Rohrer
Feb 6, 2020·Current Geriatrics Reports·Megan E GatelyLauren R Moo
Apr 1, 2020·American Journal of Alzheimer's Disease and Other Dementias·Leanne RuggeroLyndsey Nickels
Mar 2, 2021·Expert Review of Neurotherapeutics·Cathleen Taylor-RubinLyndsey Nickels
Jul 17, 2021·Translational Neurodegeneration·Ilaria PagnoniRosa Manenti
Jul 28, 2021·American Journal of Speech-language Pathology·Kristin M SchafferMaya L Henry

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Software Mentioned

Communication Bridge

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