To update a previous systematic review describing the effect of communication partner training on individuals with aphasia and their communication partners, with clinical questions addressing effects of partner training on language, communication activity/participation, psychosocial adjustment, and quality of life.
Twelve electronic databases were searched using 23 search terms. References from relevant articles were hand searched.
Three reviewers independently reviewed abstracts, excluding those that failed to meet inclusion criteria. Thirty-two full text articles were reviewed by 2 independent reviewers. Articles not meeting inclusion criteria were eliminated, resulting in a corpus of 25 articles for full review.
For the 25 articles, 1 reviewer extracted descriptive data regarding participants, intervention, outcome measures, and results. A second reviewer verified the accuracy of the extracted data.
The 3-member review team classified studies using the American Academy of Neurology levels of evidence. Two independent reviewers evaluated each article using design-specific tools to assess research quality.
All 25 of the current review articles reported positive changes from partner training. Therefore, to date, 56 studies across 2 systematic reviews have reported positive outcomes from communication partner training in aphasia. The results of the current review are consistent with the previous review and necessitate no change to the earlier recommendations, suggesting that communication partner training should be conducted to improve partner skill in facilitating the communication of people with chronic aphasia. Additional high-quality research is needed to strengthen the original 2010 recommendations and expand recommendations to individuals with acute aphasia. High-quality clinical trials are also needed to demonstrate implementation of communication partner training in complex environments (eg, health care).
List of abbreviations:AAN (American Academy of Neurology), PEDro (Physiotherapy Evidence Database), PWA (persons with aphasia), SCED (Single Case Experimental Design)
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Archives of Physical Medicine and Rehabilitation
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Staging communication supports across the health care continuum.in: Simmons-Mackie N. King J. Beukelman D. Supporting communication for adults with acute and chronic aphasia. Paul Brookes, Baltimore2013: 99-144
- Partner training in aphasia: a systematic review.Arch Phys Med Rehabil. 2010; 91: 1814-1837
- Systematic review of communication partner training in aphasia: methodological quality.Int J Speech Lang Pathol. 2013; 15: 535-545
- International classification of functioning, disability and health: ICF.World Health Organization, Geneva2001
- Counting what counts: a framework for capturing real-life outcomes of aphasia intervention.Aphasiology. 2008; 22: 258-280
- Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement.Ann Intern Med. 2009; 151: 264-269
- Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) 2015 statement.Syst Rev. 2015; 4: 1
- Clinical practice guideline process manual, 2011 edition.American Academy of Neurology, St Paul2011
- PEDro: a database of randomized controlled trials in physiotherapy.Health Inf Manag. 1998-1999; 28: 186-188
- Rating the methodological quality of single subject designs and n-of-1 trials: introducing the Single-Case Experimental Design (SCED) Scale.Neuropsychol Rehabil. 2008; 18: 385-401
- Reliability of the PEDro scale for rating quality of randomized controlled trials.Phys Ther. 2003; 83: 713-721
- The PEDro scale provides a more comprehensive measure of methodological quality than the Jadad scale in stroke rehabilitation literature.J Clin Epidemiol. 2005; 58: 668-673
- Revision of a method quality rating scale for single-case experimental designs and n-of-1 trials: The 15-item Risk of Bias in N-of-1 Trials (RoBiNT) Scale.Neuropsychol Rehabil. 2013; 23: 619-638
- Teaching nursing assistant students about aphasia and communication.Semin Speech Lang. 2011; 32: 243-255
- Partners' self-perceptions of the use of different communication strategies during total communication intervention.Aphasiology. 2011; 25: 1523-1542
- Training total communication.Aphasiology. 2011; 25: 344-365
- Self-perceptions of functional communication performance during total communication intervention.Aphasiology. 2012; 26: 826-846
- Communication style before and after aphasia: a study among Finnish population.Aphasiology. 2014; 28: 359-376
- Focus on communication: increasing the opportunity for successful staff-patient interactions.Int J Older People Nurs. 2011; 6: 13-24
- The development and evaluation of a training programme for nurses working with persons with communication disorders in a complex continuing care facility.Aphasiology. 2010; 24: 1511-1536
- Implementation of supported conversation for communication between nursing staff and in-hospital patients with aphasia.Aphasiology. 2015; 29: 57-80
- Establishing alignment in aphasia couples therapy in a woman with Wernicke's aphasia: a case study.Commun Disord Q. 2015; 36: 219-230
- Alternative Service delivery model: a group communication training series for partners of persons with aphasia.Perspect Neurophysiol Neurogenic Speech Lang Disord. 2014; 24: 114-117
- A multiple-case study of a family-oriented intervention practice in the early rehabilitation phase of persons with aphasia.Aphasiology. 2013; 27: 201-226
- Supporting partners of people with aphasia in relationships and conversation (SPPARC).Speechmark, Bicester2001
- Supported conversation for adults with aphasia: methods and resources for training conversation partners.Aphasiology. 1998; 12: 816-830
- The Communication Partner Scheme: a project to develop long-term, low-cost access to conversation for people living with aphasia.Aphasiology. 2009; 23: 52-71
- Aphasia Couples Therapy (ACT) workbook.Plural Publishing, San Diego2009
- Communication therapy for people with aphasia and their partners (APPUTE).Aphasiology. 2013; 27: 1159-1179
- Preliminary analysis from a novel treatment targeting the exchange of new information within storytelling for people with nonfluent aphasia and their partners.Aphasiology. 2015; 29: 1383-1408
- Western Aphasia Battery – revised.Pearson Publishing, San Antonio2006
- Comprehensive Aphasia Test.Psychology Press, East Sussex2004
- The communicative effectiveness index: development and psychometric evaluation of a functional communication measure for adult aphasia.J Speech Hear Disord. 1989; 54: 113-124
- A set of observational measures for rating support and participation in conversation between adults with aphasia and their conversation partners.Top Stroke Rehabil. 2004; 11: 67-83
- The American Speech-Language-Hearing Association Quality of Communication Life Scale (QCL).American Speech-Language-Hearing Association, Rockville2004
- Addressing the long-term impacts of aphasia: how far does the conversation partner programme go?.Aphasiology. 2015; 29: 889-913
- Measuring outcomes in aphasia research: a review of current practice and an agenda for standardisation.Aphasiology. 2014; 28: 1364-1384
- Time for a step change? Improving the efficiency, relevance, reliability, validity and transparency of aphasia rehabilitation research through core outcome measures, a common data set and improved reporting criteria.Aphasiology. 2014; 28: 1385-1392
- Advancing effective communication, cultural competence, and patient- and family-centered care: a roadmap for hospitals.The Joint Commission, Oakbrook Terrace2010
Cameron A, McPhail S, Hudson K, Fleming J, Lethlean J, Finch E. Increasing the confidence and knowledge of occupational therapy and physiotherapy students when communicating with people with aphasia: a pre-post intervention study. Speech Lang Hear 2015;18:148-55.
- Conversation therapy for agrammatism: exploring the therapeutic process of engagement and learning by a person with aphasia.Int J Lang Commun Disord. 2013; 48: 220-239
- Enabling better conversations between a man with aphasia and his conversation partner: incorporating writing into turn taking.Res Lang Soc Interact. 2014; 47: 292-305
- Conversation focused aphasia therapy: investigating the adoption of strategies by people with agrammatism.Aphasiology. 2015; 29: 355-377
- Conversational treatment in mild aphasia: a case study.Aphasiology. 2009; 23: 951-964
- Conversation partner training with spouses of persons with aphasia: a pilot study using a protocol to trace relevant characteristics.Aphasiology. 2013; 27: 271-292
- An interaction-focused intervention approach to training everyday communication partners: a single case study.Aphasiology. 2015; 29: 378-399
- The implementation of a learner-centred conversation training programme for spouses of adults with aphasia in a community setting.Aphasiology. 2014; 28: 731-749
- Implementing and evaluating aphasia therapy targeted at couples' conversations: a single case study.Aphasiology. 2010; 24: 869-886
- Interaction-focused intervention for acquired language disorders: facilitating mutual adaptation in couples where one partner has aphasia.Int J Speech Lang Pathol. 2011; 13: 74-87
- Development of a reliable, self-report outcome measure for pragmatic trials of communication therapy following stroke: the Communication Outcome after Stroke (COAST) scale.Clin Rehabil. 2008; 22: 1083-1094
- Boston Diagnostic Aphasia Examination.3rd ed. Linguisystems, Austin2001
Published online: April 23, 2016
© 2016 by the American Congress of Rehabilitation Medicine