Digital tool as speech and language therapy for patients with post-stroke aphasia
Introduction New technologies could play a role in post-stroke aphasia (PSA). Our aims were to develop a digital tool; to evaluate its acceptance and usability by patients and caregivers; and to demonstrate its effectiveness in improving language skills in patients with PSA, applying it from the acu...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-01-01
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| Series: | Digital Health |
| Online Access: | https://doi.org/10.1177/20552076251314551 |
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| author | Gerardo Ruiz Ares Marta Martin Alonso Ricardo Rigual Carlos Hervás Testal Gabriel Torres Iglesias Laura Casado Fernandez Elena de Celis Ruiz Jorge Rodríguez Pardo Jenny Carvajal Muñoz Laura González Martín María Alonso de Leciñana Blanca Fuentes |
| author_facet | Gerardo Ruiz Ares Marta Martin Alonso Ricardo Rigual Carlos Hervás Testal Gabriel Torres Iglesias Laura Casado Fernandez Elena de Celis Ruiz Jorge Rodríguez Pardo Jenny Carvajal Muñoz Laura González Martín María Alonso de Leciñana Blanca Fuentes |
| author_sort | Gerardo Ruiz Ares |
| collection | DOAJ |
| description | Introduction New technologies could play a role in post-stroke aphasia (PSA). Our aims were to develop a digital tool; to evaluate its acceptance and usability by patients and caregivers; and to demonstrate its effectiveness in improving language skills in patients with PSA, applying it from the acute phase. Methods The study consisted of two phases: development of a digital tool; and an interventional before-and-after study. During the first week of admission, the digital tool, VerbalizAPP ® , was installed for use with the help of family/caregivers. PSA was evaluated by a summarised version of the Boston Diagnostic Aphasia Examination (sBDAE) with 0–64 points. After 3 months of using VerbalizAPP ® , the sBDAE and scales to assess user satisfaction were applied. Results Forty patients (29 men, mean age 68.3 years) were included. Aphasia description: Broca's 12 (15.0%), Wernicke's 13 (32.5%), mixed/global 15 (37.5%) cases. Patients began using VerbalizAPP ® 4.8 days (range 2–7) after stroke onset. A significant improvement in sBDAE scores was found after 3 months of VerbalizAPP ® use: 35.1 (SD 17.6) versus 51.1 (SD 14.4) points; p < .001. Academic level was the only baseline parameter related to outcomes. Comfort of use scored 8.8, and complexity 2.2 points. Expectations were exceeded in 61.1%, and impression of improvement in 83.3% of cases. No adverse effects were reported, and all participants would recommend VerbalizAPP ® to other patients. Conclusions Our results show the effectiveness of VerbalizAPP ® for the treatment of PSA. However, larger prospective validation studies should be conducted to recommend its widespread use. |
| format | Article |
| id | doaj-art-4d540a7e3fe2431d88e44505b0aa2e03 |
| institution | Kabale University |
| issn | 2055-2076 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Digital Health |
| spelling | doaj-art-4d540a7e3fe2431d88e44505b0aa2e032025-01-29T14:03:37ZengSAGE PublishingDigital Health2055-20762025-01-011110.1177/20552076251314551Digital tool as speech and language therapy for patients with post-stroke aphasiaGerardo Ruiz Ares0Marta Martin Alonso1Ricardo Rigual2Carlos Hervás Testal3Gabriel Torres Iglesias4Laura Casado Fernandez5Elena de Celis Ruiz6Jorge Rodríguez Pardo7Jenny Carvajal Muñoz8Laura González Martín9María Alonso de Leciñana10Blanca Fuentes11 Department of Neurology and Stroke Centre, Hospital La Paz Institute for Health Research-IdiPAZ (), Madrid, Spain Speech and Language Therapy Unit, Rehabilitation Service, Hospital La Paz Institute for Health Research-IdiPAZ (La Paz University Hospital-Autonomous University of Madrid), Madrid, Spain Department of Neurology and Stroke Centre, Hospital La Paz Institute for Health Research-IdiPAZ (), Madrid, Spain Department of Neurology and Stroke Centre, Hospital La Paz Institute for Health Research-IdiPAZ (), Madrid, Spain Department of Neurology and Stroke Centre, Hospital La Paz Institute for Health Research-IdiPAZ (), Madrid, Spain Department of Neurology and Stroke Centre, Hospital La Paz Institute for Health Research-IdiPAZ (), Madrid, Spain Department of Neurology and Stroke Centre, Hospital La Paz Institute for Health Research-IdiPAZ (), Madrid, Spain Department of Neurology and Stroke Centre, Hospital La Paz Institute for Health Research-IdiPAZ (), Madrid, Spain Rehabilitation Service, , Madrid, Spain Department of Neurology and Stroke Centre, Hospital La Paz Institute for Health Research-IdiPAZ (), Madrid, Spain Department of Neurology and Stroke Centre, Hospital La Paz Institute for Health Research-IdiPAZ (), Madrid, Spain Department of Neurology and Stroke Centre, Hospital La Paz Institute for Health Research-IdiPAZ (), Madrid, SpainIntroduction New technologies could play a role in post-stroke aphasia (PSA). Our aims were to develop a digital tool; to evaluate its acceptance and usability by patients and caregivers; and to demonstrate its effectiveness in improving language skills in patients with PSA, applying it from the acute phase. Methods The study consisted of two phases: development of a digital tool; and an interventional before-and-after study. During the first week of admission, the digital tool, VerbalizAPP ® , was installed for use with the help of family/caregivers. PSA was evaluated by a summarised version of the Boston Diagnostic Aphasia Examination (sBDAE) with 0–64 points. After 3 months of using VerbalizAPP ® , the sBDAE and scales to assess user satisfaction were applied. Results Forty patients (29 men, mean age 68.3 years) were included. Aphasia description: Broca's 12 (15.0%), Wernicke's 13 (32.5%), mixed/global 15 (37.5%) cases. Patients began using VerbalizAPP ® 4.8 days (range 2–7) after stroke onset. A significant improvement in sBDAE scores was found after 3 months of VerbalizAPP ® use: 35.1 (SD 17.6) versus 51.1 (SD 14.4) points; p < .001. Academic level was the only baseline parameter related to outcomes. Comfort of use scored 8.8, and complexity 2.2 points. Expectations were exceeded in 61.1%, and impression of improvement in 83.3% of cases. No adverse effects were reported, and all participants would recommend VerbalizAPP ® to other patients. Conclusions Our results show the effectiveness of VerbalizAPP ® for the treatment of PSA. However, larger prospective validation studies should be conducted to recommend its widespread use.https://doi.org/10.1177/20552076251314551 |
| spellingShingle | Gerardo Ruiz Ares Marta Martin Alonso Ricardo Rigual Carlos Hervás Testal Gabriel Torres Iglesias Laura Casado Fernandez Elena de Celis Ruiz Jorge Rodríguez Pardo Jenny Carvajal Muñoz Laura González Martín María Alonso de Leciñana Blanca Fuentes Digital tool as speech and language therapy for patients with post-stroke aphasia Digital Health |
| title | Digital tool as speech and language therapy for patients with post-stroke aphasia |
| title_full | Digital tool as speech and language therapy for patients with post-stroke aphasia |
| title_fullStr | Digital tool as speech and language therapy for patients with post-stroke aphasia |
| title_full_unstemmed | Digital tool as speech and language therapy for patients with post-stroke aphasia |
| title_short | Digital tool as speech and language therapy for patients with post-stroke aphasia |
| title_sort | digital tool as speech and language therapy for patients with post stroke aphasia |
| url | https://doi.org/10.1177/20552076251314551 |
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