Effects of PACE Technique in Patients With Aphasia

Riphah International University

Status: Completed

Conditions: Aphasia, Broca

Treatments: Other: control group conventional therapy; Behavioral: experimental

Study type: Interventional

Funder types: Other

Identifiers

NCT07521098

rec/rcr&ahs/24/0682

Details and patient eligibility

About

Aphasia, a communication disorder often resulting from him brain injury such as stroke, impacts an individual's ability to understand or produce language. It can manifest in various forms, such as difficulties with speaking, writing, reading, and comprehension, which severely impair daily functioning and quality of life. For adults with aphasia, regaining communication skills is often a critical aspect of rehabilitation, demanding a combination of therapeutic strategies.

The Promoting Aphasics' Communicative Effectiveness (PACE) technique is a widely recognized approach to improve communication in individuals with aphasia. Developed in the late 20th century, the PACE technique focuses on naturalistic communication, encouraging patients to utilize any available communicative means verbal or non-verbal to convey messages effectively. By simulating real-world conversational scenarios in therapy, PACE aims to enhance both expressive and receptive communication skills, thereby facilitating better interaction in social contexts. This approach is especially beneficial for individuals with severe expressive language impairments, as it emphasizes the overall success of communication rather than linguistic accuracy.

A descriptive experimental research design was followed in the present study to explore the effect of PACE technique in adults with Aphasia. The study will be conducted at DHQ Faisalabad. The Duration of study is relied on 16 sessions. Three sessions will be conducted per week and the duration of a session is about forty minutes. Sample size (N=16) (Control group =8, Experimental group=8). Patients who were identified with mile to moderate level of Aphasia are age of 45 to 65 years old. Group A will be an experimental group (who will receive both Conventional and Promoting Aphasic Communicative Effectiveness technique). Group B will be a controlled group (who will receive just Conventional Therapy). A randomized Clinical trial will employ to collect data from participants approach at DHQ Faisalabad.

Full description

This approach is especially beneficial for individuals with severe expressive language impairments, as it emphasizes the overall success of communication rather than linguistic accuracy. A descriptive experimental research design was followed in the present study to explore the effect of PACE technique in adults with Aphasia. The study will be conducted at DHQ Faisalabad. Sample size (N=16) (Control group =8, Experimental group=8). Patients who were identified with mild to moderate level of Aphasia are age of 45 to 65 years old. Group A will be an experimental group (who will receive both Conventional and Promoting Aphasic Communicative Effectiveness technique). Group B will be a controlled group (who will receive just Conventional Therapy). A randomized Clinical trial will employ to collect data from participants approach at DHQ Faisalabad.

Enrollment: 16 patients

Sex: All

Ages: 45 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age: Patients from age 45-65 years will be included in the study

  1. Both gender male and female will be included in the study.
  2. Diagnosed Adults with aphasia will be included in the study.
  3. Severity level: Mild to moderate will be included in the study
  4. Only non-fluent type of Aphasia will be included in the study

Exclusion criteria

• Adult with any co-morbid condition will be excluded from study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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16 participants in 2 patient groups

pace therapy

Experimental group

Description:

In a clinical trial or intervention study, the number of arms refers to the different groups that receive specific types of treatment or intervention. Each "arm" represents a distinct study condition. Here are common types of arms in PACE (Promoting Aphasics' Communicative Effectiveness) intervention studies: 1\. Experimental Arm (PACE Intervention) Participants receive PACE therapy, which encourages multimodal communication (speech, gestures, writing, drawing, etc.) in a conversational setting. The focus is on functional communication rather than perfect speech production.

Treatment:

Behavioral: experimental

control group conventional therapy

Active Comparator group

Description:

2\. Control Arm (Standard Therapy or No Treatment) Participants receive either traditional speech therapy (e.g., structured drills, naming tasks) or no treatment for comparison.

Treatment:

Other: control group conventional therapy