Fridriksson Julius, Basilakos Alexandra, Boyle Mary, Cherney Leora R, DeDe Gayle, Gordon Jean K, Harnish Stacy M, Hoover Elizabeth L, Hula William D, Pompon Rebecca Hunting, Johnson Lorelei Phillip, Kiran Swathi, Murray Laura L, Rose Miranda L, Obermeyer Jessica, Salis Christos, Walker Grant M, Martin Nadine
Center for the Study of Aphasia Recovery (C-STAR), University of South Carolina, Columbia, SC.
Center for the Study of Aphasia Recovery (C-STAR), University of South Carolina, Columbia, SC.
Arch Phys Med Rehabil. 2022 Mar;103(3):574-580. doi: 10.1016/j.apmr.2021.08.025. Epub 2021 Nov 5.
A considerable body of research supports the use of behavioral communication treatment as the standard of care for aphasia. In spite of robust progress in clinical aphasiology, many questions regarding optimal care remain unanswered. One of the major challenges to progress in the field is the lack of a common framework to adequately describe individual treatments, which, if available, would allow comparisons across studies as well as improved communication among researchers, clinicians, and other stakeholders. Here, we describe how aphasia treatment approaches can be systematically characterized using the Rehabilitation Treatment Specification System (RTSS). At the core of the RTSS is a tripartite structure that focuses on targets (the behavior that is expected to change as a result of treatment), ingredients (what a clinician does to affect change in the target), and mechanism(s) of action (why a given treatment works by linking the ingredients to the target). Three separate articles in the current issue specifically describe how the RTSS can be used to describe different kinds of aphasia treatment approaches: functional approaches, cognitive-linguistic approaches, and biological approaches. It is our hope that the application of the RTSS in clinical aphasiology will improve communication in published studies, grant proposals, and in the clinical care of persons with aphasia.
大量研究支持将行为沟通治疗作为失语症的标准治疗方法。尽管临床失语症学取得了显著进展，但关于最佳治疗的许多问题仍未得到解答。该领域进展的主要挑战之一是缺乏一个共同框架来充分描述个体治疗方法，如果有这样的框架，将有助于跨研究进行比较，并改善研究人员、临床医生和其他利益相关者之间的沟通。在此，我们描述了如何使用康复治疗规范系统（RTSS）对失语症治疗方法进行系统表征。RTSS的核心是一个三方结构，重点关注目标（预期因治疗而改变的行为）、要素（临床医生为影响目标改变所采取的措施）和作用机制（通过将要素与目标联系起来解释特定治疗为何有效）。本期的三篇独立文章具体描述了如何使用RTSS来描述不同类型的失语症治疗方法：功能方法、认知语言方法和生物学方法。我们希望RTSS在临床失语症学中的应用将改善已发表研究、资助申请以及失语症患者临床护理中的沟通。
