Development of a Theoretically Based Treatment for Sentence Comprehension Deficits in Individuals With Aphasia Purpose Two new treatments, 1 based on sentence to picture matching (SPM) and the other on object manipulation (OM), that train participants on the thematic roles of sentences using pictures or by manipulating objects were piloted. Method Using a single-subject multiple-baseline design, sentence comprehension was trained on the ... Supplement Article
Supplement Article  |   May 01, 2012
Development of a Theoretically Based Treatment for Sentence Comprehension Deficits in Individuals With Aphasia
 
Author Affiliations & Notes
  • Swathi Kiran
    Boston University, Boston, MA
  • David Caplan
    Boston University, Boston, MA
    Massachusetts General Hospital, Boston
  • Chaleece Sandberg
    Boston University, Boston, MA
  • Joshua Levy
    Boston University, Boston, MA
    Massachusetts General Hospital, Boston
  • Alex Berardino
    Boston University, Boston, MA
  • Elsa Ascenso
    Boston University, Boston, MA
  • Sarah Villard
    Boston University, Boston, MA
  • Yorghos Tripodis
    Boston University, Boston, MA
  • Correspondence to Swathi Kiran: kirans@bu.edu
  • Editor: Carol Scheffner Hammer
    Editor: Carol Scheffner Hammer×
  • Associate Editor: Malcolm McNeil
    Associate Editor: Malcolm McNeil×
Article Information
Language Disorders / Aphasia / Supplement: Select Papers From the 41st Clinical Aphasiology Conference
Supplement Article   |   May 01, 2012
Development of a Theoretically Based Treatment for Sentence Comprehension Deficits in Individuals With Aphasia
American Journal of Speech-Language Pathology, May 2012, Vol. 21, S88-S102. doi:10.1044/1058-0360(2012/11-0106)
History: Received August 15, 2011 , Revised December 4, 2011 , Accepted January 15, 2012
 
American Journal of Speech-Language Pathology, May 2012, Vol. 21, S88-S102. doi:10.1044/1058-0360(2012/11-0106)
History: Received August 15, 2011; Revised December 4, 2011; Accepted January 15, 2012
Web of Science® Times Cited: 4

Purpose Two new treatments, 1 based on sentence to picture matching (SPM) and the other on object manipulation (OM), that train participants on the thematic roles of sentences using pictures or by manipulating objects were piloted.

Method Using a single-subject multiple-baseline design, sentence comprehension was trained on the affected sentence type in 1 task-related protocol in 15 participants with aphasia. The 2 tasks were SPM and OM; the treatment stimuli were object relatives, object clefts, passives, and unaccusatives, as well as two control structures—object relatives with a complex noun phrase (NP) and active sentences with three NPs.

Results The criteria for efficacious treatment was an increase in the level of performance from the pretreatment probes to the posttreatment probes for the treated structure such that accuracy rose from at or below chance to above chance and either (a) accuracy rose by 33% or (b) the effect size was 2.6. Based on these criteria, the success rate for training the target structure was 2/6 participants in the SPM condition and 4/7 participants in the OM condition.

Conclusion The outcome of this study illustrates the utility of this theoretically motivated and efficacious treatment for sentence comprehension deficits in individuals with aphasia.

Acknowledgment
This project was funded by Grant 1R21DC010461-01 from the National Institute on Deafness and Other Communication Disorders. The authors thank Marissa Simms, Rebecca Hufford, and Balaji Rangarathnam for their assistance in data collection and Jennifer Richardson for her assistance in data analysis.
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