Comparing the Treatment Effectiveness of Conversational and Traditional Aphasia Treatments Based on Conversational Outcome Measures

Background: Few studies have investigated conversation therapy between a person with aphasia and a clinician. Furthermore, little information exists on traditional stimulation treatment’s effect on conversational outcomes. Methods: Prospective single-subject (ABABA) study repeated across 4 participants, with quasi-randomized treatment order, investigated the treatment effects of conversation and traditional stimulation treatments on conversational outcomes. Primary outcomes included 6-minute conversations coded for pragmatic behaviors, percent CIUs; and auditory comprehension, lexical retrieval, and syntax probe performance. Results: Conversational abilities were highest during conversation therapy regardless which treatment was administered first. These results provide a template for conducting and measuring conversational therapy.