Participatory Development of a Speech-Language Telerehabilitation Intervention Combined With Home-Based Transcranial Direct Current Stimulation for Primary Progressive Aphasia: A Qualitative Study.
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| Title: | Participatory Development of a Speech-Language Telerehabilitation Intervention Combined With Home-Based Transcranial Direct Current Stimulation for Primary Progressive Aphasia: A Qualitative Study. |
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| Authors: | Uta Rysop, Anna1 Anna.Rysop@med.uni-greifswald.de, Schiwek, Roxana1, Grewe, Tanja2, Breitenstein, Caterina3, Binkofski, Ferdinand4,5, Roheger, Mandy6, Unger, Nina1, Flöel, Agnes1,7, Meinzer, Marcus1 |
| Source: | American Journal of Speech-Language Pathology. Sep2025, Vol. 34 Issue 5, p2760-2779. 20p. |
| Subject Terms: | *Health services accessibility, *Qualitative research, *Content analysis, *Music therapy, *Speech-language pathology, *Problem solving, *Motivation (Psychology), *Research methodology, *Computer literacy, *Communication, *Body language, *Ability, *National competency-based educational tests, *Caregiver attitudes, *Training, Brain physiology, Home care services, Internet access, Rehabilitation of aphasic persons, Interviewing, Pilot projects, Medical care, Telerehabilitation, Descriptive statistics, Thematic analysis, Combined modality therapy, Videoconferencing, Medical appointments, Transcranial direct current stimulation, Social support, Data analysis software, Disease progression, Transportation of patients |
| Geographic Terms: | Germany |
| Abstract: | Purpose: Intensive speech-language therapy (SLT) delivered as telerehabilitation in combination with transcranial direct current stimulation (tDCS) may be an effective treatment option for people with primary progressive aphasia (pwPPA). However, such combined treatment approaches are technically challenging, and feasibility for pwPPA has not yet been established. We aimed to involve stakeholders in the development of a novel approach combining remotely supervised but independently self-administered home-based tDCS with an intensive aphasia telerehabilitation (naming and communicative-pragmatic therapy). Method: Eight pwPPA (logopenic variant: n = 5, nonfluent agrammatic variant: n = 1, not specified variant: n = 2) and 16 caregivers participated in two semistructured interviews to identify the needs, preferences, and perceived barriers and challenges with regard to SLT, telerehabilitation, and tDCS and the combination of all components. Based on the results, a step-by-step manual was developed and tested by means of home-based usability tests and follow-up interviews involving four dyads (logopenic variant: n = 4). Interview data were transcribed and analyzed qualitatively and quantitatively. Competency checklists used in the usability tests were analyzed quantitatively. Results: pwPPA and their caregivers provided valuable insights into all aspects of the planned treatment program. Overall, the findings suggest a high level of acceptance and perceived need for an intensive telerehabilitation SLT approach combined with tDCS. Using the developed step-by-step manual and training, pwPPA were able to independently perform more than half of the actions required for telerehabilitation but needed assistance with technically more demanding aspects of tDCS. To ensure feasibility, caregiver assistance is needed to support pwPPA during technically challenging interventions. Conclusions: This mixed-methods study identified needs and preferences of pwPPA and their caregivers with regard to speech-language telerehabilitation, as well as barriers and challenges regarding telerehabilitation and home-based tDCS. We demonstrate high acceptability and initial feasibility of such combined programs. Our findings highlight the importance of stakeholder involvement in intervention development, which will inform future development and optimization of technologically demanding intervention programs. Supplemental Material: https://doi.org/10.23641/asha.29906063 [ABSTRACT FROM AUTHOR] |
| Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 187737877 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Participatory Development of a Speech-Language Telerehabilitation Intervention Combined With Home-Based Transcranial Direct Current Stimulation for Primary Progressive Aphasia: A Qualitative Study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Uta+Rysop%2C+Anna%22">Uta Rysop, Anna</searchLink><relatesTo>1</relatesTo><i> Anna.Rysop@med.uni-greifswald.de</i><br /><searchLink fieldCode="AR" term="%22Schiwek%2C+Roxana%22">Schiwek, Roxana</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Grewe%2C+Tanja%22">Grewe, Tanja</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Breitenstein%2C+Caterina%22">Breitenstein, Caterina</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Binkofski%2C+Ferdinand%22">Binkofski, Ferdinand</searchLink><relatesTo>4,5</relatesTo><br /><searchLink fieldCode="AR" term="%22Roheger%2C+Mandy%22">Roheger, Mandy</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Unger%2C+Nina%22">Unger, Nina</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Flöel%2C+Agnes%22">Flöel, Agnes</searchLink><relatesTo>1,7</relatesTo><br /><searchLink fieldCode="AR" term="%22Meinzer%2C+Marcus%22">Meinzer, Marcus</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. Sep2025, Vol. 34 Issue 5, p2760-2779. 20p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br />*<searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br />*<searchLink fieldCode="DE" term="%22Content+analysis%22">Content analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Music+therapy%22">Music therapy</searchLink><br />*<searchLink fieldCode="DE" term="%22Speech-language+pathology%22">Speech-language pathology</searchLink><br />*<searchLink fieldCode="DE" term="%22Problem+solving%22">Problem solving</searchLink><br />*<searchLink fieldCode="DE" term="%22Motivation+%28Psychology%29%22">Motivation (Psychology)</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br />*<searchLink fieldCode="DE" term="%22Computer+literacy%22">Computer literacy</searchLink><br />*<searchLink fieldCode="DE" term="%22Communication%22">Communication</searchLink><br />*<searchLink fieldCode="DE" term="%22Body+language%22">Body language</searchLink><br />*<searchLink fieldCode="DE" term="%22Ability%22">Ability</searchLink><br />*<searchLink fieldCode="DE" term="%22National+competency-based+educational+tests%22">National competency-based educational tests</searchLink><br />*<searchLink fieldCode="DE" term="%22Caregiver+attitudes%22">Caregiver attitudes</searchLink><br />*<searchLink fieldCode="DE" term="%22Training%22">Training</searchLink><br /><searchLink fieldCode="DE" term="%22Brain+physiology%22">Brain physiology</searchLink><br /><searchLink fieldCode="DE" term="%22Home+care+services%22">Home care services</searchLink><br /><searchLink fieldCode="DE" term="%22Internet+access%22">Internet access</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation+of+aphasic+persons%22">Rehabilitation of aphasic persons</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Telerehabilitation%22">Telerehabilitation</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Combined+modality+therapy%22">Combined modality therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Videoconferencing%22">Videoconferencing</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+appointments%22">Medical appointments</searchLink><br /><searchLink fieldCode="DE" term="%22Transcranial+direct+current+stimulation%22">Transcranial direct current stimulation</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+progression%22">Disease progression</searchLink><br /><searchLink fieldCode="DE" term="%22Transportation+of+patients%22">Transportation of patients</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Germany%22">Germany</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: Intensive speech-language therapy (SLT) delivered as telerehabilitation in combination with transcranial direct current stimulation (tDCS) may be an effective treatment option for people with primary progressive aphasia (pwPPA). However, such combined treatment approaches are technically challenging, and feasibility for pwPPA has not yet been established. We aimed to involve stakeholders in the development of a novel approach combining remotely supervised but independently self-administered home-based tDCS with an intensive aphasia telerehabilitation (naming and communicative-pragmatic therapy). Method: Eight pwPPA (logopenic variant: n = 5, nonfluent agrammatic variant: n = 1, not specified variant: n = 2) and 16 caregivers participated in two semistructured interviews to identify the needs, preferences, and perceived barriers and challenges with regard to SLT, telerehabilitation, and tDCS and the combination of all components. Based on the results, a step-by-step manual was developed and tested by means of home-based usability tests and follow-up interviews involving four dyads (logopenic variant: n = 4). Interview data were transcribed and analyzed qualitatively and quantitatively. Competency checklists used in the usability tests were analyzed quantitatively. Results: pwPPA and their caregivers provided valuable insights into all aspects of the planned treatment program. Overall, the findings suggest a high level of acceptance and perceived need for an intensive telerehabilitation SLT approach combined with tDCS. Using the developed step-by-step manual and training, pwPPA were able to independently perform more than half of the actions required for telerehabilitation but needed assistance with technically more demanding aspects of tDCS. To ensure feasibility, caregiver assistance is needed to support pwPPA during technically challenging interventions. Conclusions: This mixed-methods study identified needs and preferences of pwPPA and their caregivers with regard to speech-language telerehabilitation, as well as barriers and challenges regarding telerehabilitation and home-based tDCS. We demonstrate high acceptability and initial feasibility of such combined programs. Our findings highlight the importance of stakeholder involvement in intervention development, which will inform future development and optimization of technologically demanding intervention programs. Supplemental Material: https://doi.org/10.23641/asha.29906063 [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1044/2025_AJSLP-24-00557 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 20 StartPage: 2760 Subjects: – SubjectFull: Health services accessibility Type: general – SubjectFull: Qualitative research Type: general – SubjectFull: Content analysis Type: general – SubjectFull: Music therapy Type: general – SubjectFull: Speech-language pathology Type: general – SubjectFull: Problem solving Type: general – SubjectFull: Motivation (Psychology) Type: general – SubjectFull: Research methodology Type: general – SubjectFull: Computer literacy Type: general – SubjectFull: Communication Type: general – SubjectFull: Body language Type: general – SubjectFull: Ability Type: general – SubjectFull: National competency-based educational tests Type: general – SubjectFull: Caregiver attitudes Type: general – SubjectFull: Training Type: general – SubjectFull: Brain physiology Type: general – SubjectFull: Home care services Type: general – SubjectFull: Internet access Type: general – SubjectFull: Rehabilitation of aphasic persons Type: general – SubjectFull: Interviewing Type: general – SubjectFull: Pilot projects Type: general – SubjectFull: Medical care Type: general – SubjectFull: Telerehabilitation Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Thematic analysis Type: general – SubjectFull: Combined modality therapy Type: general – SubjectFull: Videoconferencing Type: general – SubjectFull: Medical appointments Type: general – SubjectFull: Transcranial direct current stimulation Type: general – SubjectFull: Social support Type: general – SubjectFull: Data analysis software Type: general – SubjectFull: Disease progression Type: general – SubjectFull: Transportation of patients Type: general – SubjectFull: Germany Type: general Titles: – TitleFull: Participatory Development of a Speech-Language Telerehabilitation Intervention Combined With Home-Based Transcranial Direct Current Stimulation for Primary Progressive Aphasia: A Qualitative Study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Uta Rysop, Anna – PersonEntity: Name: NameFull: Schiwek, Roxana – PersonEntity: Name: NameFull: Grewe, Tanja – PersonEntity: Name: NameFull: Breitenstein, Caterina – PersonEntity: Name: NameFull: Binkofski, Ferdinand – PersonEntity: Name: NameFull: Roheger, Mandy – PersonEntity: Name: NameFull: Unger, Nina – PersonEntity: Name: NameFull: Flöel, Agnes – PersonEntity: Name: NameFull: Meinzer, Marcus IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: Sep2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 10580360 Numbering: – Type: volume Value: 34 – Type: issue Value: 5 Titles: – TitleFull: American Journal of Speech-Language Pathology Type: main |
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