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Forudsigelse af rehabiliteringsresultater ved tosproget afasi ved hjælp af beregningsmodellering (PROCoM)

15. oktober 2026 opdateret af: Boston University Charles River Campus

Dobbelt-blind randomiseret forsøg, der undersøger brugen af ​​beregningsmodeller til at forudsige rehabiliteringsresultater ved tosproget afasi

The purpose of this investigation is to implement a computational model that can predict and optimize training and cross-language generalization patterns for bilingual persons with aphasia (BPA). The proposed work will determine the best possible treatment program for each individual patient even before they are rehabilitated. In addition, the computational model allows specification of variables such as age of acquisition, language exposure/proficiency, impairment and their systematic influence on a range of language rehabilitation outcomes.

Studieoversigt

Status

Afsluttet

Betingelser

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

51

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • California
      • San Francisco, California, Forenede Stater, 94132
        • San Francisco State University
    • Massachusetts
      • Boston, Massachusetts, Forenede Stater, 02215
        • Boston University Sargent College
    • Texas
      • Austin, Texas, Forenede Stater, 78757
        • Austin Speech Labs

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 85 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Any number of years of education
  • Bilingual: speaking both Spanish and English (or Chinese and English) with any degree of language proficiency prior to stroke
  • Aphasia secondary to a left-hemisphere stroke (diagnosed by a neurologist on the basis of clinical CT/MRI imaging or medical reports)
  • Aphasia resulting from stroke or dementia
  • Naming deficits must be present with concurrent lexical/semantic impairment
  • Visual and auditory acuity sufficient for all assessment and treatment procedures
  • Ability to understand study and follow study procedures for the entire length of the study

Exclusion Criteria:

  • Premorbid history of speech/language disorder
  • Proficient in more than just Spanish and English (or Chinese and English)
  • Overt, behaviorally noticeable, attentional limitations that interfere with completing the experimental tasks
  • Active medical disease that may compromise participation (e.g., cancer undergoing acute treatment, unstable diabetes, renal or hepatic insufficiency, fluctuating systemic immunological disease such as systemic lupus erythematosis, etc.)
  • Currently taking medications that are known to exert significant effects on cognitive processes, such as neuroleptics, steroids, anticholinesterase inhibitors, etc.
  • Current drug or alcohol use or dependence that would interfere with adherence to study requirements, in the opinion of the principal investigator
  • Inability or unwillingness of individual to give written informed consent
  • Diagnosed with mental illness other than active depression
  • Neurological condition other than that which resulted in aphasia

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Model-based

Semantic Feature Analysis training will be provided in the language that was selected by the computational model.

SFA training entails having the speech-language pathologist (SLP) guide the participant through generation of pertinent semantic features for pictured treatment items (e.g., category membership, physical description, location of item in context, action associated with item). Treatment is applied to a set of items in the context of single-subject, multiple baseline designs so that replication of treatment effects could be evaluated within and across participants. Treatment will be administered two times per week until prescribed accuracy levels were met during treatment probes or a maximum number of treatment sessions was completed.

Aktiv komparator: Model-opposite

Semantic Feature Analysis training will be provided in the language opposite to that which was selected by the computational model.

SFA training entails having the speech-language pathologist (SLP) guide the participant through generation of pertinent semantic features for pictured treatment items (e.g., category membership, physical description, location of item in context, action associated with item). Treatment is applied to a set of items in the context of single-subject, multiple baseline designs so that replication of treatment effects could be evaluated within and across participants. Treatment will be administered two times per week until prescribed accuracy levels were met during treatment probes or a maximum number of treatment sessions was completed.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Word Retrieval Accuracy in English and Spanish
Tidsramme: Through study completion, an average of 10 weeks

Accuracy of naming black and white pictures that are both trained and untrained in English and Spanish will be assessed in naming tests. These tests were conducted repeatedly throughout the study, from baseline (prior to treatment) to the end of treatment. All naming responses were scored using as correct or incorrect. Proportion accuracy was calculated for each set of items for every testing session. Baseline scores were compared to end of treatment scores to obtain individual effect sizes for each sets of items for each participant.

Through study completion, an average of 10 weeks

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Psycholinguistic Assessments of Language Processing in Aphasia (PALPA) in Both Languages
Tidsramme: Baseline, post-treatment (on average 10 weeks)

The PALPA/Evaluación del Procesamiento Lingüístico en la Afasia (EPLA) is a standardized assessment for reading simple words and spoken words in both English and Spanish out of 30 words.

Baseline, post-treatment (on average 10 weeks)
Boston Naming Test (BNT) in Both Languages
Tidsramme: Baseline, post-treatment (on average 10 weeks)

The BNT is a standardized naming assessment that includes 60 pictures that can be named in either English or Spanish.

Baseline, post-treatment (on average 10 weeks)
Western Aphasia Battery (WAB-R) in Both Languages
Tidsramme: Baseline, post-treatment (on average 10 weeks)

Western Aphasia Battery:The WAB-R is a standardized, gold-standard assessment for determining the presence, type, and severity of post-stroke aphasia, with excellent reliability and validity. The WAB-R measures performance across a variety of expressive and receptive language domains and takes approximately 45-60 minutes to administer. Weighted performance across four of these domains - spontaneous speech, auditory verbal comprehension, repetition, and naming/word finding - yields a composite score, the WAB-R Aphasia Quotient (AQ). The WAB-R AQ is an impairment-based metric that reliably indexes aphasia severity across different aphasia subtypes. Range is 0 t0 100.

Baseline, post-treatment (on average 10 weeks)
Pyramids and Palm Trees Test (PAPT) 3 Pictures Version
Tidsramme: Baseline, post-treatment (on average 10 weeks)

The Pyramids and Palm Trees is a non-verbal (language-independent) semantic processing assessment that includes 3 pictures of which the person has to decide which two go together. There are 52 items in this test with a range of 1-52.

Baseline, post-treatment (on average 10 weeks)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: Swathi Kiran, PhD, Boston University

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

20. april 2018

Primær færdiggørelse (Faktiske)

31. maj 2024

Studieafslutning (Faktiske)

31. december 2024

Datoer for studieregistrering

Først indsendt

16. september 2016

Først indsendt, der opfyldte QC-kriterier

26. september 2016

Først opslået (Anslået)

27. september 2016

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

5. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

15. oktober 2026

Sidst verificeret

1. oktober 2026

Mere information

Begreber relateret til denne undersøgelse

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