Script Training Using Telepractice with Two Adults With Chronic Non-fluent Aphasia


  • Naomi C. Rhodes Northern Arizona University
  • Emi Isaki Northern Arizona University



Two male participants with chronic (> 2 years), non-fluent aphasia and their family members participated in script training using videoconferencing.  Functional scripts were developed by people with aphasia (PWA) and their family members. Accuracy of scripts was measured by total target words produced per turn.  Participant 1 with Broca’s aphasia produced scripts with 0% accuracy pre-treatment and 87.5% accuracy post-treatment. Participant 2 with Transcortical Motor aphasia produced scripts with 20.2% accuracy pre-treatment and 63.5% accuracy post-treatment.  Pre- and post-questionnaires for communication effectiveness and the use of telepractice for speech therapy indicated improvements in answering yes/no questions, participating in conversations with strangers, and increasing confidence and satisfaction with technology delivered treatment.  The use of videoconferencing to deliver script training appears beneficial for individuals with chronic aphasia.



American Speech-Language Hearing Association. (2017). Aphasia. Retrieved from

Beck, A. R. (2012). The use of script training and videoconferencing holds promise for improving the communication skills of people with aphasia, but further study is warranted. Evidence-based Communication Assessment and Intervention, 6, 120-125.

Bridgman, K., Onslow, M., O’Brian, S., Jones, M., & Block, S. (2016). Lidcombe program webcam treatment for early stuttering: A randomized controlled trial. Journal of Speech, Language, and Hearing Research, 59, 932-939.

Brookshire, R. H. (2015). Introduction to neurogenic communication disorders (8th ed.). M. R. McNeil (Ed.). St. Louis, MO: Elsevier.

Centers for Disease Control and Prevention. (2017, September 6). Stroke Facts. Retrieved from

Cherney, L. R. (2012). Aphasia treatment: Intensity, dose parameters, and script training. International Journal of Speech-Language Pathology, 14, 424-431.

Cherney, L.R., Halper, A.S., Holland, A.L., & Cole, R. (2008). Computerized script training for aphasia: Preliminary results. American Journal of Speech-Language Pathology, 17, 19-34.

Cherney, L. R., Kaye, R. C., Lee, J. B., & van Vuuren, S. (2015). Impact of personal relevance on acquisition and generalization of script training for aphasia: A preliminary analysis. American Journal of Speech-Language Pathology, 24, S913-S922.

Davis, G.A., & Wilcox, M.J. (1985). Adult aphasia rehabilitation. Applied Pragmatics. San Diego. CA: College-Hill Press.

Goldberg, S., Haley, K. L., & Jacks, A. (2011). Script training and generalization for people with aphasia. American Journal of Speech-Language Pathology, 21, 222-238.

Hall, N., Boisvert, M., & Steele, R. (2013). Telepractice in the assessment and treatment of individuals with aphasia: A systematic review. International Journal of Telerehabilitation, 5(1), 27-38.

Holland, A. L., Halper, A. S., & Cherney, L. R. (2010). Tell me your story: Analysis of script topics selected by persons with aphasia. American Journal of Speech-Pathology, 19, 198-203.

Kaye, R.C. & Cherney, L. R. (2016). Script templates: A practical approach to script training in aphasia. Topics in Language Disorders, 36, 136-153.

Kertesz, A. (2007). Western aphasia battery-revised. San Antonio, TX: Harcourt Assessment Inc.

Lee, J.B., Kaye, R.C., & Cherney, L. R. (2009). Conversational script performance in adults with non-fluent aphasia: Treatment intensity and aphasia severity. Aphasiology, 23, 885-897.

Lomas, J., Pickard, L., Bester, S., Elbard, H., Finlayson, A., & Zoghaib, C. (1989). The communicative effectiveness index: Development and psychometric evaluation of a functional communication measure for adult aphasia. Journal of Speech and Hearing Disorders, 54, 113-124.

Mazaux, J., Lagadec, T., de Seze, M. P., Zongo, D., Asselineau, J., Douce, E., Trias, J., Delair, M., & Darigrand, B. (2013). Communication activity in stroke patients with aphasia. Journal of Rehabilitation Medicine, 45, 341-346.

National Institute on Deafness and Other Communication Disorders. (2017). Aphasia (NIH Pub. No. 97-4257). Bethesda, MD: NIDCD Information Clearinghouse.

Snook, K. D. (2013). Telephone-based script training and generalization for aphasia. (Electronic Thesis). Retrieved from (osu1372865259)

van Vuuren, S., & Cherney, L.R. (2014). A virtual therapist for speech and language therapy. Intelligent Virtual Agents, 8637, 438-448.

Woolf, C., Caute, A., Haigh, Z., Galliers, J., Wilson, S., Kessie, A., Hirani, S., Hegarty, B., & Marshall, J. (2016). A comparison of remote therapy, face to face therapy and an attention control intervention for people with aphasia: a quasi-randomised controlled feasibility study. Clinical Rehabilitation, 30, 359-373.



How to Cite

Rhodes, N. C., & Isaki, E. (2018). Script Training Using Telepractice with Two Adults With Chronic Non-fluent Aphasia. International Journal of Telerehabilitation, 10(2), 89–104.



Clinical Applications