Speech Therapy Software Proven Effective
Research shows that speech & language treatment software is effective.
When creating speech therapy software we always ask How would a speech pathologist do it? Then we look at whether this accepted by the profession as the right way to do it and if there is evidence showing that treatment is effective. We then look at whether we can emulate what a speech therapist would do. Sometimes we can, such as with the Rosenbek Apraxia Hierarchy. In addition, there is research showing speech therapy software is effective. Our software is based on that research. There is also research showing that Bungalow programs, in particular are effective.
Research on Specific Bungalow products
MoreSpeech.com, our new webapp is used in a recent research study.
Improvement demonstrates the effectiveness of intensive at-home computer based applications like MoreSpeech
Hibbs, V. et al. (2015), "Computer
Clinical Research on SentenceShaper shows improved speech
Below is a brief summary of research studies about SentenceShaper as a language therapy tool, conducted at two sites: the University of Maryland School of Medicine in Baltimore, MD, and Moss Rehabilitation Research Institute in Philadelphia, PA.
Studies at the University of Maryland School of Medicine
Before After (treatment) Results
Computers can be powerful clinical tools.",
Specific measures of language function can be broadly, positively, and significantly influenced by computer-based language therapy in chronic aphasia",
Jaqueline Hinkley a renowned speech & language researcher (Associate Professor, Communication Sciences & Disorders, University of South Florida; noted in a National Aphasia Association report:
Bungalow has programs focusing on all the major skill areas and at hundreds of different difficulty levels. (Direction Following +Outloud, alone, has over 200 difficulty levels and 500,000 exercises and works on auditory comprehension, reading comprehension, sequencing and working memory)
Researchers agree: Practice and Repetition helps patients. Technology can help.
While there's little evidence indicating an advantage of one aphasia treatment over another, researchers agree that practice and repetition benefit patients. And one of the most cost-effective ways patients can get practice and repetition is through technology, " stated Leora Cherney, PhD, CCC-SLP, BC-ANCDS, director of the Center for Aphasia Research at the Rehabilitation Institute of Chicago in Illinois."
Ground-breaking study shows Aphasia Software effectiveness
While developing our first few programs, we discovered the research below and contacted one of the authors, Dr. Katz, who provided input on our programs. Dr. Katz is now our Research Consultant and helped design our new web-based speech therapy software: MoreSpeech.com
This peer-reviewed research study measured the patients' AQ (Aphasia Quotient) using the WAB (Western Aphasia Battery).
Dr. Richard Katz, a well known researcher in the Speech/Language Pathology field, published this detailed study confirming the effectiveness (efficacy) of computer software for treating language-based deficits, specifically aphasia. He graphed the outcomes data and made several conclusions in favor of computerized therapy.
He compared the following scenarios (graphed above):
Conclusions of the Study
Features the study's author thought were critical to the success, which we incorporated into the Bungalow PC programs and our new webapp
Bungalow's Treatment Software
|Classic PC Software||MoreSpeech|
|Designed for independence|
Designed for patient to use independently without requiring a clinician to be present to provide feedback and to adjust the program.
|Patients control how long they work|
Patients can work for as little or as long as they like. Patients can quit the program whenever they wish.
|Difficulty can be adjusted to patient's skill level|
You can change the number of choices (in multiple choice) and the complexity and vocabulary level of the stimulus.
|Simple screens to minimize distraction|
|Response format is consistent across the program|
(Matching, Filling, etc.)
Shows patient their performance (score) after each exercise and lesson.
|Visual feedback on performance (accuracy)|
|Program increases or decreases difficulty level automatically when patient reaches criteria, or is having difficulty.||Patient chooses level|
|Program remembers the final Lesson from the last session so patient can start from that point.|
|* Classic PC Software:|
This comparison applies to: Understanding Questions (which is based Understanding Stories (another program Dr. Katz did research on ) , Aphasia Tutor 1 thru 4, Synonyms..., and Understanding Questions, Sights'n Sounds 1 and 2, Numbers and Sounds and Direction Following ( as well as the +Outloud versions where applicable)
The treatment used in this app incorporates the stimulation/facilitation model. Duffy & Coelho's (2001) provides an excellent description and analysis of Schuell's (1953, 1964, 1974) original theory and the subsequent work of researchers who support the concepts that
All lessons use an easy-to-understand match-to-sample format, which remains virtually unchanged throughout the app so as to minimize task and response requirements, allowing the user to focus solely on the content of each lesson.
The Motor Speech/Apraxia of Speech lesson block is adapted for the app from the 8-step treatment continuum described by Rosenbek and his colleagues in their classic Rosenbek article. Visual modeling of articulatory posture and movement (referred to in their article as v1) is provided in the app by videos detailing closeups of the speaker's lips, tongue and jaw. Auditory (referred to as a) and printed text (referred to as v2) are also presented during presentation of the appropriate steps.
Coelho, C.A., Sinotte, M. P. & Duffy, J. R. Duffy (2001). Schuell's Stimulation Approach to Rehabilitation (403-449). In Chapey, R. (Ed.), Language Intervention Strategies in Aphasia and Related Neurogenic Communication Disorders (Fifth Edition). Philadelphia: Wolters Kluwer/Lippincott Willians & Wilkins.
Rosenbek, J. C., Lemme, M. L., Ahern, M. B., Harris, E. H., & Wertz, R. T. (1973). A treatment for apraxia of speech in adults. Journal of Speech and Hearing Disorders, 38, 462–472.
Schuell, H. (1953). Auditory impairment in aphasia: Significance and retraining techniques. Journal of Speech and Hearing Disorders, 18, 14-21.
Schuell, H., Jenkins, J. J., & Jiménez-Pabón, E. (1964). Aphasia In Adults. New York: Harper & Row.
Schuell, H. (1974). Aphasia theory and therapy: Selected lectures and papers of Hildred Schuell (Sies, L. F., Ed.). Baltimore: University Park Press.