Post-stroke aphasia specifically auditory comprehension impairment Circulatory System Sequelae of stroke, not specified as haemorrhage or infarction
Conditions
Interventions
This is a case-series experimental two-phase cross-over treatment design, comparing a self-administered rehabilitation programme targeting language deficits experienced by people with post-stroke apha
mild, moderate and severe. Each allocation is enclosed in a sealed opaque envelope, and not opened until participant allocation. The research team is blind to the allocation process.
Sponsors
University College Cork
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Adults, over 18 years of age 2. Presenting with acquired language deficits (aphasia) post-stroke 3. At least 6 months post-onset of stroke 4. Have daily access to a PC or Laptop computer and have Internet access (as course is online) 5. Can give fully informed consent 6. Not receiving Speech and Language Therapy at the time of the study but may attend support services e.g. charity social groups which don't include Speech and Language Therapy input.
Exclusion criteria
Exclusion criteria: Bilateral hearing loss below 40dB on any frequency between 250Hz and 4kHz
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Aphasia type and severity are measured using the Western Aphasia Battery at baseline, post-phase 1, post-phase 2, follow up at 4 weeks and 16 weeks. 2. Sentence comprehension is measured using a Test of Reception of Grammar at baseline, post-phase 1, post-phase 2, follow up at 4 weeks and 16 weeks. 3. Auditory comprehension sentence, paragraph and conversation levels are measured using e-ACT – a language outcome measure developed for the study and administered on a computer and eye-tracker at baseline, post-phase 1, post-phase 2, follow up at 4 weeks and 16 weeks. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Neuropsychological status is measured using the Repeatable Battery for the Assessment of Neurological Status at baseline, post-phase 1, post-phase 2, follow up at 4 weeks and 16 weeks. 2. Quality of life following Stroke is measured using Stroke and Aphasia Quality of Life Scale-39 at baseline, post-phase 1, post-phase 2, follow up at 4 weeks and 16 weeks. 3. Repetition is measured using the Psycholinguistic Assessment of Language Processing in Aphasia subtest 7 (word repetition), 8 (non-word repetition) and 12 (sentence repetition) at baseline, post-phase 1, post-phase 2, follow up at 4 weeks and 16 weeks. 4. Written naming is measured using the Psycholinguistic Assessment of Language Processing in Aphasia subtest 53 at baseline, post-phase 1, post-phase 2, follow up at 4 weeks and 16 weeks. 5. Quality of life measure developed for the study that investigated the quality of life related to specific everyday language activities at baseline, post-phase 1, post-phase 2, follow up at 4 weeks and 16 weeks. 6. Usability and cognitive workload are measured using a feedback questionnaire midway through each phase. 7. Usability is measured using a structured observation midway through each phase. 8. Participants' perspective of usability and engagement with the programmes is measured using interviews midway through each phase and in a final exit interview, 4 weeks after the end of Phase 2. | — |
Countries
Ireland
Contacts
Public ContactHelen Kelly
Outcome results
None listed