ArticleAmerican journal of speech-language pathology2025
Feasibility and Preliminary Outcomes of Speech-Language Pathologist-Administered Behavioral Activation: A Psychosocial Intervention for People With Aphasia.
Article in American journal of speech-language pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeDespite the high prevalence of depression and anxiety among people with aphasia (PWA), their mental health needs are often overlooked. Behavioral activation is an effective cognitive behavioral therapy technique for depression that may be well suited for PWA. The current study aimed to (a) assess the feasibility and acceptability of a speech-language pathologist (SLP)-administered psychosocial intervention that is primarily composed of behavioral activation and (b) examine preliminary effects of this intervention on depression and anxiety symptoms of PWA.
methodEleven participants with poststroke aphasia participated in this mixed-methods pilot study. A brief behavioral intervention was developed by an SLP and a clinical psychologist for the target population and administered to all participants by an SLP. Aphasia-friendly communication supports were created by the SLP to facilitate implementation of the intervention components. Participants were given a battery of psychosocial assessments at baseline, post-intervention, and at a 1-month follow-up. The primary outcome measures were (a) feasibility measured by retention (quantitative) and thematic interview responses (qualitative), (b) acceptability (measured qualitatively), and (c) depression and anxiety symptoms. All qualitative interviews were conducted with participants at the post-intervention session.
resultsAll participants completed every session, suggesting high feasibility. Post-intervention qualitative interviews indicated that participants found the intervention acceptable and helpful. Despite low power, paired-samples
conclusionsEarly evidence from this pilot study suggests that this SLP-administered intervention is feasible and acceptable to PWA, but that a higher dose may be warranted to ensure durability. Fully powered research is needed to further examine the benefit of this intervention for PWA. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.29344943.
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