Aphasia due to stroke Nervous System Diseases Aphasia
Conditions
Interventions
Participants were randomised based on the order of their enrolment in the study. It is quasi-randomised for two main reasons. Firstly participants were randomized after enrolment to the overall Thale
Sponsors
University of Athens
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aphasia following stroke, as reported by their referring clinician 2. >4 months post stroke and medically stable 3. Greek native speakers 4. Aged over 18 years 5. No significant cognitive decline (scored =32 out of 38 on Brief Cognitive Screening Test [Economou & Routsis, 2015], a test specifically developed for people with aphasia)
Exclusion criteria
Exclusion criteria: 1. Not living at home prior to stroke 2. Known history of mental health problems and/or cognitive decline prior to stroke 3. History of other neurological or psychiatric problems 4. Received other speech language therapy during this research
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Oral confrontation-naming task of the 260 Snodgrass and Vanderwart pictures – colour version. Participants on the therapy approaches (direct group, combination group) were assessed twice before therapy (double baseline, weeks 1 and 6), post-therapy (week 19), and 3-months later (follow-up). Participants on the delayed treatment control group were assessed three times before therapy (weeks 1, 6 and19) and then were randomly allocated to one of the two approaches for ESFA treatment and were reassessed after the 12-week treatment (post-therapy) and 3 months later (follow-up). To test (a) the efficacy of ESFA therapy versus no therapy mixed within-between ANOVAs were used with group as the between variable (2 groups: ESFA versus control) and time as the within variable (3 levels: weeks 1, 6, 19). To test (b) the relative efficacy of direct versus combination ESFA, mixed within-between ANOVAs were used with group as the between variable (2 groups: direct versus combination ESFA) and time as the within variable (4 levels: two baselines, post-therapy and follow-up). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Greek Boston Naming Test (Simos, Kasselimis & Mouzaki, 2011) 2. Functional communication skills assessed using American Speech and Hearing Association Functional Assessment of Communication Skills for Adults (ASHA FACS) (Frattali et al., Holland, Thompson, Wohl, & Ferketic, 1995), which was completed by the partner / main carer of the participant with aphasia 3. Discourse scores from the Cookie Theft Picture Description of the BDAE (BDAE; Goodglass & Kaplan, 1983) 4. Emotional distress assessed using the Greek version of the General Health Questionnaire-12, (GHQ-12, Garyfallos et al., 2001) 5. Quality of life assessed using the Greek version of the Stroke and Aphasia Quality of Life Scale-39g scale (SAQOL-39g, Kartsona & Hilari, 2007; Efstratiadou et al., 2012) 6. Health status assessed using the Greek version of EQ-5D (Kontodimopoulos, 2008). Secondary outcomes were assessed at the same time points as the primary outcome. The same analyses were carried out for the secondary outcome measures as for the primary outcome. | — |
Countries
Greece
Contacts
Public ContactSpyridoula Varlokosta
Outcome results
None listed