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Treatment for Word Retrieval Impairments in Aphasia

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ClinicalTrials.gov Identifier: NCT00764400
Recruitment Status : Completed
First Posted : October 2, 2008
Last Update Posted : April 6, 2018
Sponsor:
Collaborator:
National Institute on Deafness and Other Communication Disorders (NIDCD)
Information provided by (Responsible Party):
Dr. Anastasia Raymer, Old Dominion University

Brief Summary:
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 or disease Intervention/treatment Phase
Stroke Behavioral: Word Retrieval Treatments for Aphasia Not Applicable

Detailed Description:
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.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 24 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Treatment
Official Title: Communication Outcomes for Naming Treatments in Aphasia
Study Start Date : August 2008
Actual Primary Completion Date : June 2013
Actual Study Completion Date : July 2013

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
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.



Primary Outcome Measures :
  1. Daily Probe Picture Naming [ Time Frame: daily probes from three times per week for up to 3 months and one month posttreatment ]

Secondary Outcome Measures :
  1. Western Aphasia Battery [ Time Frame: pre-treatment and at treatment completion ]
  2. Boston Naming Test [ Time Frame: pretreatment and at treatment completion ]
  3. Discourse Sample [ Time Frame: pre-treatment and at treatment completion ]


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Ages Eligible for Study:   21 Years to 90 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00764400


Locations
United States, Virginia
Old Dominion University Speech and Hearing Clinic
Norfolk, Virginia, United States, 23529
Sponsors and Collaborators
Old Dominion University
National Institute on Deafness and Other Communication Disorders (NIDCD)
Investigators
Principal Investigator: Anastasia M Raymer, PhD Old Dominion University

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: R15DC009690 ( U.S. NIH Grant/Contract )
3R15DC009690 ( U.S. NIH Grant/Contract )
First Posted: October 2, 2008    Key Record Dates
Last Update Posted: April 6, 2018
Last Verified: April 2018

Keywords provided by Dr. Anastasia Raymer, Old Dominion University:
aphasia
anomia
speech therapy
rehabilitation

Additional relevant MeSH terms:
Aphasia
Speech Disorders
Language Disorders
Communication Disorders
Neurobehavioral Manifestations
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms