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The Feasibility of Modified Multimodal Communication Treatment With Discourse via Telepractice for People With Aphasia.

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Title: The Feasibility of Modified Multimodal Communication Treatment With Discourse via Telepractice for People With Aphasia.
Authors: Park, Hyejin1 hpark11@olemiss.edu, Wallace, Sarah E.2, Burklow, Elizabeth1, Warda, Emily L.1
Source: American Journal of Speech-Language Pathology. 2025 Supplement, Vol. 34, p3736-3762. 27p.
Subject Terms: *Health services accessibility, *Meetings, *Conversation, *Communication, *Speech therapy, Supervision of employees, Prompts (Psychology), Research funding, Rehabilitation of aphasic persons, Telerehabilitation, Treatment effectiveness, Combined modality therapy, Data analysis software, Agrammatism
Abstract: Purpose: Multimodal Communication Treatment with discourse via telepractice (teleMCT+D) is a modified version of Multimodal Communication Treatment for people with aphasia to expand instruction in resolving communication breakdowns to the discourse level. Due to potential barriers to telepractice with nonspoken communication modalities, we aimed to evaluate its feasibility in a single-subject design study. Method: Two people with aphasia completed teleMCT+D across 10 weeks (two 1-hr sessions per week) and posttreatment interviews. The feasibility was evaluated for the five categories (recruitment, data collection, acceptability, resources, and responses) from Orsmond and Cohn (2015). Each category of feasibility was evaluated by several outcome measures. Results: Findings demonstrated high feasibility for recruitment and data collection, although one participant’s assessment fidelity was moderate. Participants found teleMCT+D to be acceptable. They viewed the telepractice format positively; however, minimal negative reactions and events were also reported. Regarding resources, all participants and care partners had the technology skills and materials needed to participate. Additional resources, including clinician training, supervision, and regular team meetings, assured ethical conduct. Finally, the treatment response results showed mixed effects on accuracy and nonspoken modality use but no improvement in spoken modality productions. Participants also reported that they used nonspoken modalities (e.g., gesturing) frequently for daily conversations. Conclusions: We discussed the advantages and challenges of teleMCT+D based on the feasibility results such as limited view and control of the environment, which limited nonspoken modality training at times. Future directions include following the suggested modifications in a large sample with various types and severities of aphasia. Preliminary evidence supporting that a telepractice format for communication breakdown resolution treatment for people with aphasia is feasible and acceptable can provide better access to underserved populations. [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
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  Data: The Feasibility of Modified Multimodal Communication Treatment With Discourse via Telepractice for People With Aphasia.
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  Data: <searchLink fieldCode="AR" term="%22Park%2C+Hyejin%22">Park, Hyejin</searchLink><relatesTo>1</relatesTo><i> hpark11@olemiss.edu</i><br /><searchLink fieldCode="AR" term="%22Wallace%2C+Sarah+E%2E%22">Wallace, Sarah E.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Burklow%2C+Elizabeth%22">Burklow, Elizabeth</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Warda%2C+Emily+L%2E%22">Warda, Emily L.</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. 2025 Supplement, Vol. 34, p3736-3762. 27p.
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  Data: *<searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br />*<searchLink fieldCode="DE" term="%22Meetings%22">Meetings</searchLink><br />*<searchLink fieldCode="DE" term="%22Conversation%22">Conversation</searchLink><br />*<searchLink fieldCode="DE" term="%22Communication%22">Communication</searchLink><br />*<searchLink fieldCode="DE" term="%22Speech+therapy%22">Speech therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Supervision+of+employees%22">Supervision of employees</searchLink><br /><searchLink fieldCode="DE" term="%22Prompts+%28Psychology%29%22">Prompts (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation+of+aphasic+persons%22">Rehabilitation of aphasic persons</searchLink><br /><searchLink fieldCode="DE" term="%22Telerehabilitation%22">Telerehabilitation</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Combined+modality+therapy%22">Combined modality therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Agrammatism%22">Agrammatism</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Multimodal Communication Treatment with discourse via telepractice (teleMCT+D) is a modified version of Multimodal Communication Treatment for people with aphasia to expand instruction in resolving communication breakdowns to the discourse level. Due to potential barriers to telepractice with nonspoken communication modalities, we aimed to evaluate its feasibility in a single-subject design study. Method: Two people with aphasia completed teleMCT+D across 10 weeks (two 1-hr sessions per week) and posttreatment interviews. The feasibility was evaluated for the five categories (recruitment, data collection, acceptability, resources, and responses) from Orsmond and Cohn (2015). Each category of feasibility was evaluated by several outcome measures. Results: Findings demonstrated high feasibility for recruitment and data collection, although one participant’s assessment fidelity was moderate. Participants found teleMCT+D to be acceptable. They viewed the telepractice format positively; however, minimal negative reactions and events were also reported. Regarding resources, all participants and care partners had the technology skills and materials needed to participate. Additional resources, including clinician training, supervision, and regular team meetings, assured ethical conduct. Finally, the treatment response results showed mixed effects on accuracy and nonspoken modality use but no improvement in spoken modality productions. Participants also reported that they used nonspoken modalities (e.g., gesturing) frequently for daily conversations. Conclusions: We discussed the advantages and challenges of teleMCT+D based on the feasibility results such as limited view and control of the environment, which limited nonspoken modality training at times. Future directions include following the suggested modifications in a large sample with various types and severities of aphasia. Preliminary evidence supporting that a telepractice format for communication breakdown resolution treatment for people with aphasia is feasible and acceptable can provide better access to underserved populations. [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.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=190287154
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        Value: 10.1044/2025_AJSLP-24-00424
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      – Code: eng
        Text: English
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        PageCount: 27
        StartPage: 3736
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      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Meetings
        Type: general
      – SubjectFull: Conversation
        Type: general
      – SubjectFull: Communication
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      – SubjectFull: Speech therapy
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      – SubjectFull: Supervision of employees
        Type: general
      – SubjectFull: Prompts (Psychology)
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Rehabilitation of aphasic persons
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        Type: general
      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Combined modality therapy
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      – SubjectFull: Data analysis software
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      – SubjectFull: Agrammatism
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      – TitleFull: The Feasibility of Modified Multimodal Communication Treatment With Discourse via Telepractice for People With Aphasia.
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              Text: 2025 Supplement
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