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Comparison of Clinic, Home, and Deferred Language Treatment for AphasiaA Veterans Administration Cooperative Study
Robert T. Wertz, PhD;
David G. Weiss, PhD;
James L. Aten, PhD;
Robert H. Brookshire, PhD;
Luis García-Buñuel, MD;
Audrey L. Holland, PhD;
John F. Kurtzke, MD;
Leonard L. LaPointe, PhD;
Franklin J. Milianti, PhD;
Richard Brannegan, MD;
Howard Greenbaum, MD;
Robert C. Marshall, PhD;
Deanie Vogel, PhD;
John Carter, MD;
Norman S. Barnes, PhD;
Roy Goodman, MD
Arch Neurol. 1986;43(7):653-658.
Abstract
• Aphasic patients who met stringent selection criteria were assigned randomly to three groups: clinic treatment by a speech pathologist for 12 weeks, followed by 12 weeks of no treatment; home treatment by a trained volunteer for 12 weeks, followed by 12 weeks of no treatment; or deferred treatment for 12 weeks, followed by 12 weeks of treatment by a speech pathologist. At 12 weeks after entry, language measures indicated that the clinic-treatment patients made significantly more improvement than did the deferred-treatment patients, and improvement in home-treatment patients did not differ significantly from either clinic- or deferred-treatment patients. At 24 weeks after entry, after deferred-treatment patients had received clinic treatment, there were no significant differences among the groups. These results suggest that clinic treatment for aphasia is efficacious, and delaying treatment for 12 weeks does not compromise ultimate improvement.
Author Affiliations
From the Audiology and Speech Pathology Service (ASPS), Veterans Administration Medical Center (VAMC), Martinez, Calif (Dr Wertz); Cooperative Studies Program Coordinating Center, VAMC, Perry Point, Md (Dr Weiss); ASPS (Dr Aten) and Neurology Service (Dr Greenbaum), VAMC, Long Beach, Calif; Speech Pathology Section, VAMC, Minneapolis (Dr Brookshire); Chief of Staff, VAMC, Phoenix (Dr García-Buñuel); Department of Speech, University of Pittsburgh (Dr Holland); ASPS (Dr Barnes) and Neurology Service (Drs Kurtzke and Goodman), VAMC, Washington, DC; Department of Speech and Hearing Science, Arizona State University, Tempe (Dr LaPointe); ASPS (Dr Milianti) and Neurology Service (Dr Brannegan), VAMC, Hines, Ill; ASPS, VAMC, Portland, Ore (Dr Marshall); ASPS, VAMC, San Antonio, Tex (Dr Vogel); and Departments of Medicine and Neurology, University of Texas Health Sciences Center, San Antonio, Tex (Dr Carter).
Footnotes
Accepted for publication Jan 9, 1986.
Read before the 22nd Annual Meeting of the Academy of Aphasia, Los Angeles, Oct 30, 1985.
Reprint requests to Audiology and Speech Pathology Service, Veterans Administration Medical Center, 150 Muir Rd, Martinez, CA 94553 (Dr Wertz).
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