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Improving Therapy Outcomes with Computers: More Bang for the Buck ASHA 2000 November 17, 2000 Terri...
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Transcript of Improving Therapy Outcomes with Computers: More Bang for the Buck ASHA 2000 November 17, 2000 Terri...
Improving Therapy Outcomes with Computers:
More Bang for the Buck
ASHA 2000
November 17, 2000
Terri Nichols, MS, CCC-SLP
Candace Gordon, MA, CCC-SLP
Jill Brown, MS, CCC-SLP
APHASIA TREATMENT
Benefits of computerized treatment for aphasia
• Builds self-esteem
• Allows independent practice with objective feedback
• Conserves health insurance benefits
• Allows unlimited drill on specific levels
• Provides simultaneous multi-sensory input
Benefits of computerized treatment for aphasia (cont’d)
• Compensates for physical deficits
• Maintains therapeutic gains after therapy ends
• Allows a functional look at sequencing skills
• Allows efficient use of professional time
Benefits of computerized treatment for aphasia (cont’d)
• Allows utilization of less-skilled personnel
• Technology use can be an excellent functional goal
Differentiating goals: face-to-face, or computer-
based?
Goals and activities best served face-to-face
• Developing compensatory strategies: gestures, drawing, description
• Demonstrating interaction strategies for caregivers and significant others
• Apraxia drills which utilize tactile cues
• Eliciting discourse, verbal or written
• Facilitating group interactions
Goals and activities best served face-to-face (cont’d)
• Building compensatory strategies for communicating in noise and distraction
• Pragmatic skills: eye contact, functional comprehension, communication efficiency, humor
Goals and activities more efficiently served by computer-
based activities
• Reading comprehension
• Written naming
• Sound discrimination
• Matching activities
• Fill-in-the-blank or cloze activities
• Multiple choice
Goals well served by a combination of face-to-face
and computer-based activities
• Self-monitoring of errors
• Following directions
• Writing (there’s not always direct carryover from typing words to writing words; but be sure to collaborate with OT if there’s not!)
Case examples and software demonstrations: how a client
can progress with the right software, and the right
“consultant”
Writing: from single letter matching to written naming
• Aphasia Tutor 1:• Progression of levels• Cueing hierarchy
Reading: from picture/word matching to recreational
reading
• Aphasia Tutor 1
• Aphasia Tutor 2
• Aphasia Tutor 3 & 4
Speaking: learning to recognize and self-correct
errors• Aphasia Tutor 0: Sights and Sounds
• Speech Sounds on Cue
Comprehending: following directions
• Direction Following Plus• Verbal options• Written options• Memory options
Choosing software
• Flexibility
• Volume of stimuli
• Customer service and support
• Intervention strategies: how does the software help promote success?
• Cost