Effects of a Tablet-Based Home Practice Program With Telepractice on Treatment Outcomes in Chronic Aphasia
Open accessAbstract
Purpose: The aim of this study was to determine if a tablet-based home practice program with weekly telepractice support could enable long-term maintenance of recent treatment gains and foster new language gains in poststroke aphasia. Method: In a pre–post group study of home practice outcomes, 21 individuals with chronic aphasia were examined before and after a 6-month home practice phase and again at follow-up 4 months later. The main outcome measure studied was change in naming previously treated or untreated, practiced or unpracticed pictures of objects and actions. Individualized home practice programs were created in iBooks Author with semantic, phonemic, and orthographic cueing in pictures, words, and videos in order to facilitate naming of previously treated or untreated pictures. Results: Home practice was effective for all participants with severity moderating treatment effects, such that individuals with the most severe aphasia made and maintained fewer gains. There was a negative relationship between the amount of training required for iPad proficiency and improvements on practiced and unpracticed pictures and a positive relationship between practice compliance and same improvements. Conclusion: Unsupervised home practice with weekly video teleconferencing support is effective. This study demonstrates that even individuals with chronic severe aphasia, including those with no prior smart device or even computer experience, can attain independent proficiency to continue practicing and improving their language skills beyond therapy discharge. This could represent a low-cost therapy option for individuals without insurance coverage and/or those for whom mobility is an obstacle to obtaining traditional aphasia therapy.
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Studies delivering below the recommended 20-h threshold were more likely to report limited or absent improvement, including modest severity-dependent gains at 9 h and no significant change at 15 h.
“By contrast, studies delivering below this threshold were more likely to report limited or absent improvement, including modest severity‐dependent gains at 9 h (Kurland et al. 2018), and no significant change at 15 h (Marshall et al. 2013).”
From Exploring the Effectiveness of Technology‐Based Interventions in Aphasia Rehabilitation: A Systematic Review (2026) · cites this paper as Kurland et al. 2018
Most existing studies with VR-based cognitive rehabilitation focused on specific language domains such as word retrieval, sentence building, and language comprehension.
“Most of the existing studies with VR-based cognitive rehabilitation focused on specific language domains [25–28], such as word retrieval [18, 19, 43, 44, 46–48], sentence building [20, 21], and language comprehension [22].”
From Conversational Therapy through Semi-Immersive Virtual Reality Environments for Language Recovery and Psychological Well-Being in Post Stroke Aphasia (2020) · cites this paper as [46]
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- Authors
- Kurland, J., Liu, A., & Stokes, P.
- Affiliations
- University of Massachusetts Amherst (US)
- Venue
- Journal of Speech, Language, and Hearing Research
- Published
- 2018-05-17
- Volume
- 61
- Issue
- 5
- Pages
- 1140-1156
- ISSN
- 1092-4388 (ISSN-L)
- 1558-9102
- PMC
- PMC6195077
- OpenAlex
- W2802592450
- Cited by
- 88
- References
- 70
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 9 · 2023: 16 · 2022: 12 · 2021: 16 · 2020: 11 · 2019: 5 · 2017: 1
- FWCI
- 4.76
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Speech Language and Hearing Research (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Deafness and Other Communication Disorders (R01DC011526)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
- Health Sciences › Health Professions › Occupational Therapy › Assistive Technology in Communication and Mobility
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Keywords
- chronic aphasia, post-stroke aphasia, home practice, telepractice, videoconferencing, maintenance of treatment gains, picture naming, cueing, low-cost treatment
- MeSH terms
- Stroke Rehabilitation, Aged, Aged, 80 and over, Aphasia, Chronic Disease, Female, Follow-Up Studies, Humans, Language Therapy, Male, Middle Aged, Self Care, Therapy, Computer-Assisted, Treatment Outcome, Telemedicine, Stroke, Computers, Handheld
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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