Integrated Training for Aphasia: An Application of Part–Whole Learning to Treat Lexical Retrieval, Sentence Production, and Discourse-Level Communications in Three Cases of Nonfluent Aphasia Purpose The purpose of this study was to evaluate integrated training for aphasia (ITA), a multicomponent language-production treatment based on part–whole learning that systematically trains lexical retrieval, sentence production, and discourse-level communications. Specific research objectives were to evaluate acquisition of target structures, statistical parameters associated with learning variables, treatment generalization, ... Research Article
Research Article  |   May 01, 2014
Integrated Training for Aphasia: An Application of Part–Whole Learning to Treat Lexical Retrieval, Sentence Production, and Discourse-Level Communications in Three Cases of Nonfluent Aphasia
 
Author Affiliations & Notes
  • Lisa Milman
    Utah State University, Logan
  • Mariana Vega-Mendoza
    Ohio State University, Columbus
  • Deanna Clendenen
    Ohio State University, Columbus
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication.×
  • Correspondence to Lisa Milman: lisa.milman@usu.edu
  • Editor: Carol Scheffner Hammer
    Editor: Carol Scheffner Hammer×
  • Associate Editor: Heather Wright
    Associate Editor: Heather Wright×
Article Information
Development / Normal Language Processing / Language Disorders / Aphasia / Attention, Memory & Executive Functions / Research Articles
Research Article   |   May 01, 2014
Integrated Training for Aphasia: An Application of Part–Whole Learning to Treat Lexical Retrieval, Sentence Production, and Discourse-Level Communications in Three Cases of Nonfluent Aphasia
American Journal of Speech-Language Pathology, May 2014, Vol. 23, 105-119. doi:10.1044/2014_AJSLP-12-0054
History: Received June 25, 2012 , Revised April 30, 2013 , Accepted October 5, 2013
 
American Journal of Speech-Language Pathology, May 2014, Vol. 23, 105-119. doi:10.1044/2014_AJSLP-12-0054
History: Received June 25, 2012; Revised April 30, 2013; Accepted October 5, 2013
Web of Science® Times Cited: 6

Purpose The purpose of this study was to evaluate integrated training for aphasia (ITA), a multicomponent language-production treatment based on part–whole learning that systematically trains lexical retrieval, sentence production, and discourse-level communications. Specific research objectives were to evaluate acquisition of target structures, statistical parameters associated with learning variables, treatment generalization, and the efficacy of individual treatment components.

Method ITA was administered to 3 individuals with nonfluent aphasia following a multiple-baseline, across-behaviors design. Effect size and correlational coefficients were computed to assess acquisition, generalization, and maintenance of target structures. Standardized tests and a treatment efficacy questionnaire were also completed.

Results A significant treatment effect was found in 2 of the 3 participants. In addition, as is seen in normal skill acquisition, practice time and error rate were significantly correlated. All participants demonstrated evidence of generalization on standardized language measures. Only 1 participant improved, however, on the communication measures. Results of the treatment component analysis revealed significant differences in the perceived efficacy of individual therapy tasks.

Conclusions Findings add to the evidence supporting multicomponent aphasia treatments, provide preliminary support for ITA and the application of a part–whole learning approach, and suggest that specific treatment components may contribute differentially to outcomes and generalization effects.

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