Comparative Effectiveness of In-Person and Virtual Picture-Naming Treatment for Poststroke Anomia.

IF 2.3 3区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY American Journal of Speech-Language Pathology Pub Date : 2024-11-18 DOI:10.1044/2024_AJSLP-24-00172

Courtney C Jewell, Victoria A Diedrichs, Deena Schwen Blackett, Alexandra Zezinka Durfee, Stacy M Harnish

{"title":"Comparative Effectiveness of In-Person and Virtual Picture-Naming Treatment for Poststroke Anomia.","authors":"Courtney C Jewell, Victoria A Diedrichs, Deena Schwen Blackett, Alexandra Zezinka Durfee, Stacy M Harnish","doi":"10.1044/2024_AJSLP-24-00172","DOIUrl":null,"url":null,"abstract":"Purpose: In light of COVID-19, telepractice for speech therapy has been increasingly adopted. Telepractice promotes accessibility to therapy services for those in rural environments, lowers the frequency of missed appointments, and reduces the costs of rehabilitation. The efficacy of telepractice has been scarcely explored in the aphasia literature. Preliminary research has demonstrated comparable results of telepractice and in-person therapy for people with aphasia, but the current scope of research is insufficient to guide clinical practice. The present study examined whether the virtual administration of a picture-naming therapy paradigm was as effective as in-person administration.Method: The treatment effects of two similar clinical trials, one completed in-person (n = 13) and one completed virtually (n = 13), are compared. Participants were adults with chronic (> 6 months) poststroke aphasia. Both clinical trials administered Cued Picture-Naming Therapy 4 days a week for 2 weeks (eight treatment sessions). Treatment outcomes were analyzed using Tau-U effect sizes and Mann-Whitney U tests.Results: Weighted Tau-U averages showed an advantage of telepractice over in-person treatment in the acquisition effects of trained words, with participants demonstrating a very large effect (0.84, p < .01) following telepractice and a large effect (0.75, p < .01) following in-person treatment. Both telepractice and in-person rehabilitation demonstrated significant treatment effects and were not significantly different from each other per Mann-Whitney U independent-samples t tests.Conclusions: The present study demonstrated that telepractice of a picture-naming paradigm is as effective as in-person treatment administration. This justifies the use of telepractice to overcome accessibility and cost barriers to speech therapy administration and justifies taking patient preference into account. Future research should explore the efficacy of telepractice for treatments that promote greater generalizability to functional communication.Supplemental material: https://doi.org/10.23641/asha.27641031.","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"1-13"},"PeriodicalIF":2.3000,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Speech-Language Pathology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1044/2024_AJSLP-24-00172","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: In light of COVID-19, telepractice for speech therapy has been increasingly adopted. Telepractice promotes accessibility to therapy services for those in rural environments, lowers the frequency of missed appointments, and reduces the costs of rehabilitation. The efficacy of telepractice has been scarcely explored in the aphasia literature. Preliminary research has demonstrated comparable results of telepractice and in-person therapy for people with aphasia, but the current scope of research is insufficient to guide clinical practice. The present study examined whether the virtual administration of a picture-naming therapy paradigm was as effective as in-person administration.

Method: The treatment effects of two similar clinical trials, one completed in-person (n = 13) and one completed virtually (n = 13), are compared. Participants were adults with chronic (> 6 months) poststroke aphasia. Both clinical trials administered Cued Picture-Naming Therapy 4 days a week for 2 weeks (eight treatment sessions). Treatment outcomes were analyzed using Tau-U effect sizes and Mann-Whitney U tests.

Results: Weighted Tau-U averages showed an advantage of telepractice over in-person treatment in the acquisition effects of trained words, with participants demonstrating a very large effect (0.84, p < .01) following telepractice and a large effect (0.75, p < .01) following in-person treatment. Both telepractice and in-person rehabilitation demonstrated significant treatment effects and were not significantly different from each other per Mann-Whitney U independent-samples t tests.

Conclusions: The present study demonstrated that telepractice of a picture-naming paradigm is as effective as in-person treatment administration. This justifies the use of telepractice to overcome accessibility and cost barriers to speech therapy administration and justifies taking patient preference into account. Future research should explore the efficacy of telepractice for treatments that promote greater generalizability to functional communication.

Supplemental material: https://doi.org/10.23641/asha.27641031.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

亲临现场和虚拟图片命名疗法对中风后失认症的疗效比较

目的：根据 COVID-19，远程言语治疗已被越来越多地采用。远程治疗为农村地区的患者提供了更多的治疗服务，降低了失约的频率，并减少了康复费用。在失语症文献中，对远程诊疗疗效的探讨还很少。初步研究表明，远程治疗与面对面治疗对失语症患者的效果相当，但目前的研究范围还不足以指导临床实践。本研究考察了图片命名疗法范式的虚拟治疗是否与面对面治疗同样有效：方法：本研究比较了两项类似临床试验的治疗效果，一项是面对面治疗（13 人），另一项是虚拟治疗（13 人）。参与者均为患有慢性（大于 6 个月）卒中后失语症的成年人。两项临床试验都采用了诱导图片命名疗法，每周 4 天，共 2 周（8 个疗程）。治疗结果采用Tau-U效应大小和Mann-Whitney U检验进行分析：加权 Tau-U 平均值显示，远程练习在训练词的习得效果方面比现场治疗更有优势，参与者在远程练习后的效果非常大（0.84，p < .01），而在现场治疗后的效果很大（0.75，p < .01）。通过曼-惠特尼 U 独立样本 t 检验，远程练习和面对面康复均显示出显著的治疗效果，且两者之间无明显差异：本研究表明，图片命名范式的远程练习与面对面治疗同样有效。这证明使用远程练习来克服语言治疗的可及性和成本障碍是合理的，也证明考虑患者偏好是合理的。未来的研究应探索远程练习对促进功能性交流的治疗效果。补充材料：https://doi.org/10.23641/asha.27641031。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

American Journal of Speech-Language Pathology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION

CiteScore

4.30

自引率

11.50%

发文量

353

审稿时长

>12 weeks

期刊介绍： Mission: AJSLP publishes peer-reviewed research and other scholarly articles on all aspects of clinical practice in speech-language pathology. The journal is an international outlet for clinical research pertaining to screening, detection, diagnosis, management, and outcomes of communication and swallowing disorders across the lifespan as well as the etiologies and characteristics of these disorders. Because of its clinical orientation, the journal disseminates research findings applicable to diverse aspects of clinical practice in speech-language pathology. AJSLP 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 speech-language pathology, including aphasia; apraxia of speech and childhood apraxia of speech; aural rehabilitation; augmentative and alternative communication; cognitive impairment; craniofacial disorders; dysarthria; fluency disorders; language disorders in children; speech sound disorders; swallowing, dysphagia, and feeding disorders; and voice disorders.