Can Script Training Improve Narrative and Conversation in Aphasia across Etiology?

H. Isabel Hubbard, Lori A. Nelson, Jessica D. Richardson

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Script training is an effective treatment of stable (e.g., stroke-induced) and progressive aphasia of varying severities and subtypes. The theoretical underpinnings of script training are discussed and include fluency-inducing conditions, speech shadowing, principles of neuroplasticity, and automatization. Script training outcomes are reviewed, with a focus on discourse in persons with stable aphasia (PWSAs) and in persons with primary progressive aphasia (PWPPAs). PWSAs and PWPPAs are able to acquire and maintain short scripted monologues or conversational dialogues, with some evidence of generalization to untrained topics and settings. Advances in both technology and access have enriched script training protocols, so they now range from no-tech written script approaches to high-tech audiovisual support and avatars. Advances in audio and/or visual support promote large amounts of practice of less errorful whole-message language processing during a fluent language inducing condition. With enough practice, users decrease reliance on supports and independently produce scripted content. Script training can be delivered in a variety of settings (individual, group, telepractice), lends itself well to homework programs, and is in accordance with the principles of neuroplasticity for neurorehabilitation. Incorporating script training into therapy programming is advantageous throughout aphasia recovery following brain injuries such as stroke. It is also beneficial for persons with progressive disease for prophylaxis, remediation, and compensation. Recommendations for implementing script training in clinical practice and future research directions are presented.

Original languageEnglish
Pages (from-to)99-124
Number of pages26
JournalSeminars in Speech and Language
Volume41
Issue number1
DOIs
StatePublished - Jan 23 2020

Bibliographical note

Funding Information:
H.I.H. receives a salary from the University of Kentucky. She has no other financial or nonfinancial disclosures. L.A.N. receives a salary from the University of New Mexico. She has no other financial or nonfinancial disclosures. J.D.R. receives a salary from the University of New Mexico and grant support through an Institutional Development Award (IDeA) from the National Institute of General Medical Sciences of the National Institutes of Health under grant number P20GM109089. She also serves as co-chair of the Research Committee at the Triangle Aphasia Project. She has no other financial or nonfinancial disclosures.

Publisher Copyright:
© 2020 Thieme Medical Publishers, Inc.. All rights reserved.

Keywords

  • aphasia
  • discourse
  • primary progressive aphasia
  • script training
  • scripts

ASJC Scopus subject areas

  • Speech and Hearing
  • LPN and LVN

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