Open AccessEfficacy of Group Conversation Intervention in Individuals with Severe Profiles of Aphasia
Author(s) -
Elizabeth Hoover,
Alexandra McFee,
Gayle DeDe
Publication year - 2019
Publication title -
seminars in speech and language
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.522
H-Index - 41
eISSN - 1098-9056
pISSN - 0734-0478
DOI - 10.1055/s-0039-3400991
Subject(s) - conversation , aphasia , psychology , intervention (counseling) , social isolation , clinical psychology , developmental psychology , audiology , medicine , psychotherapist , cognitive psychology , psychiatry , communication
An estimated 390,000 to 520,000 individuals with severe aphasia (IWSA) currently live in the United States. IWSA experience profound social isolation, which is associated with a wide range of negative health outcomes, including mortality. Treatments for severe aphasia frequently focus on compensatory communication approaches or a discrete communication act rather than on participation-based treatment. The purpose of this study was to determine whether IWSA demonstrated improved performance on standardized language measures, patient-reported outcome measures, and connected speech samples as a result of client-centered conversation group treatment. Results of assessments conducted at pretreatment, posttreatment, and maintenance intervals were variable across participants. All participants demonstrated improvement in at least one of the outcome measures considered. Importantly, none of these measures fully captured how IWSA were able to convey their thoughts in supported conversation. The results lend support for the use of conversation treatment for, and for further study in, this subpopulation of individuals with aphasia.