Exploring Treatment Fidelity in Persons With Aphasia Autonomously Practicing With Computerized Therapy Materials

American Journal of Speech-language Pathology
Angel L BallRichard D Steele

Abstract

Current computer technologies permit independent practice for people with cognitive-communicative disorders. Previous research has investigated compliance rates and outcome changes but not treatment fidelity per se during practice. Our aim was to examine adherence to procedures (treatment fidelity) and accuracy while persons with aphasia independently practiced word production using interactive, multimodal, user-controlled, word-level icons on computers. Four persons with aphasia independently practiced single-word production after stimulation via user-initiated interactions in 3 conditions: (I) auditory stimulus with static representational drawing; (II) auditory stimulus with synchronized articulation video; and (III) users' choice between the 2 prior conditions. Sessions were video-recorded for subsequent analysis, which established emergently refined behavioral taxonomies using an iterative, mixed-methods approach. In independent practice, users only sometimes adhere to modeled behaviors, other times improvising novel behaviors. The latter sometimes co-occurred with successful productions. Differences in success rates were noted between Conditions I and II across behaviors with Condition II generally favored. In Condition I...Continue Reading

References

Oct 1, 1995·Neuropsychologia·L Nickels, D Howard
Jul 2, 1999·Stroke; a Journal of Cerebral Circulation·L B AftonomosR D Steele
Sep 28, 2001·The Journal of Head Trauma Rehabilitation·G HotzN W Nelson
Jul 13, 2006·Neuropsychological Rehabilitation·Regina JokelCarol Leonard
Jan 16, 2007·Environmental Microbiology·Achim Schmalenberger, Michael A Kertesz
Jan 31, 2008·American Journal of Speech-language Pathology·Leora R CherneyRon Cole
Apr 7, 2009·Archives of Physical Medicine and Rehabilitation·Larry M ManheimLeora Cherney
Feb 2, 2012·American Journal of Speech-language Pathology·Grant M Walker, Myrna F Schwartz
Aug 11, 2012·Parkinsonism & Related Disorders·Ruth M PickeringAnn Ashburn
Dec 20, 2012·Brain : a Journal of Neurology·Julius FridrikssonChris Rorden
May 23, 2013·American Journal of Speech-language Pathology·Jacqueline J Hinckley, Natalie F Douglas
Sep 17, 2013·International Journal of Language & Communication Disorders·Rebecca PalmerGail Paterson
Jan 23, 2014·Seminars in Speech and Language·Swathi KiranElsa Ascenso
Jan 23, 2014·Seminars in Speech and Language·Jacquie KurlandPolly Stokes
Apr 2, 2014·American Journal of Speech-language Pathology·Jacquie KurlandPolly Stokes
Apr 22, 2014·Journal of Neuroengineering and Rehabilitation·Kevin HuangAsim Smailagic
Jan 21, 2015·Frontiers in Human Neuroscience·Carrie A Des RochesSwathi Kiran

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Citations

Jan 29, 2020·American Journal of Speech-language Pathology·Leigh Ann SpellJulius Fridriksson
Jul 21, 2020·International Journal of Speech-language Pathology·UNKNOWN RELEASE Collaboration
Jun 15, 2021·Complementary Therapies in Clinical Practice·Jaqueline Laures-GoreChris Tullis
Jul 15, 2021·International Journal of Language & Communication Disorders·Katharine BaconCelia Woolf

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