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Differential outcomes of functional ...

Hinckley, Jacqueline Jay.

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Differential outcomes of functional and neuropsychological approaches to naming treatment among adults with chronic nonfluent aphasia.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Differential outcomes of functional and neuropsychological approaches to naming treatment among adults with chronic nonfluent aphasia./
Author:	Hinckley, Jacqueline Jay.
Description:	207 p.
Notes:	Source: Dissertation Abstracts International, Volume: 60-10, Section: B, page: 5066.
Contained By:	Dissertation Abstracts International60-10B.
Subject:	Health Sciences, Speech Pathology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9948117
ISBN:	9780599501973

Differential outcomes of functional and neuropsychological approaches to naming treatment among adults with chronic nonfluent aphasia.
Hinckley, Jacqueline Jay.

Differential outcomes of functional and neuropsychological approaches to naming treatment among adults with chronic nonfluent aphasia. - 207 p.

Source: Dissertation Abstracts International, Volume: 60-10, Section: B, page: 5066.

Thesis (Ph.D.)--Michigan State University, 1999.

We know relatively little about which type of aphasia therapy is appropriate for which type of aphasic patient. Two predominant treatment approaches, functional and cognitive neuropsychological (CN), should have differential outcomes. Functional treatment should result in large improvements on the trained tasks and other closely related tasks, and CN treatment should improve underlying skills that are broadly generalizable. The present study was designed to compare the outcomes of functional and CN treatment on the naming performances of adults with chronic nonfluent aphasia as it is measured on various standardized language assessments as well as in functional abilities. Twelve adults with chronic nonfluent aphasia were randomly assigned to each of the two treatment groups. The two subject groups were comparable in terms of age, time post onset, socioeconomic status, and aphasia severity. They participated in cognitive assessment and depression screening prior to participation. The pre/post assessment battery included selected standardized measures of comprehension, naming, and functional communication, discourse samples, and participation in a specially designed functional task, involving a role-play of catalog ordering. Each subject participated in twenty hours of speech/language therapy weekly for five weeks, all of which was derived from the designated approach, functional or cognitive neuropsychological. Results were consistent with original predictions. Functionally trained subjects improved notably on the trained task, and a task closely related to its performance, oral naming. CN trained subjects improved on broad measures of language abilities, including standardized functional communication assessment and caregiver ratings of communication. Among the functionally trained subjects, those with lower cognitive abilities in new learning and nonverbal problem solving did better than those with better cognitive abilities. There was an important correlation between cognitive abilities and treatment time required to achieve criterion. These findings are important for clinical decision making and ongoing clinical research.

ISBN: 9780599501973Subjects--Topical Terms:

1018105
Health Sciences, Speech Pathology.

Differential outcomes of functional and neuropsychological approaches to naming treatment among adults with chronic nonfluent aphasia.
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245 1 0 $a Differential outcomes of functional and neuropsychological approaches to naming treatment among adults with chronic nonfluent aphasia.
300 $a 207 p.
500 $a Source: Dissertation Abstracts International, Volume: 60-10, Section: B, page: 5066.
500 $a Adviser: Janet P. Patterson.
502 $a Thesis (Ph.D.)--Michigan State University, 1999.
520 $a We know relatively little about which type of aphasia therapy is appropriate for which type of aphasic patient. Two predominant treatment approaches, functional and cognitive neuropsychological (CN), should have differential outcomes. Functional treatment should result in large improvements on the trained tasks and other closely related tasks, and CN treatment should improve underlying skills that are broadly generalizable. The present study was designed to compare the outcomes of functional and CN treatment on the naming performances of adults with chronic nonfluent aphasia as it is measured on various standardized language assessments as well as in functional abilities. Twelve adults with chronic nonfluent aphasia were randomly assigned to each of the two treatment groups. The two subject groups were comparable in terms of age, time post onset, socioeconomic status, and aphasia severity. They participated in cognitive assessment and depression screening prior to participation. The pre/post assessment battery included selected standardized measures of comprehension, naming, and functional communication, discourse samples, and participation in a specially designed functional task, involving a role-play of catalog ordering. Each subject participated in twenty hours of speech/language therapy weekly for five weeks, all of which was derived from the designated approach, functional or cognitive neuropsychological. Results were consistent with original predictions. Functionally trained subjects improved notably on the trained task, and a task closely related to its performance, oral naming. CN trained subjects improved on broad measures of language abilities, including standardized functional communication assessment and caregiver ratings of communication. Among the functionally trained subjects, those with lower cognitive abilities in new learning and nonverbal problem solving did better than those with better cognitive abilities. There was an important correlation between cognitive abilities and treatment time required to achieve criterion. These findings are important for clinical decision making and ongoing clinical research.
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650 4 $a Health Sciences, Rehabilitation and Therapy. $3 1017926
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