Intensive Auditory Comprehension Treatment for Severe Aphasia: A Feasibility Study Background Severe auditory comprehension impairments secondary to aphasia can adversely influence rehabilitative outcomes and quality of life. Studies examining intensive rehabilitative treatments for severe single-word auditory comprehension impairments are needed. Objectives Our purpose was to examine the feasibility and influence of a high-intensity word–picture verification treatment on high-frequency, ... Clinical Focus
Clinical Focus  |   August 06, 2018
Intensive Auditory Comprehension Treatment for Severe Aphasia: A Feasibility Study
 
Author Affiliations & Notes
  • Kelly Knollman-Porter
    Department of Speech Pathology & Audiology, Miami University, FL
  • Aimee Dietz
    Department of Communication Sciences and Disorders, University of Cincinnati, OH
  • Kelly Dahlem
    Department of Speech Pathology & Audiology, Miami University, FL
  • 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: Kelly Knollman-Porter: knollmkk@miamioh.edu
  • Editor-in-Chief: Krista Wilkinson
    Editor-in-Chief: Krista Wilkinson×
  • Editor: Daniel Kempler
    Editor: Daniel Kempler×
Article Information
Normal Language Processing / Language Disorders / Aphasia / Clinical Focus
Clinical Focus   |   August 06, 2018
Intensive Auditory Comprehension Treatment for Severe Aphasia: A Feasibility Study
American Journal of Speech-Language Pathology, August 2018, Vol. 27, 936-949. doi:10.1044/2018_AJSLP-17-0117
History: Received August 1, 2017 , Revised December 17, 2017 , Accepted February 22, 2018
 
American Journal of Speech-Language Pathology, August 2018, Vol. 27, 936-949. doi:10.1044/2018_AJSLP-17-0117
History: Received August 1, 2017; Revised December 17, 2017; Accepted February 22, 2018

Background Severe auditory comprehension impairments secondary to aphasia can adversely influence rehabilitative outcomes and quality of life. Studies examining intensive rehabilitative treatments for severe single-word auditory comprehension impairments are needed.

Objectives Our purpose was to examine the feasibility and influence of a high-intensity word–picture verification treatment on high-frequency, word response accuracy. Research questions: (a) Can people with severe aphasia tolerate an intensive comprehension treatment? (b) Does an intensive intervention increase auditory comprehension response accuracy of spoken high-frequency words?

Method This single-case ABA design study included 2 participants with chronic, severe auditory comprehension deficits secondary to stroke. A high-frequency, word–picture verification treatment was administered 2 hr/day, 5 days/week for 4 weeks and required participants to match the spoken word of the examiner to a picture representing an object.

Results Preliminary results suggest that some people with severe chronic aphasia can tolerate an intensive auditory comprehension treatment and demonstrate improvements in high-frequency, word-level response accuracy with large effect sizes suggesting generalization to untrained stimuli.

Conclusions An intensive auditory comprehension treatment protocol can contribute to improvements in response accuracy for some people with severe aphasia. Larger sample size studies are needed to further examine the influence of intensity on improvements in auditory comprehension.

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