School of Speech, Language, and Hearing Sciences, San Diego State University, CA.
Department of Speech and Hearing Sciences, University of Washington, Seattle.
Am J Speech Lang Pathol. 2022 Jan 18;31(1):48-66. doi: 10.1044/2021_AJSLP-20-00278. Epub 2021 May 24.
Repetition priming has been suggested as a method for targeting implicit processes in anomia treatment. Prior studies have used masked priming for this purpose. This study extends that work with visible primes, a more clinically feasible approach.
This study used a single-subject design across three participants with aphasia. Treatment involved repeated exposure to identity primes (trained condition) or sham primes (untrained condition) paired with pictures. Analyses assessed acquisition effects for trained items and untrained items that were seen during the training period, generalization to untrained items that had not been seen, and generalization to broader language skills, immediately and 3 months post-treatment.
All participants improved in naming trained items immediately after treatment, with greater improvements for trained than for untrained items. All participants maintained some degree of improvement on trained items 3 months post-treatment, although the degree differed across participants. Inconsistent generalization occurred to unexposed items. Improvements were noted in some areas of broader language ability, although these varied.
These data suggest a repetition priming treatment paradigm may increase naming accuracy for individuals with anomia and may benefit other aspects of language. Participant factors may have influenced response to treatment. Directions for future investigation are discussed.
重复启动已被提议作为一种针对命名障碍治疗中内隐过程的方法。先前的研究已经使用掩蔽启动来达到这个目的。本研究通过使用可见的启动词扩展了这项工作,这是一种更具临床可行性的方法。
本研究使用了三个患有失语症的参与者的单一受试者设计。治疗包括反复暴露于身份启动词(训练条件)或假启动词(未训练条件)与图片配对。分析评估了在训练期间看到的受训项目和未受训项目的习得效果、对未见过的未受训项目的泛化效果,以及对更广泛语言技能的即时和治疗后 3 个月的泛化效果。
所有参与者在治疗后立即在命名训练项目方面都有所提高,而训练项目的提高幅度大于未训练项目。所有参与者在治疗后 3 个月仍保持一定程度的训练项目提高,尽管参与者之间的程度有所不同。未暴露的项目出现了不一致的泛化。在更广泛的语言能力的某些方面也有了一些改进,尽管这些方面有所不同。
这些数据表明,重复启动治疗范式可能会提高命名障碍个体的命名准确性,并可能有益于其他语言方面。参与者的因素可能会影响治疗的反应。讨论了未来研究的方向。