Aphasia Telerehabilitation

NCT02768922 | Completed DMC

• 1 other identifier: 21524505
• Study Type: interventional
• Target: 62
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims at contributing with scientific evidence to the field of aphasia telerehabilitation. In Norway today, there is an unmet need for language training in post stroke aphasia and not all patients are offered language training. Early start of aphasia rehabilitation and satisfying intensity do not seem to be standard clinical practice. Language training by telemedicine could improve this situation, and this study seeks to answer the question whether aphasia rehabilitation delivered by videoconference can improve language function in aphasia post stroke.

Conditions

Stroke; Aphasia

Keywords

Telemedicine; Telerehabilitation; Speech and language therapy

Outcome Measures

Primary Outcomes (1)

• Naming ability assessed by NGA

  Will be assessed by the Norwegian Basic Aphasia Assessment (NGA) subtest "naming"

  four month post randomization

Secondary Outcomes (12)

• Language function other than naming (repetition) assessed by NGA

  four month post randomization

• Language function other than naming (comprehension ) assessed by NGA

  four month post randomization

• Sentence Production by VAST

  four month post randomization

• Sentence Production by VAST

  immediately after intervention (4 weeks)

• Functional communication assessed by CETI

  four month post randomization

Study Arms (2)

Aphasia telerehabilitation

EXPERIMENTAL

Speech and language therapy is given by telemedicine to improve expressive language function. The therapy will include knowledge based tasks of aphasia rehabilitation including training of language forms and overall functional communication. A special emphasis will be put on naming training. The telerehabilitation will be given in a addition to standard face-to-face aphasia rehabilitation

Other: Aphasia telerehabilitation; Other: Standard face-to-face aphasia rehabilitation

Control

ACTIVE COMPARATOR

Control Group receives standard face-to-face aphasia rehabilitation

Other: Standard face-to-face aphasia rehabilitation

Interventions

Aphasia telerehabilitation OTHER

Speech and language therapy delivered by speech-language pathologist via computer and telemedicine

Aphasia telerehabilitation

Standard face-to-face aphasia rehabilitation OTHER

Speech and language therapy delivered by speech-language pathologist face-to-face (treatment as usual)

Aphasia telerehabilitation; Control

Eligibility Criteria

• Age: 16 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with aphasia following stroke (all stages of aphasia post stroke)
• Aphasia including naming impairment (percentile score of 70 or lower on the NGA - subtest naming)

You may not qualify if:

• Age: \< 16 years
• Patients who are unable to perform 5 hours of speech and language therapy per week due to medical or cognitive reasons (Including vision and hearing impairment)

Sponsors & Collaborators

• Sunnaas Rehabilitation Hospital: lead
• South-Eastern Norway Regional Health Authority: collaborator

Study Sites (1)

Sunnaas Rehabilitation Hospital

Nesoddtangen, 1453, Norway

Location

Related Publications (2)

• Ora HP, Kirmess M, Brady MC, Sorli H, Becker F. Technical Features, Feasibility, and Acceptability of Augmented Telerehabilitation in Post-stroke Aphasia-Experiences From a Randomized Controlled Trial. Front Neurol. 2020 Jul 31;11:671. doi: 10.3389/fneur.2020.00671. eCollection 2020.

  PMID: 32849176 DERIVED

• Ora HP, Kirmess M, Brady MC, Winsnes IE, Hansen SM, Becker F. Telerehabilitation for aphasia - protocol of a pragmatic, exploratory, pilot randomized controlled trial. Trials. 2018 Apr 2;19(1):208. doi: 10.1186/s13063-018-2588-5.

  PMID: 29606148 DERIVED

Related Links

• pdf-file of Norwegian publication presenting the pilot study that led to this RCT
• pdf-file of full report from the pilot study (Norwegian)

MeSH Terms

Conditions

Stroke; Aphasia; Communication Disorders

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Speech Disorders; Language Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Neurodevelopmental Disorders; Mental Disorders

Study Officials

• Frank Becker, PhD

  Sunnaas Rehabilitation Hospital

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Medical Director, Associate professor

Study Record Dates

• First Submitted: April 25, 2016
• First Posted: May 11, 2016
• Study Start: May 3, 2016
• Primary Completion: September 27, 2018
• Study Completion: December 31, 2018
• Last Updated: April 1, 2019

Record last verified: 2019-03

Data Sharing

• IPD Sharing: Will share

Locations

NO (1)