Using computers to enable self‐management of aphasia therapy exercises for word finding: the patient and carer perspective
Abstract
Background Speech and language therapy (SLT) for aphasia can be difficult to access in the later stages of stroke recovery, despite evidence of continued improvement with sufficient therapeutic intensity. Computerized aphasia therapy has been reported to be useful for independent language practice, providing new opportunities for continued rehabilitation. The success of this option depends on its acceptability to patients and carers. Aims To investigate factors that affect the acceptability of independent home computerized aphasia therapy practice. Methods & procedures An acceptability study of computerized therapy was carried out alongside a pilot randomized controlled trial of computer aphasia therapy versus usual care for people more than 6 months post-stroke. Following language assessment and computer exercise prescription by a speech and language therapist, participants practised three times a week for 5 months at home with monthly volunteer support. Semi-structured interviews were conducted with 14 participants who received the intervention and ten carers (n = 24). Questions from a topic guide were presented and answered using picture, gesture and written support. Interviews were audio recorded, transcribed verbatim and analysed thematically. Three research SLTs identified and cross-checked themes and subthemes emerging from the data. Outcomes & results The key themes that emerged were benefits and disadvantages of computerized aphasia therapy, need for help and support…
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The lacking effect of tablet-assisted SLT in severe aphasia likely reflects the association between low LAST scores and severe stroke-related disabilities, such as hemiparesis, disorders of consciousness and neglect, limiting the benefits of computerized therapy even when applied in tandem with a speech therapist.
“The lacking effect of tablet‐assisted SLT in severe aphasia likely reflects the association between low LAST scores and severe stroke‐related disabilities, such as hemiparesis, disorders of consciousness and neglect, limiting the benefits of computerized therapy even when applied in tandem with a speech therapist [29, 30].”
From Tablet‐Assisted Speech and Language Therapy for Acute Post‐Stroke Aphasia: A Randomized Clinical Trial ( <scp>LEXI</scp> Study) (2025) · cites this paper as [29]
The response of users to computer based treatments has been positive and tools have been made accessible even to people with severe aphasia.
“The response of users to computer based treatments has been positive [19, 20, 21] and tools have been made accessible even to people with severe aphasia [22].”
From Evaluating the Benefits of Aphasia Intervention Delivered in Virtual Reality: Results of a Quasi-Randomised Study (2016) · cites this paper as [20]
A pilot study of 34 patients suggested that a self-managed, computerised, word finding therapy approach was feasible, acceptable, and had potential clinical effectiveness and cost-effectiveness.
“A pilot study of 34 patients7 suggested that a self-managed, computerised, word finding therapy approach was feasible, acceptable, and had potential clinical effectiveness and cost-effectiveness.7, 8”
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Palmer, R., Enderby, P., Cooper, C., Latimer, N., Julious, S., Paterson, G., Dimairo, M., Dixon, S., Mortley, J., Hilton, R., et al. (2012) · Stroke · doi:10.1161/strokeaha.112.650671 · Cited by 150 · see citing works
Self-citationLee, J. B., Kaye, R. C., & Cherney, L. R. (2009) · Aphasiology · doi:10.1080/02687030802669534 · Cited by 92 · see citing works
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Palmer, R., Dimairo, M., Cooper, C., Enderby, P., Brady, M., Bowen, A., Latimer, N., Julious, S., Cross, E., Alshreef, A., et al. (2019) · The Lancet Neurology · doi:10.1016/s1474-4422(19)30192-9 · Cited by 200 · see citing works
Self-citationImproved language in chronic aphasia after self-delivered iPad speech therapy
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“The response of users to computer based treatments has been positive [19, 20, 21] and tools have been made accessible even to people with severe aphasia [22].”
Background<p>Challenging rehabilitation environment for older patients</p>
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Feature rich, but user-friendly: speech pathologists' preferences for computer-based aphasia therapy
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- Authors
- Palmer, R., Enderby, P., & Paterson, G.
- Affiliations
- University of Sheffield (GB)
- Sheffield Primary Care Trust Sheffield UK
- Corresponding author
- Palmer, Rebecca
- Venue
- International Journal of Language & Communication Disorders
- Publisher
- Wiley
- Published
- 2013-06-18
- Volume
- 48
- Issue
- 5
- Pages
- 508-521
- ISSN
- 1368-2822 (ISSN-L)
- 1460-6984
- OpenAlex
- W1571023321
- Cited by
- 71
- References
- 5
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 5 · 2023: 1 · 2022: 6 · 2021: 3 · 2020: 7 · 2019: 10 · 2018: 9 · 2017: 7 · 2016: 4 · 2015: 6 · 2014: 3
- FWCI
- 4.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Language & Communication Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute for Health and Care Research (PB-PG-1207-14097)
- Sheffield Teaching Hospitals NHS Foundation Trust
- National Institutes of Health
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
- Health Sciences › Health Professions › Occupational Therapy › Assistive Technology in Communication and Mobility
- Keywords
- aphasia, word retrieval, stroke rehabilitation, home-based therapy, acceptability, patient perspectives, caregiver perspectives, volunteer support, fatigue, personalized exercise, speech therapy
- MeSH terms
- Adult, Aged, Aged, 80 and over, Aphasia, Attitude to Computers, Fatigue, Female, Humans, Language Therapy, Male, Middle Aged, Motivation, Patient Acceptance of Health Care, Self Care, Therapy, Computer-Assisted, Stroke
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