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A thesis submitted in partial fulfilment of - Queen Margaret University

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Therefore it appears that the recall <strong>of</strong> skills was one <strong>of</strong> the most difficult tasks for<br />

participants to perform. However, as these tasks were similar to those <strong>in</strong>volved<br />

<strong>in</strong> the recall <strong>of</strong> the new vocabulary, it suggests that participants found the skills<br />

most difficult to learn. Overall as might have been anticipated, the easiest tasks<br />

for participants to demonstrate learn<strong>in</strong>g (immediate recall) were those tasks that<br />

did not require spoken or written output, i.e. recognition, completion and wordpicture<br />

match<strong>in</strong>g tasks. Conversely, the most difficult tasks to facilitate the<br />

demonstration <strong>of</strong> learn<strong>in</strong>g appeared to be those that required spoken or written<br />

output, i.e. spoken and written nam<strong>in</strong>g and read<strong>in</strong>g aloud suggest<strong>in</strong>g a direct<br />

relation to the severity <strong>of</strong> aphasia. This was also reflected <strong>in</strong> the demonstration<br />

<strong>of</strong> reta<strong>in</strong>ed learn<strong>in</strong>g <strong>of</strong> the new words <strong>in</strong> delayed recall assessment tasks.<br />

5.19 CHAPTER SUMMARY<br />

The recruitment criteria and procedure for participants for the ma<strong>in</strong> <strong>in</strong>vestigation<br />

were presented <strong>in</strong> this chapter as well as a brief summary <strong>of</strong> the tra<strong>in</strong><strong>in</strong>g and<br />

assessment procedure (see section 5.2). The ma<strong>in</strong> <strong>in</strong>vestigation results were<br />

then reported. These results have established that people with aphasia can<br />

learn new vocabulary despite the presence <strong>of</strong> aphasia. This ability was then<br />

compared and contrasted qualitatively with the normal population (see section<br />

5.3.1). A case series presented the personal pr<strong>of</strong>iles <strong>of</strong> all participants<br />

<strong>in</strong>dividually and demonstrated their <strong>in</strong>dividual abilities to learn the new words<br />

(see section 5.4). This data <strong>in</strong>dicated a wide range <strong>of</strong> background, ability and<br />

impairments with<strong>in</strong> this aphasic population which was reflected <strong>in</strong> the variation <strong>in</strong><br />

their learn<strong>in</strong>g performance. Factors considered to affect the learn<strong>in</strong>g <strong>of</strong> new<br />

vocabulary were then <strong>in</strong>vestigated us<strong>in</strong>g hierarchical cluster analysis and<br />

statistical correlations. These factors <strong>in</strong>cluded personal attributes (i.e. age, years<br />

<strong>in</strong> education, months post-stroke, anxiety and depression rat<strong>in</strong>gs), cognitive<br />

abilities (i.e. attention, memory, executive functions, visuospatial skills, clock<br />

233

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