Speeded Anomia Treatment in Chronic Post-stroke Aphasia

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-15

Study Completion Date

2023-09-01

Brief Summary

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The main aim of the study is to investigate the effect of a novel, speeded anomia therapy (Conroy et al., 2018) in a large population of patients with chronic post-stroke aphasia. The treatment will be delivered via a web application (QuickWord).

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Detailed Description

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The main aim is to test the clinical efficacy of a novel, web based, rehabilitation approach to aphasic word-finding difficulties (QuickWord). In an initial development and case-series evaluation, Conroy et al (2018, Brain) found that training for both speed as well as accuracy of naming generated much better outcomes to picture naming accuracy and also augmented the carry-over to connected speech production.

This is a randomised, crossover, clinical trial of QuickWord in a group of aphasic patients in the chronic post-stroke period. The comparison will be standard care. The main outcome measures are clinically relevant improvement in naming to confrontation, and spontaneous use of the target vocabulary in a connected speech sample (detailed picture description). Secondary outcome includes measured use of the vocabulary in a story-telling, connected speech assessment (retelling of the Cinderella story).

Conditions

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Aphasia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Speeded anomia therapy

21h of anomia therapy

Group Type EXPERIMENTAL

Speeded anomia therapy

Intervention Type BEHAVIORAL

The speeded anomia therapy was introduced as RISP (Repeated, Increasingly Speeded Production) by Conroy et al. (2018). Participants are asked to name the picture presented to them before an auditory stimulus ('beep' sound) at the end of item presentation. In each session the allotted response time is gradually reduced. After an incorrect response, participants are asked to repeat the word three times.

Standard care

Participants' typical daily routine

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Speeded anomia therapy

The speeded anomia therapy was introduced as RISP (Repeated, Increasingly Speeded Production) by Conroy et al. (2018). Participants are asked to name the picture presented to them before an auditory stimulus ('beep' sound) at the end of item presentation. In each session the allotted response time is gradually reduced. After an incorrect response, participants are asked to repeat the word three times.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Native English speakers
* Age 18 years or above
* Stroke (any type) greater than 12 months post onset
* No history of neurological disorders / psychiatric disorders
* Normal or corrected-to-normal hearing \& vision
* Able to give informed consent
* Currently not receiving Speech \& Language therapy
* Minimal repetition skills (\>40% on an immediate word repetition test)
* Evidence of naming difficulties (\<90% in Boston Naming Test - Goodglass et al., 1983)

Exclusion Criteria

* Non-native English speakers
* Less than 18 years old
* Stroke less than 12 months post onset
* History of neurological disorders / psychiatric disorders
* Uncorrected hearing \& vision
* Unable to give informed consent
* Currently receiving Speech \& Language therapy
* Insufficient repetition skills (\<40% on an immediate word repetition test)
* Good naming performance (\>90% in Boston Naming Test - Goodglass et al., 1983)

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No