A comparison of remote therapy, face to face therapy and an attention control intervention for people with aphasia: a quasi-randomised controlled feasibility study
A comparison of remote therapy, face to face therapy and an attention control intervention for people with aphasia: a quasi-randomised controlled feasibility study
复制标题
失语症患者远程治疗、面对面治疗和注意力控制干预的比较：半随机对照可行性研究
作者：
Celia Woolf;Anna Caute;Z. Haigh;J. Galliers;Stephanie M. Wilson;A. Kessie;S. Hirani;Barbara Hegarty;J. Marshall
目的：测试一项随机对照试验的可行性，比较失语症患者的面对面和远程单词查找治疗。设计图：一项准随机对照可行性研究，比较了从大学实验室提供的远程治疗、从临床站点提供的远程治疗、面对面治疗和注意力控制条件。设置：大学实验室和NHS门诊服务。参与者：21名左半球卒中后失语的患者。干预措施：八届字发现治疗，面对面或远程交付，进行了比较的注意力控制条件，包括八届远程交付支持对话。远程条件下使用主流视频会议技术。结局指标：可行性进行了评估的招聘和减员率，参与者的意见和采访，治疗保真度检查。通过图片命名和会话命名测试评估治疗对单词提取的影响。结果：在17个月内招募了21名参与者，其中1名在基线时丢失。对干预的依从性和满意度良好。远程和面对面交付的治疗保真度都很高（1251/1421治疗师行为符合方案）。接受治疗的参与者在图片命名方面的改善明显高于对照组（平均数字增益：20.2（远离大学）; 41（远离临床站点）; 30.8（面对面）; 5.8（注意力控制）; P <0.001）。两组在对谈话的评估上没有显著差异。结论：单词发现疗法可以通过主流互联网视频会议进行。治疗改善了图片命名，但没有在谈话中命名。
Objective: To test the feasibility of a randomised controlled trial comparing face to face and remotely delivered word finding therapy for people with aphasia. Design: A quasi-randomised controlled feasibility study comparing remote therapy delivered from a University lab, remote therapy delivered from a clinical site, face to face therapy and an attention control condition. Setting: A University lab and NHS outpatient service. Participants: Twenty-one people with aphasia following left hemisphere stroke. Interventions: Eight sessions of word finding therapy, delivered either face to face or remotely, were compared to an attention control condition comprising eight sessions of remotely delivered supported conversation. The remote conditions used mainstream video conferencing technology. Outcome measures: Feasibility was assessed by recruitment and attrition rates, participant observations and interviews, and treatment fidelity checking. Effects of therapy on word retrieval were assessed by tests of picture naming and naming in conversation. Results: Twenty-one participants were recruited over 17 months, with one lost at baseline. Compliance and satisfaction with the intervention was good. Treatment fidelity was high for both remote and face to face delivery (1251/1421 therapist behaviours were compliant with the protocol). Participants who received therapy improved on picture naming significantly more than controls (mean numerical gains: 20.2 (remote from University); 41 (remote from clinical site); 30.8 (face to face); 5.8 (attention control); P <.001). There were no significant differences between groups in the assessment of conversation. Conclusions: Word finding therapy can be delivered via mainstream internet video conferencing. Therapy improved picture naming, but not naming in conversation.