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Chronic Aphasia: Life After Treatment

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Unanswered<br />

Questions/<br />

Future Research<br />

3. What types of outcome measures<br />

best document non-traditional<br />

improvements in both PWAs and<br />

caregivers: including quality of life,<br />

stress, burden, depression, and other<br />

psychosocial outcomes?<br />

References<br />

American Stroke Association (2005). Heart disease and stroke statistics<br />

2005 update. Retrieved March 24, 2008, from<br />

www.americanheart.org.<br />

Barthel, G., Meinzer, M., Djundja, D., & Rockstroh, B. (2008).<br />

Intensive language therapy in chronic aphasia: Which aspects<br />

contribute most? Aphasiology, 22(4): 408-421.<br />

Centers for Disease Control (1999, August), Achievements in public<br />

health, 1900-1999. Morbididty and Morality Weekly Report, 48<br />

(30).<br />

Chapey, R. (Ed.) (2008). Language Intervention in Adult <strong>Aphasia</strong>. 5 th<br />

Edition. Baltimore: Williams and Wilkins.<br />

Cherney, L., & Robey, R. (2008). <strong>Aphasia</strong> treatment: Recovery,<br />

prognosis, and clinical effectiveness. In R. Chapey (Ed.),<br />

Language Intervention in Adult <strong>Aphasia</strong> (5 th ed.), (pp. 148-172).<br />

Baltimore: Williams and Wilkins.<br />

Clark, N., & Rakowski, W. (1983). Family caregivers of older<br />

adults: Improving helping skills. The Gerentologist, 23(6), 637-<br />

642.<br />

1. Further research needs to focus on<br />

well-defined therapy methods for<br />

specific types of aphasics both at the<br />

acute and chronic stages using higher<br />

levels of evidence.<br />

2. How can we help acute and chronic<br />

PWAs and caregivers cope with<br />

communication changes despite<br />

degree of improvement?<br />

4. What therapy techniques facilitate<br />

communication in a variety of living<br />

settings (home, skilled living, nursing<br />

home)?<br />

5. What is the cost effectiveness of<br />

various therapy approaches for<br />

PWAs and caregivers?<br />

References<br />

Darley, F. L. (1972). The efficacy of language rehabilitation in<br />

aphasia. Journal of Speech and Hearing Disorders, 37, 3-21.<br />

Fox, L., Poulsen, S., Bawden, K., & Packard, D. (2004). Critical<br />

elements and outcomes of a residential family-based<br />

intervention for aphasia caregivers. Apahsiology, 18(12), 1177-<br />

1199.<br />

Fink, R., & Schwartz, M. (2000). MossRehab <strong>Aphasia</strong> Center: A<br />

collaborative model for long term rehabilitation. Topics in<br />

Stroke Rehabilitation, 7(2), 32-43.<br />

Frattali, C. (1998). Measuring Outcomes in Speech-Language Pathology.<br />

New York: Thieme.<br />

Golper, L. & Brown, K. (2007). Applying evidence to clinical<br />

practice. In R. Lubinski, L. Golper, & C. Frattali (Ed.),<br />

Professional Issues in Speech-Language Pathology and Audiology (3 rd<br />

ed.), (pp. 560-576). NY: Thomson Delmar Learning.<br />

5/5/2008<br />

5

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