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Cognitive Therapy to Improve Word Finding

Primary Purpose

Anomia, Aphasia, Traumatic Brain Injury

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Errorful training condition
Errorless training condition
Sponsored by
Georgetown University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Anomia focused on measuring Anomia, Aphasia, Traumatic Brain Injury, Cerebrovascular Accident

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Word finding difficulty subsequent to stroke, traumatic brain injury, brain surgery or other brain damage occuring at least 6 month prior to participation
  • Ability to attend 2 sessions per week for several months at Georgetown University in Washington, DC

Exclusion Criteria:

  • History of learning disabilities
  • Best corrected vision less than 20/40
  • Corrected hearing within functional limits
  • Less than 10 years formal education
  • Significant memory or comprehension problems

Sites / Locations

  • Georgetown University Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Errorful training condition

Errorless training condition

Arm Description

A type of anomia rehabilitation paradigm which allows for errors. The intervention involves providing minimal auditory cues to allow for errors in picture naming.

A type of anomia rehabilitation paradigm in which the situation surrounding the performance of the desired task (i.e., picture naming) is controlled to prevent errors. The intervention involves providing maximal auditory cues to prevent errors in picture naming.

Outcomes

Primary Outcome Measures

Improved picture naming of trained words.
Overall accuracy of named trained items

Secondary Outcome Measures

Improved picture naming of trained words.
Overall accuracy of named trained items
Improved picture naming of untrained words.
Overall accuracy of named untrained items
Improved picture naming of untrained words.
Overall accuracy of named untrained items

Full Information

First Posted
June 28, 2007
Last Updated
September 15, 2017
Sponsor
Georgetown University
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1. Study Identification

Unique Protocol Identification Number
NCT00494520
Brief Title
Cognitive Therapy to Improve Word Finding
Official Title
Learning Paradigms in Aphasia Rehabilitation
Study Type
Interventional

2. Study Status

Record Verification Date
April 2014
Overall Recruitment Status
Completed
Study Start Date
July 2004 (undefined)
Primary Completion Date
June 2009 (Actual)
Study Completion Date
June 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Georgetown University

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Adults who sustain brain damage due to stroke, traumatic injury or surgery may develop difficulty finding words. This study compares the effectiveness of two behavior-based programs to improve picture naming ability in these individuals.
Detailed Description
Difficulty finding words is common in patients with aphasia subsequent to left hemisphere stroke. This study will compare two cognitive therapies for the treatment of acquired word finding difficulties. The therapies use different types of cues. All participants will receive both therapies. Participants in this study will undergo a comprehensive and detailed assessment of language and other cognitive skills. The two treatments will be compared for their efficacy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anomia, Aphasia, Traumatic Brain Injury, Cerebrovascular Accident
Keywords
Anomia, Aphasia, Traumatic Brain Injury, Cerebrovascular Accident

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
78 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Errorful training condition
Arm Type
Experimental
Arm Description
A type of anomia rehabilitation paradigm which allows for errors. The intervention involves providing minimal auditory cues to allow for errors in picture naming.
Arm Title
Errorless training condition
Arm Type
Experimental
Arm Description
A type of anomia rehabilitation paradigm in which the situation surrounding the performance of the desired task (i.e., picture naming) is controlled to prevent errors. The intervention involves providing maximal auditory cues to prevent errors in picture naming.
Intervention Type
Procedure
Intervention Name(s)
Errorful training condition
Intervention Description
Errorful training condition: Participant saw a picture and named it without any cues. If an error was produced, the cue with the least amount of information was provided (e.g. for "pumpkin", "pu"). Cues with increasing information were provided until the picture was correctly named (e.g. for "pumpkin": "pump", "pumpki", then "pumpkin"). Once the correct name was provided, the trial ended.
Intervention Type
Procedure
Intervention Name(s)
Errorless training condition
Intervention Description
Errorless learning (EL) condition: Participant saw a picture with its name, and repeated the word. The participant continued to name the picture as the auditory cues provided less and less of the word (e.g. for "banana" she would hear "banan", "bana" then "ba" and finally no cue). If an error was produced at any stage, the whole word was presented, the participant repeated it, and the trial ended.
Primary Outcome Measure Information:
Title
Improved picture naming of trained words.
Description
Overall accuracy of named trained items
Time Frame
Following conclusion of word treatment.
Secondary Outcome Measure Information:
Title
Improved picture naming of trained words.
Description
Overall accuracy of named trained items
Time Frame
At 6 months after conclusion of word treatment
Title
Improved picture naming of untrained words.
Description
Overall accuracy of named untrained items
Time Frame
Following conclusion of word treatment.
Title
Improved picture naming of untrained words.
Description
Overall accuracy of named untrained items
Time Frame
At 6 months after conclusion of word treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Word finding difficulty subsequent to stroke, traumatic brain injury, brain surgery or other brain damage occuring at least 6 month prior to participation Ability to attend 2 sessions per week for several months at Georgetown University in Washington, DC Exclusion Criteria: History of learning disabilities Best corrected vision less than 20/40 Corrected hearing within functional limits Less than 10 years formal education Significant memory or comprehension problems
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Rhonda B. Friedman, Ph.D.
Organizational Affiliation
Georgetown University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Georgetown University Medical Center
City
Washington, D.C.
State/Province
District of Columbia
ZIP/Postal Code
20057
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Links:
URL
http://www9.georgetown.edu/faculty/friedmar/index.html
Description
Cognitive Neuropsychology Lab at Georgetown University Medical Center

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Cognitive Therapy to Improve Word Finding

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