Naming gains and within-intervention progression following semantic feature analysis (SFA) and phonological components analysis (PCA) in adults with chronic post-stroke aphasia

Abstract

ABSTRACT Background: Up to 60% of people with aphasia experience persistent word-finding difficulties into the chronic stage, starting six months after the stroke. Semantic Feature Analysis (SFA) and Phonological Components Analysis (PCA) are two common word-finding interventions that use the generation of semantic features for SFA (e.g. category) and phonological features for PCA (e.g. first sound) to improve naming. Despite inconsistent support for the generalization to untreated items, studies have shown improvements on probe word naming for treated items. However, research concerning within-intervention effects and generalization to alternative contexts has been limited. Aim: This study investigated the effect of treatment for SFA and PCA probe word naming as well as their within-intervention effects in four individuals with chronic post-stroke aphasia. Methods & Procedures: Baseline and follow-up measures included standardized assessments and image naming tasks. The image naming task was used to generate three lists: an SFA treated list, a PCA treated list, and an untreated list. One SFA session and one PCA session per week were then provided concurrently to each participant for a period of six weeks. Outcomes & Results: While only one participant experienced significant gains on treated probe word naming, these gains were maintained four weeks after the intervention. Exploratory results suggested that effects could transfer to two types of generalization items: different pictures of the same items and pictures of items shown in a natural context. Furthermore, while generalization to untreated items did not reach significance for any participant, some generalization of gains to standardized assessments was observed. Although rarely equivalent for SFA and PCA interventions, all participants also experienced some degree of within-intervention improvement over the progression of sessions. These improvements included a reduction in the number of forced choices required for feature generation and/or a reduction in the number of words never named during intervention sessions. Conclusion: The results support additional avenues of investigation for SFA and PCA therapies for individuals with post-stroke aphasia, namely within intervention effects and the potential for generalization to different contexts.