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To introduce the conceptual, theoretical, and practical foundations of a novel approach to voice therapy, called conversation training therapy (CTT), which focuses exclusively on voice awareness and efficient voice production in patient-driven conversational narrative, without the use of a traditional therapeutic hierarchy.
Thus far, results of PWA conversation training have been encouraging.
This article reports the quantitative and qualitative therapy outcomes of conversation training for two dyads where one speaker has agrammatic aphasia.
These findings strengthen the evidence base for the success of conversation therapy in changing the behaviours of CPs and also add quantitative evidence to the growing case for the effectiveness of direct conversation training for some people with aphasia.
When working with a CP on conversation training, it is common for the SLT to facilitate the CP to choose his or her own strategies, as it is felt that this has a beneficial effect on motivation to change behaviour.
A systematic review by Simmons-Mackie, Raymer, Armstrong, Holland, and Cherney (2010) has concluded that conversation training is effective at improving the communication of a CP, and having a trained CP is probably effective in also improving the participation in conversation of a person with chronic aphasia.
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A distinct, 'lighter' approach was found to be practiced when DDP principles of Playfulness, Acceptance, Curiosity and Empathy (PACE) [ 33] were used to structure conversations, training and work with carers [ 22].
A recent trial of the 'Healthy Conversations" training program for health and social care practitioners in the UK has shown that a relatively short course focusing on skills to support behaviour change (using open discovery questions, listening, reflecting and goal-setting) was effective in changing practice over a one year period [ 31].
In this study, we compared the problem presentation approach taken by trainee neurologists in outpatient encounters with new patients before and after a one-day conversation analytic training intervention in which doctors were taught to adopt an open format of question design and recognize diagnostically relevant linguistic features.
Healthy Conversation Skills training consisted of three 3 h group sessions over 3 5 weeks to allow time for practising and reflecting on skills, delivered by a team of researchers experienced in group work and behaviour change.
Existing empirical evidence suggests that PWA can participate more effectively in conversation with trained partners [ 8], and that the supported conversation techniques used by trained partners can help to overcome the barriers created by aphasia, enabling re-engagement in health care decisions and everyday life [ 5, 7, 10].
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