Back to Search
Start Over
Web-based Oral Reading for Language in Aphasia (Web ORLA ®): A pilot randomized control trial.
- Source :
- Clinical Rehabilitation; Jul2021, Vol. 35 Issue 7, p976-987, 12p
- Publication Year :
- 2021
-
Abstract
- Objective: To investigate an intensive asynchronous computer-based treatment delivered remotely with clinician oversight to people with aphasia. Design: Single-blind, randomized placebo-controlled trial. Setting: Free-standing urban rehabilitation hospital. Participants: Adults with aphasia (at least six months post-onset). Interventions: Experimental treatment was Web ORLA<superscript>®</superscript> (Oral Reading for Language in Aphasia) which provides repeated choral and independent reading aloud of sentences with a virtual therapist. Placebo was a commercially available computer game. Participants were instructed to practice 90 minutes/day, six days/week for six weeks. Main measures: Change in Language Quotient of the Western Aphasia Battery-Revised from pre-treatment to post-treatment and pre-treatment to six weeks following the end of treatment. Results: 32 participants (19 Web ORLA<superscript>®</superscript>, 13 Control) completed the intervention and post-treatment assessment; 27 participants (16 Web ORLA<superscript>®</superscript>, 11 Control) completed the follow-up assessment six weeks after treatment had ended. Web ORLA<superscript>®</superscript> treatment resulted in significant improvements in language performance from pre-treatment to immediately post-treatment (X = 2.96; SD = 4.32; P < 0.01; ES = 0.68) and from pre-treatment to six weeks following the end of treatment (X = 4.53; SD = 3.16; P < 0.001; ES = 1.43). There was no significant difference in the gain from pre-treatment to post-treatment for the Web ORLA<superscript>®</superscript> versus Control groups. However, the Web ORLA<superscript>®</superscript> group showed significantly greater gains at the six-week follow-up than the control group (X = 2.70; SD = 1.01; P = 0.013; ES = 1.92). Conclusion: Results provide evidence for improved language outcomes following intensive, web-based delivery of ORLA<superscript>®</superscript> to individuals with chronic aphasia. Findings underscore the value of combining clinician oversight with the flexibility of asynchronous practice. [ABSTRACT FROM AUTHOR]
- Subjects :
- THERAPEUTICS
COMPUTERS in medicine
PILOT projects
PATIENT aftercare
SPEECH therapy
REHABILITATION centers
TIME
CHRONIC diseases
INTERNET
RANDOMIZED controlled trials
PLACEBOS
PRE-tests & post-tests
T-test (Statistics)
REHABILITATION of aphasic persons
BLIND experiment
DESCRIPTIVE statistics
RESEARCH funding
PHYSICIANS
VIDEO games
READING
TELEMEDICINE
Subjects
Details
- Language :
- English
- ISSN :
- 02692155
- Volume :
- 35
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- Clinical Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 150847539
- Full Text :
- https://doi.org/10.1177/0269215520988475