Effects of an Intensive and Comprehensive Aphasia Program for Cantonese Speakers With Aphasia.
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| Title: | Effects of an Intensive and Comprehensive Aphasia Program for Cantonese Speakers With Aphasia. |
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| Authors: | Wong, Cherie Wan-Yin1 cheriewy@connect.hku.hk, Kong, Anthony Pak-Hin1, Chu, Ada Wai-Sze1 |
| Source: | Journal of Speech, Language & Hearing Research. May2026, Vol. 69 Issue 5, p2185-2208. 24p. |
| Subject Terms: | *Human services programs, *Data analysis, *Aphasia, *Speech-language pathology, *Chronic diseases, *Experimental design, *Pre-tests & post-tests, *Longitudinal method, *Quality of life, *Communication, *Cultural pluralism, *Speech therapy, *Educational attainment, Research funding, Rehabilitation of aphasic persons, Statistical sampling, Sex distribution, Questionnaires, Age distribution, Descriptive statistics, Mann Whitney U Test, Linguistics, Convalescence, One-way analysis of variance, Friedman test (Statistics), Statistics, Stroke, Cerebrovascular disease, Data analysis software, Patient participation, Disease complications |
| Geographic Terms: | Hong Kong (China) |
| Abstract: | Purpose: Intensive and Comprehensive Aphasia Programs (ICAPs) have been implemented in various settings in English-speaking regions, demonstrating beneficial effects on participants’ communication abilities, participation levels, and overall well-being. Considering the limited number of ICAP studies involving Chinese- or Cantonese-speaking people with aphasia (PWA) and the existing gaps in local rehabilitation services in Hong Kong, our research aimed to develop a culturally and linguistically specific ICAP for Cantonese-speaking PWA. We first outlined the logistical constructs for the Hong Kong Intensive and Comprehensive Aphasia Program (HK-ICAP). Then, we examined the effects of the ICAP on language recovery and quality of life among PWA. Method: Our research team developed the HK-ICAP construct based on the knowledge shared in published ICAP research studies. Subsequently, we adapted evidence-based treatment approaches to our language and developed culturally tailored treatment stimuli for this purpose. Twenty-eight right-handed adults with chronic aphasia were provided with a 2.5-week, 39-hr ICAP intervention in Hong Kong between 2023 and 2025. Linguistic and quality of life–related measurements were taken at baseline, immediately posttreatment, and at 1 month follow-up. Data were analyzed at both group and individual levels. Results: At the group level, significant improvements were observed in all linguistic and quality of life measures at posttreatment, and most of the gains were maintained at 1 month follow-up. At the individual level, the Minimum Detectable Change90 was used to identify therapeutic gains across various linguistic measures. The findings demonstrated that 33%–42% of the participants achieved therapeutic gains in each corresponding measure. A post hoc analysis of individual performance revealed that 90% of the participants (i.e., 25 of 28) achieved at least one therapeutic improvement in at least one measure at posttreatment. Conclusions: The findings indicate that an ICAP is a feasible intervention model in culturally and linguistically diverse settings. This study provides robust evidence supporting the application of this intervention model among Cantoneseor Chinese-speaking populations. [ABSTRACT FROM AUTHOR] |
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| Database: | Education Research Complete |
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