Modified Response Elaboration Training: Application to Procedural Discourse and Personal Recounts Purpose This investigation was designed to examine the effects of a modification of response elaboration training (RET; Kearns, 1985) with speakers with mild to mild–moderate aphasia. The modification entailed application of RET to procedural discourse and personal recounts rather than to narrative discourse. Method Three participants with chronic ... Supplement Article
Supplement Article  |   May 01, 2013
Modified Response Elaboration Training: Application to Procedural Discourse and Personal Recounts
 
Author Affiliations & Notes
  • Julie L. Wambaugh
    VA Salt Lake City Health Care System, UT
    University of Utah, Salt Lake City
  • Christina Nessler
    VA Salt Lake City Health Care System, UT
  • Sandra Wright
    VA Salt Lake City Health Care System, UT
  • Correspondence to Julie Wambaugh: julie.wambaugh@health.utah.edu
  • Editor: Swathi Kiran
    Editor: Swathi Kiran×
  • Associate Editor: Gloria Olness
    Associate Editor: Gloria Olness×
Article Information
Regulatory, Legislative & Advocacy / Language Disorders / Aphasia / Supplement: Select Papers From the 42nd Clinical Aphasiology Conference
Supplement Article   |   May 01, 2013
Modified Response Elaboration Training: Application to Procedural Discourse and Personal Recounts
American Journal of Speech-Language Pathology, May 2013, Vol. 22, S409-S425. doi:10.1044/1058-0360(2013/12-0063)
History: Received July 16, 2012 , Revised December 22, 2012 , Accepted January 31, 2013
 
American Journal of Speech-Language Pathology, May 2013, Vol. 22, S409-S425. doi:10.1044/1058-0360(2013/12-0063)
History: Received July 16, 2012; Revised December 22, 2012; Accepted January 31, 2013
Web of Science® Times Cited: 3

Purpose This investigation was designed to examine the effects of a modification of response elaboration training (RET; Kearns, 1985) with speakers with mild to mild–moderate aphasia. The modification entailed application of RET to procedural discourse and personal recounts rather than to narrative discourse.

Method Three participants with chronic aphasia received modified RET (M–RET) applied sequentially in the context of multiple baseline designs to the conditions of personal recounts and procedural discourse. Production of correct information units (CIUs; Nicholas & Brookshire, 1993) served as the primary dependent variable.

Results Participants 2 and 3 demonstrated increases in the production of CIUs in response to treatment of procedures. M–RET applied to the personal recount condition was not associated with increased production of CIUs in personal recounts in probes. However, Participant 1 demonstrated increased CIU production for previously treated procedures when treatment was applied to personal recounts. Small effect sizes were obtained for procedural sets for Participant 1, and large effect sizes were obtained for procedural sets for Participants 2 and 3. Maintenance of gains at 3 and 6 weeks post treatment was strong.

Conclusion Application of M–RET to procedural discourse appears to be a viable treatment option for participants with mild to mild–moderate aphasia.

Acknowledgments
This research was supported by the Department of Veterans Affairs, Rehabilitation Research and Development. Thanks are extended to Shannon Mauszycki and Rosalea Cameron for their assistance with this project.
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