Evidence map›Paper›PMID 29278019›Full record

Trial reportClinical rehabilitation2018

A feasibility randomized controlled trial of ReaDySpeech for people with dysarthria after stroke.

Claire Mitchell, Audrey Bowen, Sarah Tyson, Paul Conroy

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 19 citations in OpenAlex.

  1. Stroke-associated dysarthria.Frontiers in neurology · 2025
    Review
  2. Article
  3. Reversing the Ruin: Rehabilitation, Recovery, and Restoration After Stroke.Current neurology and neuroscience reports · 2022
    Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Claire Mitchell1 Division of Neuroscience and Experimental Psychology, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.ORCID http://orcid.org/0000-0002-2445-8468
Audrey Bowen1 Division of Neuroscience and Experimental Psychology, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Sarah Tyson3 Division of Nursing, Midwifery and Social Work, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.ORCID http://orcid.org/0000-0001-6301-8791
Paul Conroy1 Division of Neuroscience and Experimental Psychology, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Manchester Academic Health Science Centre · GB

Funding

Department of Health DRF-2014-07-043
6 · The paper itself

Abstract

objectiveTo evaluate the feasibility of a multicentre randomized controlled trial of ReaDySpeech, an online speech therapy programme for people with dysarthria.

designFeasibility randomized controlled trial, 2:1 minimization procedure.

settingFour UK NHS services across hospital and community.

participantsForty participants with dysarthria at least one week post-stroke. Interventions/comparator: ReaDySpeech with usual care ( n = 26) versus usual care only ( n = 14). MAIN OUTCOMES: Feasibility measures included the following: recruitment and retention rate, time taken to carry out assessments, success of outcome assessor blinding, fidelity and adherence. Participant baseline and outcome measures collected before and after 8-10 weeks of intervention were the Frenchay Dysarthria Assessment II, Therapy Outcome Measure, Communication Outcomes After Stroke Scale, EQ-5D-5L and Dysarthria Impact Profile.

resultsRecruited 40 participants out of 74 eligible people, 1-13 weeks post stroke and mean age 69 years (37-99). Retention was very high (92%). Assessor blinding was not achieved with intervention allocation correctly guessed for 70% of participants (26/37). Time to carry out assessments was acceptable to participants. ReaDySpeech was delivered to 16 of 26 allocated participants, who completed 55% of prescribed activities, but both interventions were delivered at low intensity (mean 6.6 face-to-face sessions of 40-minute duration).

conclusionRecruitment and retention in this randomized controlled trial of computerized therapy for dysarthria is feasible for acute stroke. However, further feasibility work is needed to evaluate whether it is possible to recruit chronic stroke; increase intervention delivery, intensity and adherence; achieve outcome assessor blinding by video-recording and to determine sample size for a larger trial of effectiveness.

Indexed as

Therapy, Computer-AssistedAdultAgedAged, 80 and overDysarthriaFeasibility StudiesFemaleHumansMaleMiddle AgedSpeech IntelligibilitySpeech TherapyStrokeDysarthriarandomized controlled trialrehabilitation interventionsstroke

Identifiers

PMID29278019
PMCPMC6088453
OpenAlexW2774242142

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.