The Study

EFFECTIVENESS OF VIDEO MODELING AS AN INTERVENTION TECHNIQUE
FOR BROCA’S APHASIA
The purpose of this study was to compare the efficacy of video modeling to
clinician modeling in the clinical setting for individuals with non-fluent Broca's aphasia and apraxia of speech. Words and phrases were targeted for each treatment approach.
During 25 minute sessions, each participant was asked to spontaneously say the target words when given the target words in writing.
Data were collected each session in terms of speed and accuracy of productions.
Scores for an average of 20 sessions were used for analysis. Paired Samples t-tests were conducted to examine each participant’s performance on video modeling and clinician modeling tasks. The data for video modeling and clinician modeling often mirrored one another with slightly better performances in one method over the other based on task.
These results indicate that video modeling is an effective method of practice for
individuals with Broca’s aphasia and apraxia of speech. 

The Study

Self-delivered speech therapy provides an opportunity for individualised dosage as a complement to the speech-therapy regime in the long-term rehabilitation pathway. Few apps for speech therapy have been subject to clinical trials, especially on a self-delivered platform. In a crossover design study, the Comprehensive Aphasia Test (CAT) and Cookie Theft Picture Description (CTPD) were used to measure untrained improvement in a group of chronic expressive aphasic patients after using a speech therapy app. A pilot study (n = 3) and crossover design (n = 7) comparing the therapy app with a non-language mind-game were conducted. Patients self-selected their training on the app, with a recommended use of 20 minutes per day. There was significant post-therapy improvement on the CAT and CTPD but no significant improvement after the mind-game intervention, suggesting there were language-specific effects following use of the therapy app. Improvements on the CTPD, a functional measurement of speech, suggest that a therapy app can produce practical, important changes in speech. The improvements post-therapy were not due to type of language category trained or amount of training on the app, but an inverse relationship with severity at baseline and post-therapy improvement was shown. This study suggests that self-delivered therapy via an app is beneficial for chronic expressive aphasia.

Study: http://www.tandfonline.com/doi...

The Study

Abstract Primary objective: Research has shown that traumatic brain injury (TBI) can affect a person's ability to perform previously learned skills. Dysexecutive syndrome and inattention, for example, alongside a number of other cognitive and behavioural impairments such as memory loss and lack of motivation, significantly affect day-to-day functioning following TBI. This study examined the efficacy of video modelling in emerging speech in an adult male with TBI caused by an assault. Research design: In an effort to identify functional relations between this novice intervention and the target behaviour, experimental control was achieved by using within-system research methodology, overcoming difficulties of forming groups for such an highly non-homogeneous population. Methods and procedures: Across a number of conditions, the participant watched a videotape in which another adult modelled a selection of 19 spoken words. When this modelled behaviour was performed in vivo, then generalization across 76 other words in the absence of a videotape took place. Main outcomes and results: It was revealed that video modelling can promote the performance of previously learned behaviours related to speech, but more significantly it can facilitate the generalization of this verbal behaviour across untrained words. Conclusions: Video modelling could well be added within the rehabilitation programmes for this population.

Effects of video modelling on emerging speech in an adult with traumatic brain injury: Preliminary findings (PDF Download Available). Available from: https://www.researchgate.net/publication/255174894_Effects_of_video_modelling_on_emerging_speech_in_an_adult_with_traumatic_brain_injury_Preliminary_findings [accessed Aug 8, 2017].

The Study

A recent study found that patients who accessed speech language therapy over the Internet saw large improvements to their communication abilities that were similar to those of patients doing in-person therapy.

The Study

The advent of modern communication technology has unleashed a new wave of opportunities and threats to the delivery of health services.1 Telemedicine, a broad umbrella term for delivery of medical care at a distance, has reached around the world, and now health professionals can communicate faster, more widely, and more directly with clients and colleagues, no matter where they are.2 Telemedicine may in fact have a more profound impact on developing countries than on developed ones.

The Study

Background: Stroke is one of the most disabling and costly impairments of adulthood in the United States. Stroke patients clearly benefit from intensive inpatient care, but due to the high cost, there is considerable interest in implementing interventions to reduce hospital lengths of stay. Early discharge rehabilitation programs require coordinated, well-organized home-based rehabilitation, yet lack of sufficient information about the home setting impedes successful rehabilitation. This trial examines a multifaceted telerehabilitation (TR) intervention that uses telehealth technology to simultaneously evaluate the home environment, assess the patient's mobility skills, initiate rehabilitative treatment, prescribe exercises tailored for stroke patients and provide periodic goal oriented reassessment, feedback and encouragement.
Methods: We describe an ongoing Phase II, 2-arm, 3-site randomized controlled trial (RCT) that determines primarily the effect of TR on physical function and secondarily the effect on disability, falls-related self-efficacy, and patient satisfaction. Fifty participants with a diagnosis of ischemic or hemorrhagic stroke will be randomly assigned to one of
two groups: (a) TR; or (b) Usual Care. The TR intervention uses a combination of three videotaped visits and five telephone calls, an in-home messaging device, and additional telephonic contact as needed over a 3-month study period, to provide a progressive rehabilitative intervention with a treatment goal of safe functional mobility of the
individual within an accessible home environment. Dependent variables will be measured at baseline, 3-, and 6- months and analyzed with a linear mixed-effects model across all time points.
Discussion: For patients recovering from stroke, the use of TR to provide home assessments and follow-up training in prescribed equipment has the potential to effectively supplement existing home health services, assist transition to home and increase efficiency. This may be particularly relevant when patients live in remote locations, as is the case for many veterans.