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The Impact of Exposure With No Training: Implications for Future Partner Training Research
- Source :
- Journal of Speech, Language, and Hearing Research. 61:2347-2352
- Publication Year :
- 2018
- Publisher :
- American Speech Language Hearing Association, 2018.
-
Abstract
- Purpose This research note reports on an unexpected negative finding related to behavior change in a controlled trial designed to test whether partner training improves the conversational skills of volunteers. Method The clinical trial involving training in “Supported Conversation for Adults with Aphasia” utilized a single-blind, randomized, controlled, pre–post design. Eighty participants making up 40 dyads of a volunteer conversation partner and an adult with aphasia were randomly allocated to either an experimental or control group of 20 dyads each. Descriptive statistics including exact 95% confidence intervals were calculated for the percentage of control group participants who got worse after exposure to individuals with aphasia. Results Positive outcomes of training in Supported Conversation for Adults with Aphasia for both the trained volunteers and their partners with aphasia were reported by Kagan, Black, Felson Duchan, Simmons-Mackie, and Square in 2001. However, post hoc data analysis revealed that almost one third of untrained control participants had a negative outcome rather than the anticipated neutral or slightly positive outcome. Conclusions If the results of this small study are in any way representative of what happens in real life, communication partner training in aphasia becomes even more important than indicated from the positive results of training studies. That is, it is possible that mere exposure to a communication disability such as aphasia could have negative impacts on communication and social interaction. This may be akin to what is known as a “nocebo” effect—something for partner training studies in aphasia to take into account.
- Subjects :
- Adult
Male
Linguistics and Language
media_common.quotation_subject
Applied psychology
Treatment outcome
Speech Therapy
Training (civil)
Language and Linguistics
law.invention
030507 speech-language pathology & audiology
03 medical and health sciences
Speech and Hearing
Interpersonal relationship
0302 clinical medicine
Patient Education as Topic
Randomized controlled trial
law
Aphasia
Humans
Interpersonal Relations
Single-Blind Method
Conversation
media_common
Communication
Negative Finding
Behavior change
Middle Aged
Test (assessment)
Treatment Outcome
Caregivers
Female
0305 other medical science
Psychology
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15589102 and 10924388
- Volume :
- 61
- Database :
- OpenAIRE
- Journal :
- Journal of Speech, Language, and Hearing Research
- Accession number :
- edsair.doi.dedup.....0b08aac72f95c53388068315c91e5fe9