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A Provisional Theory of Change and Basic Logic Model for Intensive Comprehensive Aphasia Programs.

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Title: A Provisional Theory of Change and Basic Logic Model for Intensive Comprehensive Aphasia Programs.
Authors: Monnelly, Katie1 Katie.Monnelly.1@city.ac.uk, Marshall, Jane1, Dipper, Lucy1, Cruice, Madeline1
Source: Journal of Speech, Language & Hearing Research. Apr2026, Vol. 69 Issue 4, p1759-1782. 24p.
Subject Terms: *Focus groups, *Speech-language pathology, *Aphasia, *Theory, *Speech therapy, Research funding, Rehabilitation of aphasic persons, Medical care, Evaluation of human services programs, Decision making in clinical medicine, Descriptive statistics, Sound recordings, Mathematical models, Logic, Adverse health care events, Data analysis software, Video recording
Abstract: Purpose: People with aphasia have a comprehensive range of needs due to their language impairment and its resulting impact on everyday life. Aphasia can be compounded by environments and contexts that are not aphasia friendly. This calls for a range of speech and language interventions targeting the language impairment and its consequences, as modeled by the International Classification of Functioning, Disability and Health. Intensive Comprehensive Aphasia Programs (ICAPs) aim to tackle this issue by providing a range of interventions in a time-limited schedule. However, when this service delivery model was developed, the rationale and evidence base for each component of the model was not clearly defined or mapped out. Applying theory of change (TOC) may be helpful in detailing how the therapeutic input is hypothesized to produce a desired change. A TOC is coconstructed with key stakeholders, people with aphasia in this instance. This process can be mapped on a logic model (LM), and potential negative or adverse outcomes (dark logic) can also be considered. This article provides an overview of ICAPs, key gaps in the literature, and provides a methodological example of how TOC, logic modeling, and dark logic can be applied to an ICAP despite some limitations wit h the approach. Method: An extensive scoping of the literature and discussion with aphasia researchers produced an initial TOC, which was then refined by people with aphasia (n = 8) using focus group methodology. The focus group explored potential adverse outcomes of an ICAP using dark logic modeling. The TOC was mapped onto an LM. Results: A provisional TOC and LM with dark logic for an ICAP was produced, though inclusion of other stakeholder groups is required for thorough application of a TOC to ICAPs. Conclusions: There are challenges in applying TOC, LM, and dark logic modeling to a service delivery model. However, this approach was useful in mapping an ICAP in a methodological manner and in identifying how the theoretical underpinning, design, outcome measurement, and evaluation of an ICAP including a consideration of risks might be enhanced. Supplemental Material: https://doi.org/10.23641/asha.31478488 [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research 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: A Provisional Theory of Change and Basic Logic Model for Intensive Comprehensive Aphasia Programs.
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  Data: <searchLink fieldCode="AR" term="%22Monnelly%2C+Katie%22">Monnelly, Katie</searchLink><relatesTo>1</relatesTo><i> Katie.Monnelly.1@city.ac.uk</i><br /><searchLink fieldCode="AR" term="%22Marshall%2C+Jane%22">Marshall, Jane</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Dipper%2C+Lucy%22">Dipper, Lucy</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Cruice%2C+Madeline%22">Cruice, Madeline</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. Apr2026, Vol. 69 Issue 4, p1759-1782. 24p.
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  Data: *<searchLink fieldCode="DE" term="%22Focus+groups%22">Focus groups</searchLink><br />*<searchLink fieldCode="DE" term="%22Speech-language+pathology%22">Speech-language pathology</searchLink><br />*<searchLink fieldCode="DE" term="%22Aphasia%22">Aphasia</searchLink><br />*<searchLink fieldCode="DE" term="%22Theory%22">Theory</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="%22Rehabilitation+of+aphasic+persons%22">Rehabilitation of aphasic persons</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+human+services+programs%22">Evaluation of human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Decision+making+in+clinical+medicine%22">Decision making in clinical medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Sound+recordings%22">Sound recordings</searchLink><br /><searchLink fieldCode="DE" term="%22Mathematical+models%22">Mathematical models</searchLink><br /><searchLink fieldCode="DE" term="%22Logic%22">Logic</searchLink><br /><searchLink fieldCode="DE" term="%22Adverse+health+care+events%22">Adverse health care events</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Video+recording%22">Video recording</searchLink>
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  Data: Purpose: People with aphasia have a comprehensive range of needs due to their language impairment and its resulting impact on everyday life. Aphasia can be compounded by environments and contexts that are not aphasia friendly. This calls for a range of speech and language interventions targeting the language impairment and its consequences, as modeled by the International Classification of Functioning, Disability and Health. Intensive Comprehensive Aphasia Programs (ICAPs) aim to tackle this issue by providing a range of interventions in a time-limited schedule. However, when this service delivery model was developed, the rationale and evidence base for each component of the model was not clearly defined or mapped out. Applying theory of change (TOC) may be helpful in detailing how the therapeutic input is hypothesized to produce a desired change. A TOC is coconstructed with key stakeholders, people with aphasia in this instance. This process can be mapped on a logic model (LM), and potential negative or adverse outcomes (dark logic) can also be considered. This article provides an overview of ICAPs, key gaps in the literature, and provides a methodological example of how TOC, logic modeling, and dark logic can be applied to an ICAP despite some limitations wit h the approach. Method: An extensive scoping of the literature and discussion with aphasia researchers produced an initial TOC, which was then refined by people with aphasia (n = 8) using focus group methodology. The focus group explored potential adverse outcomes of an ICAP using dark logic modeling. The TOC was mapped onto an LM. Results: A provisional TOC and LM with dark logic for an ICAP was produced, though inclusion of other stakeholder groups is required for thorough application of a TOC to ICAPs. Conclusions: There are challenges in applying TOC, LM, and dark logic modeling to a service delivery model. However, this approach was useful in mapping an ICAP in a methodological manner and in identifying how the theoretical underpinning, design, outcome measurement, and evaluation of an ICAP including a consideration of risks might be enhanced. Supplemental Material: https://doi.org/10.23641/asha.31478488 [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Speech, Language & Hearing Research 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=192982190
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        Value: 10.1044/2025_JSLHR-25-00519
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        Text: English
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        PageCount: 24
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      – SubjectFull: Focus groups
        Type: general
      – SubjectFull: Speech-language pathology
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      – SubjectFull: Aphasia
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      – SubjectFull: Rehabilitation of aphasic persons
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      – SubjectFull: Medical care
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      – SubjectFull: Sound recordings
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      – SubjectFull: Data analysis software
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      – SubjectFull: Video recording
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      – TitleFull: A Provisional Theory of Change and Basic Logic Model for Intensive Comprehensive Aphasia Programs.
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              Text: Apr2026
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              Y: 2026
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