Department of Human Communication Sciences, La Trobe University, Melbourne, Australia Centre for Clinical Research Excellence in Aphasia Rehabilitation, Brisbane, Australia.
Top Stroke Rehabil. 2013 Sep-Oct;20(5):379-87. doi: 10.1310/tsr2005-379.
In response to the need to simultaneously address multiple domains of the International Classification of Functioning, Disability and Health (ICF) in aphasia therapy and to incorporate intensive treatment doses consistent with principles of neuroplasticity, a potentially potent treatment option termed intensive comprehensive aphasia programs (ICAPs) has been developed.
To conduct an international survey of ICAPs to determine the extent of their use and to explore current ICAP practices.
A 32-item online survey was distributed internationally through Survey Monkey between May and August 2012. The survey addressed ICAP staffing, philosophy, values, funding, admission criteria, activities, family involvement, outcome measures, and factors considered important to success.
Twelve ICAPs responded: 8 from the United States, 2 from Canada, and 1 each from Australia and the United Kingdom. The majority of ICAPs are affiliated with university programs and are funded through participant self-pay. ICAPs emphasize individualized treatment goals and evidence-based practices, with a focus on applying the principles of neuroplasticity related to repetition and intensity of treatment. On average, 6 people with aphasia attend each ICAP, for 4 days per week for 4 weeks, receiving about 100 hours of individual, group, and computer-based treatment. Speech-language pathologists, students, and volunteers staff the majority of ICAPs.
ICAPs are increasing in number but remain a rare service delivery option. They address the needs of individuals who want access to intensive treatment and are interested in making significant changes to their communication skills and psychosocial well-being in a short period of time. Their efficacy and cost-effectiveness require future investigation.
为了满足在失语症治疗中同时解决国际功能、残疾和健康分类（ICF）多个领域的需求，并结合神经可塑性原则纳入强化治疗剂量，一种名为强化全面失语症计划（ICAP）的潜在有效治疗选择已经被开发出来。
对 ICAP 进行国际调查，以确定其使用程度，并探讨当前的 ICAP 实践。
2012 年 5 月至 8 月期间，通过 Survey Monkey 在国际范围内分发了一份 32 项的在线调查。该调查涵盖了 ICAP 的人员配备、理念、价值观、资金来源、入院标准、活动、家庭参与、结果评估以及被认为对成功重要的因素。
共有 12 个 ICAP 做出回应：美国 8 个，加拿大 2 个，澳大利亚和英国各 1 个。大多数 ICAP 与大学项目相关联，并通过参与者自费获得资金。ICAP 强调个体化治疗目标和基于证据的实践，重点是应用与治疗重复和强度相关的神经可塑性原则。平均而言，每个 ICAP 有 6 名失语症患者参加，每周 4 天，持续 4 周，接受约 100 小时的个体、小组和基于计算机的治疗。言语语言病理学家、学生和志愿者是大多数 ICAP 的工作人员。
ICAP 的数量正在增加，但仍然是一种罕见的服务提供选择。它们满足了那些希望接受强化治疗并有兴趣在短时间内显著改善沟通技能和心理社会幸福感的个体的需求。它们的疗效和成本效益需要进一步研究。
