1. ◆ Initial Baseline ∙ Naming AccuracyB = BaselineP = ProbeM = Maintenance Using Semantic Features Analysis to Treat Discourse in Context in Aphasia Jill Ellyn Davis Heather Harris WrightJudith L. Page University of Kentucky ◆ Initial Baseline ∙ Naming AccuracyB = BaselineP = ProbeM = Maintenance Semantic Features Analysis  Individuals are encouraged to provide semantic features of a target word  In treatment studies with adults with aphasia, participants improved naming ability for treated items (Boyle & Coelho, 1995; Coelho et al., 2000; Lowell et al., 1995)  Participants maintained naming accuracy for trained items at one and two-month follow-up sessions (Boyle & Coelho, 1995; Coelho et al., 2000)  Some improvement on untrained items was found across studies as well  Unexpected findings emerged: Positive changes in connected speech after implementation of SFA at the word level were found (Boyle & Coelho, 1995; Coelho et al, 2000) Purpose  To determine if using SFA to train contextually related words improved the connected speech of individuals with Broca’s aphasia in pre-selected contexts METHOD Participants Study Design  Multiple probes across conditions  Included a pretest, posttest, and one-month follow-up  Pretest, posttest, and follow-up required the participants to explain 8 contexts:  four story retellings  four procedural explanations  Language samples were analyzed for the number of target words produced and D  The design included 3 conditions:  baseline condition  treatment conditions  three probe conditions  Target words were selected from the contexts and were randomly assigned to treated or untreated lists  Each list included 20 target words – 10 from two contexts  Treatment conditions consisted of three lists of target words taught using SFA  Probe conditions consisted of presenting the target words without feedback and followed each of the three treatment conditions DISCUSSION  Naming ability improved for all participants following SFA treatment  All participants maintained naming accuracy above pre-treated levels and did not generalize to untrained items  Using SFA to train contextually related words improved the discourse ability of individuals with Broca’s aphasia in pre-selected contexts  SFA can be an effective strategy for improving word retrieval ability in closed-set contexts Anecdotal Evidence  Social validation of the study was indicated by positive anecdotal reports from the participants’ spouses  P1’s wife  P2’s husband  Supports findings from Boyle and Coelho (1995) with the Communicative Efficiency Index (CETI; Lomas et al., 1989) P1P2P3 Age (in years)735562 Educ (in years)161312 M/P CVA2645126 GenderMFM WAB AQ74.676.665.8 RCBA-2302925 BNT422920 Attribute [ACTION] Target word here Attribute [USE] Attribute [LOCATION] Attribute [PROPERTIES] Attribute [ASSOCIATION ] Attribute [GROUP] Results: P1 Results: P2 B B B PPPM Results: P3 B B B PPPM Results: Target Words Produced Participants P1P2P3 Pretest18.2644.0119.45 Posttest18.0336.3417.09 Maintenance14.6342.5718.64 Results: D List 1 List 2 List 3 List 4 B B B P P P Semantic Features Analysis Chart P P M P P ◆ Initial Baseline ∙ Naming AccuracyB = BaselineP = ProbeM = Maintenance List 1 List 2 List 3 List 4 P P List 2 List 3 List 4 List 1 Participants P1P2P3 Pretest242917 Posttest293423 Maintenance273828