Steele Richard D, Baird Allison, McCall Denise, Haynes Lisa
LINGRAPHICA, PRINCETON, NJ, USA.
SPEECHWORKS INC., WINNIPEG, MB, CANADA.
Int J Telerehabil. 2015 Jan 29;6(2):3-20. doi: 10.5195/ijt.2014.6157. eCollection 2014 Fall.
We report a 12-week outcome study in which nine persons with long-term chronic aphasia received individual and group speech-language teletherapy services, and also used on-line language exercises to practice from home between therapy sessions. Participants were assessed at study initiation and completion using the Western Aphasia Battery, a portion of the Communicative Effectiveness Index, ASHA National Outcome Measurement System, and RIC Communication Confidence Rating Scale for Aphasia; additionally participants were polled regarding satisfaction at discharge. Pretreatment and post-treatment means were calculated and compared, and matched t-tests were used to determine significance of improvements following treatment, with patterns of independent on-line activity analyzed. Analysis of scores shows that means improved on most measures following treatment, generally significantly: the WAB AQ improved +3.5 (p = .057); the CETI Overall (of items administered) - +17.8 (p = .01), and CCRSA Overall - + 10.4 (p = .0004). Independent work increased with time, and user satisfaction following participation was high.
我们报告了一项为期12周的结果研究，其中9名长期慢性失语症患者接受了个体和小组言语治疗服务，并且还在治疗间隙在家中使用在线语言练习进行练习。在研究开始和结束时，使用西方失语症成套测验、沟通有效性指数的一部分、美国言语语言听力协会国家结果测量系统以及失语症RIC沟通信心评定量表对参与者进行评估；此外，还对参与者出院时的满意度进行了调查。计算并比较了治疗前和治疗后的平均值，并使用配对t检验来确定治疗后改善的显著性，同时分析了独立在线活动的模式。分数分析表明，治疗后大多数测量指标的平均值有所改善，总体上具有显著性：西方失语症成套测验的失语商提高了3.5（p = 0.057）；沟通有效性指数总体（所施测项目）提高了17.8（p = 0.01），失语症RIC沟通信心评定量表总体提高了10.4（p = 0.0004）。独立练习随着时间增加，参与后的用户满意度较高。
