The feasibility of delivering constraint-induced language therapy via the Internet

Abstract

ObjectiveThis study is designed to determine the feasibility of the provision of an evidenced-based aphasia therapy, constraint-induced language therapy, via telerehabilitation. It describes the computer software that was developed specifically for the delivery of constraint-induced language therapy in the online environment and presents two case studies.MethodsTwo participants with chronic aphasia were assessed before and after a two-week intensive treatment block of constraint-induced language therapy delivered via Web-based videoconferencing. The group-based, dual card request game utilized in face-to-face constraint-induced language therapy was transformed into an innovative and user-friendly Web-based game – Internet constraint-induced language therapy (iCILT). Participants accessed iCILT via the Internet from their own home every weekday for two weeks. Language and quality of life measures were administered pre- and post-therapy in order to detect treatment effects. Participant satisfaction information was also recorded.ResultsOnline delivery of iCILT was technically feasible and participant satisfaction was high with a number of benefits associated with telerehabilitation identified by participants. Post-treatment performance for language functioning and communication-related quality of life was variable for each participant, however improvements in naming were noted.ConclusionsConstraint-induced language therapy delivered via telerehabilitation may be a feasible alternative to traditional face-to-face therapy for people with chronic aphasia.

Ethics And Legal Issues In Online Counseling Services: Counseling Principles Analysis

“…Rapid use of the internet and continuous technology advance, provide opportunities for all professions including counseling profession to be able to develop and display a better performance for the optimum service to their clients (Botta et al, 2016;Brown & Duguid, 2017;Guest et al, 2016;Margam & Dar, 2017;Naym & Hossain, 2016;Pitt et al, 2017;Trossen et al, 2016). Technology development especially in the field of communication have given sufficient means to influence the guidance and counseling world, with emergence of guidance and counseling services (Ardi & Yendi, 2013;Musiat et al, 2014;Richards & Viganó, 2013;Rodda et al, 2013).…”

“…In years of widespread use of the internet in the world has provided the community that relies heavily on the speed of delivering information (Botta, De Donato, Persico, & Pescapé, 2016;Brown & Duguid, 2017;Guest, Tran, Gopinath, Cameron, & Craig, 2016;Margam & Dar, 2017;Naym & Hossain, 2016;Pitt, Theodoros, Hill, Rodriguez, & Russell, 2017;Trossen, Sathiaseelan, & Ott, 2016), reducing the distance and boundaries of a country (Bell et al, 2017;Benis & Ferrão, 2017;Sujarwoto & Tampubolon, 2016) and variety of other convenience like never before. The utilization of this technology has been used in all sorts of community and professions in various aspects of life (Dew, Scott, & Kirkman, 2016;Ginis, Evans, Mortenson, & Noreau, 2017;Regev, Hadas-Lidor, & Rosenberg, 2016;J.…”

Plataforma web de atividades terapêuticas: desenvolvimento e aplicação

“…necessidade de maior participação dos cuidadores e maior deslocamento do paciente ao centro de reabilitação; diminuição do número de vagas para atender novos pacientes; e aumento da demanda por terapias personalizadas. (Katz, 2010;Cherney, 2010;Pitt, 2017;Palmer et al, 2012;Palmer et al, 2015;Aftonomos et al, 1999;Thompson et al, 2010;Lee e Cherney, 2008 Assim, é necessário prover meios à utilização de novas tecnologias, tais como condições econômicas e atividades de inclusão digital.…”

The development, feasibility, and preliminary efficacy of an online aphasia group intervention – TeleGAIN

“…This topic guide was developed by the first author based on the literature review conducted in Phase 1of the intervention development (Chapter 3), and experience providing aphasia intervention via telepractice (e.g. Pitt et al, 2017b). The topic guide was reviewed by two speech-language pathologists experienced in interviewing people with aphasia for qualitative research purposes.…”

“…The literature relating to telerehabilitation and aphasia is also primarily focused on satisfaction and is similarly limited by satisfaction questionnaires with very few questions (Choi, Park, & Paik, 2016;Getz, Snider, Brennan, & Friedman, 2015;, and small numbers of participants (Choi et al, 2016;Getz et al, 2015;Pitt, Theodoros, Hill, Rodriguez, Russell, 2017b;. It is also unclear if such survey instruments were presented in aphasia friendly formats that would facilitate participant comprehension of questions and capacity to accurately express their opinions.…”