Improving Functional Communication Outcomes in Post-Stroke Aphasia via Telepractice: An Alternative Service Delivery Model for Underserved Populations
Many persons with aphasia (PWA) have limited access to speech-language treatment (SLT) due to limited funding, speech-language pathologist shortages, geographical barriers, physical disabilities, transportation barriers, and COVID-19 pandemic. The purpose of this study was to determine if telepract...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
University Library System, University of Pittsburgh
2022-12-01
|
| Series: | International Journal of Telerehabilitation |
| Subjects: | |
| Online Access: | http://telerehab.pitt.edu/ojs/Telerehab/article/view/6531 |
| _version_ | 1811294345911861248 |
|---|---|
| author | Portia Carr Dana Moser Shana Williamson Greg Robinson Stephen Kintz |
| author_facet | Portia Carr Dana Moser Shana Williamson Greg Robinson Stephen Kintz |
| author_sort | Portia Carr |
| collection | DOAJ |
| description |
Many persons with aphasia (PWA) have limited access to speech-language treatment (SLT) due to limited funding, speech-language pathologist shortages, geographical barriers, physical disabilities, transportation barriers, and COVID-19 pandemic. The purpose of this study was to determine if telepractice is an effective and feasible service delivery model for PWA. Ten PWA completed 8 hours of remote treatment over 4 weeks. Synchronous telepractice sessions employed Oral Reading for Language in Aphasia (ORLA) and Conversational Script Training (CST). Pre- and post-assessment outcome measures included the Communication Activities of Daily Living-3 (CADL-3) and the Communication Confidence Rating Scale for Aphasia (CCRSA). Participants completed a telepractice satisfaction survey following post-assessment. All participants demonstrated improvements in CCRSA scores, total words produced correctly on trained CST stimuli, and total words produced correctly on trained ORLA stimuli. No differences were noted in CADL-3 scores. All participants were highly satisfied with telepractice as a service delivery model.
|
| first_indexed | 2024-04-13T05:15:52Z |
| format | Article |
| id | doaj.art-e798a2718a364ad29c0f5451688f0896 |
| institution | Directory Open Access Journal |
| issn | 1945-2020 |
| language | English |
| last_indexed | 2024-04-13T05:15:52Z |
| publishDate | 2022-12-01 |
| publisher | University Library System, University of Pittsburgh |
| record_format | Article |
| series | International Journal of Telerehabilitation |
| spelling | doaj.art-e798a2718a364ad29c0f5451688f08962022-12-22T03:00:54ZengUniversity Library System, University of PittsburghInternational Journal of Telerehabilitation1945-20202022-12-0114210.5195/ijt.2022.6531Improving Functional Communication Outcomes in Post-Stroke Aphasia via Telepractice: An Alternative Service Delivery Model for Underserved PopulationsPortia Carr0Dana Moser1Shana Williamson2Greg Robinson3Stephen Kintz4University of Arkansas for Medical Sciences, Little Rock, Arkansas, USAUniversity of Arkansas for Medical Sciences, Little Rock, Arkansas, USAUniversity of Arkansas for Medical Sciences, Little Rock, Arkansas, USAUniversity of Arkansas for Medical Sciences, Little Rock, Arkansas, USAUniversity of Arkansas at Little Rock, Little Rock, Arkansas, USA Many persons with aphasia (PWA) have limited access to speech-language treatment (SLT) due to limited funding, speech-language pathologist shortages, geographical barriers, physical disabilities, transportation barriers, and COVID-19 pandemic. The purpose of this study was to determine if telepractice is an effective and feasible service delivery model for PWA. Ten PWA completed 8 hours of remote treatment over 4 weeks. Synchronous telepractice sessions employed Oral Reading for Language in Aphasia (ORLA) and Conversational Script Training (CST). Pre- and post-assessment outcome measures included the Communication Activities of Daily Living-3 (CADL-3) and the Communication Confidence Rating Scale for Aphasia (CCRSA). Participants completed a telepractice satisfaction survey following post-assessment. All participants demonstrated improvements in CCRSA scores, total words produced correctly on trained CST stimuli, and total words produced correctly on trained ORLA stimuli. No differences were noted in CADL-3 scores. All participants were highly satisfied with telepractice as a service delivery model. http://telerehab.pitt.edu/ojs/Telerehab/article/view/6531AphasiaConversational script trainingOral reading for language in aphasiaTelepractice |
| spellingShingle | Portia Carr Dana Moser Shana Williamson Greg Robinson Stephen Kintz Improving Functional Communication Outcomes in Post-Stroke Aphasia via Telepractice: An Alternative Service Delivery Model for Underserved Populations International Journal of Telerehabilitation Aphasia Conversational script training Oral reading for language in aphasia Telepractice |
| title | Improving Functional Communication Outcomes in Post-Stroke Aphasia via Telepractice: An Alternative Service Delivery Model for Underserved Populations |
| title_full | Improving Functional Communication Outcomes in Post-Stroke Aphasia via Telepractice: An Alternative Service Delivery Model for Underserved Populations |
| title_fullStr | Improving Functional Communication Outcomes in Post-Stroke Aphasia via Telepractice: An Alternative Service Delivery Model for Underserved Populations |
| title_full_unstemmed | Improving Functional Communication Outcomes in Post-Stroke Aphasia via Telepractice: An Alternative Service Delivery Model for Underserved Populations |
| title_short | Improving Functional Communication Outcomes in Post-Stroke Aphasia via Telepractice: An Alternative Service Delivery Model for Underserved Populations |
| title_sort | improving functional communication outcomes in post stroke aphasia via telepractice an alternative service delivery model for underserved populations |
| topic | Aphasia Conversational script training Oral reading for language in aphasia Telepractice |
| url | http://telerehab.pitt.edu/ojs/Telerehab/article/view/6531 |
| work_keys_str_mv | AT portiacarr improvingfunctionalcommunicationoutcomesinpoststrokeaphasiaviatelepracticeanalternativeservicedeliverymodelforunderservedpopulations AT danamoser improvingfunctionalcommunicationoutcomesinpoststrokeaphasiaviatelepracticeanalternativeservicedeliverymodelforunderservedpopulations AT shanawilliamson improvingfunctionalcommunicationoutcomesinpoststrokeaphasiaviatelepracticeanalternativeservicedeliverymodelforunderservedpopulations AT gregrobinson improvingfunctionalcommunicationoutcomesinpoststrokeaphasiaviatelepracticeanalternativeservicedeliverymodelforunderservedpopulations AT stephenkintz improvingfunctionalcommunicationoutcomesinpoststrokeaphasiaviatelepracticeanalternativeservicedeliverymodelforunderservedpopulations |