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The purpose of this study is to test the feasibility and acceptability of an online exercise program for community-dwelling individuals with aphasia, a language disorder resulting from brain damage. Physical activity, language, cognitive, and quality of life outcomes will be collected to assess potential effectiveness.
Approximately one-third of stroke survivors have aphasia, acquired language difficulty that affects the ability speak and understand others. However, despite documented benefits of interventions to promote physical activity (PA) after stroke, including improved health-related quality of life (QoL), social and emotional benefits, and improved cognition, individuals with aphasia are often excluded from this research due to their communication difficulties. This is particularly concerning, given that individuals with aphasia are at greater risk of social isolation and depression compared to stroke survivors without aphasia. Presently, limited research has been conducted that examines the effect of PA interventions in individuals with aphasia although preliminary findings suggest that benefits may exist across domains (health and disability).
This study aims to better understand how PA affects the lives of individuals with aphasia. Given weekly tele-instruction in PA over 10 weeks, participants' levels of PA will be monitored for the duration of the study. Pre- and post-treatment measures of cognitive ability, QoL, and aphasia severity will be collected and analyzed to characterize intervention effects. The results of this study will provide insight into whether PA may be an important component of future aphasia treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Online aphasia-adapted physical activity class | Experimental | Will receive the physical activity intervention. |
|
| Usual routine control | No Intervention | Engage in physical activity per usual routine. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Online aphasia-adapted physical activity class | Behavioral | Online 50-minute physical activity sessions, two to three times weekly for 10-11 weeks. The activity instructions will be modified to be aphasia-friendly (simplified language, multimodality support). |
| Measure | Description | Time Frame |
|---|---|---|
| Adherence Rates | Percent of classes attended | During intervention (weeks 1-10) |
| Retention | Percent of participants completing the intervention | Post-intervention (week 10) |
| Measure | Description | Time Frame |
|---|---|---|
| Participants' attitudes towards the intervention | Acceptability and themes as identified via qualitative interview | Post-intervention (week 10) |
| Measure | Description | Time Frame |
|---|---|---|
| Sedentary behaviors | Change in sitting and sleeping time, as measured using activity monitor | Pre-intervention (week 0) and post intervention (week 10) |
| Physical Activity: Steps | Change in steps per day, as measured using activity monitor |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michelle 1 Gravier, Ph.D. | California State University, East Bay | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| California State University, East Bay | Hayward | California | 94542-3000 | United States |
De-identified data will be made available upon reasonable request
Data will become available at study conclusion and will be available for 7 years.
Requests received by the primary investigator or other investigator team members via email will be reviewed for reasonable use
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| ID | Term |
|---|---|
| D001037 | Aphasia |
| ID | Term |
|---|---|
| D013064 | Speech Disorders |
| D007806 | Language Disorders |
| D003147 | Communication Disorders |
| D019954 | Neurobehavioral Manifestations |
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Participants who elect to take part in the exercise intervention will be assigned to the intervention group, while those who do not will be assigned to the control group.
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| Pre-intervention (week 0) and post intervention (week 10) |
| Physical Activity: Standing | Change in time spent standing, as measured using activity monitor | Pre-intervention (week 0) and post intervention (week 10) |
| Engagement | Change in heart rate during exercise class, as measured using activity monitor | During intervention (weeks 1-10) |
| Language ability | Change in Western Aphasia Battery-Revised Aphasia Quotient (minimum value:0, maximum value: 100, higher scores indicate a better outcome) | Pre-intervention (week 0) and post intervention (week 10) |
| Quality of Life (perceived) | Change in Burden of Stroke Scale Total Transformed Score; minimum value 0; maximum value 100; higher scores indicate worse outcome | Pre-intervention (week 0) and post intervention (week 10) |
| Cognition | Change in Test of Non-Verbal Intelligence Percentile Rank (minimum score: 0, maximum score 100, higher scores indicate a better outcome) | Pre-intervention (week 0) and post intervention (week 10) |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |