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Study of the influence of singing in Dutch aphasia choirs on the speech and the quality of life of individuals with aphasia and/or apraxia of the speech.


- candidate number13999
- NTR NumberNTR3707
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR16-nov-2012
- Secondary IDs12.0992n METC Isala Klinieken te Zwolle
- Public TitleStudy of the influence of singing in Dutch aphasia choirs on the speech and the quality of life of individuals with aphasia and/or apraxia of the speech.
- Scientific TitleStudy of the influence of singing in Dutch aphasia choirs: Research of the influence of singing in an aphasia choir on the fluency of speech, word finding and the quality of life of individuals with aphasia and/or apraxia of the speech.
- ACRONYM
- hypothesisAn aphasia choir has been founded in our nursing home 2 years ago. The aim of the choir is to improve speech and language and to improve language skills of individuals who are suffering from aphasia and/or apraxia of speech. Some members of the choir experience that it is more easy to speak. They also claim that they can ‘find more words’. These members also have more self esteem to start a conversation. Until now, there is no proof that singing in a choir improves the speech, language and/or quality of life of individuals with aphasia and/or apraxia of the speech.
- Healt Condition(s) or Problem(s) studiedAphasia
- Inclusion criteria1. Aphasia/ apraxia of speech after LH stroke, determined by speech and language therapist;
2. Male and female;
3. Age between 18 and 75 years old;
4. Native speaker of Dutch;
5. Righthanded;
6. Time post onset: ˝ years after stroke (chronic stage);
7. Mentally competent;
8. Testable with:
A. Akense Afasie Test (AAT) (Greatz, P., De Bleser, R., Wilmes, K. (1992.));
B. Amsterdam- Nijmegen Test voor Alledaagse Taalvaardigheden (ANTAT), (Blomert, L., & Koster, Ch. (1995));
C. Diagnostisch Instrument voor Apraxie van de Spraak (DIAS), onderdeel articulatie van woorden (Feiken, J., & Jonkers, R. (2012));
D. Boston Benoem Taak (BBT) (Loon-Vervoorn, W.A. van, Stumpel, H.J., Vries, L.A. de (1995));
E. StrokeandAphasiaQuality of Life Scale, 39-item version (SAQOL-39). (Hilari, K., 2003), Dutch translation.
- Exclusion criteria1. Prior Stroke;
2. Aphasia caused by tumor or trauma;
3. Cortical lesions in the right hemisphere as assessed by MRI/ CT scan;
4. Left handedness or ambidexterity;
5. Bilingualism;
6. Age > 75;
7. Severe threats to the success and/or feasibility of language therapy:
A. Severe dysarthria;
B. Premorbid dementia;
C. Illiteracy;
D. Severe developmental dyslexia;
E. Severe visual perceptual disorders;
F. Severe hearing deficit;
G. Recent psychiatric history;
H. No recent start (< 2 months) of treatment of depression, prior to participation study;
I. Mentally incompentancy.
- mec approval receivedyes
- multicenter trialno
- randomisedno
- groupParallel
- Type2 or more arms, non-randomized
- Studytypeintervention
- planned startdate 1-nov-2012
- planned closingdate1-nov-2012
- Target number of participants40
- InterventionsExperimental group:
Individuals with chronic aphasia, singing in an aphasia choir. The different methods of all included choirs will be studied, because a variaty of research variables will be statistically measured in multiple regression analyses.
Duration: 6 months.

Control group:
No treatment. No individual or group treatment (speech therapy and/or music therapy) for 6 months.
- Primary outcomeThe difference in scores in 6 months between groups on the:
1. Diagnostisch Instrument voor Apraxie van de Spraak (DIAS), onderdeel articulatie van woorden (Feiken, J., & Jonkers, R. (2012));
2. Boston Benoem Taak (BBT) (Loon-Vervoorn, W.A. van, Stumpel, H.J., Vries, L.A. de (1995));
3. StrokeandAphasiaQuality of Life Scale, 39-item version (SAQOL-39). (Hilari, K., 2003).
- Secondary outcomeThe difference in scores in 6 months between groups on the:
1. Akense Afasie Test (AAT) (Greatz, P., De Bleser, R., Wilmes, K. (1992.));
2. Amsterdam- Nijmegen Test voor Alledaagse Taalvaardigheden (ANTAT), (Blomert, L., & Koster, Ch. (1995)).
- Timepoints1. T1 (at starting point):
Assessments: AAT , ANTAT, DIAS onderdeel articulatie van woorden, BBT, SAQOL-39;
2. T2 (after 6 months of treatment (experimental group)/ or 6 months after starting point (control group)):
Assessments: AAT , ANTAT, DIAS onderdeel articulatie van woorden, BBT, SAQOL-39.
- Trial web siteN/A
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIES Dorothea Gaalen van-Deuzeman
- CONTACT for SCIENTIFIC QUERIES Annelies Bruin, de
- Sponsor/Initiator Woonzorgconcern IJsselheem
- Funding
(Source(s) of Monetary or Material Support)
Hersenstichting Nederland
- PublicationsN/A
- Brief summaryFor more then 100 years, it is known that individuals with aphasia can sing words which they can not speak. Melodic Intonation Therapy (MIT) (Sparks, Helm, & Albert, 1973) and Speech Music Therapy for Aphasia (SMTA) (Bruijn, Zielman & Hurkmans, 2002) are two examples of speech-language treatments which use music in their method to stimulate the verbal output of individuals with aphasia.
As a result of the positive experience of singing during our SMTA treatment, we have founded an aphasia choir 2 years ago. The aim of the choir is to improve speech and language for individuals with aphasia and/or apraxia of speech. Until now, there is no proof that singing in a choir improves the speech and language, and quality of life of individuals with aphasia and/or apraxia of the speech. Our goal is to research the influence of singing in an aphasia choir on the word finding, fluency and the quality of life of individuals with aphasia and/or apraxia of the speech.

Design:
Experimental group (n=20): Chronic aphasia and/or apraxia of the speech.
Individuals will sing in an aphasia choir for 6 months. The different methods of all included choirs and the influence of several variables will be studied, because a variety of parameters will be statistically measured in multiple regression analyses.

Control group (n=20):
No treatment for chronic individuals with aphasia and/or apraxia of the speech. No individual or group treatment (speech therapy and/or music therapy) for 6 months.
- Main changes (audit trail)
- RECORD16-nov-2012 - 25-nov-2012


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