The Benefits of Conversation Group Treatment for Individuals With Chronic Aphasia: Updated Evidence From a Multisite Randomized Controlled Trial on Measures of Language and Communication.
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| Title: | The Benefits of Conversation Group Treatment for Individuals With Chronic Aphasia: Updated Evidence From a Multisite Randomized Controlled Trial on Measures of Language and Communication. |
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| Authors: | Hoover, Elizabeth1, Szabo, Gretchen2, Kohen, Francine3, Vitale, Sarah1, McCloskey, Nicholas3, Maas, Edwin3, Kulkarni, Varsha4, DeDe, Gayle3 gayle.dede@temple.edu |
| Source: | American Journal of Speech-Language Pathology. May2025, Vol. 34 Issue 3, p1203-1218. 16p. |
| Subject Terms: | *Conversation, *Data analysis, *Aphasia, *Control groups, *Pre-tests & post-tests, *Research, *Speech therapy, Research funding, Statistical sampling, Treatment effectiveness, Randomized controlled trials, Descriptive statistics, Statistics, Data analysis software, Group process |
| Abstract: | Purpose: Aphasia is a communication disorder that affects up to 30% of stroke survivors. Insufficient access to communication services creates personal, social, and financial costs to people with aphasia (PwA), care partners, and the community. Group conversation treatment has the potential to improve communication and reduce social isolation in a cost-effective manner, but little is known about its critical ingredients. This multicenter randomized controlled trial examined the effects of conversation treatment and whether the pattern of changes on outcome measures differed when treatment was delivered in large groups compared to dyads. Method: One hundred four PwA were randomly assigned to a dyad, large group, or delayed control condition. Conversation group treatment was 1 hr, twice weekly, over 10 weeks. Individual communication goals were addressed within thematically oriented conversation treatment. To evaluate treatment effects, primary (Aphasia Communication Outcome Measure [ACOM]) and secondary outcome measures were examined at pretreatment, posttreatment, and 6 weeks posttreatment. Results: The ACOM did not show significant changes in the planned omnibus analyses. Post hoc analyses suggested that the large group, but not dyad, treatment condition showed a treatment effect on the ACOM from pre- to posttreatment. Both treatment conditions showed changes on a measure of naming, and the dyads also showed improvement on a measure of repetition. Conclusions: The study failed to show the effects of conversation treatment in the omnibus analysis, but there was evidence that conversation group treatment, delivered in a large group, is effective for people with chronic aphasia. This study also illustrated how manipulating the size of the group may alter the outcomes for individuals. The results of this study offer support for a cost-effective treatment option for PwA across the continuum of care. [ABSTRACT FROM AUTHOR] |
| Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 184981770 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: The Benefits of Conversation Group Treatment for Individuals With Chronic Aphasia: Updated Evidence From a Multisite Randomized Controlled Trial on Measures of Language and Communication. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Hoover%2C+Elizabeth%22">Hoover, Elizabeth</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Szabo%2C+Gretchen%22">Szabo, Gretchen</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Kohen%2C+Francine%22">Kohen, Francine</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Vitale%2C+Sarah%22">Vitale, Sarah</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22McCloskey%2C+Nicholas%22">McCloskey, Nicholas</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Maas%2C+Edwin%22">Maas, Edwin</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Kulkarni%2C+Varsha%22">Kulkarni, Varsha</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22DeDe%2C+Gayle%22">DeDe, Gayle</searchLink><relatesTo>3</relatesTo><i> gayle.dede@temple.edu</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. May2025, Vol. 34 Issue 3, p1203-1218. 16p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Conversation%22">Conversation</searchLink><br />*<searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Aphasia%22">Aphasia</searchLink><br />*<searchLink fieldCode="DE" term="%22Control+groups%22">Control groups</searchLink><br />*<searchLink fieldCode="DE" term="%22Pre-tests+%26+post-tests%22">Pre-tests & post-tests</searchLink><br />*<searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br />*<searchLink fieldCode="DE" term="%22Speech+therapy%22">Speech therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Group+process%22">Group process</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: Aphasia is a communication disorder that affects up to 30% of stroke survivors. Insufficient access to communication services creates personal, social, and financial costs to people with aphasia (PwA), care partners, and the community. Group conversation treatment has the potential to improve communication and reduce social isolation in a cost-effective manner, but little is known about its critical ingredients. This multicenter randomized controlled trial examined the effects of conversation treatment and whether the pattern of changes on outcome measures differed when treatment was delivered in large groups compared to dyads. Method: One hundred four PwA were randomly assigned to a dyad, large group, or delayed control condition. Conversation group treatment was 1 hr, twice weekly, over 10 weeks. Individual communication goals were addressed within thematically oriented conversation treatment. To evaluate treatment effects, primary (Aphasia Communication Outcome Measure [ACOM]) and secondary outcome measures were examined at pretreatment, posttreatment, and 6 weeks posttreatment. Results: The ACOM did not show significant changes in the planned omnibus analyses. Post hoc analyses suggested that the large group, but not dyad, treatment condition showed a treatment effect on the ACOM from pre- to posttreatment. Both treatment conditions showed changes on a measure of naming, and the dyads also showed improvement on a measure of repetition. Conclusions: The study failed to show the effects of conversation treatment in the omnibus analysis, but there was evidence that conversation group treatment, delivered in a large group, is effective for people with chronic aphasia. This study also illustrated how manipulating the size of the group may alter the outcomes for individuals. The results of this study offer support for a cost-effective treatment option for PwA across the continuum of care. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1044/2025_AJSLP-24-00279 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 16 StartPage: 1203 Subjects: – SubjectFull: Conversation Type: general – SubjectFull: Data analysis Type: general – SubjectFull: Aphasia Type: general – SubjectFull: Control groups Type: general – SubjectFull: Pre-tests & post-tests Type: general – SubjectFull: Research Type: general – SubjectFull: Speech therapy Type: general – SubjectFull: Research funding Type: general – SubjectFull: Statistical sampling Type: general – SubjectFull: Treatment effectiveness Type: general – SubjectFull: Randomized controlled trials Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Statistics Type: general – SubjectFull: Data analysis software Type: general – SubjectFull: Group process Type: general Titles: – TitleFull: The Benefits of Conversation Group Treatment for Individuals With Chronic Aphasia: Updated Evidence From a Multisite Randomized Controlled Trial on Measures of Language and Communication. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Hoover, Elizabeth – PersonEntity: Name: NameFull: Szabo, Gretchen – PersonEntity: Name: NameFull: Kohen, Francine – PersonEntity: Name: NameFull: Vitale, Sarah – PersonEntity: Name: NameFull: McCloskey, Nicholas – PersonEntity: Name: NameFull: Maas, Edwin – PersonEntity: Name: NameFull: Kulkarni, Varsha – PersonEntity: Name: NameFull: DeDe, Gayle IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: May2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 10580360 Numbering: – Type: volume Value: 34 – Type: issue Value: 3 Titles: – TitleFull: American Journal of Speech-Language Pathology Type: main |
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