Impact of Personal Relevance on Acquisition and Generalization of Script Training for Aphasia: A Preliminary Analysis

Impact of Personal Relevance on Acquisition and Generalization of Script Training for Aphasia: A Preliminary Analysis
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DOI:
10.1044/2015_ajslp-14-0162
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发表时间:
2015-11-01
影响因子:
2.6
通讯作者:
van Vuuren, Sarel
van Vuuren, Sarel
中科院分区:
医学2区
文献类型:
--
作者:
Cherney, Leora R.;Kaye, Rosalind C.;van Vuuren, Sarel

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目的:在失语症患者的书写训练中,个性化的重要性已经被假定,但从未被证实。本研究比较了收购和概括的个人相关与通用的单词或短语出现在同一scripts.Method:8个人(6名男性,2名女性)与慢性失语症接受了3周的密集的基于计算机的脚本训练。对于每个参与者,2个脚本,一个训练过的和一个未训练过的概括脚本,嵌入了4个个人相关的单词选择和2-4个在参与者中相似的通用项目。在基线和治疗后,对样本的准确性进行了探测。对基线和治疗后评分进行显著性检验,并对个人相关项目与通用项目的收益进行显著性检验。计算效果大小。结果:个人相关和通用项目显着提高训练脚本。未经训练的脚本的改进较小,只有个人相关的项目达到重要性。训练脚本的个性化与通用项目的收益没有显著差异(p = 0.059),但效应量很大(d = 0.90)。对于泛化脚本,这种效果是小的(d = 0.25)和nonsignificant.Conclusions:个人相关的单词和短语收购,虽然不是广义的,更成功的比通用的单词和短语。数据支持个性化在脚本训练中的重要性,但其重要性程度需要进一步调查。
Purpose: The importance of personalization in script training in aphasia has been assumed but never tested. This study compared acquisition and generalization of personally relevant versus generic words or phrases appearing in the same scripts.Method: Eight individuals (6 men; 2 women) with chronic aphasia received 3 weeks of intensive computer-based script training. For each participant, 2 scripts, a trained and an untrained generalization script, were embedded with 4 personally relevant word choices and 2-4 generic items that were similar across participants. Scripts were probed for accuracy at baseline and posttreatment. Significance testing was conducted on baseline and posttreatment scores, and for gains in personally relevant versus generic items. Effect sizes were computed.Results: Both personally relevant and generic items improved significantly on trained scripts. Improvements on untrained scripts were smaller, with only personally relevant items reaching significance. There was no significant difference on gains made on personalized versus generic items for trained scripts (p = .059), but the effect size was large (d = 0.90). For generalization scripts, this effect was small (d = 0.25) and nonsignificant.Conclusions: Personally relevant words and phrases were acquired, although not generalized, more successfully than generic words and phrases. Data supports the importance of personalization in script training, but the degree of that importance requires further investigation.