The effect of augmented speech-language therapy delivered by telerehabilitation on post stroke aphasia – a pilot randomized controlled trial

Hege Prag Øra*, Melanie Kirmess, Marian C. Brady, Iselin Partee, Randi Bjor Hognestad, Beate Bertheau Johannessen, Bente Thommessen, Frank Becker

*Corresponding author for this work

Research output: Contribution to journalArticle

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Abstract

Objective: Pilot a definitive randomized controlled trial of speech-language telerehabilitation in post stroke aphasia in addition to usual care with regard to recruitment, dropouts and language effects.

Design: Pilot single blinded randomized controlled trial

Setting: Telerehabilitation delivered from tertiary rehabilitation center to participants at their home or admitted to secondary rehabilitation centers.

Subjects: People with naming impairment due to aphasia following stroke.

Intervention: Sixty-two participants randomly allocated to five hours of speech and language telerehabilitation by videoconference per week over four consecutive weeks together with usual care or usual care alone. The telerehabilitation targeted functional, expressive language.

Main measures: Norwegian Basic Aphasia Assessment: Naming (primary outcome), repetition and auditory comprehension subtests; Verb and Sentence Test sentence production subtest and the Communicative Effectiveness Index at baseline, four weeks, four months post randomization. Data were analyzed by intention to treat.

Results: No significant between-group differences were seen in naming or auditory comprehension in the Norwegian Basic Aphasia Assessment at four weeks and four months post randomization. The telerehabilitation group (n=29) achieved a Norwegian Basic Aphasia Assessment repetition score of 8.9 points higher (p=0.026) and a Verb and Sentence Test score 3 points higher (p=0.002) than the control group (n=27) four months post randomization. Communicative Effectiveness Index was not significantly different between groups, but increased significantly within both groups. No adverse events were reported.

Conclusions: Augmented telerehabilitation via videoconference may be a viable rehabilitation model for aphasia affecting language outcomes post stroke. A definitive trial with 230 participants is needed to confirm results.
Original languageEnglish
JournalClinical Rehabilitation
Early online date5 Jan 2020
DOIs
Publication statusE-pub ahead of print - 5 Jan 2020

Fingerprint

Language Therapy
Speech Therapy
Aphasia
Randomized Controlled Trials
Stroke
Language
Random Allocation
Videoconferencing
Rehabilitation Centers
Telerehabilitation
Rehabilitation
Control Groups

Keywords

  • aphasia
  • telerehabilitation
  • videoconference
  • randomized controlled trial
  • stroke

Cite this

Øra, Hege Prag ; Kirmess, Melanie ; Brady, Marian C. ; Partee, Iselin ; Bjor Hognestad, Randi ; Johannessen, Beate Bertheau ; Thommessen, Bente ; Becker, Frank. / The effect of augmented speech-language therapy delivered by telerehabilitation on post stroke aphasia – a pilot randomized controlled trial. In: Clinical Rehabilitation. 2020.
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abstract = "Objective: Pilot a definitive randomized controlled trial of speech-language telerehabilitation in post stroke aphasia in addition to usual care with regard to recruitment, dropouts and language effects.Design: Pilot single blinded randomized controlled trialSetting: Telerehabilitation delivered from tertiary rehabilitation center to participants at their home or admitted to secondary rehabilitation centers.Subjects: People with naming impairment due to aphasia following stroke.Intervention: Sixty-two participants randomly allocated to five hours of speech and language telerehabilitation by videoconference per week over four consecutive weeks together with usual care or usual care alone. The telerehabilitation targeted functional, expressive language.Main measures: Norwegian Basic Aphasia Assessment: Naming (primary outcome), repetition and auditory comprehension subtests; Verb and Sentence Test sentence production subtest and the Communicative Effectiveness Index at baseline, four weeks, four months post randomization. Data were analyzed by intention to treat.Results: No significant between-group differences were seen in naming or auditory comprehension in the Norwegian Basic Aphasia Assessment at four weeks and four months post randomization. The telerehabilitation group (n=29) achieved a Norwegian Basic Aphasia Assessment repetition score of 8.9 points higher (p=0.026) and a Verb and Sentence Test score 3 points higher (p=0.002) than the control group (n=27) four months post randomization. Communicative Effectiveness Index was not significantly different between groups, but increased significantly within both groups. No adverse events were reported.Conclusions: Augmented telerehabilitation via videoconference may be a viable rehabilitation model for aphasia affecting language outcomes post stroke. A definitive trial with 230 participants is needed to confirm results.",
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The effect of augmented speech-language therapy delivered by telerehabilitation on post stroke aphasia – a pilot randomized controlled trial. / Øra, Hege Prag; Kirmess, Melanie; Brady, Marian C.; Partee, Iselin; Bjor Hognestad, Randi; Johannessen, Beate Bertheau; Thommessen, Bente; Becker, Frank.

In: Clinical Rehabilitation, 05.01.2020.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The effect of augmented speech-language therapy delivered by telerehabilitation on post stroke aphasia – a pilot randomized controlled trial

AU - Øra, Hege Prag

AU - Kirmess, Melanie

AU - Brady, Marian C.

AU - Partee, Iselin

AU - Bjor Hognestad, Randi

AU - Johannessen, Beate Bertheau

AU - Thommessen, Bente

AU - Becker, Frank

N1 - Acceptance in SAN AAM: no embargo

PY - 2020/1/5

Y1 - 2020/1/5

N2 - Objective: Pilot a definitive randomized controlled trial of speech-language telerehabilitation in post stroke aphasia in addition to usual care with regard to recruitment, dropouts and language effects.Design: Pilot single blinded randomized controlled trialSetting: Telerehabilitation delivered from tertiary rehabilitation center to participants at their home or admitted to secondary rehabilitation centers.Subjects: People with naming impairment due to aphasia following stroke.Intervention: Sixty-two participants randomly allocated to five hours of speech and language telerehabilitation by videoconference per week over four consecutive weeks together with usual care or usual care alone. The telerehabilitation targeted functional, expressive language.Main measures: Norwegian Basic Aphasia Assessment: Naming (primary outcome), repetition and auditory comprehension subtests; Verb and Sentence Test sentence production subtest and the Communicative Effectiveness Index at baseline, four weeks, four months post randomization. Data were analyzed by intention to treat.Results: No significant between-group differences were seen in naming or auditory comprehension in the Norwegian Basic Aphasia Assessment at four weeks and four months post randomization. The telerehabilitation group (n=29) achieved a Norwegian Basic Aphasia Assessment repetition score of 8.9 points higher (p=0.026) and a Verb and Sentence Test score 3 points higher (p=0.002) than the control group (n=27) four months post randomization. Communicative Effectiveness Index was not significantly different between groups, but increased significantly within both groups. No adverse events were reported.Conclusions: Augmented telerehabilitation via videoconference may be a viable rehabilitation model for aphasia affecting language outcomes post stroke. A definitive trial with 230 participants is needed to confirm results.

AB - Objective: Pilot a definitive randomized controlled trial of speech-language telerehabilitation in post stroke aphasia in addition to usual care with regard to recruitment, dropouts and language effects.Design: Pilot single blinded randomized controlled trialSetting: Telerehabilitation delivered from tertiary rehabilitation center to participants at their home or admitted to secondary rehabilitation centers.Subjects: People with naming impairment due to aphasia following stroke.Intervention: Sixty-two participants randomly allocated to five hours of speech and language telerehabilitation by videoconference per week over four consecutive weeks together with usual care or usual care alone. The telerehabilitation targeted functional, expressive language.Main measures: Norwegian Basic Aphasia Assessment: Naming (primary outcome), repetition and auditory comprehension subtests; Verb and Sentence Test sentence production subtest and the Communicative Effectiveness Index at baseline, four weeks, four months post randomization. Data were analyzed by intention to treat.Results: No significant between-group differences were seen in naming or auditory comprehension in the Norwegian Basic Aphasia Assessment at four weeks and four months post randomization. The telerehabilitation group (n=29) achieved a Norwegian Basic Aphasia Assessment repetition score of 8.9 points higher (p=0.026) and a Verb and Sentence Test score 3 points higher (p=0.002) than the control group (n=27) four months post randomization. Communicative Effectiveness Index was not significantly different between groups, but increased significantly within both groups. No adverse events were reported.Conclusions: Augmented telerehabilitation via videoconference may be a viable rehabilitation model for aphasia affecting language outcomes post stroke. A definitive trial with 230 participants is needed to confirm results.

KW - aphasia

KW - telerehabilitation

KW - videoconference

KW - randomized controlled trial

KW - stroke

U2 - 10.1177/0269215519896616

DO - 10.1177/0269215519896616

M3 - Article

JO - Clinical Rehabilitation

JF - Clinical Rehabilitation

SN - 0269-2155

ER -