An investigation into the feasibility of remotely monitored computer therapy for people with aphasia

Abstract

The advent of telecommunications software and increased access to the Web have made feasible delivery of therapy without face-to-face contact between the person receiving therapy and the therapist, that is, remotely. This study investigates the practicalities of remotely monitored therapy for people with aphasia. It reports a case series involving seven participants. All were given access to a computer, modem, and therapy and communications software at home. Progress made in home practice was monitored remotely on a monthly basis by the speech and language therapist, and new exercises were assigned. The study sought to evaluate whether people with aphasia were able and willing to participate in therapy delivered this way, whether transfer of data and new exercises was possible usingexisting technology, and whether this mode of therapy delivery was effective in reducing therapist input in terms of time. Results indicate that this mode of therapy delivery has potential benefits in terms of saving therapy time and increasing intensity of practice for some people with dysphasia. However, benefits were offset by time-consuming processes associated with data transfer. It is therefore recommended that new software be developed to automate such processes to the benefit of both usersand therapists.