Assessment & Research

Assessment-Informed Intervention for Aphasia in an Older Adult: Transfer of Stimulus Control Procedure Considerations.

Ritchie et al. (2021) · The Analysis of verbal behavior 2021
★ The Verdict

A quick language test picked the right words for prompt-delay training and helped an older adult with aphasia speak them on his own.

✓ Read this if BCBAs who treat adults with stroke or brain injury in clinic or home care.
✗ Skip if Clinicians who only work with young children or non-verbal programs.

01Research in Context

01

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.

02

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.

03

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.

04

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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→ Action — try this Monday

Probe five words your client already partly understands, then teach with a two-second prompt delay and track unprompted corrects.

02At a glance

Intervention
prompting and fading
Design
multiple baseline across behaviors
Population
other
Finding
positive

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