Writing Treatment for Aphasia: A Texting Approach PurposeTreatment studies have documented the therapeutic and functional value of lexical writing treatment for individuals with severe aphasia. The purpose of this study was to determine whether such retraining could be accomplished using the typing feature of a cellular telephone, with the ultimate goal of using text messaging for communication.MethodA ... Article
Article  |   June 01, 2013
Writing Treatment for Aphasia: A Texting Approach
 
Author Affiliations & Notes
  • Pélagie M. Beeson
    University of Arizona, Tucson
  • Kristina Higginson
    University of Arizona, Tucson
  • Kindle Rising
    University of Arizona, Tucson
  • Correspondence to Pélagie M. Beeson: pelagie@u.arizona.edu
  • Editor and Associate Editor: Janna Oetting
    Editor and Associate Editor: Janna Oetting×
Article Information
Language Disorders / Aphasia / Attention, Memory & Executive Functions / Language
Article   |   June 01, 2013
Writing Treatment for Aphasia: A Texting Approach
Journal of Speech, Language, and Hearing Research, June 2013, Vol. 56, 945-955. doi:10.1044/1092-4388(2012/11-0360)
History: Received December 29, 2011 , Accepted September 13, 2012
 
Journal of Speech, Language, and Hearing Research, June 2013, Vol. 56, 945-955. doi:10.1044/1092-4388(2012/11-0360)
History: Received December 29, 2011; Accepted September 13, 2012
Web of Science® Times Cited: 6

PurposeTreatment studies have documented the therapeutic and functional value of lexical writing treatment for individuals with severe aphasia. The purpose of this study was to determine whether such retraining could be accomplished using the typing feature of a cellular telephone, with the ultimate goal of using text messaging for communication.

MethodA 31-year-old man with persistent Broca's aphasia, severe apraxia of speech, global dysgraphia, and right hemiparesis participated in this study. Using a multiple baseline design, relearning and maintenance of single-word spellings (and oral naming) of targeted items were examined in response to traditional Copy and Recall Treatment (CART) for handwriting and a new paradigm using 1-handed typing on a cell phone keyboard (i.e., a texting version of CART referred to as T-CART).

ResultsMarked improvements were documented in spelling and spoken naming trained in either modality, with stronger maintenance for handwriting than cell phone typing. Training resulted in functional use of texting that continued for 2 years after treatment.

ConclusionsThese results suggest that orthographic retraining using a cell phone keyboard has the potential to improve spelling knowledge and provide a means to improve functional communication skills. Combined training with both handwriting and cell phone typing should be considered in order to maximize the durability of treatment effects.

Acknowledgments
This work was supported by National Institute on Deafness and Other Communication Disorders Grants R01 DC007646 and R01 DC008286. We thank Mr. J and his family for their enthusiastic participation, and we thank Andrew DeMarco for his assistance with this article.
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