... movement of lighthouse ▪ treatment: scanning, route-finding ▪ improvements in negotiating env... more ... movement of lighthouse ▪ treatment: scanning, route-finding ▪ improvements in negotiating environment ▪ less ... face available) ▪ read sentence (name & face available) ▪ read sentence (face available) ▪ read ... Right hemisphere communication disorders: Theory and management. ...
This study examines group and individual performance on word list recall and recognition in 52 pa... more This study examines group and individual performance on word list recall and recognition in 52 patients with unilateral right hemisphere stroke. On the California Verbal Learning Test, List A, Trials 1-5, patients achieved a mean score of 30.31 (SD = 13.94), which is below the mean standard score of 50 (SD = 10) in a normal population. Patients demonstrated below-average performance on other immediate and delayed recall trials and on free- and cued-recall tasks. 67% of patients showed improved performance across learning trials. Results provide support for encoding deficits with reduced rate of learning and inconsistent recall across trials.
This longitudinal study examines performance of individuals with right hemisphere damage (RHD) on... more This longitudinal study examines performance of individuals with right hemisphere damage (RHD) on the California Verbal Learning Test (CVLT). 18 participants were administered the CVLT during the acute phase (<3 months post onset) and then at subsequent times up to 2 years post onset. Using List A, Trials 1-5, as a global measure of learning, participants at first testing demonstrated recall skills below the mean standard score of 50 (M = 32.56, SD = 13.90). There was significant improvement between initial and second testing (t = -2.92, p = .01). Changes between second and third testing and third and fourth testing were not significant.
Archives of Physical Medicine and Rehabilitation, 2009
To evaluate changes in patient-reported communication difficulty after a home-based, computer-del... more To evaluate changes in patient-reported communication difficulty after a home-based, computer-delivered intervention designed to improve conversational skills in adults with aphasia. Delayed treatment design with baseline, preintervention, postintervention, and follow-up observations. Outpatient rehabilitation. Twenty subjects with chronic aphasia. Sessions with the speech-language pathologist to develop personally relevant conversational scripts, followed by 9 weeks of intensive home practice using a computer program loaded on a laptop, and weekly monitoring visits with the speech-language pathologist. Communication Difficulty (CD) subscale of the Burden of Stroke Scale (BOSS). The intervention resulted in a statistically and clinically significant decrease of 6.79 points (P=.038) in the CD subscale of the BOSS during the intervention, maintained during the follow-up period. The findings of this study provide positive albeit preliminary and limited support for the use of a home-based, computer-delivered language intervention program for improving patient-reported communication outcomes in adults with chronic aphasia. Additional research will be required to examine the efficacy and effectiveness of this intervention.
American Journal of Speech-Language Pathology, 2010
This study examined the content of 100 short scripts, co-constructed by persons with aphasia (PWA... more This study examined the content of 100 short scripts, co-constructed by persons with aphasia (PWA) and a clinician. The PWA subsequently learned the scripts by interacting with a computerized virtual therapist. The goal was to provide clinicians with ideas regarding content for treatment that is meaningful to PWAs. Thirty-three PWAs generated the scripts, typically including 1 monologue and 2 dialogues in which the PWA was either the initiator or the responder. Scripts were analyzed for common topics and themes. Thirty topics were identified and categorized into 10 themes. For the monologues, the largest category was personal stories (68%), with 12 of the 19 addressing their stroke and aphasia. For the dialogues, conversations with family were dominant (21%), followed by seeking or providing information (18%), and discussion of outside interests (14%). PWAs choose to speak about their life experiences, choose to reconnect with their families, and tend to focus on communication that can help them to negotiate mundane normal life. Independent of how this content is used in treatment, materials should emphasize matters of high personal relevance to those treated.
... movement of lighthouse ▪ treatment: scanning, route-finding ▪ improvements in negotiating env... more ... movement of lighthouse ▪ treatment: scanning, route-finding ▪ improvements in negotiating environment ▪ less ... face available) ▪ read sentence (name & face available) ▪ read sentence (face available) ▪ read ... Right hemisphere communication disorders: Theory and management. ...
This study examines group and individual performance on word list recall and recognition in 52 pa... more This study examines group and individual performance on word list recall and recognition in 52 patients with unilateral right hemisphere stroke. On the California Verbal Learning Test, List A, Trials 1-5, patients achieved a mean score of 30.31 (SD = 13.94), which is below the mean standard score of 50 (SD = 10) in a normal population. Patients demonstrated below-average performance on other immediate and delayed recall trials and on free- and cued-recall tasks. 67% of patients showed improved performance across learning trials. Results provide support for encoding deficits with reduced rate of learning and inconsistent recall across trials.
This longitudinal study examines performance of individuals with right hemisphere damage (RHD) on... more This longitudinal study examines performance of individuals with right hemisphere damage (RHD) on the California Verbal Learning Test (CVLT). 18 participants were administered the CVLT during the acute phase (<3 months post onset) and then at subsequent times up to 2 years post onset. Using List A, Trials 1-5, as a global measure of learning, participants at first testing demonstrated recall skills below the mean standard score of 50 (M = 32.56, SD = 13.90). There was significant improvement between initial and second testing (t = -2.92, p = .01). Changes between second and third testing and third and fourth testing were not significant.
Archives of Physical Medicine and Rehabilitation, 2009
To evaluate changes in patient-reported communication difficulty after a home-based, computer-del... more To evaluate changes in patient-reported communication difficulty after a home-based, computer-delivered intervention designed to improve conversational skills in adults with aphasia. Delayed treatment design with baseline, preintervention, postintervention, and follow-up observations. Outpatient rehabilitation. Twenty subjects with chronic aphasia. Sessions with the speech-language pathologist to develop personally relevant conversational scripts, followed by 9 weeks of intensive home practice using a computer program loaded on a laptop, and weekly monitoring visits with the speech-language pathologist. Communication Difficulty (CD) subscale of the Burden of Stroke Scale (BOSS). The intervention resulted in a statistically and clinically significant decrease of 6.79 points (P=.038) in the CD subscale of the BOSS during the intervention, maintained during the follow-up period. The findings of this study provide positive albeit preliminary and limited support for the use of a home-based, computer-delivered language intervention program for improving patient-reported communication outcomes in adults with chronic aphasia. Additional research will be required to examine the efficacy and effectiveness of this intervention.
American Journal of Speech-Language Pathology, 2010
This study examined the content of 100 short scripts, co-constructed by persons with aphasia (PWA... more This study examined the content of 100 short scripts, co-constructed by persons with aphasia (PWA) and a clinician. The PWA subsequently learned the scripts by interacting with a computerized virtual therapist. The goal was to provide clinicians with ideas regarding content for treatment that is meaningful to PWAs. Thirty-three PWAs generated the scripts, typically including 1 monologue and 2 dialogues in which the PWA was either the initiator or the responder. Scripts were analyzed for common topics and themes. Thirty topics were identified and categorized into 10 themes. For the monologues, the largest category was personal stories (68%), with 12 of the 19 addressing their stroke and aphasia. For the dialogues, conversations with family were dominant (21%), followed by seeking or providing information (18%), and discussion of outside interests (14%). PWAs choose to speak about their life experiences, choose to reconnect with their families, and tend to focus on communication that can help them to negotiate mundane normal life. Independent of how this content is used in treatment, materials should emphasize matters of high personal relevance to those treated.
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Papers by Anita Halper