Communication Book in Pragmatic Communication in Vascular Aphasics (APHACOM)

Evaluation of the Effectiveness of a Communication Book in Pragmatic Communication in Vascular Aphasics During the First Year Post-Stroke

This study aims to evaluate, in communication tasks, the pragmatic effectiveness of the communication book in the general conditions of use and its maintenance in the implementation of the compensatory strategies of communication in severe aphasias.

Study Overview

• Status: Completed
• Conditions: Communication; Aphasia
• Intervention / Treatment: Other: Communication book group; Other: Control group

Detailed Description

Data from the literature have demonstrated the effectiveness of speech therapy in aphasic vascular. In the face of sequelae, particularly in the most serious aphasia, a palliative approach aims to increase the functional effectiveness of communication in everyday life. The communication book has been developed in this perspective, addressing aphasics whose language communication skills are greatly reduced. Early use in this trial is warranted by implantation prior to the onset of potentially deleterious compensatory mechanisms seen in the late-stage aphasic sequelae.

This study aims to evaluate, in communication tasks, the pragmatic effectiveness of the communication book in the general conditions of use and its maintenance in the implementation of the compensatory strategies of communication in severe aphasias.

• Study Type: Observational
• Enrollment (Actual): 34

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients will be recruited from the six participating neurological rehabilitation centers, each of which has significant recruitment of aphasic subjects and has a specialized team in the management of language disorders.

Description

Inclusion Criteria:

• Informed consent after information. Information is also given to the person of trust when it exists.
• aphasic subjects admitted to hospital or seen in consultation following a 1st ischemic or hemorrhagic symptomatic vascular accident constituted
• during the first year of onset of aphasia
• adults over 18 years old
• French
• phasic disorder of severe severity expression (overall severity score between 0 and 2 at the diagnostic battery for the assessment of aphasia scale)
• residual ability to understand clinical assessments and informed consent; information about the objectives and the procedure of the research will also be given to the patient's designated confidant
• motor capacity for comfortable sitting and transfers with help
• affiliation to health insurance
• no deficits in visual perceptual tests (researched using the visual decision of objects and Montreal protocol for the evaluation of visual gnosis), which allows the use of the communication book,

Exclusion Criteria:

• refusal or impossibility of consent
• disturbance of vigilance
• insane state
• psychiatric history requiring hospitalization in a specialized environment
• perceptual disturbance, visual agnosia not allowing the use of the image support
• pregnancy or breastfeeding
• administration after the occurrence of stroke of a product for which an effect on the recovery of aphasia has been reported: piracetam, bromocriptine, donepezil, dextroamphetamine (if treatment with these products has been performed, inclusion is possible after a weaning period of 15 days)
• simultaneous inclusion in another therapeutic protocol of language disorders

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Communication book group; Speech therapy with communication book	Other: Communication book group; Communication book
Control group; Simple speech therapy	Other: Control group; Simple speech therapy

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number of successful tasks in the communication book	Communication book of Gonzales et al, with 6 tasks	At Day 45 after stroke
Number of successful tasks in the communication book	Communication book of Gonzales et al, with 6 tasks	At Day 90 after stroke

Collaborators and Investigators

• Sponsor: University Hospital, Bordeaux
• Investigators: Principal Investigator: Pierre-Alain JOSEPH, Pr, University Hospital, Bordeaux

Study record dates

Study Major Dates

• Study Start (Actual): February 17, 2009
• Primary Completion (Actual): February 10, 2012
• Study Completion (Actual): February 10, 2012

Study Registration Dates

• First Submitted: August 26, 2019
• First Submitted That Met QC Criteria: August 26, 2019
• First Posted (Actual): August 28, 2019

Study Record Updates

• Last Update Posted (Actual): August 28, 2019
• Last Update Submitted That Met QC Criteria: August 26, 2019
• Last Verified: August 1, 2019

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Nervous System Diseases; Neurologic Manifestations; Neurobehavioral Manifestations; Language Disorders; Communication Disorders; Speech Disorders; Aphasia
• Other Study ID Numbers: CHUBX 2008/10

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO