Script Training and Social Outcomes for Persons with Aphasia: A Systematic Review

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  • April 12, 2021
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  • Kelly, Sarah
    • Affiliation: School of Medicine, Department of Allied Health Sciences, Division of Speech and Hearing Sciences
  • Sudbrink, Erika
    • Affiliation: School of Medicine, Department of Allied Health Sciences, Division of Speech and Hearing Sciences
Abstract
  • Aphasia is an acquired language impairment resulting from stroke, braininjury, or progressive disease that affects all four domains of language tovarying degrees: reading, writing, spoken language, and comprehension thereof. Script training is a functional treatment approach that addresses both routine and occasional communication needs by implementing intensive rehearsal of highly-personalized monologues and/or dialoguesuntil the scripts become sufficiently automatized that the person withaphasia can access these fluent “islands of automatic speech” for use in real-life discourse that is natural and personally-relevant (Youmans, Holland, Muñoz &Bourgeois, 2005). Initially developed by Holland and colleagues to facilitate verbal communication on client-selected topics for individuals whose speech production is no longer automatic, script training is based on the instance theory of automatization, which maintains that skills must bepracticed in a holistic fashion, rather than in a component-based manner. Studies have supported the use of script training for individuals with aphasia and apraxia of speech due to demonstrated improvements in natural discourse and greater communicative competence. However, the current literature inconsistently addresses the outcomes generated for persons with aphasia following script training intervention, nor has a comprehensive analysis consolidating findings on this topic been conducted to date.
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  • Division of Speech and Hearing Sciences Student Research Day 2020
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