Effects of Modified Video-Implemented Script Training for Aphasia in the Three Variants of Primary Progressive Aphasia.

IF 2.2 2区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Journal of Speech Language and Hearing Research Pub Date : 2024-09-20 DOI:10.1044/2024_JSLHR-23-00583

Núria Montagut, Sergi Borrego-Écija, Jorge Herrero, Magdalena Castellví, Mircea Balasa, Albert Lladó, Stephanie M Grasso, Raquel Sánchez-Valle

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Abstract

Purpose: Primary progressive aphasia (PPA) is a neurodegenerative disorder characterized by worsening of speech and/or language. Script training intervention promotes automatized speech production via repeated practice of scripted content. This study evaluated the acceptability, feasibility, and effects of a modified version of Video-Implemented Script Training for Aphasia (VISTA) in the three PPA variants and compared outcomes by intervention modality (teletherapy vs. in person).

Method: Thirteen bilingual (Spanish-Catalan) participants were included (semantic variant, n = 5; logopenic variant, n = 5; nonfluent/agrammatic variant, n = 3; teletherapy, n = 7). Using a nonrandomized design, intervention was administered in participants' dominant language. Participants were trained on an individualized script twice per week, over 8 weeks. Performance on measures related to script accuracy, content, and subjective ratings of production quality was evaluated at baseline, immediately post, and at 3 and 6 months post-intervention.

Results: No significant differences were observed on the basis of intervention modality. Participants demonstrated significant improvements from pre- to post-intervention in script production, synonym production, keywords, and global quality on the trained script. Maintenance was observed when comparing performance at post-intervention relative to 3- and 6-month follow-up for script and synonym production. Significant improvement in production quality of the untrained topic was observed following intervention. Different patterns of benefit were observed by PPA variant.

Conclusions: Modified VISTA was acceptable and effective across the three PPA variants, as evidenced by improvements on a broader array of outcome measures than those previously reported. Findings also provide further support for provision for teletherapy in individuals with PPA.

Supplemental material: https://doi.org/10.23641/asha.26999326.

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改良视频脚本训练对原发性进行性失语症三种变体的影响

目的：原发性进行性失语症（PPA）是一种神经退行性疾病，其特征是言语和/或语言能力恶化。脚本训练干预可通过反复练习脚本内容来促进自动语音生成。本研究评估了改良版的 "失语症视频脚本训练"（VISTA）在三种 PPA 变体中的可接受性、可行性和效果，并比较了不同干预方式（远程治疗与面对面治疗）的效果：纳入 13 名双语（西班牙语-加泰罗尼亚语）参与者（语义变体，n = 5；对数变体，n = 5；非流利语/语法变体，n = 3；远程治疗，n = 7）。采用非随机设计，以参与者的主导语言进行干预。参与者每周接受两次个性化脚本训练，为期 8 周。分别在基线期、干预后初期、干预后 3 个月和 6 个月对参与者在脚本准确性、内容和制作质量主观评价方面的表现进行评估：结果：干预方式没有明显差异。从干预前到干预后，参与者在脚本制作、同义词制作、关键词以及训练脚本的整体质量方面都有明显改善。比较干预后与 3 个月和 6 个月随访期间的脚本和同义词制作表现，可以观察到学员的表现保持不变。干预后，未训练主题的制作质量有了显著提高。根据 PPA 变体观察到不同的受益模式：修改后的 VISTA 在三个 PPA 变体中都是可接受的、有效的，这体现在比以前报告的更广泛的结果测量上。研究结果还进一步支持为 PPA 患者提供远程治疗。补充材料：https://doi.org/10.23641/asha.26999326。

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来源期刊

Journal of Speech Language and Hearing Research AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION

CiteScore

4.10

自引率

19.20%

发文量

538

审稿时长

4-8 weeks

期刊介绍： Mission: JSLHR publishes peer-reviewed research and other scholarly articles on the normal and disordered processes in speech, language, hearing, and related areas such as cognition, oral-motor function, and swallowing. The journal is an international outlet for both basic research on communication processes and clinical research pertaining to screening, diagnosis, and management of communication disorders as well as the etiologies and characteristics of these disorders. JSLHR seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of communication sciences and disorders, including speech production and perception; anatomy and physiology of speech and voice; genetics, biomechanics, and other basic sciences pertaining to human communication; mastication and swallowing; speech disorders; voice disorders; development of speech, language, or hearing in children; normal language processes; language disorders; disorders of hearing and balance; psychoacoustics; and anatomy and physiology of hearing.