{"title":"Study of the peripheral and central auditory pathways in patients with mucopolysaccharidosis","authors":"Flávia Teixeira Chimelo , Liliane Aparecida Fagundes Silva , Ivone Ferreira Neves-Lobo , Chong Ae Kim , Carla Gentile Matas","doi":"10.1016/j.jcomdis.2023.106402","DOIUrl":"10.1016/j.jcomdis.2023.106402","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the peripheral and central auditory pathways in mucopolysaccharidosis (MPS) individuals.</p></div><div><h3>Method</h3><p>The research sample comprised 15 individuals (one female and 14 males), aged 8 to 46 years. The following procedures were used: medical history survey, otoscopy, speech and pure-tone threshold audiometry, acoustic immittance measures, and central auditory pathway assessment with brainstem auditory evoked potentials (BAEP) and long-latency auditory evoked potentials (LLAEP).</p></div><div><h3>Results</h3><p>The pure-tone audiometry identified hearing loss in 13 individuals, and more than 90 % of the hearing loss was sensorineural. The degree of hearing loss was between mild to moderately severe with descendent configuration. Type A tympanogram predominated, and acoustic reflexes were present according to the types and degrees of hearing loss. Among the individuals with abnormal BAEP, longer wave III and V absolute latencies were the main findings. In addition, the unilateral absence of wave I was observed in two cases. In the LLAEP, longer latencies were observed in 14 individuals, and the most impaired components were the P1 and P3 in children and adolescents and the P2, N2 and P3 in adult individuals.</p></div><div><h3>Conclusion</h3><p>The peripheral auditory pathway assessment revealed a predominantly sensorineural hearing loss, affecting mainly high frequencies, and in the central pathway was observed abnormal brainstem and cortical auditory processing in individuals with MPS.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"107 ","pages":"Article 106402"},"PeriodicalIF":1.7,"publicationDate":"2023-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0021992423001028/pdfft?md5=702111069c69fc09a91f292088cd7e1b&pid=1-s2.0-S0021992423001028-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138575822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Delay frustration in children who do and do not stutter: A preliminary study","authors":"Kurt Eggers , Iris Heselmans","doi":"10.1016/j.jcomdis.2023.106403","DOIUrl":"10.1016/j.jcomdis.2023.106403","url":null,"abstract":"<div><h3>Purpose</h3><p>Frustration is an emotion often clinically reported by persons who stutter. So far, mainly questionnaire-based studies have reported findings related to increased frustration or decreased frustration tolerance. The aim of this preliminary study was to determine possible group differences between children who stutter (CWS) and children who do not stutter (CWNS) using a behavioral experimental task, as well as to evaluate possible associations with the frequency, duration, and physical concomitants of stuttering disfluencies.</p></div><div><h3>Method</h3><p>Participants were 13 CWS (mean age = 6;05 years) and 13 CWNS (mean age = 6;06 years), matched on age (±4 months) and gender. Frustration tolerance was assessed by the Delay Frustration task. This task includes normal delay, short delay, and long delay trials. Responses during long delay trials provide an indication of frustration tolerance and were recorded across time intervals during the response window.</p></div><div><h3>Results</h3><p>CWS, compared to CWNS, responded more frequently during the long delay trials, which is indicative of higher delay frustration. The variation in responding across time within intervals was similar for both groups. Decreased frustration tolerance was associated with increased duration of stuttered disfluencies and of physical concomitants.</p></div><div><h3>Conclusions</h3><p>In general, the current findings seem to provide support for earlier theoretical conceptualizations about the role of emotional reactivity in the development of stuttering.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"107 ","pages":"Article 106403"},"PeriodicalIF":1.7,"publicationDate":"2023-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S002199242300103X/pdfft?md5=e53a17accb308c3db23491acb12df58c&pid=1-s2.0-S002199242300103X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138567840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A case study of bilingual neurogenic stuttering: Measures of fluency, emotion, and articulation rate","authors":"Yael Neumann","doi":"10.1016/j.jcomdis.2023.106385","DOIUrl":"10.1016/j.jcomdis.2023.106385","url":null,"abstract":"<div><h3>Introduction</h3><p>This study explores the features of bilingual neurogenic stuttering and the potential connection between emotion and articulation rate on speech disfluencies.</p></div><div><h3>Method</h3><p>The participant is a 59-year old, Yiddish-English bilingual male with a moderate non-fluent aphasia. Thirty-two narratives (16 in each language), elicited using cue words, were analyzed for frequency of disfluency, type of disfluency (stuttering vs. non-stuttering-like), word-type (content vs. function), within-word location of disfluency, and occurrence of accessory behaviors. Additionally, the percentage and type of emotion (positive vs. negative) expressed, and articulation rate (fluent syllables spoken/duration of fluent utterances) was assessed.</p></div><div><h3>Results</h3><p>Disfluency occurred in each language with approximately equal frequency. The most common stuttering-like disfluencies were repetitions (monosyllabic, sound, and syllable) and prolongations. The most common non-stuttering-like disfluencies were self-correction/revisions, phrase and multisyllabic word repetitions, and pauses (silent and filled). In both languages, disfluencies occurred on both content and function words, but primarily content words, and in any position of the word, although primarily initial position. No accessory behaviors were noted. There was a similar amount of emotion words used in each language although the first acquired language, L1/Yiddish, had an overall more positive tone, and his second acquired language, L2/English, had a more negative tone. Additionally, there was a negative relationship between emotion and the number of disfluencies in L1/Yiddish, and a positive relationship in L2/English. A faster articulation rate was found in his native and more proficient language, Yiddish, than English. There was a negative relationship between articulation rate and the number of disfluencies in L1/Yiddish, and a positive relationship in L2/English.</p></div><div><h3>Conclusions</h3><p>Cross-linguistics differences for emotion and articulation rate demonstrates that these aspects impact on fluency and contributes to the disfluencies in each language. Clinical implications of the study demonstrates the importance of assessment of bilingual (i.e., proficiency and dominance) and fluency features of each language in the diagnostic process and the significance of considering emotional processes and articulation rate as part of a comprehensive intervention plan for acquired stuttering.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"107 ","pages":"Article 106385"},"PeriodicalIF":1.7,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0021992423000850/pdfft?md5=3aae8f13d0440950c3d303eca97e4bc2&pid=1-s2.0-S0021992423000850-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138552816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aura Kagan , Nina Simmons-Mackie , Elizabeth Villar-Guerrero , Melodie T. Chan , Ilona Turczyn , J. Charles Victor , Elyse Shumway , Lisa Chan , Rochelle Cohen-Schneider , Mark Bayley
{"title":"Improving communicative access and patient experience in acute stroke care: An implementation journey","authors":"Aura Kagan , Nina Simmons-Mackie , Elizabeth Villar-Guerrero , Melodie T. Chan , Ilona Turczyn , J. Charles Victor , Elyse Shumway , Lisa Chan , Rochelle Cohen-Schneider , Mark Bayley","doi":"10.1016/j.jcomdis.2023.106390","DOIUrl":"10.1016/j.jcomdis.2023.106390","url":null,"abstract":"<div><h3>Introduction</h3><p>Patient experience for people with aphasia/families in acute care is frequently reported as negative, with communication barriers contributing to adverse events and significant long-term physical and psychosocial sequelae. Although the effectiveness of providing supported communication training and resources for health care providers in the stroke system is well documented, there is less evidence of implementation strategies for sustainable system change. This paper describes an implementation process targeting two specific areas: 1) improving Stroke Team communication with patients with aphasia, and 2) helping the Stroke Team provide support to families. The project aimed for practical sustainable solutions with potential contribution toward the development of an implementation practice model adaptable for other acute stroke contexts.</p></div><div><h3>Methods</h3><p>The project was designed to create a communicatively accessible acute care hospital unit for people with aphasia. The process involved a collaboration between a Stroke Team covering two units/wards led by nurse managers (19 participants), and a community-based Aphasia Team with expertise in Supported Conversation for Adults with Aphasia (SCA™) – an evidence-based method to reduce language barriers and increase communicative access for people with aphasia. Development was loosely guided by the integrated knowledge translation (iKT) model, and information regarding the implementation process was gathered in developmental fashion over several years.</p></div><div><h3>Outcomes</h3><p>Examples of outcomes related to the two target areas include provision of accessible information about aphasia to patients as well as development of two new products – a short virtual SCA™ eLearning module relevant to acute care, and a pamphlet for families on how to keep conversation alive. Potential strategies for sustaining a focus on aphasia and communicative access emerged as part of the implementation process.</p></div><div><h3>Conclusions</h3><p>This implementation journey allowed for a deeper understanding of the competing demands of the acute care context and highlighted the need for further work on sustainability of communicative access interventions for stroke patients with aphasia and their families.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"107 ","pages":"Article 106390"},"PeriodicalIF":1.7,"publicationDate":"2023-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0021992423000904/pdfft?md5=2cf0201be229ce9e787cbd6777f6f6a1&pid=1-s2.0-S0021992423000904-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135669969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maretha V. de Jonge , Nikki Nibbering , Iris Brand , Anja van der Voort
{"title":"It's about more than just talking; Exploring computer-mediated communication in adolescents with selective mutism","authors":"Maretha V. de Jonge , Nikki Nibbering , Iris Brand , Anja van der Voort","doi":"10.1016/j.jcomdis.2023.106389","DOIUrl":"10.1016/j.jcomdis.2023.106389","url":null,"abstract":"<div><h3>Introduction</h3><p>Selective mutism (SM) is an anxiety disorder categorized by a persistent failure to speak in specific situations. In an attempt to facilitate interaction with individuals with SM, other forms of communication (e.g. computer-mediated communication; CMC) are often tried. However, CMC is understudied in individuals with SM, while, especially since the COVID-19 pandemic, the importance of CMC for education and social purposes only increased.</p></div><div><h3>Methods</h3><p>In this study, we explored CMC in 79 adolescents with either selective mutism (<em>n</em> = 34), or typical development (<em>n</em> = 45). All participants completed a survey concerning verbal and written CMC in three contexts (friends, family, and school).</p></div><div><h3>Results</h3><p>Results showed that adolescents with SM used not only verbal but also written CMC less frequently than the comparison group across contexts. While the comparison group preferred Face-to-Face communication over CMC, adolescents with SM were divided, especially in the school context. With family and friends, the majority of the SM group preferred Face-to-Face communication, even though this provoked more feelings of tension than CMC for part of the group.</p></div><div><h3>Conclusion</h3><p>These findings support anecdotal reports that SM affects not only speech but extends to other communicative venues and includes written communication in many situations. This underlines the importance of addressing not just speaking behavior but also writing and CMC in the diagnostic evaluation and treatment plans for adolescents with SM.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"107 ","pages":"Article 106389"},"PeriodicalIF":1.7,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0021992423000898/pdfft?md5=8bef26f15a743862a2d9e7f635c8f16b&pid=1-s2.0-S0021992423000898-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135615315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Audrey J. Dsouza , Vasupradaa Manivannan , Santosh Maruthy
{"title":"Expectations from stuttering therapy: Qualitative content analysis of client's perspective in Kannada-speaking adults who stutter","authors":"Audrey J. Dsouza , Vasupradaa Manivannan , Santosh Maruthy","doi":"10.1016/j.jcomdis.2023.106388","DOIUrl":"10.1016/j.jcomdis.2023.106388","url":null,"abstract":"<div><h3>Purpose</h3><p>The current study was carried out to explore clients’ expectations from stuttering therapy using the qualitative content method in the Indian context.</p></div><div><h3>Method</h3><p>Twenty-one Kannada-speaking adults who stutter between the age range of 18–33 years participated in the study. The procedure involved three phases, including the formulation of semi-structured interview questions, data collection and analysis. Inductive content analysis was used to determine the categories and sub-categories arising from the participants verbatim. The frequency count of emerging sub-categories was completed, and the data was interpreted.</p></div><div><h3>Results</h3><p>The overall analysis of the data obtained from 21 participants generated three categories under the theme of expectations from speech therapy. The categories generated included beliefs and understanding of stuttering, stuttering and related behaviours, and goals and outcome of therapy.</p></div><div><h3>Conclusion</h3><p>Selecting personalised goals and techniques during therapy is necessary to improve client satisfaction. This study helps clinicians to understand the anticipatory beliefs of Kannada-speaking adults who stutter and educate them about achievable and realistic goals, leading to shared decision-making to ensure better quality of life and satisfaction in everyday speaking situations.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"107 ","pages":"Article 106388"},"PeriodicalIF":1.7,"publicationDate":"2023-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0021992423000886/pdfft?md5=74670b7e6561217cc519f58745af8bd4&pid=1-s2.0-S0021992423000886-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135455365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Self-perceived outcomes of informative and apologetic self-disclosure: A mixed methods study","authors":"Megan M. Young , Courtney T. Byrd , Rodney Gabel","doi":"10.1016/j.jcomdis.2023.106387","DOIUrl":"10.1016/j.jcomdis.2023.106387","url":null,"abstract":"<div><h3>Purpose</h3><p>Self-disclosure statements that are informative, rather than apologetic, have been demonstrated to improve listener perceptions of adults who stutter (Byrd et al., 2017). The purpose of the present study is to investigate the benefits of self-disclosure from the perspective of the speaker and to determine whether self-disclosure statement type is associated with self-perceived outcomes of use.</p></div><div><h3>Method</h3><p>A total of 156 adults who stutter completed a survey adapted from a previous study investigating affective, behavioral, and cognitive outcomes of voluntary stuttering. Survey responses were analyzed using descriptive and inferential statistics to determine if there was a significant relationship between self-disclosure statement type and self-reported outcomes. Additionally, responses to two open-ended questions relating to timing of self-disclosure and self-disclosure experiences in general were analyzed using reflexive thematic analysis.</p></div><div><h3>Results</h3><p>Self-disclosure was perceived as beneficial in at least one context by 96.8 % of respondents. Respondents who used an informative self-disclosure statement were more likely to agree that self-disclosure increased confidence and were less likely to report attempting to conceal or avoid stuttering than respondents who used an apologetic self-disclosure statement. Themes relating to additional aspects of self-disclosure experiences included personalized use, social connection, acceptance of stuttering, challenging cognitive distortions, communication is easier, self-empowerment, humor, voluntary stuttering, and vulnerability to prejudice.</p></div><div><h3>Conclusion</h3><p>Similar to studies investigating the influence of self-disclosure on listener perceptions, informative self-disclosure is associated with greater self-perceived benefits than apologetic self-disclosure for adults who stutter.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"106 ","pages":"Article 106387"},"PeriodicalIF":1.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effect of age on the hearing-related quality of life in normal-hearing adults","authors":"Katrien Kestens , Hannah Keppler , Dorien Ceuleers , Stephanie Lecointre , Flore De Langhe , Sofie Degeest","doi":"10.1016/j.jcomdis.2023.106386","DOIUrl":"10.1016/j.jcomdis.2023.106386","url":null,"abstract":"<div><h3>Introduction</h3><p>Recently, a new holistic Patient Reported Outcome Measure (PROM) to assess hearing-related quality of life was developed, named the hearing-related quality of life questionnaire for Auditory-VIsual, COgnitive and Psychosocial functioning (hAVICOP). The purpose of the current study was to evaluate if the hAVICOP is sufficiently sensitive to detect an age effect in the hearing-related quality of life.</p></div><div><h3>Methods</h3><p>One-hundred thirteen normal-hearing participants (mean age: 42.13; range: 19 to 69 years) filled in the entire hAVICOP questionnaire online through the Research Electronic Data Capture surface. The hAVICOP consists of 27 statements, across three major subdomains (auditory-visual, cognitive, and psychosocial functioning), which have to be rated on a visual analogue scale ranging from 0 (rarely to never) to 100 (almost always). Mean scores were calculated for each subdomain separately as well as combined within a total score; the worse one's hearing-related quality of life, the lower the score. Linear regression models were run to predict the hAVICOP total as well as the three subdomain scores from age and sex.</p></div><div><h3>Results</h3><p>A significant main effect of age was observed for the total hAVICOP and all three subdomain scores, indicating a decrease in hearing-related quality of life with increasing age. For none of the analyses, a significant sex effect was found.</p></div><div><h3>Conclusion</h3><p>The hAVICOP is sufficiently sensitive to detect an age effect in the hearing-related quality of life within a large group of normal-hearing adults, emphasizing its clinical utility. This age effect on the hearing-related quality of life might be related to the interplay of age-related changes in the bottom-up and top-down processes involved during speech processing.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"106 ","pages":"Article 106386"},"PeriodicalIF":1.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Krista Tuohimaa , Soile Loukusa , Heikki Löppönen , Taina Välimaa , Sari Kunnari
{"title":"Corrigendum to ’Communication abilities in children with hearing loss – views of parents and daycare professionals’ [Journal of Communication Disorders 99 (2022) 106256]","authors":"Krista Tuohimaa , Soile Loukusa , Heikki Löppönen , Taina Välimaa , Sari Kunnari","doi":"10.1016/j.jcomdis.2023.106382","DOIUrl":"10.1016/j.jcomdis.2023.106382","url":null,"abstract":"","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"106 ","pages":"Article 106382"},"PeriodicalIF":1.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0021992423000825/pdfft?md5=5c2fb95cd4982816a5e06dc8f21a81f4&pid=1-s2.0-S0021992423000825-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Using a combined working memory – Semantic feature analysis approach to treat anomia in aphasia: A Pilot Study","authors":"Naomi Hashimoto","doi":"10.1016/j.jcomdis.2023.106384","DOIUrl":"10.1016/j.jcomdis.2023.106384","url":null,"abstract":"<div><h3>Introduction</h3><p>The purpose of the study was to pilot a working memory (WM) – and modified Semantic Feature Analysis (SFA) approach to treat word finding deficits in a group of people with aphasia (PwA). Two research questions were posed: 1. Will the group of PwA be able to complete the WM tasks used in the approach? 2. Will the approach improve naming performance in PwA?</p></div><div><h3>Method</h3><p>Three individuals with mild – moderate aphasia participated in this singlesubject multiple baseline treatment design. Pre-treatment assessments of language, and pre- to post-treatment assessments of WM abilities were carried out. The treatment protocol incorporated WM and linguistic tasks in order to improve naming accuracy across two treatment lists. Probes were carried out prior to treatment on each list, and at one-month following completion of treatment. Two outcome measures were obtained: Percent accuracy in completing the WM steps, and treatment effect sizes (<span>Beeson & Robey, 2006</span>). Additionally, modified <em>t</em>-tests (<span>Crawford & Garthwaite, 2012</span>; <span>Crawford & Howell, 1998</span>), were calculated in which post-treatment WM measures were compared against neurotypical control groups to detect any improvements in WM functions.</p></div><div><h3>Results</h3><p>All three participants completed the WM steps with a high degree of accuracy. A range of small to large ESs were obtained for all three participants across the two treated lists, while no meaningful ESs were obtained for the control (untreated) list. All three participants demonstrated improved scores across most of the WM measures with significant improvements noted on certain WM assessments.</p></div><div><h3>Conclusions</h3><p>The findings revealed that the WM – SFA approach can be used successfully in individuals with mild – moderate aphasia. The proposed approach holds promise as feasible intervention designed to remediate anomia in PwA.</p></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"106 ","pages":"Article 106384"},"PeriodicalIF":1.7,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49693325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}