Stepped Care for Aphasia
Study Details
Study Description
Brief Summary
This study is recruiting people who had a stroke at least 1 month ago and now have a language impairment called aphasia. Living with aphasia can have devastating effects on communication and quality of life, and it is not uncommon for survivors with aphasia to face psychological problems like depression and anxiety. Participants who are eligible for this study will undergo baseline testing, engage in a 5-week treatment focused on psychological well-being, undergo post-treatment testing, and then testing again 1-month later. Check-in phone calls will be conducted during the 1-month off period and participants will be interviewed about their experience at the end of the study as well. Compensation will be provided to participants with aphasia.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Psychosocial intervention
|
Behavioral: Psychosocial intervention
an SLP-administered 5-week treatment focused on psychological well-being
|
Outcome Measures
Primary Outcome Measures
- Change in the Hospital Anxiety and Depression Scale at 1-Month Follow-Up [through study completion, an average of 10 weeks]
Change in the total depression and anxiety Hospital Anxiety and Depression Scale scores between baseline and at 1-month post-treatment. Minimum score 0, maximum score 21 for each scale. Higher scores mean a worse outcome.
Secondary Outcome Measures
- Change in Dynamic Visual Analogue Mood Scales at 1-Month Follow-Up [through study completion, an average of 10 weeks]
Total summary score (min: 0, max: 100, higher scores indicate better outcome) and sadness score (min: 0, max: 100, higher scores indicate better outcome)
- Change in Stroke Aphasia Depression Questionnaire - 10 at 1-Month Follow-Up [through study completion, an average of 10 weeks]
Total score (min: 0, max: 30, higher scores indicate worse outcome)
- Change in Behavioural Outcomes of Anxiety Scale at 1-Month Follow-Up [through study completion, an average of 10 weeks]
Total score (min: 0, max: 30, higher scores indicate worse outcome)
- Change in Modified Perceived Stress Scale at 1-Month Follow-Up [through study completion, an average of 10 weeks]
Total score (min: 0, max: 40, higher scores indicate worse outcome)
- Change in Stroke Aphasia Quality of Life - 39 at 1-Month Follow-Up [through study completion, an average of 10 weeks]
Total score (min: 1, max: 5), physical score (min: 1, max: 5), psychosocial score (min: 1, max: 5), and communication score (min: 1, max: 5), higher scores on all scales indicate better outcomes
- Change in Communication Confidence Rating Scale for Aphasia at 1-Month Follow-Up [through study completion, an average of 10 weeks]
Total score (min: 10, max: 40, higher scores indicate better outcome)
Eligibility Criteria
Criteria
Inclusion Criteria:
-
18-81 years old
-
Native English speaker (English fluency by age 7)
-
Aphasia as a result of a left-hemisphere ischemic or hemorrhagic stroke (WAB-R Aphasia Quotient < 93.8)
-
At least 1-month post-stroke
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Confirmation of left hemisphere stroke per medical records
-
Discharged from hospital
-
Participant is willing and able to consent for themselves.
Exclusion Criteria:
-
Uncorrected hearing or visual impairment that prevents completion of experimental activities as determined by self-report
-
History of other neurological disorder or disease beside stroke (e.g., dementia, traumatic brain injury) as determined by self-report and/or medical records
-
Self-reported history of premorbid learning disability
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Severe auditory comprehension deficits (as indicated by a score of more than two standard deviations below norms on the Auditory Verbal section of WAB-R)
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Medical University of South Carolina | Charleston | South Carolina | United States | 29425 |
Sponsors and Collaborators
- Medical University of South Carolina
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Pro00125313