Background: Many persons with aphasia (PWA) show deficits in sentence production and comprehension which are, in part, attributed to an inefficient mapping between messages and syntactic structures. Structural priming-the tendency to repeat a previously encountered sentence structure-has been shown to support implicit syntactic learning within and across production and comprehension modalities in healthy adults. Structural priming is effective in facilitating the production or comprehension of sentences in PWA. However, less is known about whether priming in one modality changes PWA's performance in the other modality, which is crucial evidence needed for developing structural priming as a cost-effective intervention strategy in aphasia.Aims: This study examined (a) whether production to comprehension cross-modality priming is effective in PWA, (b) whether priming-induced changes in syntactic comprehension lasted even in the absence of an immediate prime, and (c) whether there is a significant correlation between individuals' priming effects and the change in their comprehension following priming.Methods & Procedures: Thirteen PWA and 13 age-matched control participants completed a training study comprised of three phases: a pre-test, a production-to-comprehension priming block, and a post-test. In the pre-and post-tests, participants completed a sentence-picture matching task with sentences involving interpretations of an ambiguous prepositional phrase (e.g., The teacher is poking the monk with a bat). Participants were free to choose a picture corresponding to a high attachment (HA; e.g., the teacher is using the bat to poke the monk) or a low attachment (LA; e.g., the monk is the one holding the bat) interpretation. In the priming block, participants produced LA sentences as prime and then completed a sentence-picture matching task for comprehension targets, similar to the pre-test.Results: Age-matched controls and PWA showed a significant priming effect when comparing the priming block to the pre-test. In both groups, the priming effect persisted when comparing picture selections in the pre-and post-tests. At the individual level, age-matched controls who showed larger priming effects also selected more LA pictures in the post-test compared to the
BackgroundGrammatical encoding is impaired in many persons with aphasia (PWA), resulting in deficits in sentence production accuracies and underlying planning processes. However, relatively little is known on how these grammatical encoding deficits can be mediated in PWA. This study aimed to facilitate off-line (accuracy) and real-time (eye fixations) encoding of passive sentences through implicit structural priming, a tendency to better process a current sentence because of its grammatical similarity to a previously experienced (prime) sentence.MethodSixteen PWA and Sixteen age-matched controls completed an eyetracking-while-speaking task, where they described a target transitive picture preceded by a comprehension prime involving either an active or passive form. We measured immediate and cumulative priming effects on proportions of passives produced for the target pictures and proportions of eye fixations made to the theme actor in the target scene before speech onset of the sentence production.Results and conclusionBoth PWA and controls produced cumulatively more passives as the experiment progressed despite an absence of immediate priming effects in PWA. Both groups also showed cumulative changes in the pre-speech eye fixations associated with passive productions, with this cumulative priming effect greater for the PWA group. These findings suggest that structural priming results in gradual adaptation of the grammatical encoding processes of PWA and that structural priming may be used as a treatment component for improving grammatical deficits in aphasia.
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