Stepped Care Model of Psychological Care for Aphasia
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Aphasia
- Sponsor
- Medical University of South Carolina
- Enrollment
- 11
- Locations
- 1
- Primary Endpoint
- Change in the Depression Score on Hospital Anxiety and Depression Scale at Post-Intervention
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This study is recruiting people who had a stroke at least 1 month ago and now have a language impairment called aphasia. Living with aphasia can have devastating effects on communication and quality of life, and it is not uncommon for survivors with aphasia to face psychological problems like depression and anxiety. Participants who are eligible for this study will undergo baseline testing, engage in a 5-week treatment focused on psychological well-being, undergo post-treatment testing, and then testing again 1-month later. Check-in phone calls will be conducted during the 1-month off period and participants will be interviewed about their experience at the end of the study as well. Compensation will be provided to participants with aphasia.
Investigators
Deena Blackett
Principal Investigator
Medical University of South Carolina
Eligibility Criteria
Inclusion Criteria
- •18-81 years old
- •Native English speaker (English fluency by age 7)
- •Aphasia as a result of a left-hemisphere ischemic or hemorrhagic stroke (WAB-R Aphasia Quotient \< 93.8)
- •At least 1-month post-stroke
- •Confirmation of left hemisphere stroke per medical records
- •Discharged from hospital
- •Participant is willing and able to consent for themselves.
Exclusion Criteria
- •Uncorrected hearing or visual impairment that prevents completion of experimental activities as determined by self-report
- •History of other neurological disorder or disease beside stroke (e.g., dementia, traumatic brain injury) as determined by self-report and/or medical records
- •Self-reported history of premorbid learning disability
- •Severe auditory comprehension deficits (as indicated by a score of more than two standard deviations below norms on the Auditory Verbal section of WAB-R)
Outcomes
Primary Outcomes
Change in the Depression Score on Hospital Anxiety and Depression Scale at Post-Intervention
Time Frame: through intervention completion, an average of 7 weeks
Change in the total depression Hospital Anxiety and Depression Scale scores between baseline and post-treatment (baseline-post-treatment). Minimum score 0, maximum score 21. Positive scores indicate an improvement in symptoms, negative scores indicate a worsening in symptoms.
Change in the Anxiety Score on Hospital Anxiety and Depression Scale at Post-Intervention
Time Frame: through intervention completion, an average of 7 weeks
Change in the total anxiety Hospital Anxiety and Depression Scale scores between baseline and post-treatment (baseline-post-treatment). Minimum score 0, maximum score 21. Positive scores indicate an improvement in symptoms, negative scores indicate a worsening in symptoms.
Secondary Outcomes
- Change in Dynamic Visual Analogue Mood Scales at Post-Intervention(through study completion, an average of 7 weeks)
- Change in Stroke Aphasia Depression Questionnaire - 10 at Post-Intervention(through intervention completion, an average of 7 weeks)
- Change in Behavioural Outcomes of Anxiety Scale at Post-Intervention(through intervention completion, an average of 7 weeks)
- Change in Modified Perceived Stress Scale at Post-Intervention(through intervention completion, an average of 7 weeks)
- Change in Stroke Aphasia Quality of Life - 39 at Post-Intervention(through intervention completion, an average of 7 weeks)
- Change in Communication Confidence Rating Scale for Aphasia at Post-Intervention(through intervention completion, an average of 7 weeks)