Telerehabilitation for aphasia – protocol of a pragmatic, exploratory, pilot randomized controlled trial
Open accessAbstract
BACKGROUND: The Cochrane review on the effectiveness of speech and language therapy for aphasia following stroke suggests intensity of therapy is a key predictor for outcome. Current aphasia services cannot provide intervention at the intensity observed within trial contexts because of resource limitations. Telerehabilitation could widen access to speech-language pathologists (SLPs) in geographically remote contexts and reduce the time spent on travel by the therapist and patient. The current academic literature within this field is in its infancy, with few trials of speech and language therapy (SLT) delivered by videoconference. Our pilot randomized controlled trial (RCT) will explore feasibility aspects and effectiveness of telerehabilitation for aphasia in addition to standard SLT. METHOD/DESIGN: Our study is a pragmatic, exploratory, pilot randomized controlled trial, where participants will be randomized to a telerehabilitation group or a control group. Both groups receive standard SLT (usual care) but the telerehabilitation group receives an additional 5 h of telerehabilitation per week over 4 weeks through videoconference. This additional telerehabilitation focuses on spoken language with an emphasis on word naming. We aim to include 40 patients in each group, with inclusion criteria being aphasia any time post stroke. Participants will be assessed blindly at pre-randomization (baseline), and 4 weeks and 4 months after randomization. The primary endpoint is naming ability 3 months after the completed intervention, measured by the Norwegian Basic Aphasia Assessment (NGA) naming subtest. Secondary endpoints include other subtests of the NGA, the VAST (Verb and Sentence Test) subtest sentence production, Communicative Effectiveness Index (CETI) and the Stroke and Aphasia Quality of Life scale (SAQOL-39). Experiences of patients and SLPs with telerehabilitation are assessed using questionnaires and semi-structured interviews. Statistical between group comparisons will be in line with an intention-to-treat analysis. DISCUSSION: This pilot RCT of intensive language training by videoconference will contribute new scientific evidence to the field of aphasia telerehabilitation. Here, we describe our trial which will explore the feasibility of telerehabilitation for aphasia as an intervention, our choice of primary and secondary outcome measures and proposed analyses. Our trial will provide information for the development and delivery of future definitive RCTs. TRIAL REGISTRATION: ClinicalTrials.gov, ID: NCT02768922 . Registered on 11 May 2016. Last updated on 17 November 2017.
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The protocol with choice of outcomes, intervention description and proposed analyses was reported earlier.
“Our protocol with the choice of outcomes, a description of the intervention and proposed analyses was reported earlier [11].”
From The effect of augmented speech-language therapy delivered by telerehabilitation on poststroke aphasia—a pilot randomized controlled trial (2020) · cites this paper as [11]
The Template for Intervention Description and Replication Checklist and Guide was used to document the telerehabilitation intervention to ensure treatment fidelity, transparency and replicability.
“In order to ensure treatment fidelity, transparency and replicability for future studies, the Template for Intervention Description and Replication Checklist and Guide [13], was used to document the telerehabilitation intervention [11, supplementary table 1].”
From The effect of augmented speech-language therapy delivered by telerehabilitation on poststroke aphasia—a pilot randomized controlled trial (2020) · cites this paper as [11]
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Self-citation
- Authors
- Øra, H. P., Kirmess, M., Brady, M. C., Winsnes, I. E., Hansen, S. M., & Becker, F.
- Affiliations
- University of Oslo (NO)
- Glasgow Caledonian University (GB)
- Sunnaas sykehus (NO)
- Corresponding author
- Øra, Hege Prag
- ORCID
- Venue
- Trials
- Published
- 2018-04-02
- Volume
- 19
- Issue
- 1
- Pages
- 208-208
- ISSN
- 1745-6215 (ISSN-L)
- PMC
- PMC5880095
- OpenAlex
- W2795427419
- Cited by
- 20
- References
- 28
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 2 · 2021: 5 · 2020: 7 · 2019: 4
- FWCI
- 3.81
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Trials (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ResearchOnline (Glasgow Caledonian University) (acceptedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- Funders
- South-Eastern Norway Regional Health Authority (2015037)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
- Keywords
- telerehabilitation, aphasia, stroke, speech therapy, videoconferencing, word naming, treatment intensity, feasibility, sentence production, quality of life
- MeSH terms
- Telerehabilitation, Stroke Rehabilitation, Aphasia, Humans, Language Therapy, Pilot Projects, Research Design, Speech Therapy, Outcome Assessment, Health Care, Sample Size, Pragmatic Clinical Trials as Topic
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