| 1. |
- Saldert, Charlotta, 1966, et al.
(författare)
-
Huntington’s disease
- 2021
-
Ingår i: Handbook of Pragmatic Language Disorders. Complex and Underserved Populations. - Cham : Springer. - 9783030749842 ; , s. 461-494
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Huntington’s disease is a neurodegenerative disorder with progressive motor, cognitive, and neuropsychiatric impairments. There is evidence that problems in both motor speech and language affect individuals’ ability to use language for active participation in everyday communication. Impaired non-verbal language use and comprehension deficits as well as lexical-semantic issues with word-finding difficulties impact the communicative interaction. As the disease progresses, discourse may be restricted by latencies and short, less elaborated utterances with an insufficient level of detail. Speech may become effortful, variable, and difficult to understand. This affects turn-taking along with topic management and also leads to an increased need for repair and adjustment from the communication partner. In this chapter, we adopt an emergentist perspective on pragmatic ability. Research on impairments in several different basic motor and cognitive systems and the effect of these impairments on pragmatic aspects of everyday communication will be presented along with snapshots from lived experiences of Huntington’s disease. Assessment methods used in the investigation of pragmatic aspects of communicative impairment in Huntington’s disease, as well as current communication interventions that may be beneficial, will also be described.
|
|
| 2. |
- Bauer, Malin, 1990, et al.
(författare)
-
Complex oral semantic verbal fluency in non-brain-damaged adults and individuals with multiple sclerosis and subjective anomia
- 2020
-
Ingår i: Aphasiology. - : Informa UK Limited. - 0268-7038 .- 1464-5041. ; 34:12, s. 1471-1486
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Many neurologic conditions, for example multiple sclerosis (MS), are associated with subtle communication and language difficulties. To detect such difficulties, there is a need for valid and reliable methods. While standard aphasia test batteries have been found insufficient, more complex language tasks are believed to be able to distinguish more subtle language difficulties from normal variation in communicative ability. Aims: The aim of this study was to: (1) explore the influence of demographic variables on the results of a novel complex oral semantic fluency task with multiple restrictions in non-brain-damaged (NBD) adults, (2) investigate the construct validity and reliability of the method, and (3) compare the results of NBD individuals and individuals with MS. Method and procedure: One hundred and ten NBD individuals performed the complex task and three standard fluency tasks with single restrictions. Regression analyses were run to assess the influence of demographic factors. Furthermore, 16 individuals with MS and subjective anomia performed the complex task and the results were compared with those for a matched group of NBD individuals. Outcome and results: Age and education influenced the NBD individuals’ scores on the complex task. The NBD individuals’ results on the complex task correlated with those on the three standard fluency tasks. Furthermore, the subgroup of 16 pair-matched NBD individuals produced statistically significantly more adequate responses in the complex task than the group of individuals with MS. However, on an individual level some of the participants with MS performed at level with, or even better than the pair-matched NBD individuals. Provision of scoring guidelines yielded high interrater-reliability. Conclusions: The results illustrate the challenge in attempts to provide formal measures of subtle language disorders. Still, the complex task is a promising assessment tool which may be a complement to existing standard word fluency tasks, although future studies are required to establish the validity and ability to detect subtle language difficulties in different clinical groups.
|
|
| 3. |
- Bloch, Steven, et al.
(författare)
-
Person Reference as a Trouble Source in Dysarthric Talk-in-Interaction
- 2020
-
Ingår i: Atypical Interaction. The Impact of Communicative Impairments within Everyday Talk. Ray Wilkinson, John P. Rae, Gitte Rasmussen (red.). - London : Palgrave Macmillan. - 9783030287986 ; , s. 347-372
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
|
|
| 4. |
- Forsgren, Emma, 1982, et al.
(författare)
-
Implementation of communication routines facilitating person-centred care in long-term residential care: A pilot study
- 2022
-
Ingår i: Health Expectations. - : Wiley. - 1369-6513 .- 1369-7625. ; 25:6, s. 2982-2991
-
Tidskriftsartikel (refereegranskat)abstract
- Background Specific routines such as the development of personal communication plans can improve the interaction between people with communication disorders and healthcare staff. Objective: This pilot study explores a model for implementing communication routines including personal communication plans in long-term residential care. Design, Setting and Participants This multiple case study includes two residential care facilities that differ in size and the number of languages spoken. Intervention or main variables studied implementation strategies involved workshops, individual coaching and follow-up visits. Main outcome measure implementation was assessed using goal attainment measurements, and the staff's views about facilitators and barriers to implementation were explored through structured interviews using the Theoretical Domains Framework. Results The overall implementation success rate for the facilities was moderate, and one of the facilities showed promising results related to personal communication plans. Both facilities experienced barriers to implementation, including management problems and a lack of reminders. However, the two facilities seem to have different motivations for change. Discussion and Conclusions Regardless of the features of the facility, successful implementation requires stable and committed leadership. Moreover, experiences with language diversity may motivate staff to implement communication routines. Patient or Public Contribution The content of the implementation model used (i.e., choice of specific routines and implementation strategies) was coproduced by staff, managers and the researchers involved in this project. The staff and managers were responsible for the implementation of the new routines under the supervision of the researchers.
|
|
| 5. |
- Forsgren, Emma, 1982, et al.
(författare)
-
Person‐centred care in speech‐language therapy research and practice for adults: A scoping review
- 2022
-
Ingår i: International journal of language and communication disorders. - : Wiley. - 1368-2822 .- 1460-6984. ; 57:2, s. 381-402
-
Forskningsöversikt (refereegranskat)abstract
- Background: Person-centred care (PCC) has shown positive effects in various health-care settings and therefore is desirable in clinical work. However, as PCC is still being developed, the literature reflects a heterogeneous use of both terminology and conceptualisation. This lack of consistency hinders the implementation or adaptation of PCC in general and in select fields of practice such as speech-language therapy (SLT). Aims: To describe how the concept of PCC manifests in current speech and language therapy research and practice for adult patients. Methods & Procedures: Searches for published literature were conducted in five databases (PubMed, Scopus, CINAHL, PsychINFO, and Linguistics and Language Behaviour Abstracts) using search terms related to PCC and SLT. Records were included if they involved an adult population, were written in English, and focused on PCC and SLT irrespective of year of publication. Main Contribution: A total of 134 records published 1996–2020 were included in this review. Many of these records were discussion papers that described how speech-language therapists (SLTs) can or should work in a person-centred way. The search did not find any records that explore the implementation, effects, or patients’ views of person-centred SLT. This literature review revealed that person-centred SLT practice mainly relates to the International Classificationof Functioning, Disability, and Health framework, and the Life Participation Approach to Aphasia. Studies incorporating exploration of proposed clinical routines of PCC demonstrate specific context dependant aspects including barriers to eliciting a patient narrative, involving patient and family members, and documenting SLT. Conclusions & Implications: This study provides information that can beused to implement person-centred care in SLT education, clinical practice, and research by providing an inventory of the current knowledge and the existing gaps.
|
|
| 6. |
- Hedman, Eli, et al.
(författare)
-
Word-finding difficulties in Parkinson's disease: Complex verbal fluency, executive functions and other influencing factors
- 2022
-
Ingår i: International journal of language and communication disorders. - : Wiley. - 1368-2822 .- 1460-6984. ; 57:3, s. 565-577
-
Tidskriftsartikel (refereegranskat)abstract
- Background Persons with Parkinson's disease (PD) frequently report word-finding difficulties. Many of the established tests are, however, insufficient in detecting mild cases of such symptoms. Results from earlier research have suggested that controlled oral word association tests (COWATs) with high demands on cognitive processing resources could prove helpful in detecting the more subtle (language-related) problems seen in neurological disorders such as PD. Aims First, to examine whether persons with PD (PwPD) differ in performance on different types of COWATs compared with non-brain-damaged controls. Second, to investigate possible relationships between executive functions and the novel complex oral semantic fluency (COSEF) task performance scores in the PwPD group. Third, to investigate whether age, years of education, severity of motor symptoms and self-perceived severity of word-finding difficulties influenced the COSEF task results. Methods & Procedures A total of 17 PwPD participated in the study. Their results were compared with a matched control group (n = 17) at both group and individual levels. One phonemic and two types of semantic COWATs were used. Correlations between the COSEF task and executive function results, age, education and severity of motor symptoms were analysed in the PwPD group. Outcomes & Results The PwPD group had significantly lower scores on the COSEF task compared with the control group, but not on the other COWATs. A variation in the results was seen on an individual level. In the PwPD group, large significant correlations were seen between the COSEF task and verbally based tasks measuring working memory and cognitive flexibility. Both age and education, but neither self-perceived severity of word-finding difficulties nor motor symptoms, were correlated with the COSEF task result in the group of PwPD. Conclusions & Implications The results are in line with the predictions that a relatively more cognitive demanding COWAT such as the COSEF task could prove valuable when assessing word-finding difficulties in PD in research and clinical assessment. What this paper adds What is already known on the subject Varying degrees of word-finding difficulties are a common symptom in PD and may affect everyday communication. Discreet word-finding difficulties can be hard to detect with the established language assessment tools. What this paper adds to existing knowledge This study adds insights into how PwPD perform on different types of COWATs compared with a control group. It also sheds light on the relationships between a novel, more cognitive complex COWAT and executive functions in PD. What are the potential or actual clinical implications of this work? More cognitively complex COWATs can contribute significantly to the assessment of discreet word-finding difficulties, but it is important to include a thorough anamnesis regarding language and communication in PwPD.
|
|
| 7. |
- Kristensson, Joana, 1972, et al.
(författare)
-
Anomia in left hemisphere stroke, multiple sclerosis and Parkinson's disease - a comparative study
- 2023
-
Ingår i: Disability and Rehabilitation. - 0963-8288. ; 46:11, s. 2294-2316
-
Tidskriftsartikel (refereegranskat)abstract
- PurposeTo explore quantitative and qualitative features of anomia in participants with left-hemisphere stroke, Parkinson's disease, or multiple sclerosis.Materials and methodsThis descriptive cross-sectional study compares signs of anomia within and across participants (n = 87), divided into four groups; moderate to severe anomia after stroke (MSAS, n = 19), mild anomia after stroke (MAS, n = 22), PD (n = 19) and MS (n = 27). Aspects analysed include naming accuracy and speed, the nature of incorrect responses, semantic and phonemic verbal fluency, information content in re-telling, and the relationship between test results and self-reports on word-finding difficulties and communicative participation.ResultsAll groups had impaired verbal fluency, prolonged response times and reduced information content in re-telling. The MSAS group had significantly more signs of anomia than the other groups. Results from the other groups overlapped on a MAS-PD-MS continuum. Both semantically and phonologically incorrect responses were common in the stroke groups, while semantically incorrect ones predominated in the PD and MS groups. All four groups reported a similar negative impact on self-perceived communicative participation. Correlations between self-reports and test results were inconsistent.ConclusionsAnomia features have quantitative and qualitative similarities and differences across neurological conditions.
|
|
| 8. |
- Kristensson, Joana, 1972, et al.
(författare)
-
Evaluation of treatment effects of semantic feature analysis on mild anomia in multiple sclerosis
- 2022
-
Ingår i: Aphasiology. - : Informa UK Limited. - 0268-7038 .- 1464-5041. ; 36:6, s. 706-731
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Multiple sclerosis (MS) commonly includes anomia and other communicative deficits that affect communicative participation and quality of life. Anomia treatment in MS is currently unexplored. Owing to the degenerative nature of MS, compensatory treatment might be preferable to restorative treatment. Semantic feature analysis (SFA) has been reported to have a treatment effect in aphasia and traumatic brain injury, and it can also be used as a compensatory word-finding strategy. SFA might therefore be effective on anomia in MS. Aims: The aim of this study was to evaluate the treatment effects of SFA on mild anomia in MS. Hypotheses were that, if used as a strategy, SFA may improve word-retrieval ability in connected speech, reduce self-perceived word-finding difficulties and increase communicative participation. Methods & Procedures: Two participants (one with relapsing-remitting MS, one with progressive MS) experiencing anomia and reduced communicative participation took part in this early-phase study with a single-case experimental design (SCED). Outcome measures included accuracy and speed in confrontation naming of treated items, correct information units (CIUs) in a re-telling task, self-reported strategy use in everyday communication, self-reported occurrence of anomia and related nuisance, and self-reported communicative participation. Measurements were carried out before treatment, at the beginning of every third treatment session, once directly after treatment, repeatedly during a maintenance phase, and once at a follow-up session ten weeks after treatment. Outcomes & Results: No treatment effects on confrontation-naming ability, re-telling ability or self-reported measures were evident in either participant after treatment with SFA. Effects of repeated measures appeared as reduced response time in confrontation naming. Conclusions: SFA as the sole element of treatment may not be sufficient to obtain treatment effects on mild anomia in MS. Further research is warranted. © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
|
|
| 9. |
- Kristensson, Joana, 1972, et al.
(författare)
-
Naming vs. non-naming treatment in aphasia in a group setting–A randomized controlled trial
- 2022
-
Ingår i: Journal of Communication Disorders. - : Elsevier BV. - 0021-9924 .- 1873-7994. ; 97
-
Tidskriftsartikel (refereegranskat)abstract
- Introduction: Anomia affects numerous persons with aphasia. Treatment effects of anomia group therapy have been reported, but the evidence is not comprehensive. This study aimed to explore treatment effects of a naming treatment compared with a non-naming treatment delivered in a group setting. Methods: In a randomized controlled trial, 17 participants with chronic poststroke aphasia underwent group therapy, 2 hours a session, 3 times per week, for a total of 20 hours. The treatment given in the naming group was modified semantic feature analysis (SFA). Treatment content in the non-naming group comprised auditory comprehension, copying text, and reading. The primary outcome measure was accuracy in confrontation naming of participant-selected trained nouns and verbs. Generalization effects were evaluated in single-word naming, connected speech, and everyday communication. Results: Participants in both groups significantly improved their naming of trained items. There were no differences between the groups. The treatment effect did not remain at follow-up 10 weeks after therapy. No other statistically significant changes occurred in either group. Conclusions: Group intervention can improve naming ability in individuals with chronic aphasia. However, similar treatment effects can be achieved using a non-naming treatment as using a naming treatment, such as modified SFA. Further research is warranted to identify the most important elements of anomia group therapy.
|
|
| 10. |
- Saldert, Charlotta, 1966, et al.
(författare)
-
Benämning av objekt och aktiviteter – En svensk version av An object and action naming battery (OANB)
- 2024
-
Ingår i: Acta Logopaedica. - 2004-9048. ; 1:1, s. 74-91
-
Tidskriftsartikel (refereegranskat)abstract
- I studien undersöktes hur tre olika uppsättningar av 40 bilder föreställande objekt eller aktiviteter benämndes av vuxna utan hjärnskada. Målorden i uppsättningarna var matchade med avseende på faktorer som visat sig kunna påverka svårighetsgrad vid benämning: förekomstfrekvens, ålder för tillägnande, visuell komplexitet, förekomst av konsonantkombinationer och ordlängd. Data från 115 deltagare analyserades. Resultaten visade att högre ålder och lägre utbildningsgrad tenderade att ge lägre poäng, men att målorden kan förväntas förekomma i ordförrådet hos personer med svenska som förstaspråk. Deltagarnas resultat för de tre bilduppsättningarna var jämförbara (och nära maxpoäng) men aktiviteter var generellt svårare att benämna än objekt. Riktlinjerna för administrering och poängsättning resulterade i reliabla bedömningar. En jämförelse med resultaten från ett etablerat benämningstest indikerar att uppsättningarna har god begreppsvaliditet. Slutsatsen är att de tre bilduppsättningarna och riktlinjerna för administrering och bedömning av respons kan användas för upprepade bedömningar i klinisk verksamhet och forskning med personer med måttliga-grava ordfinnandesvårigheter.
|
|
| 11. |
|
|
| 12. |
|
|
| 13. |
- Torinsson, Malin, et al.
(författare)
-
Telerehabilitation with Verb Network Strengthening Treatment (VNeST) in two participants with mild-to-moderate and moderate-to-severe aphasia: A single-case experimental design study
- 2024
-
Ingår i: APHASIOLOGY. - 0268-7038 .- 1464-5041.
-
Tidskriftsartikel (refereegranskat)abstract
- BackgroundVerb Network Strengthening Treatment (VNeST) is a verb-centred aphasia treatment that targets the semantic relationships between a verb (e.g., dig) and related content words (e.g., gardener, hole), aiming to promote word retrieval and sentence production in aphasia. Previous research shows promising results of VNeST in several participants.AimsThis study investigates the effects of VNeST through telerehabilitation on word retrieval and sentence production with treated and semantically related untreated verbs, as well as the possible generalisation to confrontation naming and connected speech. Further, functional communication, communicative participation, health-related quality of life and client satisfaction are explored.Methods and ProceduresA single-case experimental design study with multiple baselines was conducted with two participants with stroke-induced mild-to-moderate Broca's aphasia or moderate-to-severe Wernicke's aphasia who received VNeST through telerehabilitation. Percentage of non-overlapping data, Baseline Corrected Tau and d-index effect size were used to measure improvement in word retrieval and sentence production elicited through video-clip stimuli. The study is registered with ClinicTrials.gov, number NCT05152979.Outcomes and ResultsThe participant with Wernicke's aphasia improved in word retrieval in sentences with trained and untrained verbs and showed some - albeit limited - generalisation to confrontation naming of nouns and verbs. The participant with Broca's aphasia withdrew after half of the planned dosage, as he did not consider VNeST suitable for his needs. He did not improve in word retrieval or sentence production.ConclusionsVNeST shows promise when it comes to improving word retrieval in trained and semantically related untrained stimuli in moderate-to-severe Wernicke's aphasia. This study adds to the existing literature by showing potential improvement in VNeST through telerehabilitation.
|
|
