Improving Functional Communication Outcomes in Post-Stroke Aphasia via Telepractice: An Alternative Service Delivery Model for Underserved Populations


  • Portia Carr University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
  • Dana Moser University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
  • Shana Williamson University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
  • Greg Robinson University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
  • Stephen Kintz University of Arkansas at Little Rock, Little Rock, Arkansas, USA



Aphasia, Conversational script training, Oral reading for language in aphasia, Telepractice


Many persons with aphasia (PWA) have limited access to speech-language treatment (SLT) due to limited funding, speech-language pathologist shortages, geographical barriers, physical disabilities, transportation barriers, and COVID-19 pandemic. The purpose of this study was to determine if telepractice is an effective and feasible service delivery model for PWA. Ten PWA completed 8 hours of remote treatment over 4 weeks. Synchronous telepractice sessions employed Oral Reading for Language in Aphasia (ORLA) and Conversational Script Training (CST). Pre- and post-assessment outcome measures included the Communication Activities of Daily Living-3 (CADL-3) and the Communication Confidence Rating Scale for Aphasia (CCRSA). Participants completed a telepractice satisfaction survey following post-assessment. All participants demonstrated improvements in CCRSA scores, total words produced correctly on trained CST stimuli, and total words produced correctly on trained ORLA stimuli. No differences were noted in CADL-3 scores. All participants were highly satisfied with telepractice as a service delivery model.



Author Biography

Portia Carr, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA

Assistant Professor 


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How to Cite

Portia Carr, Moser, D., Shana Williamson, Greg Robinson, & Stephen Kintz. (2022). Improving Functional Communication Outcomes in Post-Stroke Aphasia via Telepractice: An Alternative Service Delivery Model for Underserved Populations. International Journal of Telerehabilitation, 14(2).



Clinical Research