ArticleAmerican journal of speech-language pathology2026
"A Better Way of Just Being Free": Exploring How Stroke Survivors With Aphasia Experienced an Intervention Combining Communication Strategy Training With Acceptance and Commitment Therapy.
Article in American journal of speech-language pathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04984239 (Adapting Acceptance and Mindfulness-based Behavior Therapy for Stroke Survivors With Aphasia to Improve Communication Success, Post-stroke Adaptation, and Quality of Life), which is not on this map. Not yet cited in PubMed.
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Adapting Acceptance and Mindfulness-based Behavior Therapy for Stroke Survivors With Aphasia to Improve Communication Success, Post-stroke Adaptation, and Quality of Life
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Abstract
purposeDepression, anxiety, and social isolation are prevalent among stroke survivors with aphasia (SSwA). However, evidence-based mental health interventions for SSwA are limited. The Acceptance and Commitment Therapy (ACT) for Aphasia Phase I clinical trial (NCT04984239) sought to bridge this gap by adapting and piloting an intervention combining ACT with communication strategy training to improve mental health and functional communication in SSwA. Here, we present the qualitative findings of this study to characterize experiential outcomes and inform intervention refinement.
methodFollowing a content analysis approach, we examined the posttreatment interviews of participants who received a refined version of the intervention (
resultsParticipants reported satisfaction with the intervention, positive changes in mood and behavior, and increased acceptance of their aphasia. Findings supported the utility of all core intervention components and highlighted the importance of mindfulness practice, forming a therapeutic alliance, and supporting patient autonomy. Findings were consistent with hypothesized mechanisms of change regarding psychological flexibility and treatment generalization.
conclusionThis study provides qualitative support for further evaluation of ACT for Aphasia and contributes to an emerging evidence base for adapted psychological interventions developed specifically for SSwA. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.32316024.
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