Augmentative and alternative communication intervention for in-patient individuals with post-stroke aphasia: study protocol of a parallel-group, pragmatic randomized controlled trial

Abstract Background People with post-stroke aphasia commonly receive speech-language therapy (SLT) when they are admitted to hospitals. Commonly, these patients reported communication difficulties in in-patient settings. Augmentative and alternative communication (AAC) has been reported as an effect...

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Autores principales: Li Huang, Szu-Han Kay Chen, Shutian Xu, Yongli Wang, Xing Jin, Ping Wan, Jikang Sun, Jiming Tao, Sicong Zhang, Guohui Zhang, Chunlei Shan
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Publicado: BMC 2021
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spelling oai:doaj.org-article:bfcce32303f04c5e9b98a5b887e457d92021-11-28T12:28:34ZAugmentative and alternative communication intervention for in-patient individuals with post-stroke aphasia: study protocol of a parallel-group, pragmatic randomized controlled trial10.1186/s13063-021-05799-01745-6215https://doaj.org/article/bfcce32303f04c5e9b98a5b887e457d92021-11-01T00:00:00Zhttps://doi.org/10.1186/s13063-021-05799-0https://doaj.org/toc/1745-6215Abstract Background People with post-stroke aphasia commonly receive speech-language therapy (SLT) when they are admitted to hospitals. Commonly, these patients reported communication difficulties in in-patient settings. Augmentative and alternative communication (AAC) has been reported as an effective treatment approach to improve communication effectiveness, language performance, decreasing depression, and improving quality of life for this population. However, little evidence has demonstrated the use of AAC intervention (AACT) in early recovery from people with post-stroke aphasia in in-patient rehabilitation settings for improving these patients’ communication effectiveness. The pilot randomized controlled trial (RCT) will explore the effectiveness and feasibility of including AACT in regular SLT for in-patient people with post-stroke aphasia. Method This pilot RCT is a single-blind, randomized controlled trial with two parallel groups. Both groups receive a 1-h treatment session, including either both AACT and SLT or SLT only for ten consecutive days. We aim to include 22 in-patient participants with post-stroke aphasia in each group. Participants will be assessed at pre- and post-intervention and 2 weeks after intervention. The primary outcomes are the ability of communication measured by the communication of basic needs subtest in the Functional Assessment of Communication Skills for Adult (FACS) and the overall language performance measured by the Chinese Standard Aphasia Battery (ABC). The secondary outcomes include a 10-min conversation, the 10-item Hospital version of the Stroke Aphasic Depression Questionnaire (SADQH-10), the Stroke-Specific Quality of Life Scale (SS-QOL), and a patient and caregiver satisfaction questionnaire. Discussion This pilot RCT will contribute to new scientific evidence to the field of aphasia rehabilitation in early recovery during the in-patient period. The paper describes the trial, which will explore the effect of combining AACT and SLT and SLT only, our choice of primary and secondary outcome measures, and proposed analyses. The study results will provide information for implementing AACT in the regular in-patient SLT of future RCTs. Trial registration Chinese Clinical Trial Registry database (ChiCTR) ChiCTR2000028870 . Registered on 5 January 2020Li HuangSzu-Han Kay ChenShutian XuYongli WangXing JinPing WanJikang SunJiming TaoSicong ZhangGuohui ZhangChunlei ShanBMCarticleAphasiaStrokeAugmentative and alternative communicationSpeech-language therapyRandomized controlled trialMedicine (General)R5-920ENTrials, Vol 22, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Aphasia
Stroke
Augmentative and alternative communication
Speech-language therapy
Randomized controlled trial
Medicine (General)
R5-920
spellingShingle Aphasia
Stroke
Augmentative and alternative communication
Speech-language therapy
Randomized controlled trial
Medicine (General)
R5-920
Li Huang
Szu-Han Kay Chen
Shutian Xu
Yongli Wang
Xing Jin
Ping Wan
Jikang Sun
Jiming Tao
Sicong Zhang
Guohui Zhang
Chunlei Shan
Augmentative and alternative communication intervention for in-patient individuals with post-stroke aphasia: study protocol of a parallel-group, pragmatic randomized controlled trial
description Abstract Background People with post-stroke aphasia commonly receive speech-language therapy (SLT) when they are admitted to hospitals. Commonly, these patients reported communication difficulties in in-patient settings. Augmentative and alternative communication (AAC) has been reported as an effective treatment approach to improve communication effectiveness, language performance, decreasing depression, and improving quality of life for this population. However, little evidence has demonstrated the use of AAC intervention (AACT) in early recovery from people with post-stroke aphasia in in-patient rehabilitation settings for improving these patients’ communication effectiveness. The pilot randomized controlled trial (RCT) will explore the effectiveness and feasibility of including AACT in regular SLT for in-patient people with post-stroke aphasia. Method This pilot RCT is a single-blind, randomized controlled trial with two parallel groups. Both groups receive a 1-h treatment session, including either both AACT and SLT or SLT only for ten consecutive days. We aim to include 22 in-patient participants with post-stroke aphasia in each group. Participants will be assessed at pre- and post-intervention and 2 weeks after intervention. The primary outcomes are the ability of communication measured by the communication of basic needs subtest in the Functional Assessment of Communication Skills for Adult (FACS) and the overall language performance measured by the Chinese Standard Aphasia Battery (ABC). The secondary outcomes include a 10-min conversation, the 10-item Hospital version of the Stroke Aphasic Depression Questionnaire (SADQH-10), the Stroke-Specific Quality of Life Scale (SS-QOL), and a patient and caregiver satisfaction questionnaire. Discussion This pilot RCT will contribute to new scientific evidence to the field of aphasia rehabilitation in early recovery during the in-patient period. The paper describes the trial, which will explore the effect of combining AACT and SLT and SLT only, our choice of primary and secondary outcome measures, and proposed analyses. The study results will provide information for implementing AACT in the regular in-patient SLT of future RCTs. Trial registration Chinese Clinical Trial Registry database (ChiCTR) ChiCTR2000028870 . Registered on 5 January 2020
format article
author Li Huang
Szu-Han Kay Chen
Shutian Xu
Yongli Wang
Xing Jin
Ping Wan
Jikang Sun
Jiming Tao
Sicong Zhang
Guohui Zhang
Chunlei Shan
author_facet Li Huang
Szu-Han Kay Chen
Shutian Xu
Yongli Wang
Xing Jin
Ping Wan
Jikang Sun
Jiming Tao
Sicong Zhang
Guohui Zhang
Chunlei Shan
author_sort Li Huang
title Augmentative and alternative communication intervention for in-patient individuals with post-stroke aphasia: study protocol of a parallel-group, pragmatic randomized controlled trial
title_short Augmentative and alternative communication intervention for in-patient individuals with post-stroke aphasia: study protocol of a parallel-group, pragmatic randomized controlled trial
title_full Augmentative and alternative communication intervention for in-patient individuals with post-stroke aphasia: study protocol of a parallel-group, pragmatic randomized controlled trial
title_fullStr Augmentative and alternative communication intervention for in-patient individuals with post-stroke aphasia: study protocol of a parallel-group, pragmatic randomized controlled trial
title_full_unstemmed Augmentative and alternative communication intervention for in-patient individuals with post-stroke aphasia: study protocol of a parallel-group, pragmatic randomized controlled trial
title_sort augmentative and alternative communication intervention for in-patient individuals with post-stroke aphasia: study protocol of a parallel-group, pragmatic randomized controlled trial
publisher BMC
publishDate 2021
url https://doaj.org/article/bfcce32303f04c5e9b98a5b887e457d9
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