Conversation analysis of texting exchanges in aphasia

Jamie H. Azios*, Jaime B. Lee, Leora R. Cherney

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Purpose: Conversation analysis (CA) is an established method that has been used to understand how aphasia impacts the conversational success of individ-uals with aphasia (IWAs) and their conversation partners. This article demon-strates CA as a valuable analytic tool for studying text messaging in aphasia to better understand the specific co-constructed actions of IWAs and their part-ners as they engage in this communication modality. Method: CA was applied to transcribed text message data from eight IWAs. Conversational structures present in face-to-face interactions were identified, segmented, and explicated with a focus on how IWAs and their partners negoti-ate interaction in this medium. Results: Three key elements of CA, namely, sequential organization, repair, and topic negotiation, were identified within the texting exchanges of participants and their texting partners and compared with existing CA studies on electronic messaging in adults without brain injury. Conclusions: Findings suggest a multitude of strategies that IWAs and their partners used to meet both transactional and interactional goals of communica-tion. Understanding gained from applying CA to texting in aphasia can inform the development of interventions that improve access to digital communication for IWAs.

Original languageEnglish (US)
Pages (from-to)2512-2527
Number of pages16
JournalAmerican journal of speech-language pathology
Issue number5S
StatePublished - Oct 2023

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Developmental and Educational Psychology
  • Linguistics and Language
  • Speech and Hearing


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