The Methodological Quality of Short-Term/Working Memory Treatments in Poststroke Aphasia: A Systematic Review
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| Title: | The Methodological Quality of Short-Term/Working Memory Treatments in Poststroke Aphasia: A Systematic Review |
|---|---|
| Language: | English |
| Authors: | Zakariás, Lilla, Kelly, Helen, Salis, Christos, Code, Chris |
| Source: | Journal of Speech, Language, and Hearing Research. Jun 2019 62(6):1979-2001. |
| Availability: | American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org |
| Peer Reviewed: | Y |
| Page Count: | 23 |
| Publication Date: | 2019 |
| Document Type: | Journal Articles Information Analyses |
| Descriptors: | Short Term Memory, Aphasia, Literature Reviews, Case Studies, Outcomes of Treatment, Validity, Bias, Inclusion, Neurological Impairments |
| DOI: | 10.1044/2018_JSLHR-L-18-0057 |
| ISSN: | 1092-4388 |
| Abstract: | Purpose: The aims of this systematic review are to provide a critical overview of short-term memory (STM) and working memory (WM) treatments in stroke aphasia and to systematically evaluate the internal and external validity of STM/WM treatments. Method: A systematic search was conducted in February 2014 and then updated in December 2016 using 13 electronic databases. We provided descriptive characteristics of the included studies and assessed their methodological quality using the Risk of Bias in N-of-1 Trials quantitative scale (Tate et al., 2015), which was completed by 2 independent raters. Results: The systematic search and inclusion/exclusion procedure yielded 17 single-case or case-series studies with 37 participants for inclusion. Nine studies targeted auditory STM consisting of repetition and/or recognition tasks, whereas 8 targeted attention and WM, such as attention process training including n-back tasks with shapes and clock faces as well as mental math tasks. In terms of their methodological quality, quality scores on the Risk of Bias in N-of-1 Trials scale ranged from 4 to 17 (M = 9.5) on a 0-30 scale, indicating a high risk of bias in the reviewed studies. Effects of treatment were most frequently assessed on STM, WM, and spoken language comprehension. Transfer effects on communication and memory in activities of daily living were tested in only 5 studies. Conclusions: Methodological limitations of the reviewed studies make it difficult, at present, to draw firm conclusions about the effects of STM/WM treatments in poststroke aphasia. Further studies with more rigorous methodology and stronger experimental control are needed to determine the beneficial effects of this type of intervention. To understand the underlying mechanisms of STM/WM treatment effects and how they relate to language functioning, a careful choice of outcome measures and specific hypotheses about potential improvements on these measures are required. Future studies need to include outcome measures of memory functioning in everyday life and psychosocial functioning more generally to demonstrate the ecological validity of STM and WM treatments. |
| Abstractor: | As Provided |
| Entry Date: | 2019 |
| Accession Number: | EJ1225362 |
| Database: | ERIC |
| FullText | Links: – Type: pdflink Url: https://content.ebscohost.com/cds/retrieve?content=AQICAHj0k_4E0hTGH8RJwT4gCJyBsGNe_WN95AvKlDbXJGqwxwHWLq73zRA5SvFTTUUaoOj2AAAA4zCB4AYJKoZIhvcNAQcGoIHSMIHPAgEAMIHJBgkqhkiG9w0BBwEwHgYJYIZIAWUDBAEuMBEEDAe9VSCUJx9-a40kigIBEICBm0kxwThjfPcTyw7Ifal6r2KApk2cS3lKfQ5Uh8Zt1f9EBaMeYMsXRGdHTXGUj64NTmaSaTvvBJx9SQOvjI598HrwYcfNQLg5EmnuULNTjycNQaTwJ8r-G4GpBs3b1RlUC1xCumeGcuP2p6R8cXTToOkj1aAgKGhuLWfu98_fSCdzmJTp8iS-zm9G1ajzZ2G1CJqslvhYWDouf7i0 Text: Availability: 0 |
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| Header | DbId: eric DbLabel: ERIC An: EJ1225362 AccessLevel: 3 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: The Methodological Quality of Short-Term/Working Memory Treatments in Poststroke Aphasia: A Systematic Review – Name: Language Label: Language Group: Lang Data: English – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Zakariás%2C+Lilla%22">Zakariás, Lilla</searchLink><br /><searchLink fieldCode="AR" term="%22Kelly%2C+Helen%22">Kelly, Helen</searchLink><br /><searchLink fieldCode="AR" term="%22Salis%2C+Christos%22">Salis, Christos</searchLink><br /><searchLink fieldCode="AR" term="%22Code%2C+Chris%22">Code, Chris</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="SO" term="%22Journal+of+Speech%2C+Language%2C+and+Hearing+Research%22"><i>Journal of Speech, Language, and Hearing Research</i></searchLink>. Jun 2019 62(6):1979-2001. – Name: Avail Label: Availability Group: Avail Data: American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org – Name: PeerReviewed Label: Peer Reviewed Group: SrcInfo Data: Y – Name: Pages Label: Page Count Group: Src Data: 23 – Name: DatePubCY Label: Publication Date Group: Date Data: 2019 – Name: TypeDocument Label: Document Type Group: TypDoc Data: Journal Articles<br />Information Analyses – Name: Subject Label: Descriptors Group: Su Data: <searchLink fieldCode="DE" term="%22Short+Term+Memory%22">Short Term Memory</searchLink><br /><searchLink fieldCode="DE" term="%22Aphasia%22">Aphasia</searchLink><br /><searchLink fieldCode="DE" term="%22Literature+Reviews%22">Literature Reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Case+Studies%22">Case Studies</searchLink><br /><searchLink fieldCode="DE" term="%22Outcomes+of+Treatment%22">Outcomes of Treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Validity%22">Validity</searchLink><br /><searchLink fieldCode="DE" term="%22Bias%22">Bias</searchLink><br /><searchLink fieldCode="DE" term="%22Inclusion%22">Inclusion</searchLink><br /><searchLink fieldCode="DE" term="%22Neurological+Impairments%22">Neurological Impairments</searchLink> – Name: DOI Label: DOI Group: ID Data: 10.1044/2018_JSLHR-L-18-0057 – Name: ISSN Label: ISSN Group: ISSN Data: 1092-4388 – Name: Abstract Label: Abstract Group: Ab Data: Purpose: The aims of this systematic review are to provide a critical overview of short-term memory (STM) and working memory (WM) treatments in stroke aphasia and to systematically evaluate the internal and external validity of STM/WM treatments. Method: A systematic search was conducted in February 2014 and then updated in December 2016 using 13 electronic databases. We provided descriptive characteristics of the included studies and assessed their methodological quality using the Risk of Bias in N-of-1 Trials quantitative scale (Tate et al., 2015), which was completed by 2 independent raters. Results: The systematic search and inclusion/exclusion procedure yielded 17 single-case or case-series studies with 37 participants for inclusion. Nine studies targeted auditory STM consisting of repetition and/or recognition tasks, whereas 8 targeted attention and WM, such as attention process training including n-back tasks with shapes and clock faces as well as mental math tasks. In terms of their methodological quality, quality scores on the Risk of Bias in N-of-1 Trials scale ranged from 4 to 17 (M = 9.5) on a 0-30 scale, indicating a high risk of bias in the reviewed studies. Effects of treatment were most frequently assessed on STM, WM, and spoken language comprehension. Transfer effects on communication and memory in activities of daily living were tested in only 5 studies. Conclusions: Methodological limitations of the reviewed studies make it difficult, at present, to draw firm conclusions about the effects of STM/WM treatments in poststroke aphasia. Further studies with more rigorous methodology and stronger experimental control are needed to determine the beneficial effects of this type of intervention. To understand the underlying mechanisms of STM/WM treatment effects and how they relate to language functioning, a careful choice of outcome measures and specific hypotheses about potential improvements on these measures are required. Future studies need to include outcome measures of memory functioning in everyday life and psychosocial functioning more generally to demonstrate the ecological validity of STM and WM treatments. – Name: AbstractInfo Label: Abstractor Group: Ab Data: As Provided – Name: DateEntry Label: Entry Date Group: Date Data: 2019 – Name: AN Label: Accession Number Group: ID Data: EJ1225362 |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ1225362 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1044/2018_JSLHR-L-18-0057 Languages: – Text: English PhysicalDescription: Pagination: PageCount: 23 StartPage: 1979 Subjects: – SubjectFull: Short Term Memory Type: general – SubjectFull: Aphasia Type: general – SubjectFull: Literature Reviews Type: general – SubjectFull: Case Studies Type: general – SubjectFull: Outcomes of Treatment Type: general – SubjectFull: Validity Type: general – SubjectFull: Bias Type: general – SubjectFull: Inclusion Type: general – SubjectFull: Neurological Impairments Type: general Titles: – TitleFull: The Methodological Quality of Short-Term/Working Memory Treatments in Poststroke Aphasia: A Systematic Review Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Zakariás, Lilla – PersonEntity: Name: NameFull: Kelly, Helen – PersonEntity: Name: NameFull: Salis, Christos – PersonEntity: Name: NameFull: Code, Chris IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Type: published Y: 2019 Identifiers: – Type: issn-print Value: 1092-4388 Numbering: – Type: volume Value: 62 – Type: issue Value: 6 Titles: – TitleFull: Journal of Speech, Language, and Hearing Research Type: main |
| ResultId | 1 |
