Authors: Hinckley JJ, Carr TH
Title: Comparing the outcomes of intensive and non-intensive context-based aphasia treatment
Source: Aphasiology 2005 19(10-11): 965-974
Year: 2005
Research Design: Non Randomised Controlled Trial
Rating Score: 03/10
This rating is confirmed
Eligibility specified - N
Random allocation - N
Concealed allocation - N
Baseline comparability - N
Blind subjects - N
Blind therapists - N
Blind assessors - N
Adequate follow-up - Y
Intention-to-treat analysis - N
Between-group comparisons - Y
Point estimates and variability - Y

BACKGROUND: Intensive rates of treatment have been shown to have positive outcomes but have rarely been directly compared with non-intensive treatment. Certain types of treatment may be more effective at intensive rates than others. AIMS: The purpose of this study was to compare intensive and non-intensive rates of one particular, highly specified type of treatment termed "context-based treatment". METHODS AND PROCEDURES: Thirteen adults with moderately severe aphasia were assigned to either intensive or non-intensive treatment. A battery of assessments was designed to measure the effectiveness of the treatment and the transfer of the treatment to more and less similar contexts. OUTCOMES AND RESULTS: There was no advantage of intensive treatment for achieving mastery of the trained context, or in transferring those skills to similar environments, or challenging environments. CONCLUSIONS: If replicated, the results could suggest that context-based treatment may be a treatment type of choice when treatment time is limited.

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