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Who Benefits From an Intensive Comprehensive Aphasia Program?

Babbitt, Edna M.; Worrall, Linda; Cherney, Leora R.

doi: 10.1097/TLD.0000000000000089
Original Articles

Purpose: This article summarizes current outcomes from intensive comprehensive aphasia programs (ICAPs) and examines data from one ICAP to identify those who respond and do not respond to treatment.

Methods: Participants were divided into 2 groups, responders and nonresponders, based on ±5-point change score on the Western Aphasia Battery–Revised Aphasia Quotient. Independent-samples t tests and χ2 tests were performed to identify differences between groups on demographic (age and gender) and aphasia-related factors (months postonset, type of aphasia, aphasia severity, naming, nonverbal cognition measure, and self-rating of communication confidence). Logistic regression determined if factors contributed to a treatment response.

Results: There were significant differences between the groups on age and months postonset. Gender, type of aphasia, naming, nonverbal cognitive measure, and communication confidence were not significantly different. Logistic regression indicated that age was the only predictive factor contributing to treatment response.

Conclusions: This study only identified age as a predictor of responders. Future research may need to examine a broader scope of variables that can impact recovery in aphasia.

Center for Aphasia Research and Treatment, Rehabilitation Institute of Chicago, Chicago Illinois (Ms Babbitt and Dr Cherney); Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (Ms Babbitt and Dr Cherney); and School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia (Dr Worrall).

Corresponding Author: Leora R. Cherney, PhD, Board Certified-ANCDS, CCC-SLP, Center for Aphasia Research and Treatment, Rehabilitation Institute of Chicago, 345 East Superior St, Chicago, IL 60611 (lcherney@ric.org).

Preparation of the manuscript was supported in part by a grant from the Department of Health and Human Services, National Institute on Disability, Independent Living, and Rehabilitation Research (Grant 90RT5027).

The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding organizations. Endorsement by the Federal Government should not be assumed.

The authors have indicated that they have no financial and no nonfinancial relationships to disclose.

Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.