Evidence map›Paper›PMID 34534254›Full record

ArticlePloS one2021

Estimating the cost and value of functional changes in communication ability following telepractice treatment for aphasia.

Molly Jacobs, Charles Ellis

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. 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
0.9field-weighted citation impact, top 28% 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, 13 citations in OpenAlex.

  1. Article
  2. TelePriming sentence production in aphasia.Frontiers in human neuroscience · 2023
    Article
  3. Article
  4. Economic Evaluations of Speech and Language Therapy Interventions: A Scoping Review.International journal of language & communication disorders
    Article
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

2 authors at 1 institution in 1 country.

Molly JacobsDepartment of Health Services Research, Management and Policy, University of Florida, Gainesville, Florida, United States of America.ORCID 0000-0001-5943-8507
Charles EllisDepartment of Speech, Language and Hearing Sciences, University of Florida, Gainesville, Florida, United States of America.
University of Florida · US

Funding

Speech Telerehabilition after stroke: Proof of Concept and FeasibilityR03HS025043 · AHRQ · EAST CAROLINA UNIVERSITY · PI ELLIS, CHARLES · 2017 to 2018
$99k
AHRQ HHS R03 HS025043
6 · The paper itself

Abstract

contextAphasia is a post-stroke condition that can dramatically impact a person with aphasia's (PWA) communication abilities. To date, few if any studies have considered the cost and cost-effectiveness of functional change in aphasia nor considered measures of patient's value for aphasia treatment.

objectiveTo assess the cost, cost-effectiveness, and perceived value associated with improved functional communication in individuals receiving telerehabilitation treatment for aphasia.

designTwenty PWA completed between 5 and 12 telehealth rehabilitation sessions of 45-60 minutes within a 6-week time frame using a Language-Oriented Treatment (LOT) designed to address a range of language issues among individuals with aphasia. National Outcomes Measures (NOMS) comprehension and verbal expression and the ASHA Quality of Communication Life (QCL) were completed prior to and at the completion of rehabilitation to obtain baseline and treatment measures.

resultsAge, education, and race are significantly correlated with improvement in the NOMS verbal expression. African Americans (OR = 2.0917) are twice as likely as Whites to experience improvement after treatment. The likelihood of improvement also increases with each additional year of education (OR = 1.002) but decrease with age (OR = 0.9463). A total of 15 PWA showed improvement in NOMS comprehension and nine patients showed improvement in NOMS verbal expression. Improving patients attended between five and 12 treatment sessions. The average cost of improvement in NOMS comprehension was $1,152 per patient and NOMS verbal expression was $1,128 per patient with individual treatment costs varying between $540 and $1,296. However, on average, the monetary equivalent in patient's improved QCL was between $1,790.39 to $3,912,54-far exceeding the financial cost of treatment.

conclusionsWhen measuring the functional improvement of patients with aphasia, patient's quality of communication life received from treatment exceeded financial cost of services provided.

Indexed as

Health Care CostsAge FactorsAphasiaBlack or African AmericanEducational StatusHumansLogistic ModelsOdds RatioOutcome Assessment, Health CareQuality of LifeSpeech TherapyTelerehabilitationWhite People

Identifiers

PMID34534254
PMCPMC8448307
OpenAlexW3201378665

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.