Enhance Communication Skills Research Articles

The impact of using simulation-based learning to further develop communication skills of pharmacy students and pharmacists: a systematic review

BackgroundEffective communication in healthcare, among professionals and between professionals and patients is crucial for delivering high-quality care. While simulation effectively translates technical skills to clinical practice, its impact on communication, particularly in pharmacies, is less well documented.AimThis systematic review examined the impact of simulation-based education on communication skills among pharmacy students and pharmacists. It aims to identify the types of simulations used, the outcomes obtained, and the effectiveness of these simulations in enhancing communication skills, perception and confidence.MethodWe conducted searches in MEDLINE, LISSA, EMBASE, and PsycINFO for articles on communication training through simulation for pharmacy students and pharmacists. The search covered the period from inception to August 31, 2022. To be included, studies had to meet the following criteria: (i) target pharmacy student or graduate pharmacists; (ii) use simulation in the field of clinical pharmacy; (iii) provide a complete description of the outcome measure. Studies for which it was impossible to extract data specific to pharmacy students or simulation were excluded. Three investigators independently evaluated each title and abstract. If each investigator considered the citation eligible, six authors progressed to full-text review. The outcomes related to communication were categorized into three groups: perception of the importance of communication in delivering high-quality patient care, confidence in communication skills, and assessed communication proficiency. The quality of studies included in this review was assessed using the Mixed Methods Appraisal Tool (MMAT).ResultsThe total number of participants was 3337. Among the 20 articles reviewed, which were primarily published in the United States over the last decade, only one focused on community pharmacists. Quasi experimental designs were predominant, and studies often relied on learners' self-assessments with non-validated questionnaires. Simulation-based learning aimed to enhance communication skills and attitudes across interprofessional contexts (involving nursing and medical students), patients, and families, frequently utilizing simulated patients. Studies evaluating outcomes have emphasized communication skills with patients and families, while those involving healthcare professionals often focused on perception of the importance of communication in delivering high-quality patient care.ConclusionDespite study heterogeneity, this systematic review concluded that simulation-based training significantly enhances perception, confidence, and communication skills. The development of clear guidelines and standardized assessment tools to evaluate communication would significantly improve the validity and reliability of future research efforts (PROSPERO registration: n°CRD42022371915).

Exploring Early Childhood Linguistic Intelligence Through English Language Learning Methods

This study investigates the effectiveness of interactive learning methods; playing, singing, and storytelling in enhancing linguistic intelligence among early childhood learners in English language settings. Adopting a qualitative case study approach, data were collected through classroom observations, semi-structured interviews with teachers and parents, and field notes. The findings reveal that interactive methods significantly improve children's engagement, vocabulary acquisition, and ability to construct simple sentences. Activities such as singing and storytelling not only boost verbal responses but also build children's confidence in using English both in and outside the classroom. Parents observed enhanced communication skills and self-confidence at home. Additionally, these methods contributed to cognitive development, fostering critical thinking and creativity. The study concludes that interactive English learning activities are instrumental in fostering linguistic intelligence in early childhood while providing a strong foundation for future academic and communication skills. Recommendations for integrating these methods into preschool curricula are provided, highlighting their potential for global adaptation in early language education.

AI Integration for Communication Skills: A Conceptual Framework in Education and Business

This article presents a conceptual framework for integrating artificial intelligence (AI) to enhance communication skills in educational and business settings. By examining the dual role of AI as both an enabler and a challenge, the article highlights AI’s capacity for personalized learning, skill development, and efficiency in communication tasks. It also addresses potential issues such as academic integrity, data reliability, and ethical considerations. This framework aims to guide institutions and organizations in adopting AI responsibly, ensuring that human-centered communication remains integral to AI-enhanced environments.

The Importance of Arts in Continuous Professional Development in Health

This paper examines the integral role of arts in continuous professional development (CPD) for healthcare professionals. The incorporation of arts such as visual arts, music, drama, and dance—into healthcare settings offers multidimensional benefits that transcend conventional training. These benefits include enhanced communication skills, empathy, emotional resilience, and creativity. By fostering these qualities, arts-based CPD initiatives support healthcare professionals in adapting to complex, emotionally charged, and ethically nuanced situations they encounter in practice. Furthermore, case studies illustrate how the arts have positively impacted clinical outcomes and healthcare team cohesion, indicating the potential of arts as an innovative tool in CPD. The paper also addresses challenges, including funding constraints and resistance to integration, and outlines future directions for establishing a robust framework to incorporate the arts into health education. The findings advocate for a broader adoption of arts-based methodologies to nurture a resilient, compassionate, and holistic healthcare workforce. Keywords: Arts in Healthcare, Continuous Professional Development (CPD), Creativity in Medicine, Arts-based Training, Healthcare Professional Development.

Positive Psychological Effects of BDSM Practices and Their Implications for Psychological and Psychotherapeutic Work: A Systematic Literature Review

In the context of the frequent stigmatisation of BDSM practices, the aim of this review was to identify potential positive effects of BDSM practices on the psychological functioning of individuals. Additionally, the factors and mechanisms underlying these positive effects will be highlighted to guide improvements in psychological and psychotherapeutic practices. After a systematic review of 181 articles, 9 studies were identified that examined the positive effects of BDSM practices. It was found that these practices positively impact self-awareness, authenticity, and a departure from adult responsibilities. Additionally, they can improve partner relationships by enhancing communication skills, negotiation abilities, and trust. Positive effects are contributed by BDSM practices through physical touch, open communication, and the formation of a community that provides safety and well-being for its members. Furthermore, research reports the possibility of transcendental states of consciousness among participants, which bring positive effects on psychological, emotional, and physical levels.

Analysis of the Linguistic Personality as a Subject of Psycholinguistic Research: Dynamics of Development and Forecasts for the Future

This study explores the psycholinguistic aspects of speech as a cognitive process, integrating linguistic, communicative, and socio-cultural elements. The research addresses the novelty of examining how segmentation, comprehension, storage, and information integration contribute to enhancing communication skills and developing speech abilities. Additionally, it introduces a fresh perspective on psycholinguistic discourse analysis, highlighting the importance of collaboration between disciplines such as psycholinguistics, sociolinguistics, and artificial intelligence. The key findings indicate that linguistic markers (LM) and discourse markers (DM) are crucial in processing speech and interaction. The study also emphasizes the multimodal aspects of communication – written language, gestures, gazes, and postures – as essential factors in speech perception. The results demonstrate that revising the epistemological framework for understanding discourse semantics is necessary for advancing the field. By proposing new approaches, the study lays the groundwork for future interdisciplinary research and contributes to advancing knowledge of psycholinguistics and communication studies. This study emphasizes the interdisciplinary integration of psycholinguistics and communication studies, focusing on the role of linguistic and discourse markers in cognitive and social interactions. The findings advocate for enhancing educational approaches by integrating psycholinguistic insights to support language development. This research contributes to a deeper understanding of language processing dynamics by addressing challenges in multimodal communication and cognitive load management. It paves the way for innovative applications in artificial intelligence and sociolinguistics.

Cultural Behavior of Vietnamese High School Teachers in Online Teaching: Current Status and Implications

Although online teaching has become widespread, few studies have specifically examined teachers' cultural behavior within this context in Vietnam. To investigate teachers' cultural behavior, this article draws on theories of social behavior, interaction, media richness, and models of online communication. A quantitative survey using a structured questionnaire was conducted with 321 teachers and 602 high school students from multiple schools across three provinces/cities representing Vietnam's three regions (Hanoi in the North, Nghe An in the Central region, and Ho Chi Minh City in the South). The survey results indicate that some teachers still lack communication skills and exhibit inappropriate behaviors in the online environment. There are notable differences between teacher and student evaluations, and factors such as gender and teaching experience are found to influence teacher behavior. Based on these findings, the paper proposes strategies to enhance communication skills and cultural behavior in online teaching.

Impact of a multifaceted intervention programme on antibiotic prescribing and dispensing in four patient-centred settings in five European countries. The HAPPY PATIENT project.

The primary cause of antimicrobial resistance is excessive and non-indicated antibiotic use. To evaluate the impact of a multifaceted intervention aimed at various healthcare professionals (HCPs) on antibiotic prescribing and dispensing for common infections. Before-and-after study set in general practice, out-of-hours services, nursing homes, and community pharmacies in France, Greece, Lithuania, Poland, and Spain. Following the Audit Project Odense method, HCPs from these four settings self-registered encounters with patients related to antibiotic prescribing and dispensing before and after an intervention (February-April 2022 and February-April 2023). Prior to the second registration, the HCPs undertook a multifaceted intervention, which included reviewing and discussing feedback on the first registration's results, enhancing communication skills, and providing communication tools. Indicators to identify potentially unnecessary prescriptions and non-first-line antibiotic choices were developed, and the results of the two registrations were compared. A total of 345 HCPs registered 10 744 infections in the first registration period and 10 207 infections in the second period. In general practice, participants showed a significant 9.8% reduction in unnecessary antibiotic prescriptions in the second period, whereas limited or no effect was observed in out-of-hours services and nursing homes (0.8% reduction and 4.5% increase, respectively). Pharmacies demonstrated an 18% increase in safety checks, and correct advice in pharmacies rose by 17%. External factors like COVID-19, antibiotic shortages, and a streptococcal epidemic impacted the intervention's benefits. Despite this, the intervention successfully improved antibiotic use in both settings.

Pelatihan Komunikasi Terapeutik pada Kerabat Pasien untuk Mendukung Perawatan Pasien Gangguan Jiwa

The therapeutic communication training for the relatives of mentally ill patients at Puskesmas Sukamerang aims to enhance communication skills and emotional support in patient care. The background of this training is based on the observation that the relatives of patients often lack understanding of the importance of effective communication in aiding the healing process and stabilizing the patient's condition. The purpose of this study is to improve the therapeutic communication skills of the relatives of mentally ill patients and to raise awareness about the critical role of communication in supporting patient care. The training was conducted using a Participatory Action Research (PAR) approach, which consists of five main stages: to know, to understand, to plan, to act, and to change. The training lasted for seven days and included theoretical material presentations, hands-on practice through role-play and real-life situation simulations, as well as group discussions to share experiences and learnings. The results of the training showed a significant increase in understanding and therapeutic communication skills among the relatives of patients, which also facilitated the establishment of the DiSaPa (Diskusi Sahabat Pasien) discussion forum. This forum serves as a sustainable platform for the relatives of patients to share experiences, knowledge, and emotional support. In conclusion, the training successfully enhanced the awareness and capabilities of the relatives in supporting the care of mentally ill patients, with follow-up measures including monitoring and support through an online discussion forum to ensure the continued application of therapeutic communication skills in the long term.

Educational Mobile Apps Enhancing Communication Skills in Children With Autism in Arab Countries

This exploratory literature review investigates the landscape of educational mobile applications designed for children with autism spectrum disorder (ASD) in Arab countries, with a specific focus on their efficacy in improving communication skills. After a comprehensive search of academic databases and digital libraries, nine studies were reviewed. These studies discussed seven Arabic-language applications designed for ASD children. Consistent with previous research findings, these applications were found to be effective in enhancing communication skills among ASD individuals. By shedding light on the few existing Arabic-language educational mobile applications for ASD children in Arab countries, this comprehensive review contributes significantly to the discourse surrounding ASD interventions. Additionally, it highlights the immediate need for linguistically and culturally sensitive educational applications, designed for a specific population of Arab children with ASD.

CommSense: A Wearable Sensing Computational Framework for Evaluating Patient-Clinician Interactions

Quality patient-provider communication is critical to improve clinical care and patient outcomes. While progress has been made with communication skills training for clinicians, significant gaps exist in how to best monitor, measure, and evaluate the implementation of communication skills in the actual clinical setting. Advancements in ubiquitous technology and natural language processing make it possible to realize more objective, real-time assessment of clinical interactions and in turn provide more timely feedback to clinicians about their communication effectiveness. In this paper, we propose CommSense, a computational sensing framework that combines smartwatch audio and transcripts with natural language processing methods to measure selected "best-practice'' communication metrics captured by wearable devices in the context of palliative care interactions, including understanding, empathy, presence, emotion, and clarity. We conducted a pilot study involving N=40 clinician participants, to test the technical feasibility and acceptability of CommSense in a simulated clinical setting. Our findings demonstrate that CommSense effectively captures most communication metrics and is well-received by both practicing clinicians and student trainees. Our study also highlights the potential for digital technology to enhance communication skills training for healthcare providers and students, ultimately resulting in more equitable delivery of healthcare and accessible, lower cost tools for training with the potential to improve patient outcomes.

Workshops: Enhancing communication for nursing students with patients with hearing disabilities

Abstract Background Nursing students need guidance on effective communication strategies for interacting with patients with hearing disabilities, emphasizing the importance of addressing this gap in their education as future healthcare professionals. Methods A cross-sectional survey was conducted among nursing students at seven institutions before and after workshops led by guides with hearing disabilities from a non-profit organization Ma’agalei Shema and funded by the National Insurance Institute. Data was collected from 2023 to March 2024 and analyzed using SPSS software. Results 279 participants completed the survey before the workshops. and 136 responding afterward. Almost 80% were female. Before the workshops, 68.46% of students expected to gain communication tools for patients with hearing disabilities. About one-third believed the healthcare system offers accessible treatment to these patients, while only 22.22% foresaw no barriers. One-third reported no clinical contact with such patients. Among those who did, lip-reading (25.53%), writing (17.73%), assistance from family members (15.6%), and sign language (9.22%) were commonly used. Only 2.84% used professional sign language interpreters, and 20.57% reported never meeting a patient with hearing disabilities (8% reported “other”). Post-workshop surveys showed that around 82.48% of participants felt the workshops would significantly enhance their communication skills with such patients, with only 5.11% reporting a lack of practical tools received. Conclusions Practical workshops can significantly enhance communication skills and improve patient care. This study underscores the potential impact of minor adjustments in communication strategies on patient care, such as increasing the use of professional interpreters. Main messages: Providing training to nursing students in effective communication with these patients can streamline interactions, diminish reliance on family intermediaries, and enhance medical care. Key messages • Nursing students need guidance on communicating with patients with hearing disabilities to improve future healthcare interactions. • Practical workshops enhance communication skills, stressing the importance of minor adjustments for better patient care.

AI Concepts Integration in Developing E-Muhadathat Kits For Non-Arabic Speakers

Recent educational reforms focus on strategically integrating technology into teaching, aligning with the principles of the fourth industrial revolution (IR 4.0). Among the swiftly evolving technologies in language learning is Artificial Intelligence (AI), particularly in the form of Natural Language Processing (NLP). This technology has been applied to create the E-Muhadathat kit, an interactive Arabic conversation simulation tool designed to enhance communication skills for non-Arabic speaking students in Malaysian public universities. This study aims to investigate the role of AI in education, address the challenges in developing AI-based Arabic language learning software, and propose a model for the E-Muhadathat kit tailored for non-Arabic speakers. This literature review uses documentary methods to gather information from journals, conference proceedings, articles, dissertations, and digital books from databases such as Google Scholar, Springer Link, Science Direct, and Research Gate. The collected data undergoes descriptive analysis based on thematic categorization. The findings indicate that the concept of AI consists of three core components: machine learning, deep learning, and neural networks. Arabic linguists have recognized several challenges in developing AI-based software, such as orthographic, morphological, syntactic, anaphoric, and semantic ambiguities. Moreover, the E-Muhadathat kit's design integrates machine learning and deep learning techniques, featuring applications for both spoken and written language. The study's findings support educators and researchers aiming to create Arabic language software tailored for non-native speakers in Malaysian higher education institutions. As a result, the study advocates for further investigation into the use of AI in Arabic language education to enhance the communication abilities of non-native speakers in Malaysia.

Enhancing Communication Skills for Engineering Students

English is a crucial language in India, particularly in engineering, as it serves as both a lingua franca and a library language. It is essential for academic excellence in engineering, as it provides access to a vast repository of knowledge, advanced technical content, and enables students to understand complex concepts, participate in discussions, and perform well in exams. English also serves as a platform for interaction and collaboration, allowing students to share ideas, collaborate on projects, and engage in academic discussions. This exchange of knowledge enhances academic standards and fosters a collaborative learning environment. Effective communication in English prepares students for professional settings where they need to articulate their ideas clearly and work with peers from diverse linguistic backgrounds. The global nature of engineering careers also makes English indispensable; as Indian graduates often work in international environments or with multinational teams. Proficiency in English enables them to interact effectively with colleagues, present their work, and contribute to global projects, enhancing their career prospects and professional growth.

Socio-demographic portrait of the applicant and the main motives for choosing the "Therapy and rehabilitation" speciality

Rehabilitation and psychological support are becoming today's most urgent issues due to russian armed aggression. These needs will be long-lasting and increasingly significant. Since 2023, the Program of Medical Guarantees in Ukraine has been expanded regarding rehabilitation assistance. Additionally, volumes of the state-commissioned training of bachelors and masters in the speciality of "Therapy and rehabilitation" have been increased. It is well known that the quality of specialists trained by higher educational institutions largely depends on the motives behind the career choice. Knowledge about a student's socio-demographic status and his/her motivations to become a physical therapy and occupational therapy specialist can help understand future challenges and opportunities for the profession's development. This information can aid in elaborating strategies to promote the profession in the educational services market and to attract more applicants to choose the speciality 227 "Therapy and rehabilitation". The research aimed to compose the socio-demographic characteristics of the applicant for training in the speciality 227 "Therapy and rehabilitation", to investigate the motivational aspects of career choice and to establish the factors significant for motivation formation. To achieve this goal, a voluntary anonymous survey of 39 domestic applicants enrolled to complete the bachelor's degree program in speciality 227 "Therapy and rehabilitation" at Dnipro State Medical University was conducted. It was determined that the contingent of applicants is represented mainly by persons aged 16-18 (74%) with an active life position (90%). Additionally, most are familiar with the specifics of medical professions (62%) and have had previous personal or professional contact with physical therapy and occupational therapy (78%). The future career decision was mostly independent (84%), conscious, and influenced by the balance of internal and external motivational factors. It was typically made one to two years before taking degree course (72%). The primary motives for choosing the speciality 227 "Therapy and rehabilitation" while understanding its demand in today's conditions by applicants (82%) were "interest in medical science" (95%), "the desire to help others" (95%), "the opportunity to obtain a prestigious profession" (90%), "possibility of guaranteed employment" (90%) and "material interest/financial independence" (87%). Future specialists are aware of the importance of controlled acquisition of knowledge and skills (90%), the need for daily independent work (80%), and the significance of gaining practical experience during training (95%). They aim to achieve professionalism (59%), enhance communication skills (31%), build endurance (31%), and cultivate persistence (28%) and empathy (28%). Most applicants entering the speciality 227 "Therapy and rehabilitation" are goal-oriented, highly motivated, and prepared for rigorous study, which is the key to developing into competent and competitive specialists.

Exploring global perspectives on the use of computer-based simulation in pharmacy education: a survey of students and educators.

: Increasing student numbers and logistical challenges in pharmacy education limit patient counselling and clinical placement opportunities. Computer-based simulation (CBS) offers scalable, interactive learning but faces integration barriers. : To explore global perceptions of CBS implementation in pharmacy education among educators and students. Methods: An online cross-sectional survey was developed based on literature review and expert feedback. The survey was distributed globally through academic pharmacy organisations, social media, and the authors' networks. It included 20 questions targeting pharmacy educators and students. : Responses from 152 educators across 38 countries and 392 students from 46 countries, spanning six WHO regions (AFRO, AMRO, EMRO, EURO, SEARO, and WPRO) were analysed using descriptive and inferential statistics. The majority of educators (90.1%, n = 137) and students (84.2%, n = 330) expressed comfort with using CBS and implementing it in their curriculum. Despite this, CBS was perceived as underutilised by 53.5% (n = 81) of educators and 63.7% (n = 250) of students. Students valued CBS for enhancing communication and problem-solving skills, while educators highlighted its relevance to community pharmacy practice. Both groups supported CBS use in assessments. All educators (100%) identified workload reduction as a key priority, hoped CBS could assist in this area. Educators also reported barriers such as financial constraints (56.6%, n = 86) and insufficient technical support (53.3%, n = 81). On the other hand, students were less optimistic about institutional support, with only a few (7.4%, n = 29) believed institutional leaders would actively support CBS adoption. Regional differences emerged, with SEARO (Southeast Asia) and AFRO (Africa) showing the lowest CBS usage rates. Educators in SEARO, AFRO, and EMRO (Eastern Mediterranean) raised concerns about technical support, while those in SEARO, AFRO, and WPRO (Western Pacific, including Australia, New Zealand, and Singapore) expressed financial concerns. Educators in AFRO and WPRO, however, reported being 100% comfortable with using CBS. : Both students and educators recognised the potential of CBS in pharmacy education, with strong support for its integration. Addressing barriers such as educator workload, financial constraints, and technical support is crucial for broader adoption. Improved resource allocation and targeted training for educators are essential to effectively incorporate CBS into the pharmacy curriculum.

Enhancing Inclusive Learning and Communication Skills with the Aid of Educational Videos

Enhancing Inclusive Learning and Communication Skills with the Aid of Educational Videos

Experience of the Use of AI Conversational Agents Among Low-Income Older Adults Living Alone

There is little research exploring the experiences of using artificial intelligence (AI) conversational agents among low-income older adults living alone. To address this gap, we conducted a qualitative research study, analyzing data from 18 older adults who utilized AI conversational agents while living alone. Our focus was on exploring the perceived benefits and satisfaction of older adult users with these AI conversational agents. We identified two primary categories of perceived benefits: instrumental/functional and emotional aspects. Among the instrumental benefits, participants shared how using “Arya (the AI speaker used in the study)” positively impacted their daily living, enabling them to find and manage diverse information, enhance communication skills, and aid in memory recovery and maintenance. On the emotional benefits, participants reported experiencing positive affect, a sense of security, and feelings of gratitude and happiness. Significantly, participants felt that the intended purpose of using an AI conversational agent was achieved, resulting in a high level of satisfaction. The support from information and communication technology (ICT) managers who provided technical assistance and the availability of free services using the AI conversational agents further contributed to their satisfaction. The use of ICT to improve the quality of life from the perspective of older adults living alone makes a significant contribution to the literature. Given the rapidly aging society in South Korea and worldwide, this intervention provides a valuable support system with practical and psychosocial benefits, promoting the health and safety of older adults living alone.

Application of chatbots for enhancing communication skills of IT specialists

Abstract The paper deals with the urgent issue of application of chatbots in training IT specialists for enhancing their communication skills. The background of application of chatbots in learning from using ordinary chatbots which converse in the language studied to development and implementation of special chatbots created for studying has been described. Main features, advantages and disadvantages of certain chatbots have been analysed. Taking into account the results of the analysis the teaching-oriented chatbot BEbot for developing communication skills of IT specialists has been introduced, some specifics and challenges of its creation, its peculiarities and contents have been presented. It is emphasized that along with developing business-like communication skills, language-in-use skills, cultural distinction knowledge, command of business writing style and delivering presentations in a businesslike manner have been enhanced through communication with BEbot. The results of the surveys of students on their experience in the chatbot use and their particular experience with BEbot have been highlighted.

Combining low-technology augmentative and alternative communication with regular aphasia treatment: interim findings of a hospital-based RCT in post-stroke patients

ABSTRACT Background Previous research indicates that low-technology (low-tech) augmentative and alternative communication interventions (AACT) can enhance communication skills in individuals with post-stroke aphasia in China. However, there is limited evidence for low-tech AACT in inpatient settings. Aim This study aims to evaluate the impact of low-tech AACT combined with speech-language therapy (SLT) on communication skills related to basic needs, quality of life, and spoken language function among individuals with post-stroke aphasia in an inpatient setting. Methods & Procedures Twelve participants with aphasia having difficulty in daily communication were randomly assigned to an experimental group, receiving 30 minutes of SLT and 30 minutes of low-tech AACT per session (AACT + SLT), or a control group, receiving 60 minutes of SLT per session (SLT), over ten sessions in two weeks. Primary outcomes were measured using the basic needs (CBN) domain of the functional assessment of communication skills for adults (FACS). Secondary outcomes included scores from the Chinese version of the stroke-specific quality of life scale (SS-QOL) and subtests of spoken language production and comprehension from the aphasia battery of Chinese (ABC). The study was registered in the Chinese clinical trial registry (ChiCTR2000028870). Results The results indicated a significant improvement in the CBN domain of FACS in the AACT + SLT group, with larger clinically significant changes compared to the SLT group. The AACT+ SLT group also showed significantly higher overall scores on the SS-QOL and more significant improvements in the content of spontaneous speech than the SLT group after intervention. Comparable improvements were observed in other subtests of the ABC between the two groups. Conclusions Incorporating low-tech AACT into regular SLT in inpatient settings can improve communication for basic needs in an in-patient setting, facilitate language recovery, and potentially support the overall quality of life, compared to SLT alone, for people with post-stroke aphasia. This combined approach demonstrates preliminary feasibility in hospital settings, suggesting the value of low-tech AACT in aphasia rehabilitation.