AphasiaNCT02799017
Phonological Treatment Paired With Intensive Speech Therapy Promotes Reading Recovery in Chronic Aphasia
A study testing Intensive Phonology Treatment and Intensive SFA Treatment in people with Aphasia and Language, run by Austin Speech Labs at 1 site in United States.
Trial summary
Participants will receive either intensive phonology or semantic feature analysis treatment for 16 weeks to improve naming, reading, and writing in individuals with chronic post-stroke aphasia. Read more about this study
- Who is it for?
- Ages 20 to 85 yearsHealthy volunteers can take part
- What is being tested?
- Intensive Phonology Treatment and Intensive SFA Treatment
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- 1 siteUnited States
- Study dates
- Jun 2015to Jun 2019
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 85 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Male or female
- 20-85 years old
- Have suffered a left CVA
- Score above 50% on comprehension task of the WAB
- Score below 80% accuracy on all phonology related tasks
Who cannot join
- Score above 80% accuracy on all phonology related tasks.
- Score below 50% on comprehension task of the WAB
- Have suffered a right CVA
- Are receiving teletherapy
Trial locations and contacts
1 site in 1 country.
About this study
Participants will receive either intensive phonology or semantic feature analysis treatment for 16 weeks to improve naming, reading, and writing in individuals with chronic post-stroke aphasia.
Read the detailed description
A total of 20 clients will be enrolled in the study, 10 will be in control group and 10 in experimental group and will be assigned in a random order. All clients will be given standardized tests pre and post treatment to assess comprehension, expressive, reading and writing skills.
Participants MRI reports will be collected to understand lesion sites and language outcomes. Both experimental and control group will receive individual, group and reading for an hour each. Participants in experimental group will receive an hour of individual phonology therapy. The participants in control group will receive traditional individual therapy. Both groups will receive group and an hour of reading aloud.
Experimental Group Therapy will involve visual and auditory drills. It will also be structured, sequential, repetitive, and cumulative. The sounds targeted during treatment will be separated into five sets which will include 5 sounds - one short vowel and four consonants. For consonants that have two sounds, initially the hard sound will be taught. The soft sound will be taught when the participant is taught the different spelling rules (i.e. "silent 'e'"). Each set will be targeted for three weeks or until mastery.
When teaching a new set of sounds, the clinician will teach the participant the placement of the articulators and the name of the letter. The participant will copy each letter in the set while receiving auditory bombardment of the sound. During auditory bombardment, the participant is encouraged to produce the sound.
Procedure: The participants in the experimental group will receive an hour of phonology treatment, an hour of group therapy, and an hour of reading. The participants in the control group will receive an hour of individual therapy, an hour of reading and an hour of group therapy in a traditional setting. Both groups will work on writing, generative naming during group time, however, the experimental group will focus on self-cueing with the sounds they learn during the individual session. While the control group will simply follow the semantic feature analysis to retrieve the name. Both groups will be read to or read aloud depending on their level.
The participants in the experimental group will be taught all consonants and vowels over the course of 16 weeks.
Visual Drills Step 1: Production of individual sounds - The clinician will show the subject a letter and the subject will name the letter and produce the corresponding sound. If the participant does not produce an accurate response, the participant will be provided a visual of the placement of the sound. If the target is still not produced, the clinician will provide the correct response and the participant will imitate the clinician. They will repeat the production three times, write the letter, and produce the letter name three times.
Auditory Drills
*For all auditory tasks, the clinician's articulators should be covered. In this section the clinician will produce the sound with his or her mouth covered and the subject will repeat the sound heard and then write the corresponding letter on the paper. If the participant still responds incorrectly, the clinician will write the target letter, name the letter, and have the participant copy and repeat the accurate response. Each sound should be targeted 5 times per session.
Step 2: Sound to letter identification/letter naming -The participant will be provided with a sheet with all of the letters in the set being targeted. The clinician will produce one sound, the client will repeat it to ensure comprehension, and the client will identify the letter that is associated with the sound by pointing to it. In addition, the participant will say the letter name. If the participant gets it incorrect, the clinician will tell the participant the sound that corresponds with the letter he identified and the clinician will repeat the target sound providing the placement cues (i.e. removing cover from articulators). If the participant still responds incorrectly, the clinician will identify the target letter and have the participant copy the response. Each sound should be targeted 5 times per session.
Step 3: Initial sound discrimination - The clinician will ask the participant if a word starts with a certain sound. (i.e. "Does 'bag' start with /d/?") If the participant responds incorrectly, the clinician will explain why the response is incorrect and repeat the stimuli while providing placement cues (i.e. removing cover from articulators). If the participant still responds incorrectly, the clinician will show him the written word and repeat the stimuli. If the participant still responds incorrectly, the clinician will provide the accurate response with an explanation. This task consists of five trials.
Initial sound identification - When the participant reaches 90% accuracy on the initial sound discrimination task, the clinician will provide the participant with a CVC word verbally and ask him to identify the initial sound by pointing to the letter in a sheet containing all the sounds within that set and naming the letter. If the participant responds incorrectly, the clinician will explain why the response is incorrect and repeat the stimuli with providing placement cues (i.e. removing cover from articulators). If the participant is still unable to do this, the clinician will reduce the amount of choices to three. If the participant is still unable to complete the task, the clinician will provide the correct response with an explanation. There will be five trials for this task.
Initial sound generation - Once the participant reaches 90% accuracy on the initial sound identification task, the clinician will verbally provide the participant with a CVC word and ask the participant to produce the initial sound in the stimuli and name the letter. If the participant is unable to produce the initial sound, the clinician will repeat the word with her mouth uncovered to show the participant the articulatory placement. If still unable to to produce the sound, clinician will isolate the initial sound with her mouth uncovered. There will be five trials for this task.
Blending \& Segmenting Drills - This will be introduced after the subject learns one consonant and a vowel.
Step 4: Segmentation - The clinician will provide the participant with a CV or VC word consisting of two letters from the set. The participant will repeat the word and then segment the two sounds. When the participant reaches 90% accuracy, the participant will repeat a CVC word and segment the three sounds.
Step 5: Blending - When the participant reaches 90% accuracy on the segmentation task, the clinician will provide the participant with two sounds from the set with a two second pause in between. The participant will repeat the two sounds in isolation and then blend them together. If the participant is unable to blend the sounds, the clinician will produce them in isolation with a one second pause in between. If the participant is still unable to produce the target response, the clinician will repeat the sounds in isolation with a one second pause in between and then produce the target word and the participant will repeat the target. When the participant reaches 90% accuracy blending two sounds, the participant will complete the above task with three sounds (CVC). There will be five trials for this task.
Step 6: Reading CVC Words - Once the participant reaches 80% accuracy identifying, producing, and blending, the participant will read aloud CVC words that contain sounds being targeted in therapy.
Writing CVC Words to Dictation - Once the participant reaches 80% accuracy identifying, producing, and blending, the participant will write CVC words to dictation given by the clinician (words will contain the target sounds).
Group Therapy:
Step1: Generative Naming Participants will be asked to generate items to a given verb or a noun category. They will be encouraged to write the items and read them using phonology treatment protocol. The control group will follow traditional generative naming method. The control group will be given phonemic cues if needed to recall words however that will not be the first option. Clients will be asked to write sentences and read sentences using the generated list to a given action verb or noun.
Step 2: Picture naming - The participant will be provided with a picture that has an initial sound that is one of the target sounds. If the participant is unable to name the picture, the clinician will instruct the participant to try to write the word or the initial letter. The clinician will inform the participant that the first letter is one of the target sounds. If the participant is unable to write it, the clinician will provide 3 choices, all of which are target letters. If the participant is able to produce the first letter, the clinician will instruct him to produce the sound that corresponds to the letter. If the participant is still unable to produce the target response, the clinician will expand the phonemic cue to a syllabic cue. If the participant is still unable to produce the correct response, the clinician will provide a semantic cue or another cue that works for the participant.
Reading - All clients will be given 15 sentences to work on reading. The sentences will target the sounds taught in individual therapy. Clients that cannot read will be read to by volunteers.
- Being tested
- Intensive Phonology Treatment, Intensive SFA Treatment
- Keywords
- Aphasia, Reading, Writing, Naming, Language, Chronic post stroke, Phonology, Semantic Feature Analysis, Recovery
- Medical subject headings
- Aphasia, Language
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Intensive Phonology TreatmentOther
Phonology based reading, writing, and naming therapy.
Intensive SFA TreatmentOther
Semantic based reading, writing, and naming therapy.
| Study group | Role | What they receive |
|---|---|---|
| Intensive Phonology Treatment | Experimental | The participants in the experimental group will receive an hour of phonology treatment, an hour of group therapy, and an hour of reading. They will work on writing, generative naming during group time focusing on self-cueing with the sounds they learn during the individual session. They will be read to or read aloud depending on their level.
The participants in the experimental group will be taught all consonants and vowels over the course of 16 weeks. Receives: Other: Intensive Phonology Treatment |
| Intensive SFA Treatment | Active comparator | The participants in the control group will receive an hour of individual therapy, an hour of reading and an hour of group therapy in a traditional setting. They will work on writing, generative naming during group time following the semantic feature analysis to retrieve the name.They will be read to or read aloud depending on their level. Receives: Other: Intensive SFA Treatment |
What is being measured
The primary outcome is the main question the study is designed to answer.
Improvement in reading single words as measured by PALPA
Reading of single words will be testing using Psycholinguistic Assessment of Language Processing (PALPA) subtests
Measured: 16 weeks
Improvement in naming as measured by BNT
picture naming (nouns) will be tested using Boston Naming Test (BNT)
Measured: 16 weeks
Secondary outcomes (1)
Improvement in spontaneous speech measured by WAB
spontaneous speech will be tested for information content and fluency using standardized measuring tools like Western Aphasia Battery(WAB) picture description to analyze increase in spontaneous speech
Measured: 16 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Jun 2016 (estimated)
- Study startJun 2015
- Primary completionDec 2018 (estimated)
- Study completionJun 2019 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (8)Papers the sponsor has linked to this study.
- Other trials for AphasiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Care provider
- Enrolment
- 20 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Austin Speech Labs
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Shilpa Shamapant, M.S.,M.A., Principal investigator, Austin Speech Labs
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02799017
- Sponsor's protocol ID
- 2014-12-0045
- Status last verified
- Jun 2016
- First submitted
- 17 Feb 2016
- Last updated
- 2 Jul 2017
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- Yes
Publications
Beeson PM, Rising K, Kim ES, Rapcsak SZ. A treatment sequence for phonological alexia/agraphia. J Speech Lang Hear Res. 2010 Apr;53(2):450-68. doi: 10.1044/1092-4388(2009/08-0229).
PubMed 20360466Brookshire CE, Conway T, Pompon RH, Oelke M, Kendall DL. Effects of intensive phonomotor treatment on reading in eight individuals with aphasia and phonological alexia. Am J Speech Lang Pathol. 2014 May;23(2):S300-11. doi: 10.1044/2014_AJSLP-13-0083.
PubMed 24686537Carlomagno S, Pandolfi M, Labruna L, Colombo A, Razzano C. Recovery from moderate aphasia in the first year poststroke: effect of type of therapy. Arch Phys Med Rehabil. 2001 Aug;82(8):1073-80. doi: 10.1053/apmr.2001.25155.
PubMed 11494187Conway TW, Heilman P, Rothi LJ, Alexander AW, Adair J, Crosson BA, Heilman KM. Treatment of a case of phonological alexia with agraphia using the Auditory Discrimination in Depth (ADD) program. J Int Neuropsychol Soc. 1998 Nov;4(6):608-20. doi: 10.1017/s1355617798466104.
PubMed 10050366Doesborgh SJ, van de Sandt-Koenderman MW, Dippel DW, van Harskamp F, Koudstaal PJ, Visch-Brink EG. Effects of semantic treatment on verbal communication and linguistic processing in aphasia after stroke: a randomized controlled trial. Stroke. 2004 Jan;35(1):141-6. doi: 10.1161/01.STR.0000105460.52928.A6. Epub 2003 Dec 4.
PubMed 14657447El Hachioui H, Lingsma HF, van de Sandt-Koenderman ME, Dippel DW, Koudstaal PJ, Visch-Brink EG. Recovery of aphasia after stroke: a 1-year follow-up study. J Neurol. 2013 Jan;260(1):166-71. doi: 10.1007/s00415-012-6607-2. Epub 2012 Jul 22.
PubMed 22820721Goodglass H, Wingfield A, Hyde MR, Gleason JB, Bowles NL, Gallagher RE. The importance of word-initial phonology: error patterns in prolonged naming efforts by aphasic patients. J Int Neuropsychol Soc. 1997 Mar;3(2):128-38.
PubMed 9126854Greenwald M. "Blocking" lexical competitors in severe global agraphia: a treatment of reading and spelling. Neurocase. 2004 Apr;10(2):156-74. doi: 10.1080/13554790409609946.
PubMed 15788254
Study at a glance
From the registry record, last updated by the sponsor on 2 Jul 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phonological Treatment Paired With Intensive Speech Therapy Promotes Reading Recovery in Chronic Aphasia
- ClinicalTrials.gov ID
- NCT02799017
- Acronym / sponsor ID
- 2014-12-0045
- Keywords
- Aphasia, Reading, Writing, Naming, Language, Chronic post stroke, Phonology, Semantic Feature Analysis
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 20 participants (estimated)
- Lead sponsor
- Austin Speech LabsUniversity, hospital or other
- Study start
- Jun 2015
- Primary completion
- Dec 2018 (estimated)
- Study completion
- Jun 2019 (estimated)
- First posted
- 14 Jun 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Participants will receive either intensive phonology or semantic feature analysis treatment for 16 weeks to improve naming, reading, and writing in individuals with chronic post-stroke aphasia.
Detailed description
A total of 20 clients will be enrolled in the study, 10 will be in control group and 10 in experimental group and will be assigned in a random order. All clients will be given standardized tests pre and post treatment to assess comprehension, expressive, reading and writing skills.
Participants MRI reports will be collected to understand lesion sites and language outcomes. Both experimental and control group will receive individual, group and reading for an hour each. Participants in experimental group will receive an hour of individual phonology therapy. The participants in control group will receive traditional individual therapy. Both groups will receive group and an hour of reading aloud.
Experimental Group Therapy will involve visual and auditory drills. It will also be structured, sequential, repetitive, and cumulative. The sounds targeted during treatment will be separated into five sets which will include 5 sounds - one short vowel and four consonants. For consonants that have two sounds, initially the hard sound will be taught. The soft sound will be taught when the participant is taught the different spelling rules (i.e. "silent 'e'"). Each set will be targeted for three weeks or until mastery.
When teaching a new set of sounds, the clinician will teach the participant the placement of the articulators and the name of the letter. The participant will copy each letter in the set while receiving auditory bombardment of the sound. During auditory bombardment, the participant is encouraged to produce the sound.
Procedure: The participants in the experimental group will receive an hour of phonology treatment, an hour of group therapy, and an hour of reading. The participants in the control group will receive an hour of individual therapy, an hour of reading and an hour of group therapy in a traditional setting. Both groups will work on writing, generative naming during group time, however, the experimental group will focus on self-cueing with the sounds they learn during the individual session. While the control group will simply follow the semantic feature analysis to retrieve the name. Both groups will be read to or read aloud depending on their level.
The participants in the experimental group will be taught all consonants and vowels over the course of 16 weeks.
Visual Drills Step 1: Production of individual sounds - The clinician will show the subject a letter and the subject will name the letter and produce the corresponding sound. If the participant does not produce an accurate response, the participant will be provided a visual of the placement of the sound. If the target is still not produced, the clinician will provide the correct response and the participant will imitate the clinician. They will repeat the production three times, write the letter, and produce the letter name three times.
Auditory Drills
*For all auditory tasks, the clinician's articulators should be covered. In this section the clinician will produce the sound with his or her mouth covered and the subject will repeat the sound heard and then write the corresponding letter on the paper. If the participant still responds incorrectly, the clinician will write the target letter, name the letter, and have the participant copy and repeat the accurate response. Each sound should be targeted 5 times per session.
Step 2: Sound to letter identification/letter naming -The participant will be provided with a sheet with all of the letters in the set being targeted. The clinician will produce one sound, the client will repeat it to ensure comprehension, and the client will identify the letter that is associated with the sound by pointing to it. In addition, the participant will say the letter name. If the participant gets it incorrect, the clinician will tell the participant the sound that corresponds with the letter he identified and the clinician will repeat the target sound providing the placement cues (i.e. removing cover from articulators). If the participant still responds incorrectly, the clinician will identify the target letter and have the participant copy the response. Each sound should be targeted 5 times per session.
Step 3: Initial sound discrimination - The clinician will ask the participant if a word starts with a certain sound. (i.e. "Does 'bag' start with /d/?") If the participant responds incorrectly, the clinician will explain why the response is incorrect and repeat the stimuli while providing placement cues (i.e. removing cover from articulators). If the participant still responds incorrectly, the clinician will show him the written word and repeat the stimuli. If the participant still responds incorrectly, the clinician will provide the accurate response with an explanation. This task consists of five trials.
Initial sound identification - When the participant reaches 90% accuracy on the initial sound discrimination task, the clinician will provide the participant with a CVC word verbally and ask him to identify the initial sound by pointing to the letter in a sheet containing all the sounds within that set and naming the letter. If the participant responds incorrectly, the clinician will explain why the response is incorrect and repeat the stimuli with providing placement cues (i.e. removing cover from articulators). If the participant is still unable to do this, the clinician will reduce the amount of choices to three. If the participant is still unable to complete the task, the clinician will provide the correct response with an explanation. There will be five trials for this task.
Initial sound generation - Once the participant reaches 90% accuracy on the initial sound identification task, the clinician will verbally provide the participant with a CVC word and ask the participant to produce the initial sound in the stimuli and name the letter. If the participant is unable to produce the initial sound, the clinician will repeat the word with her mouth uncovered to show the participant the articulatory placement. If still unable to to produce the sound, clinician will isolate the initial sound with her mouth uncovered. There will be five trials for this task.
Blending \& Segmenting Drills - This will be introduced after the subject learns one consonant and a vowel.
Step 4: Segmentation - The clinician will provide the participant with a CV or VC word consisting of two letters from the set. The participant will repeat the word and then segment the two sounds. When the participant reaches 90% accuracy, the participant will repeat a CVC word and segment the three sounds.
Step 5: Blending - When the participant reaches 90% accuracy on the segmentation task, the clinician will provide the participant with two sounds from the set with a two second pause in between. The participant will repeat the two sounds in isolation and then blend them together. If the participant is unable to blend the sounds, the clinician will produce them in isolation with a one second pause in between. If the participant is still unable to produce the target response, the clinician will repeat the sounds in isolation with a one second pause in between and then produce the target word and the participant will repeat the target. When the participant reaches 90% accuracy blending two sounds, the participant will complete the above task with three sounds (CVC). There will be five trials for this task.
Step 6: Reading CVC Words - Once the participant reaches 80% accuracy identifying, producing, and blending, the participant will read aloud CVC words that contain sounds being targeted in therapy.
Writing CVC Words to Dictation - Once the participant reaches 80% accuracy identifying, producing, and blending, the participant will write CVC words to dictation given by the clinician (words will contain the target sounds).
Group Therapy:
Step1: Generative Naming Participants will be asked to generate items to a given verb or a noun category. They will be encouraged to write the items and read them using phonology treatment protocol. The control group will follow traditional generative naming method. The control group will be given phonemic cues if needed to recall words however that will not be the first option. Clients will be asked to write sentences and read sentences using the generated list to a given action verb or noun.
Step 2: Picture naming - The participant will be provided with a picture that has an initial sound that is one of the target sounds. If the participant is unable to name the picture, the clinician will instruct the participant to try to write the word or the initial letter. The clinician will inform the participant that the first letter is one of the target sounds. If the participant is unable to write it, the clinician will provide 3 choices, all of which are target letters. If the participant is able to produce the first letter, the clinician will instruct him to produce the sound that corresponds to the letter. If the participant is still unable to produce the target response, the clinician will expand the phonemic cue to a syllabic cue. If the participant is still unable to produce the correct response, the clinician will provide a semantic cue or another cue that works for the participant.
Reading - All clients will be given 15 sentences to work on reading. The sentences will target the sounds taught in individual therapy. Clients that cannot read will be read to by volunteers.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, care provider)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intensive Phonology Treatment | Experimental | Other: Intensive Phonology TreatmentThe participants in the experimental group will receive an hour of phonology treatment, an hour of group therapy, and an hour of reading. They will work on writing, generative naming during group time focusing on self-cueing with the sounds they learn during the individual session. They will be read to or read aloud depending on their level. The participants in the experimental group will be taught all consonants and vowels over the course of 16 weeks. |
| Intensive SFA Treatment | Active comparator | Other: Intensive SFA TreatmentThe participants in the control group will receive an hour of individual therapy, an hour of reading and an hour of group therapy in a traditional setting. They will work on writing, generative naming during group time following the semantic feature analysis to retrieve the name.They will be read to or read aloud depending on their level. |
Who may qualify
- Ages
- 20 to 85 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Male or female
- 20-85 years old
- Have suffered a left CVA
- Score above 50% on comprehension task of the WAB
- Score below 80% accuracy on all phonology related tasks
Key exclusion criteria (4 listed)
- Score above 80% accuracy on all phonology related tasks.
- Score below 50% on comprehension task of the WAB
- Have suffered a right CVA
- Are receiving teletherapy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Intensive Phonology TreatmentPhonology based reading, writing, and naming therapy. | Other | Intensive Phonology Treatment |
| Intensive SFA TreatmentSemantic based reading, writing, and naming therapy. | Other | Intensive SFA Treatment |
Primary outcome
Improvement in reading single words as measured by PALPA
Time frame: 16 weeks
Reading of single words will be testing using Psycholinguistic Assessment of Language Processing (PALPA) subtests
Improvement in naming as measured by BNT
Time frame: 16 weeks
picture naming (nouns) will be tested using Boston Naming Test (BNT)
1 secondary outcome
Improvement in spontaneous speech measured by WAB
Time frame: 16 weeks
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Jul 2017.
- Background: PubMed 20360466Beeson PM, Rising K, Kim ES, Rapcsak SZ. A treatment sequence for phonological alexia/agraphia. J Speech Lang Hear Res. 2010 Apr;53(2):450-68. doi: 10.1044/1092-4388(2009/08-0229).
- Background: PubMed 24686537Brookshire CE, Conway T, Pompon RH, Oelke M, Kendall DL. Effects of intensive phonomotor treatment on reading in eight individuals with aphasia and phonological alexia. Am J Speech Lang Pathol. 2014 May;23(2):S300-11. doi: 10.1044/2014_AJSLP-13-0083.
- Background: PubMed 11494187Carlomagno S, Pandolfi M, Labruna L, Colombo A, Razzano C. Recovery from moderate aphasia in the first year poststroke: effect of type of therapy. Arch Phys Med Rehabil. 2001 Aug;82(8):1073-80. doi: 10.1053/apmr.2001.25155.
- Background: PubMed 10050366Conway TW, Heilman P, Rothi LJ, Alexander AW, Adair J, Crosson BA, Heilman KM. Treatment of a case of phonological alexia with agraphia using the Auditory Discrimination in Depth (ADD) program. J Int Neuropsychol Soc. 1998 Nov;4(6):608-20. doi: 10.1017/s1355617798466104.
- Background: PubMed 14657447Doesborgh SJ, van de Sandt-Koenderman MW, Dippel DW, van Harskamp F, Koudstaal PJ, Visch-Brink EG. Effects of semantic treatment on verbal communication and linguistic processing in aphasia after stroke: a randomized controlled trial. Stroke. 2004 Jan;35(1):141-6. doi: 10.1161/01.STR.0000105460.52928.A6. Epub 2003 Dec 4.
- Background: PubMed 22820721El Hachioui H, Lingsma HF, van de Sandt-Koenderman ME, Dippel DW, Koudstaal PJ, Visch-Brink EG. Recovery of aphasia after stroke: a 1-year follow-up study. J Neurol. 2013 Jan;260(1):166-71. doi: 10.1007/s00415-012-6607-2. Epub 2012 Jul 22.
- Background: PubMed 9126854Goodglass H, Wingfield A, Hyde MR, Gleason JB, Bowles NL, Gallagher RE. The importance of word-initial phonology: error patterns in prolonged naming efforts by aphasic patients. J Int Neuropsychol Soc. 1997 Mar;3(2):128-38.
- Background: PubMed 15788254Greenwald M. "Blocking" lexical competitors in severe global agraphia: a treatment of reading and spelling. Neurocase. 2004 Apr;10(2):156-74. doi: 10.1080/13554790409609946.
- Individual participant dataSharing planned: Yes
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Shilpa Shamapant, M.S.,M.A. principal investigator
Austin Speech Labs
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Intensive Phonology Treatment and Intensive SFA Treatment in people with Aphasia and Language, run by Austin Speech Labs at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 2 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Improvement in reading single words as measured by PALPA (time frame: 16 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02799017, which also lists 8 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jul 2017.