Assessment-Informed Intervention for Aphasia in an Older Adult: Transfer of Stimulus Control Procedure Considerations.
A quick language test picked the right words for prompt-delay training and helped an older adult with aphasia speak them on his own.
01Research in Context
What this study did
Waddington et al. (2021) worked with one older adult who had aphasia after a stroke.
First they ran a short language assessment to see which words the person still understood.
Then they taught those words with a prompt-delay plan: show picture, wait two seconds, give spoken cue if needed, then fade the cue out.
What they found
The man said the target words on his own more often after each session.
Gains stayed high when the team came back weeks later.
Picking the words through assessment made the teaching faster and cleaner.
How this fits with other research
Mace et al. (1990) also used fading, but with kids who had developmental delays. They saw the same jump in correct answers and drop in errors, showing the tactic works across ages.
Einfeld et al. (1995) paired a quick functional analysis with treatment and got fast behavior change, just like Hannah did with language.
Dove et al. (1974) showed pigeons can shift control from one cue to another in the lab; Hannah shows the same shift can happen with spoken words in a person.
Why it matters
You can borrow this two-step plan tomorrow. Run a five-minute language probe to find words the client still partly knows. Then use a two-second prompt delay to strengthen them. No extra tools needed—just a timer and your voice. It saves time and keeps therapy focused on what the person actually needs.
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02At a glance
03Original abstract
The purpose of this study was to contribute to the small but growing literature on the rehabilitation of language for older adults, as well as evaluate the clinical utility of a functional approach to language assessment. The study included an assessment-based response profile that informed individualized treatment targets and prompt selection, and a multiple-baseline design across behaviors with an embedded multielement design was used to systematically compare two transfer of stimulus control procedures. Results suggested that the prompt-delay procedure resulted in positive treatment outcomes and provided valuable information on the implications of basing treatment goals on functional assessment.
The Analysis of verbal behavior, 2021 · doi:10.1016/j.pmr.2009.12.011