Authors: Braun EJ, Cherney LR
Title: Small-Dose Behavioral Treatment Effects: Learning Following 2 Hours of Computer-Based Conversational Script Training in Individuals With Poststroke Aphasia
Source: Journal of Speech, Language, and Hearing Research 2025 68(3): 1075-1091
Year: 2025
Research Design: Case Series
Abstract:

PURPOSE: Optimal dosage parameters are underspecified for aphasia therapy. This study evaluated effects of small doses of conversational script training in individuals with chronic poststroke aphasia., METHOD: Ten adults with chronic poststroke aphasia completed 2 hr of computerized conversational script training on two consecutive days via AphasiaScripts. Accuracy and rate of production of a trained and an untrained conversational script were probed at three baseline timepoints and various timepoints after the first and second treatment sessions up to 2 weeks posttreatment. Generalization in accuracy of trained script production was evaluated through a live conversational interaction. Mixed-effects linear regression models evaluated changes in accuracy and rate of script production across timepoints., RESULTS: Participants showed significantly improved accuracy and rate of trained script production immediately following 1 and 2 hr of treatment. Gains in script production accuracy and rate were maintained up to 1 week posttreatment. Generalization probe production accuracy improved significantly from baseline to immediately posttreatment and 2 weeks posttreatment., CONCLUSIONS: Improvement in production of trained conversational scripts following 1 and 2 hr of treatment can be documented in individuals with poststroke aphasia. These results provide estimates for the effects of 1 and 2 hr of conversational script training that can be used in future dosage manipulations., SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.28339925.

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