Intensive Comprehensive Aphasia Programs: An International Survey of Practice

Rose, Miranda L., Cherney, Leora R. and Worrall, Linda E. (2013) Intensive Comprehensive Aphasia Programs: An International Survey of Practice. Topics in Stroke Rehabilitation, 20 5: 379-387. doi:10.1310/tsr2005-379

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Author Rose, Miranda L.
Cherney, Leora R.
Worrall, Linda E.
Title Intensive Comprehensive Aphasia Programs: An International Survey of Practice
Journal name Topics in Stroke Rehabilitation   Check publisher's open access policy
ISSN 1074-9357
Publication date 2013-09-01
Year available 2013
Sub-type Article (original research)
DOI 10.1310/tsr2005-379
Open Access Status File (Publisher version)
Volume 20
Issue 5
Start page 379
End page 387
Total pages 9
Place of publication Leeds, W Yorks, United Kingdom
Publisher Maney Publishing
Language eng
Formatted abstract
Background: In response to the need to simultaneously address multiple domains of the International Classification of Functioning, Disability and Health (ICF) in aphasia therapy and to incorporate intensive treatment doses consistent with principles of neuroplasticity, a potentially potent treatment option termed intensive comprehensive aphasia programs (ICAPs) has been developed.

Objective: To conduct an international survey of ICAPs to determine the extent of their use and to explore current ICAP practices.

Methods: A 32-item online survey was distributed internationally through Survey Monkey between May and August 2012. The survey addressed ICAP staffing, philosophy, values, funding, admission criteria, activities, family involvement, outcome measures, and factors considered important to success.

Results: Twelve ICAPs responded: 8 from the United States, 2 from Canada, and 1 each from Australia and the United Kingdom. The majority of ICAPs are affiliated with university programs and are funded through participant self-pay. ICAPs emphasize individualized treatment goals and evidence-based practices, with a focus on applying the principles of neuroplasticity related to repetition and intensity of treatment. On average, 6 people with aphasia attend each ICAP, for 4 days per week for 4 weeks, receiving about 100 hours of individual, group, and computer-based treatment. Speech-language pathologists, students, and volunteers staff the majority of ICAPs.

Conclusions: ICAPs are increasing in number but remain a rare service delivery option. They address the needs of individuals who want access to intensive treatment and are interested in making significant changes to their communication skills and psychosocial well-being in a short period of time. Their efficacy and cost-effectiveness require future investigation.
Keyword Aphasia
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Health and Rehabilitation Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 17 times in Thomson Reuters Web of Science Article | Citations
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