SLPOtherSeminars in speech and language2017

Short-Term and Working Memory Treatments for Improving Sentence Comprehension in Aphasia: A Review and a Replication Study.

Christos Salis, Faustina Hwang, David Howard and 1 others

PMID 28201835

WHAT IT FOUND

In five people with chronic aphasia, computerised short-term memory training showed no clear gain in sentence comprehension.

Across reviewed studies, four of 11 people showed some gain, so evidence remains limited.

Key findings

01In the new five-person replication, none of the sentence comprehension comparisons showed a statistically significant change.

02Across the reviewed studies and the replication, 11 persons were discussed; four showed some improvement in sentence comprehension and seven did not.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The new replication had only five participants, so it cannot show how most people with aphasia would respond. The reviewed studies were also small, and some included sequential treatments, so it is unclear which treatment component caused any change. The replication did not assess whether each participant had semantic or phonological short-term memory deficits, so the theoretical prediction was not tested. A psychosocial comparison for patient 3 was the only significant change, so it may not represent a treatment effect. The authors note that many short-term and working memory tests used in aphasia research have weak psychometric properties. Some reviewed studies did not clearly describe feedback or the number of practice attempts, and the replication's semantic relatedness fidelity was 78%.

Declared interests

The authors receive salaries from their respective institutions. They report no other known conflicts of interest.

The easy way to misread this

Do not conclude that short-term memory training improves sentence comprehension in aphasia. The new five-person replication found no statistically significant sentence comprehension change, and across the reviewed studies only four of 11 people showed some improvement.

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