Estimating the cost and value of functional changes in communication ability following telepractice treatment for aphasia.

<h4>Context</h4>Aphasia is a post-stroke condition that can dramatically impact a person with aphasia's (PWA) communication abilities. To date, few if any studies have considered the cost and cost-effectiveness of functional change in aphasia nor considered measures of patient'...

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Autores principales:	Molly Jacobs, Charles Ellis
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3e59a6503f9141edb625a039184f593d
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spelling	oai:doaj.org-article:3e59a6503f9141edb625a039184f593d2021-12-02T20:14:31ZEstimating the cost and value of functional changes in communication ability following telepractice treatment for aphasia.1932-620310.1371/journal.pone.0257462https://doaj.org/article/3e59a6503f9141edb625a039184f593d2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257462https://doaj.org/toc/1932-6203<h4>Context</h4>Aphasia is a post-stroke condition that can dramatically impact a person with aphasia's (PWA) communication abilities. To date, few if any studies have considered the cost and cost-effectiveness of functional change in aphasia nor considered measures of patient's value for aphasia treatment.<h4>Objective</h4>To assess the cost, cost-effectiveness, and perceived value associated with improved functional communication in individuals receiving telerehabilitation treatment for aphasia.<h4>Design</h4>Twenty PWA completed between 5 and 12 telehealth rehabilitation sessions of 45-60 minutes within a 6-week time frame using a Language-Oriented Treatment (LOT) designed to address a range of language issues among individuals with aphasia. National Outcomes Measures (NOMS) comprehension and verbal expression and the ASHA Quality of Communication Life (QCL) were completed prior to and at the completion of rehabilitation to obtain baseline and treatment measures.<h4>Results</h4>Age, education, and race are significantly correlated with improvement in the NOMS verbal expression. African Americans (OR = 2.0917) are twice as likely as Whites to experience improvement after treatment. The likelihood of improvement also increases with each additional year of education (OR = 1.002) but decrease with age (OR = 0.9463). A total of 15 PWA showed improvement in NOMS comprehension and nine patients showed improvement in NOMS verbal expression. Improving patients attended between five and 12 treatment sessions. The average cost of improvement in NOMS comprehension was $1,152 per patient and NOMS verbal expression was $1,128 per patient with individual treatment costs varying between $540 and $1,296. However, on average, the monetary equivalent in patient's improved QCL was between $1,790.39 to $3,912,54-far exceeding the financial cost of treatment.<h4>Conclusions</h4>When measuring the functional improvement of patients with aphasia, patient's quality of communication life received from treatment exceeded financial cost of services provided.Molly JacobsCharles EllisPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257462 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Molly Jacobs Charles Ellis Estimating the cost and value of functional changes in communication ability following telepractice treatment for aphasia.
description	<h4>Context</h4>Aphasia is a post-stroke condition that can dramatically impact a person with aphasia's (PWA) communication abilities. To date, few if any studies have considered the cost and cost-effectiveness of functional change in aphasia nor considered measures of patient's value for aphasia treatment.<h4>Objective</h4>To assess the cost, cost-effectiveness, and perceived value associated with improved functional communication in individuals receiving telerehabilitation treatment for aphasia.<h4>Design</h4>Twenty PWA completed between 5 and 12 telehealth rehabilitation sessions of 45-60 minutes within a 6-week time frame using a Language-Oriented Treatment (LOT) designed to address a range of language issues among individuals with aphasia. National Outcomes Measures (NOMS) comprehension and verbal expression and the ASHA Quality of Communication Life (QCL) were completed prior to and at the completion of rehabilitation to obtain baseline and treatment measures.<h4>Results</h4>Age, education, and race are significantly correlated with improvement in the NOMS verbal expression. African Americans (OR = 2.0917) are twice as likely as Whites to experience improvement after treatment. The likelihood of improvement also increases with each additional year of education (OR = 1.002) but decrease with age (OR = 0.9463). A total of 15 PWA showed improvement in NOMS comprehension and nine patients showed improvement in NOMS verbal expression. Improving patients attended between five and 12 treatment sessions. The average cost of improvement in NOMS comprehension was $1,152 per patient and NOMS verbal expression was $1,128 per patient with individual treatment costs varying between $540 and $1,296. However, on average, the monetary equivalent in patient's improved QCL was between $1,790.39 to $3,912,54-far exceeding the financial cost of treatment.<h4>Conclusions</h4>When measuring the functional improvement of patients with aphasia, patient's quality of communication life received from treatment exceeded financial cost of services provided.
format	article
author	Molly Jacobs Charles Ellis
author_facet	Molly Jacobs Charles Ellis
author_sort	Molly Jacobs
title	Estimating the cost and value of functional changes in communication ability following telepractice treatment for aphasia.
title_short	Estimating the cost and value of functional changes in communication ability following telepractice treatment for aphasia.
title_full	Estimating the cost and value of functional changes in communication ability following telepractice treatment for aphasia.
title_fullStr	Estimating the cost and value of functional changes in communication ability following telepractice treatment for aphasia.
title_full_unstemmed	Estimating the cost and value of functional changes in communication ability following telepractice treatment for aphasia.
title_sort	estimating the cost and value of functional changes in communication ability following telepractice treatment for aphasia.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/3e59a6503f9141edb625a039184f593d
work_keys_str_mv	AT mollyjacobs estimatingthecostandvalueoffunctionalchangesincommunicationabilityfollowingtelepracticetreatmentforaphasia AT charlesellis estimatingthecostandvalueoffunctionalchangesincommunicationabilityfollowingtelepracticetreatmentforaphasia
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Estimating the cost and value of functional changes in communication ability following telepractice treatment for aphasia.

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