The impact of a university-based Intensive Comprehensive Aphasia Program (ICAP) on psychosocial well-being in stroke survivors with aphasia

Griffin-Musick, Jenna R.; Off, Catherine A.; Milman, Lisa H.; Kincheloe, Harley B; Kozlowski, Alyssa

doi:10.1080/02687038.2020.1814949

Cited by 22 publications

(4 citation statements)

References 45 publications

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“…The UMT ICAP intervention period includes 5 hr of treatment (i.e., individual and group) per day, 4 days per week, for 4 weeks (totaling 80 hr of treatment). For additional programmatic and intervention details about the UMT ICAP, see the studies by Griffin-Musick et al (2020), Griffin-Musick et al (2021), Kincheloe et al (2022), and Off et al (2019).…”

Section: Methodsmentioning

confidence: 99%

“…The ICAPs are designed to systematically apply principles of neuroplasticity (Mohr et al, 2017;Raymer et al, 2008), with recent evidence of neural reorganization stemming from an ICAP intervention (Baliki et al, 2018). Converging evidence supports the substantial cognitivelinguistic and psychosocial benefits of ICAPs participation (Babbitt et al, 2015;Dignam et al, 2015;Griffin-Musick et al, 2020;Nicholas et al, 2022), and there is documented growth in the total number of ICAPs currently operating internationally between 2013 and 2021 (Rose et al, 2021).…”

Section: Students As Stakeholders In Intensive Comprehensive Aphasia ...mentioning

confidence: 99%

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Graduate Student Clinicians in Health Care Professions as Stakeholders in Intensive Comprehensive Aphasia Program (ICAP) Implementation and Research

Off

Scharp

Griffin-Musick

2023

Topics in Language Disorders

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Purpose: This article characterizes graduate student clinicians' (GSCs') understanding of their roles as stakeholders in clinical implementation and research before participating in an intensive comprehensive aphasia program (ICAP). Method: Seven GSCs participated in a pre-ICAP intervention focus group to characterize their perceived roles in stakeholder-engaged research. Following an extensive ICAP training orientation and clarification of key definitions, the focus group prompt asked GSCs to describe what they view as important issues for developing future research protocols that investigate student clinician outcomes in the context of an ICAP. Qualitative content analysis using an inductive coding approach was applied to the focus group transcript. Results: The GSCs preparing to participate in ICAPs report that they are highly invested in the clinical implementation and research of the ICAP service delivery model. Discussion/Conclusions: The GSCs are crucial stakeholders in the development of GSC-run ICAPs across clinical implementation and all phases of research.

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Section: Methodsmentioning

confidence: 99%

Section: Students As Stakeholders In Intensive Comprehensive Aphasia ...mentioning

confidence: 99%

Graduate Student Clinicians in Health Care Professions as Stakeholders in Intensive Comprehensive Aphasia Program (ICAP) Implementation and Research

Off

Scharp

Griffin-Musick

2023

Topics in Language Disorders

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“…The latter question has also prompted investigations of intensive treatment programs where a significant amount of treatment (e.g., 30 h) is provided over a relatively brief period of time (e.g., 2 weeks; NCT04957225, [117,118]). Such programs report favorable outcomes, including the psychological well-being of participants [119,120], but the optimal timing of such intensive practice is not known (i.e., acute vs. subacute vs. chronic), especially considering feasibility and tolerance concerns during earlier stages of recovery [121,122].…”

Section: Language Speech and Communicationmentioning

confidence: 99%

Reversing the Ruin: Rehabilitation, Recovery, and Restoration After Stroke

Stockbridge

Bunker

Hillis

2022

Curr Neurol Neurosci Rep

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Purpose of Review Stroke is a common cause of disability in aging adults. A given individual’s needs after stroke vary as a function of the stroke extent and location. The purpose of this review was to discuss recent clinical investigations addressing rehabilitation of an array of overlapping functional domains. Recent Findings Research is ongoing in the domains of movement, cognition, attention, speech, language, swallowing, and mental health. To best assist patients’ recovery, innovative research has sought to develop and evaluate behavioral approaches, identify and refine synergistic approaches that augment the response to behavioral therapy, and integrate technology where appropriate, particularly to introduce and titrate real-world complexity and improve the overall experience of therapy. Summary Recent and ongoing trials have increasingly adopted a multidisciplinary nature — augmenting refined behavioral therapy approaches with methods for increasing their potency, such as pharmaceutical or electrical interventions. The integration of virtual reality, robotics, and other technological advancements has generated immense excitement, but has not resulted in consistent improvements over more universally accessible, lower technology therapy.

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“…On the other hand, it is wholly possible that the gains in verbal expression were driven by the sum of the intervention's parts as opposed to any one individual component of the intervention on its own, especially given that treatment was delivered in the context of a cohort. In fact, evidence from group process suggests that bringing these young adults together into a peer group would 1) lead to increased psychosocial support and increased confidence and 2) that these gains would in turn spur increased communication initiation, and ultimately, result in increased accuracy on items in the verbal expression subdomain (DeDe et al, 2019;Elman, 2006;Elman & Bernstein-Ellis, 1999;Fama et al, 2016;Griffin-Musick et al, 2020;van der Gaag et al, 2005). Given the potential benefit for verbal expression and psychosocial functioning, it is clear that future studies of the ICCR program's efficacy should explore quantitative and qualitative benefits of the group context on verbal expression at the impairment (e.g., discourse-level metrics examining peer-to-peer interaction during class discussion), activity/participation (e.g., frequency of self-initiated social interaction between classes), and quality of life levels (e.g., satisfaction and confidence during peer-to-peer communication in classroom discussion).…”

Section: Overall Effect Of Time By Subdomainmentioning

confidence: 99%

Young Adults With Acquired Brain Injury Show Longitudinal Improvements in Cognition After Intensive Cognitive Rehabilitation

Gilmore

Mirman

Kıran

2022

J Speech Lang Hear Res

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Purpose: The aim of this study was to assess the effect of an intensive cognitive and communication rehabilitation (ICCR) program on language and other cognitive performance in young adults with acquired brain injury (ABI). Method: Thirty young adults with chronic ABI participated in this study. Treatment participants ( n = 22) attended ICCR 6 hours/day, 4 days/week for at least one 12-week semester. Deferred treatment/usual care control participants ( n = 14) were evaluated before and after at least one 12-week semester. Pre- and postsemester standardized cognitive assessment items were assigned to subdomains. Between-groups and within-group generalized linear mixed-effects models assessed the effect of time point on overall item accuracy and differences by item subdomain. Subdomain analyses were adjusted for multiple comparisons. Results: Between-groups analyses revealed that treatment participants improved significantly faster over time than deferred treatment/usual care participants in overall item accuracy and specifically on items in the verbal expression subdomain. Investigating the three-way interaction between time point, group, and etiology revealed that the overall effects of the treatment were similar for individuals with nontraumatic and traumatic brain injuries. The treatment group showed an overall effect of treatment and significant gains over time in the verbal expression, written expression, memory, and problem solving subdomains. The control group did not significantly improve over time on overall item accuracy and showed significant subdomain-level gains in auditory comprehension, which did not survive correction. Conclusions: Sustaining an ABI in young adulthood can significantly disrupt key developmental milestones, such as attending college and launching a career. This study provides strong evidence that integrating impairment-based retraining of language and other cognitive skills with “real-world” application in academically focused activities promotes gains in underlying cognitive processes that are important for academic success as measured by standardized assessment items. These findings may prompt a revision to the current continuum of rehabilitative care for young adults with ABI. Supplemental Material: https://doi.org/10.23641/asha.19320068

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The impact of a university-based Intensive Comprehensive Aphasia Program (ICAP) on psychosocial well-being in stroke survivors with aphasia

Cited by 22 publications

References 45 publications

Graduate Student Clinicians in Health Care Professions as Stakeholders in Intensive Comprehensive Aphasia Program (ICAP) Implementation and Research

Graduate Student Clinicians in Health Care Professions as Stakeholders in Intensive Comprehensive Aphasia Program (ICAP) Implementation and Research

Reversing the Ruin: Rehabilitation, Recovery, and Restoration After Stroke

Young Adults With Acquired Brain Injury Show Longitudinal Improvements in Cognition After Intensive Cognitive Rehabilitation

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