title: Modified response elaboration training: application to procedural discourse and personal recounts.
abstract: OBJECTIVE
  This investigation was designed to examine the effects of a modification of response elaboration training (RET; Kearns, 1985) with speakers with mild to mild-moderate aphasia. The modification entailed application of RET to procedural discourse and personal recounts rather than to narrative discourse.
  
  
  METHODS
  Three participants with chronic aphasia received modified RET (M-RET) applied sequentially in the context of multiple baseline designs to the conditions of personal recounts and procedural discourse. Production of correct information units (CIUs; Nicholas & Brookshire, 1993) served as the primary dependent variable.
  
  
  RESULTS
  Participants 2 and 3 demonstrated increases in the production of CIUs in response to treatment of procedures. M-RET applied to the personal recount condition was not associated with increased production of CIUs in personal recounts in probes. However, Participant 1 demonstrated increased CIU production for previously treated procedures when treatment was applied to personal recounts. Small effect sizes were obtained for procedural sets for Participant 1, and large effect sizes were obtained for procedural sets for Participants 2 and 3. Maintenance of gains at 3 and 6 weeks post treatment was strong.
  
  
  CONCLUSIONS
  Application of M-RET to procedural discourse appears to be a viable treatment option for participants with mild to mild-moderate aphasia.
authors.affiliation: VA Salt Lake City Health Care System, Salt Lake City, UT, USA. julie.wambaugh@health.utah.edu
authors.forename: Julie L
authors.initials: JL
authors.lastname: Wambaugh
authors.forename: Christina
authors.initials: C
authors.lastname: Nessler
authors.forename: Sandra
authors.initials: S
authors.lastname: Wright
mesh_terms: D000328:Adult; D000368:Aged; D001037:Aphasia / Q000628:therapy*; D002908:Chronic Disease; D003142:Communication; D005260:Female; D006801:Humans; D007808:Language Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D033262:Narration; D011369:Professional-Patient Relations; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: aphasia; efficacy; intervention