Speech Hero Home Therapy for Aphasia

Study Overview
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Brief Summary
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The investigators will run an at-home usability study of a newly developed speech therapy app called Speech Hero with 10 individuals with Broca's aphasia in the chronic stage of stroke. The Speech Hero app allows users to perform rhythm-based speech exercises at home. For this study participants will be instructed to use Speech Hero for at least 10 hours over a 4-week period.

Official Title
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Speech Hero: a Rhythm-based Speech Therapy App for Individuals With Aphasia

Conditions
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Broca Aphasia

Intervention / Treatment
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* Device: At home Speech Hero therapy app


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosis of Broca's aphasia due to stroke, >6 months post stroke sufficient motor function of the unaffected upper extremity to tap on a table while speaking Exclusion Criteria: Incidence of other neurological diseases (though individuals with apraxia will be included) age <85

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Device Feasibility
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: At home Speech Hero therapy<br> | Device: At home Speech Hero therapy app<br>* Participants will be instructed to use the Speech Hero therapy app for three hours per week over a 4-week period.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants That Used the Device for at Least Ten Hours Over the Course of Four Weeks | Number of participants able to use the device on their own at home for at least 10 hours over four weeks without technical or other issues. Speech Hero will be deemed feasible for this population if at least 5 participants are able to use the device on their own at home for at least 10 hours over four weeks without technical or other issues. | Immediately Post-Treatment, an average of 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Score on Western Aphasia Battery | Assessment of language function of adults with suspected neurological disorders as a result of a stroke, head injury, or dementia. The Western Aphasia Battery (WAB) is comprised of 8 subscales. For this study the subscales of spontaneous speech, auditory verbal comprehension, repetition, naming and word finding were used. Results reported as change in score from baseline to post-treatment (each subscale score is on 0-100% scale with higher score representing less impairment). | Immediately Post-Treatment, an average of 4 weeks | 
| Change in Score on Boston Naming Test | Assessment of language function of adults with suspected neurological disorders as a result of a stroke, head injury, or dementia. Scoring counts the number of spontaneously produced correct responses, the number of cues given, and the number of responses after phonemic cueing and after semantic cueing. Results reported as change in score from baseline to post-treatment (score for Boston Naming Test (BNT) is on 0-100% scale with higher score representing less impairment). | Immediately Post-Treatment, an average of 4 weeks |