Patient-Reported Changes in Communication After Computer-Based Script Training for Aphasia

Larry M. Manheim, Anita S Halper, Leora R Cherney*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

48 Scopus citations


Manheim LM, Halper AS, Cherney L. Patient-reported changes in communication after computer-based script training for aphasia. Objective: To evaluate changes in patient-reported communication difficulty after a home-based, computer-delivered intervention designed to improve conversational skills in adults with aphasia. Design: Delayed treatment design with baseline, preintervention, postintervention, and follow-up observations. Setting: Outpatient rehabilitation. Participants: Twenty subjects with chronic aphasia. Interventions: 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. Main Outcome Measure: Communication Difficulty (CD) subscale of the Burden of Stroke Scale (BOSS). Results: 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. Conclusions: 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.

Original languageEnglish (US)
Pages (from-to)623-627
Number of pages5
JournalArchives of Physical Medicine and Rehabilitation
Issue number4
StatePublished - Apr 1 2009


  • Aphasia
  • Communication
  • Computer-assisted instruction
  • Cost, cost analysis
  • Rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation


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