~18 spots leftby Jan 2027

Adaptive Naming Treatment Schedules for Aphasia

Recruiting in Palo Alto (17 mi)
WE
Overseen byWilliam Evans, PhD
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Phase 2
Recruiting
Sponsor: University of Pittsburgh
Disqualifiers: Neurological disease, Language comprehension, Drug/alcohol dependence, Mood/behavioral disorders
No Placebo Group
Prior Safety Data

Trial Summary

What is the purpose of this trial?

Aphasia is a language disorder caused by stroke and other acquired brain injuries that affects over two million people in the United States and which interferes with life participation and quality of life. Anomia (i.e., word- finding difficulty) is a primary frustration for people with aphasia. Picture-based naming treatments for anomia are widely used in aphasia rehabilitation, but current treatment approaches do not address the long-term retention of naming abilities and do not focus on using these naming abilities in daily life. The current research aims to evaluate novel anomia treatment approaches to improve long-term retention and generalization to everyday life. This study is one of two that are part of a larger grant. This record is for sub-study 2, which will evaluate the benefits of adaptive trial spacing.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What data supports the effectiveness of the Adaptive Naming Treatment Schedules for Aphasia?

Research shows that using retrieval practice (practicing recalling names) and spacing (spreading out practice sessions) improves naming abilities in people with aphasia. These methods have been found to be more effective than simple repetition, suggesting that the adaptive treatment schedules could be beneficial for improving naming skills.12345

Is the Adaptive Naming Treatment for Aphasia safe for humans?

The research articles provided do not contain specific safety data for the Adaptive Naming Treatment or its variations. They focus on the effectiveness of different treatment approaches for naming deficits in aphasia.24567

How is the Adaptive Naming Treatment for Aphasia different from other treatments?

The Adaptive Naming Treatment for Aphasia is unique because it uses adaptive spacing, which adjusts the timing between practice sessions based on the patient's performance, to enhance learning and retention of word naming. This approach contrasts with traditional methods that use fixed or random intervals, and it incorporates retrieval practice, which has been shown to be more effective than simple repetition in improving naming abilities.12345

Research Team

WE

William Evans, PhD

Principal Investigator

University of Pittsburgh

Eligibility Criteria

This trial is for people who have had a stroke leading to aphasia, a language disorder, and struggle with finding words. They must be at least six months post-stroke, show specific difficulties on the Comprehensive Aphasia Test, and can use telehealth services via high-speed internet. It's not for those with other neurological diseases, severe comprehension issues, uncontrolled substance dependence or serious mood disorders.

Inclusion Criteria

I have had difficulty speaking for over 6 months due to a stroke.
You have trouble with at least two out of eight parts of the Comprehensive Aphasia Test.
Must have access to a high-speed internet connection and be able to participate in telehealth.

Exclusion Criteria

You have trouble understanding and speaking language, based on a specific test score.
I have a severe mood or behavioral disorder that needs special mental health care.
I have a history of a progressive neurological condition.
See 1 more

Trial Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
2 visits (telehealth)

Treatment

Participants receive 10 weeks of computer-based training per condition, including one-on-one and independent practice sessions

10 weeks per condition
30 one-on-one sessions, 96 independent practice sessions (telehealth)

Follow-up

Participants are monitored for safety and effectiveness after treatment with probes administered at baseline and at 1 week, 3 months, and 6 months post-treatment

6 months
24 baseline and follow-up probe sessions (telehealth)

Treatment Details

Interventions

  • Adaptive Spacing Condition (Behavioural Intervention)
  • High-Item Non-Adaptive Spacing Condition (Behavioural Intervention)
  • Low-Item Non-Adaptive Spacing Condition (Behavioural Intervention)
Trial OverviewThe study tests three different ways of scheduling picture-based naming exercises to help improve long-term word recall and usage in daily life for individuals with aphasia. Participants will try adaptive spacing (adjusting intervals based on performance), or one of two fixed schedules with varying amounts of practice items.
Participant Groups
6Treatment groups
Experimental Treatment
Group I: Low-item non-adaptive spacing, then high-item non-adaptive spacing, then adaptive spacingExperimental Treatment3 Interventions
All participants will receive all three naming treatment conditions in a randomized order - this is one possible ordering of those conditions.
Group II: Low-item non-adaptive spacing, then adaptive spacing, then high-item non-adaptive spacingExperimental Treatment3 Interventions
All participants will receive all three naming treatment conditions in a randomized order - this is one possible ordering of those conditions.
Group III: High-item non-adaptive spacing, then low-item non-adaptive spacing, then adaptive spacingExperimental Treatment3 Interventions
All participants will receive all three naming treatment conditions in a randomized order - this is one possible ordering of those conditions.
Group IV: High-item non-adaptive spacing, then adaptive spacing, then low-item non-adaptive spacingExperimental Treatment3 Interventions
All participants will receive all three naming treatment conditions in a randomized order - this is one possible ordering of those conditions.
Group V: Adaptive spacing, then low-item non-adaptive spacing, then high-item non-adaptive spacingExperimental Treatment3 Interventions
All participants will receive all three naming treatment conditions in a randomized order - this is one possible ordering of those conditions.
Group VI: Adaptive spacing, then high-item non-adaptive spacing, then low-item non-adaptive spacingExperimental Treatment3 Interventions
All participants will receive all three naming treatment conditions in a randomized order - this is one possible ordering of those conditions.

Adaptive Spacing Condition is already approved in United States for the following indications:

🇺🇸 Approved in United States as Adaptive Trial Scheduling for:
  • Aphasia
  • Anomia

Find a Clinic Near You

Research Locations NearbySelect from list below to view details:
Language Rehab and Cognition Lab, Department of Communication Sciences and Disorders, School of Health and Rehabilitation Sciences, University of PittsburghPittsburgh, PA
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Who Is Running the Clinical Trial?

University of Pittsburgh

Lead Sponsor

Trials
1820
Patients Recruited
16,360,000+

University of Massachusetts, Amherst

Collaborator

Trials
83
Patients Recruited
3,474,000+

National Institute on Deafness and Other Communication Disorders (NIDCD)

Collaborator

Trials
377
Patients Recruited
190,000+

Findings from Research

Applying adaptive distributed practice to self-managed computer-based anomia treatment: A single-case experimental design.Quique, YM., Cavanaugh, R., Lescht, E., et al.[2022]
Retrieval practice significantly improves naming performance in people with aphasia compared to traditional repetition training, with benefits observed even one month after treatment.
Spacing training sessions (intervening trials) enhances learning outcomes more effectively than massing them together, indicating that both retrieval practice and spacing are important for effective speech-language therapy.
Retrieval practice and spacing effects in multi-session treatment of naming impairment in aphasia.Middleton, EL., Rawson, KA., Verkuilen, J.[2021]
Response Time Inconsistencies in Object and Action Naming in Anomic Aphasia.Galletta, EE., Goral, M.[2019]
Comparing fixed- and randomized-interval spaced retrieval in anomia treatment.Morrow, KL., Fridriksson, J.[2013]
The use of semantic- and phonological-based feature approaches to treat naming deficits in aphasia.Hashimoto, N.[2012]
Beyond Percent Correct: Measuring Change in Individual Picture Naming Ability.Walker, GM., Basilakos, A., Fridriksson, J., et al.[2022]
Model-based semantic treatment for naming deficits in aphasia.Drew, RL., Thompson, CK.[2019]

References

Applying adaptive distributed practice to self-managed computer-based anomia treatment: A single-case experimental design. [2022]
Retrieval practice and spacing effects in multi-session treatment of naming impairment in aphasia. [2021]
Response Time Inconsistencies in Object and Action Naming in Anomic Aphasia. [2019]
Comparing fixed- and randomized-interval spaced retrieval in anomia treatment. [2013]
The use of semantic- and phonological-based feature approaches to treat naming deficits in aphasia. [2012]
Beyond Percent Correct: Measuring Change in Individual Picture Naming Ability. [2022]
Model-based semantic treatment for naming deficits in aphasia. [2019]