Aphasia, Acquired Clinical Trial
Official title:
A Parallel, Virtual, Randomized Trial of PCT for Speech, Language, and Cognitive Intervention in Stroke Patients
Given the evolving uses of technology in rehabilitation, the investigators aimed to measure
the change in aphasia severity using PCT App, a digital therapeutic adapted from Constant
Therapy (CT), a dynamic, personalized therapy program for people with cognitive, speech, or
language disorders.
The entire study, including recruitment, enrollment, assessment and treatment were conducted
remotely.
The proposed pilot study seeks to compare performance of PCT therapy vs. conventional
workbook intervention for stroke patients. The investigators hypothesize that the
experimental (PCT) group will experience greater gains on the WAB-AQ at follow-up compared to
baseline compared to a control (workbook) group.
Subjects were prospectively assigned to an experimental or active control group in a random
order with both groups balanced for their baseline level of speech, language and/or cognitive
ability:
1. Experimental Group: Participants were instructed to use PCT for at least 30 minutes/day,
5 days/week. Performance and usage data were automatically reported by the PCT software
to the treating clinician and was used to modify task assignment over time and monitor
participant adherence to the treatment program.
2. Active Control Group: Participants were provided with a standard regime of paper
workbooks (e.g. Workbook for Aphasia; Brubaker, 2006) that are typically used by
clinicians with persons with aphasia (PWA) for at least 30 minutes/day, 5 days/week.
Notably, the control procedure employed here is similar to a large-scale study examining
technology as a treatment option by Palmer and colleagues (2015).
The treatment period was 10 weeks. All participants received a bimonthly check-in through
video-chat with a member of the research staff during the treatment period.
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