Treatment for Word Retrieval Impairments in Aphasia
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Purpose
In this study the investigators are examining the effectiveness of two different speech therapy protocols for word retrieval impairments experienced by individuals with stroke-induced aphasia. One treatment involves errorless naming treatment and the other employs verbal plus gestural facilitation of word retrieval. Participants will receive one of the two treatments over several months. Before and after treatment the investigators will administer several tests and conversational samples to examine changes associated with the treatments. The investigators hypothesize that, whereas both treatments will lead to improvements in words rehearsed in therapy, communication outcomes in conversation will be broader for the verbal plus gestural protocol.
| Condition | Intervention | Phase |
|---|---|---|
|
Stroke |
Behavioral: Word Retrieval Treatments for Aphasia |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Investigator) Primary Purpose: Treatment |
| Official Title: | Communication Outcomes for Naming Treatments in Aphasia |
- Daily Probe Picture Naming [ Time Frame: daily probes from three times per week for up to 3 months and one month posttreatment ] [ Designated as safety issue: No ]
- Western Aphasia Battery [ Time Frame: pre-treatment and at treatment completion ] [ Designated as safety issue: No ]
- Boston Naming Test [ Time Frame: pretreatment and at treatment completion ] [ Designated as safety issue: No ]
- Discourse Sample [ Time Frame: pre-treatment and at treatment completion ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 16 |
| Study Start Date: | August 2008 |
| Estimated Study Completion Date: | July 2012 |
| Estimated Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Errorless Naming Treatment |
Behavioral: Word Retrieval Treatments for Aphasia
Speech therapy sessions take place 4 times per week for up to 90 minutes per session. Following a phase of baseline pre-testing, two phases of speech therapy will take place lasting up to 20 sessions per phase. Post-testing will take place immediately upon completion of the treatment phases and again at 1 month post study completion.
|
| Experimental: Verbal+Gestural Facilitation |
Behavioral: Word Retrieval Treatments for Aphasia
Speech therapy sessions take place 4 times per week for up to 90 minutes per session. Following a phase of baseline pre-testing, two phases of speech therapy will take place lasting up to 20 sessions per phase. Post-testing will take place immediately upon completion of the treatment phases and again at 1 month post study completion.
|
Eligibility| Ages Eligible for Study: | 21 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- left hemisphere stroke >4 months earlier
- aphasia with word retrieval impairments
- >21 years of age right handed
- speaker of English as the preferred language
- >6 grade education
Exclusion Criteria:
- history of developmental learning difficulties
- history of prior neurological illnesses
- chronic medical illnesses that restrict participation in speech therapy
- alcohol or drug dependence
- severe uncorrected impairments of vision or hearing
Contacts and Locations| Contact: Anastasia M Raymer, PhD | 757-683-4522 | sraymer@odu.edu |
| Contact: Sheryl Spence | 757-683-4117 |
| United States, Virginia | |
| Old Dominion University Speech and Hearing Clinic | Recruiting |
| Norfolk, Virginia, United States, 23529 | |
| Contact: Anastasia M Raymer, PhD 757-683-4522 sraymer@odu.edu | |
| Principal Investigator: Anastasia Raymer, PhD | |
| Principal Investigator: | Anastasia M Raymer, PhD | Old Dominion University |
More Information
No publications provided
| Responsible Party: | Dr. Anastasia Raymer, Professor of Communications Disorders & Special Education, Old Dominion University |
| ClinicalTrials.gov Identifier: | NCT00764400 History of Changes |
| Other Study ID Numbers: | R15 DC009690, 3R15DC009690, R15 DC009690 |
| Study First Received: | September 30, 2008 |
| Last Updated: | May 18, 2012 |
| Health Authority: | United States: Federal Government |
Keywords provided by Old Dominion University:
|
aphasia anomia speech therapy rehabilitation |
Additional relevant MeSH terms:
|
Language Disorders Aphasia Stroke Speech Disorders Communication Disorders Neurobehavioral Manifestations Neurologic Manifestations |
Nervous System Diseases Signs and Symptoms Cerebrovascular Disorders Brain Diseases Central Nervous System Diseases Vascular Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on May 16, 2013