Talbot, Richard;
Farrington-Douglas, Claire;
Mummery, Catherine L;
Warren, Jason D;
Volkmer, Anna;
(2024)
Script Club: motivating real change through remote group script training for people with primary progressive aphasia (PPA).
Presented at: 14th International Conference on Frontotemporal Dementias, Amsterdam, Netherlands.
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Abstract
Script Club: motivating change through remote group script training for people with primary progressive aphasia State of the art: Script training has been shown to improve fluency and grammatical well-formedness in non-fluent PPA, including when delivered via telehealth (Henry et al. Brain 2018;141 1799–1814). Research studies on script training have focused on individual therapy, with limited reports on benefit for people with other PPA variants. Group therapy has the potential to support carryover to everyday conversational contexts. Method: Sixteen people with PPA took part in ‘Script Club’: script training delivered via telehealth, across eight sessions, facilitated by a speech and language therapist. Four groups of four people with PPA took part for an hour each week. Feasibility and acceptability were assessed through attendance and feedback gathered in focus group sessions. With the aim of understanding if ‘Script Club’ had an impact on communication confidence and spoken fluency, outcome measures were taken before and after therapy, and at 3-month follow up. Measures included the Communication Confidence Rating Scale in Aphasia (CCRSA) (Babbit et al. Aphasiology 2011; 25 727-735) and accuracy of script production (words correct). Results: Attendance at script club was 93%, and feedback overwhelmingly positive. CCRSA scores improved non-significantly following therapy, reaching significance at 3-month follow up. Trained script production improved immediately following therapy. Conclusion: Script Club was feasible and acceptable to deliver. Improvements in communication confidence and script production may be attributable to carryover, or ‘enactment’, of script use in real-life.
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