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  1. Improving outcomes for persons with aphasia in advanced community-based treatment programs.

    Article - En anglais

    Background and Purpose-Studies have yet to document that community-based aphasia treatment programs routinely produce results comparable or superior to published research protocols.

    We explore this issue here in an outcome study of individuals with aphasia enrolled in 2 community-based, comparably managed and equipped therapy programs, which use a specially designed computer-based tool that is employed therapeutically in adherence to an extensive, detailed, and formally trained patient care algorithm.

    Methods-Patients (n=60) were assessed before and after treatment with standardized instruments at both the impairment and the disability levels.

    Pretreatment and posttreatment means were calculated and compared, with statistical significance of differences established with the use of 1-tailed matched t tests.

    One-way ANOVAs were used to analyze the comparability of patient performance changes among various subgroups, eg, patients in acute versus chronic stages of aphasia, patients by aphasia diagnostic type at start of care, patients by severity level at start of care, and patients by treatment location.

    Results

    Analysis shows that patients spanned a wide range of aphasia diagnostic types, impairment severity levels at start of care, and times after onset.

    Patients'mean performance scores improved significantly in response to treatment in all measures assessed at both the impairment level and the functional communication level.

    Mean overall improvements ranged from 6. (...)

    Mots-clés Pascal : Aphasie, Programme sanitaire, Handicap, Rééducation, Evolution, Traitement, Homme, Système nerveux central pathologie, Encéphale pathologie, Trouble neurologique, Trouble langage, Système nerveux pathologie

    Mots-clés Pascal anglais : Aphasia, Sanitary program, Handicap, Reeducation, Evolution, Treatment, Human, Central nervous system disease, Cerebral disorder, Neurological disorder, Language disorder, Nervous system diseases

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0361086

    Code Inist : 002B26I. Création : 14/12/1999.