Structure, Processes, and Retrospective Outcomes From an Intensive Comprehensive Aphasia Program

Am J Speech Lang Pathol. 2015 Nov;24(4):S854-63. doi: 10.1044/2015_AJSLP-14-0164.


Purpose: This study describes the structure, processes, and outcomes of an intensive comprehensive aphasia program (ICAP). The aim was to identify treatment gains and determine if outcomes were significantly different between participants grouped according to severity and type of aphasia, and time postonset.

Method: Data from 74 first-time ICAP participants were analyzed. Pre- and posttreatment scores on the Western Aphasia Battery-Revised and other impairment and participation measures were compared using paired t tests. Analyses of variance were used to compare outcomes related to aphasia severity (severe, moderate, and mild aphasia), aphasia type (fluent, nonfluent), and chronicity (0-6 months postonset, 7-12 months postonset, and 12+ months postonset).

Results: Participants made significant changes on all impairment and participation measures. Large effect sizes were noted for one participation and three impairment measures. Medium effect sizes were noted for one impairment and three participation measures. There was no significant difference among groups on any factor.

Conclusion: ICAPs can have a significant effect on the language impairment and participation of people with aphasia, but further research is required to determine if the effect is comparable to other types of service delivery.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Aphasia / diagnosis*
  • Aphasia / therapy*
  • Comprehensive Health Care / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Language Therapy / methods*
  • Male
  • Middle Aged
  • Neuropsychological Tests*
  • Outcome and Process Assessment, Health Care
  • Queensland
  • Retrospective Studies
  • Speech Therapy / methods*
  • Young Adult