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Objective: The purpose of this study was to compare before- and after-scores of speech and language abilities, and quality of life of Thai people with aphasia.
Material and Methods: A cross-sectional study was conducted at the Speech Clinic in Ramathibodi Hospital from July 2016 to March 2017. Participants were 11 Thai people with aphasia. They received group therapy for three hours per session, for eight sessions, within three to five months. The measurement of speech and language abilities was assessed using the Thai Adaptation of the Western Aphasia Battery (WAB). The measurement of quality of life was assessed using the Thai version of the Stroke Impact Scale (SIS) 3.0. The results were analyzed using descriptive statistics and a paired samples t-test for comparisons of the mean scores before and after group therapy.
Results: Of the participants, there were 8 males (72.8%) and 3 females (27.3%) with aphasia. They ranged in age from 27 to 68, with a mean age of 48.55±13.42 years. Results showed that the differences in the improvements of speech and language abilities scores and quality of life scores of these participants after group therapy were significant and higher than their scores before group therapy (p-value<0.01).
Conclusion: Group therapy may be an efficient and effective way to rehabilitate the speech and language abilities and quality of life of Thai people with aphasia.
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2. Basso A, Forbes M, Boller F. Rehabilitation of aphasia. Handb Clin Neurol 2013;110:325-34.
3. Goodglass H, Kaplan E. The assessment of aphasia and related disorders. 2nd ed. Philadelphia: Lea & Febiger; 1983.
4. Brady MC, Kelly H, Godwin J, Enderby P, Campbell P. Speech and language therapy for aphasia following stroke. Cochrane Database Syst Rev 2016;5:1-397.
5. Engelter ST, Gostynski M, Papa S, Frei M, Born C, Ajdacic Gross V, et al. Epidemiology of aphasia attributable to first ischemic stroke: incidence, severity, fluency, etiology, and thrombolysis. Stroke 2006;37:1379-84.
6. Laska AC, Hellblom A, Murray V, Kahan T, Von Arbin M. Aphasia in acute stroke and relation to outcome. J Intern Med 2001;249:413-22.
7. Spaccavento S, Craca A, Del Prete M, Falcone R, Colucci A, Di Palma A, et al. Quality of life measurement and outcome in aphasia. Neuropsychiatr Dis Treat 2014;10:27-37.
8. Intercollegiate Stroke Working Party. National clinical guideline for stroke. 3rd ed. London: Royal College of Physicians; 2008.
9. Parr S. Living with severe aphasia: tracking social exclusion. Aphasiology 2007;21:98-123.
10. Ross K, Wertz R. Quality of life with and without aphasia. Aphasiology 2003;17:355-64.
11. Hinckley JJ. Vocational and social outcomes of adults with chronic aphasia. J Commun Disord 2002;35:543-60.
12. Tanner DC. Eclectic perspectives on the psychology of aphasia. J Allied Health 2003;32:256-60.
13. Kauhanen ML, Korpelainen JT, Hiltunen P, Maatta R, Mononen H, Brusin E, et al. Aphasia, depression, and non verbal cognitive impairment in ischaemic stroke. Cerebrovasc Dis 2000;10:455-61.
14. Hilari K, Klippi A, Constantinidou F, Horton S, Penn C, Raymer A, et al. An international perspective on quality of life in aphasia: a survey of clinician views and practices from sixteen countries. Folia Phoniatr Logop 2015;67:119-30.
15. Hinckley JJ. Investigating the predictors of lifestyle satisfaction among younger adults with chronic aphasia. Aphasiology 1998;12:509-18.
16. ASHA’s Cultural Competence Practice Portal Team editors. Aphasia [monograph on the Internet]. c1997-2016 [cited 2016 Jan 20]. Available from: https://www.asha.org/PRPSpecificTopic.aspx?folderid=8589934663§ion=Treatment
17. Rosenbek JC, LaPointe LL, Wertz RT. Aphasia: a clinical approach. Boston: Little, Brown and Company; 1989.
18. Cermak C. The efficacy of group therapy for adults with chronic aphasia. Poster session presented at: 7th Annual Research Day; 2011; School of Communication Sciences and Disorders, Western University, Ontario, Canada. Ontario: Western University;2011.
19. Lyon JG. Communication use and participation in life for adults with aphasia in natural settings. Am J Speech Lang Pathol 1992;1:7-14.
20. Elman RJ, Bernstein-Ellis E. The efficacy of group communication treatment in adults with chronic aphasia. J Speech Lang Hear Res 1999;42:411-9.
21. Brookshire RH. Introduction to neurogenic communication disorders. 8th ed. Saint Louis: Mosby Elsevier; 2015.
22. Aten JL, Caligiuri MP, Holland AL. The efficacy of functional communication therapy for chronic aphasic patients. J Speech Hear Disord 1982;47:93-6.
23. Bollinger RL, Musson ND, Holland AL. A study of group communication intervention with chronically aphasic persons. Aphasiology 1993;7:301-13.
24. Ross A, Winslow I, Marchant P, Brumfitt S. Evaluation of communication, life participation and psychological well being in chronic aphasia: the influence of group intervention. Aphasiology 2006;20:427-48.
25. Fama ME, Baron CR, Hatfield B, Turkeltaub PE. Group therapy as a social context for aphasia recovery: a pilot, observational study in an acute rehabilitation hospital. Top Stroke Rehabil 2016;23:276-83.
26. Layfield CA, Ballard KJ, Robin DA. Evaluating group therapy for aphasia: what is the evidence? EBP Briefs 2013;7:1-17.
27. Kearns KP, Elman RJ. Group therapy for aphasia: theoretical and practical considerations. In: Chapey R, editor. Language intervention strategies in aphasia and related neurogenic communication disorders. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2008;p.376–400.
28. Wertz RT, Collins MJ, Weiss D, Kurtzke JF, Friden T, Brookshire RH, et al. Veterans administration cooperative study on aphasia: a comparison of individual and group treatment. J Speech Hear Res 1981;24:580-94.
29. Van Der Gaag A, Smith L, Davis S, Moss B, Cornelius V, Laing S, et al. Therapy and support services for people with long-term stroke and aphasia and their relatives: a sixmonth follow-up study. Clin Rehabil 2005;19:372-80.
30. Dardarananda R, Potisuk S, Gandour J, Holasuit S. Thai Adaptation of the Western Aphasia Battery (WAB). Chiang Mai Med J 1995;34:157-9.
31. Khampolsiri T. A home-based nursing intervention for enhancing quality of life of stroke survivors (Dissertation). Chiang Mai:Chiang Mai University; 2006.
32. Barfod V, editor. Western Aphasia Battery: in depth review [homepage on the Internet]. Montreal: Canadian Partnership for Stroke Recovery; 2013 [cited 2016 Jan 30]. Available from:https://www.strokengine.ca/en/indepth/in-depth-review-ofthe-wab/
33. Cruice M, Worrall L, Hickson L, Murison R. Finding a focus for quality of life with aphasia: social and emotional health, and psychological well-being. Aphasiology 2003;17:333-53.
34. Worrall L, Holland A. Editorial: quality of life in aphasia. Aphasiology 2003;17:329-32.