The purpose of this investigation is to implement a computational model that can predict and optimize training and cross-language generalization patterns for bilingual persons with aphasia (BPA). The proposed work will determine the best possible treatment program for each individual patient even before they are rehabilitated. In addition, the computational model allows specification of variables such as age of acquisition, language exposure/proficiency, impairment and their systematic influence on a range of language rehabilitation outcomes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
48
SFA training entails having the speech-language pathologist (SLP) guide the participant through generation of pertinent semantic features for pictured treatment items (e.g., category membership, physical description, location of item in context, action associated with item). Treatment is applied to a set of items in the context of single-subject, multiple baseline designs so that replication of treatment effects could be evaluated within and across participants. Treatment will be administered two times per week until prescribed accuracy levels were met during treatment probes or a maximum number of treatment sessions was completed.
San Francisco State University
San Francisco, California, United States
RECRUITINGBoston University Sargent College
Boston, Massachusetts, United States
RECRUITINGAustin Speech Labs
Austin, Texas, United States
RECRUITINGWord Retrieval Accuracy in both languages
Accuracy of naming of pictured treated and untreated items in both languages will be assessed in probes conducted separate from treatment. Probes were conducted repeatedly throughout the study, from baseline (prior to treatment) to the end of treatment. All naming responses were scored using as correct or incorrect. A percentage accuracy was calculated for each set of items for every probe session. Baseline probe scores were compared to end of treatment probe scores to obtain individual effect sizes for each sets of items for each participant (i.e., several effect sizes were calculated for each participant).
Time frame: Through study completion, an average of 10 weeks
Psycholinguistic assessments of language processing in aphasia (PALPA) in both languages
Reading single words and understanding spoken words
Time frame: Week 1 and up to 10 weeks
Boston Naming Test (BNT) in both languages
Naming pictured items
Time frame: Week 1 and up to 10 weeks
Bilingual Aphasia Test (BAT) B and C in both languages
Assesses each of the languages of a bilingual or multilingual individual with aphasia
Time frame: Week 1 and up to 10 weeks
Western Aphasia Battery (WAB) in both languages
Assesses the levels of impairment of aphasia
Time frame: Week 1 and up to 10 weeks
Cognitive Linguistic Quick Test (CLQT) in both languages
Assesses the contribution of cognitive deficits to language dysfunction
Time frame: Week 1 and up to 10 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Verbal fluency task (COWAT) in both languages
Assesses general fluency
Time frame: Week 1 and up to 10 weeks
Category fluency task in both languages
Assesses category fluency
Time frame: Week 1 and up to 10 weeks
Communication Effectiveness Index (CETI) for both languages
Determines communication effectiveness by proxy
Time frame: Week 1 and up to 10 weeks
Pyramids and Palm Trees Test (PAPT) 3 pictures version
Assesses semantic processing ability
Time frame: Week 1 and up to 10 weeks
Aphasia Bank
Assesses discourse
Time frame: Week 1 and up to 10 weeks