Psychosocial Associations with Language Impairments in Aphasia
Living with aphasia can be stressful and impact a person’s relationships, employment, and daily activities involving communication. In this study, we examine the associations between the language impairments, cognitive-linguistic processes, perceived chronic stress, and symptoms of depression and anxiety. The results of this study will inform future research on aphasia assessment and intervention.
Modifying a Measure of Resilience for People with Aphasia
The UD ARO Lab seeks to understand how psychosocial factors influence aphasia treatment response. To study this, we must first have the appropriate and valid tools to measure these factors in people with aphasia. With the permission and collaboration of its developers, we have modified the University of Washington Resilience Scale (UWRS; Version 1 Users Guide, 2017). The modified form of the UWRS is now in the process of validation research with participants with aphasia. The resulting modified and validated resilience measure will help us to explore relationships between resilience and aphasia treatment outcomes.
Stress, Resilience, and Communicative Participation in People with Aphasia
STATUS: participation and data collection complete; results forthcoming.
Living with aphasia can be stressful. It can impact a person’s relationships with family and friends, employment, and daily activity involving communication. However, many people with aphasia cope well with their communication challenges; they are resilient despite their impairment. The purpose of this study is to explore to what degree stress and resilience are associated with participation in daily life. The study also aims to understand the influence of aphasia severity on these associations. The results of this study will contribute to the body of knowledge about aphasia and inform the development of aphasia interventions.
COVID-related Longitudinal Follow-Up: Stress, Resilience, and Communicative Participation in People with Aphasia
STATUS: project complete; PhD student Brittany Stroker and MA student Rebecca Dublin will present the results of this study at the 2021 ASHA Convention, Washington, D.C.
As of March 2020, the COVID-19 pandemic required widespread shelter-in-place, changing the way we interface with our community and engage in rehabilitation activities. Isolation and uncertainty during the COVID-19 pandemic can lead to significant stress, stroke survivors and PWA included. The primary purpose of the longitudinal study is to assess potential change in several psychosocial measures in PWA in the presence of a new wide-spread stressor (pandemic). A secondary purpose is to more fully understand PWA perspectives of chronic stress, communicative participation, and resilience, given the pandemic environment vs. pre-COVID daily life.
Highlights – Past Projects
The Modified Perceived Stress Scale
To better measure stress, we modified and validated a measure of chronic stress for people with aphasia. The resulting scale (the modified Perceived Stress Scale or mPSS; based on Cohen & Janicki-Deverts, 2012, and with permission of S. Cohen) is more aphasia-friendly and will be used to examine relationships between chronic stress, learning ability, and aphasia rehabilitation outcomes.
If you are interested in using the modified Perceived Stress Scale, please contact firstname.lastname@example.org.
a) Hunting Pompon, R., Amtmann, D., Bombardier, C., and Kendall, D (2018). Modification and validation of a measure of chronic stress for people with aphasia. Journal of Speech, Language, Hearing Research, 62, 2934-2949.
b) Hernandez, N., Bislick, L., Englehoven A., and Hunting Pompon, R. (2021). People with aphasia self-report and caregiver proxy-report agreement on the Modified Perceived Stress Scale and the Mutuality Scale. American Journal of Speech-Language Pathology, 30(4), 1-11.
Examining Psychological and Psychosocial Factors in Aphasia
a) Hunting Pompon, R., Fassbinder, W., and McNeil, M.R. (under review). Associations between demographic and language impairment characteristics and level of depression in a sample of people with chronic post-stroke aphasia
b) Hunting Pompon, R., Smith, A.N., Baylor, C., and Kendall, D. (2019). Exploring associations between a biological marker of chronic stress and reported depression and anxiety in people with aphasia. Journal of Speech, Language, and Hearing Research, 62(11), 4119-4130.
c) Eadie, T.E., Faust, L.G., Bolt, S.E., Kapsner-Smith, M.R., Hunting Pompon, R., Baylor, C.R., Futran, N., Mendez, E. (2018). The role of psychosocial factors on communicative participation among survivors of head and neck cancer. Otolaryngology-Head and Neck Surgery, 159(2), 266-273.
Research is ongoing on the efficacy of Phonomotor Treatment for aphasia (PI: D. Kendall, University of Washington) and factors that contribute to treatment response. The focus of Phonomotor Treatment is rebuilding phonological representations multi-modally to improve word-finding and overall communication ability in people with aphasia.
a) Minkina, I., Silkes, J.P., Bislick, L., Madden, E., Lai, V., Hunting Pompon, R., Torrance, J., Zimmerman, R.M., and Kendall, D. (2019). The influence of phonomotor treatment on word retrieval: Insights from naming errors. Journal of Speech, Language, and Hearing Research, 62(11), 4080-4104.
b) Silkes, J, Fergadiotis, G, Horton, J, Hunting Pompon, R, Torrence, J, and Kendall, D (2019). Effects of phonomotor treatment on discourse production. Aphasiology, 33(2), 125-139. https://doi.org/10.1080/02687038.2018.1512080
c) Hunting Pompon, R., Bislick, L., Elliott, K., Madden, E., Minkina, I., Oelke, M., and Kendall, D. (2017). Influence of linguistic and non-linguistic variables on generalization and maintenance following phonomotor treatment for aphasia. American Journal of Speech-Language Pathology, 26(4), 1092-1104.
d) Minkina, I., Oelke, M., Bislick, L.P., Brookshire, C.E., Hunting Pompon, R., Silkes, J.P., & Kendall, D.L. (2015). An investigation of aphasic naming errors evolution following phonomotor treatment. Aphasiology, 30(8), 962-980.
e) Brookshire, CE, Conway, T, Hunting Pompon, R, Oelke, M, and Kendall, DL (2014). Effects of intensive phonomotor treatment on reading in eight individuals with aphasia and phonological alexia. American Journal of SpeechLanguage Pathology, 23(2), S300-311.
f) Kendall, D, Hunting Pompon, R, Brookshire, CE, Minkina, I, Bislick, L (2013). An analysis of aphasic naming errors as an indicator of improved linguistic processing following phonomotor treatment. American Journal of Speech Language Pathology, 22, S240-S249.
Aphasia and Cognitive Processes
Dr. Hunting Pompon has conducted and collaborated in research about how attention, working memory, and other cognitive processes are involved in lexical retrieval in people with aphasia.
a) Hunting Pompon, R, McNeil, M, Spencer, K, and Kendall, D (2015). Intentional and reactive inhibition during spoken-word Stroop task performance in people with aphasia. Journal of Speech, Language, and Hearing Research, 58, 767-780. 6
b) Hunting Pompon, R, Kendall, DL and Moore, AB (2011). Examining attention and cognitive processing in participants with self reported mild anomia. Aphasiology, 25(6), 800-812.
Another area of interest for our lab relates to the health and well-being of stroke caregivers, the role caregivers play as supporters and advocates for loved ones with aphasia, and how caregivers can be incorporated more effectively as part of the clinical team.
a) Mach, H., Baylor, C., Hunting Pompon, R., and Yorkston, K. (2021). Beyond the patient: a mixed-methods inquiry into family members’ involvement in the treatment of Parkinson’s disease. American Journal of Speech-Language Pathology, 30(1), 169-185.
b) Mach, H., Baylor, C.B., Hunting Pompon, R., and Yorkston, K. (2019). Third-party disability in family members of people with communication disorders associated with Parkinson’s disease. Topics in Language Disorders, 39(1), 71-88. doi: 10.1097/TLD.0000000000000172
c) Hunting Pompon, R., Burns, M., and Kendall, D. (2015, July). Counseling the Caregiver. The ASHA Leader, 20(7), 30-32.
2020-2021 Capstone Projects:
|Kate Anderson – “The Effects of Post-Stroke Fatigue on Cognition and Aphasia Therapy Success”|
|Jennifer Fritz – “The Impact of Group Singing on Quality of Life and Social Participation in Individuals with Acquired Communication Disorders”|
|Caroline Grimes – “How does Post-Stroke Fatigue and Associated Post-Stroke Depression Influence Aphasia Therapy Motivation?”|
|Colleen Yerger – “The Impact of Group Participation on Friendships and Overall Quality of Life for People with Aphasia”|
2019-2020 Capstone Projects:
2018-2019 Capstone Projects:
|Cynthia Hagerty – “Investigating Communicative Participation in Adults with Aphasia Following 2-week Intensive Summer Program”|
|Brett Myles – “The Canyon Behind Them: A Stroke Caregiver Documentary”|
|Kayla Rivoli – “Prevalence of Burnout and Compassion Satisfaction Among Speech-Language Pathologists”|
2017-2018 Capstone Projects:
Alexis Ryan – “CAT: Is Lexical Retrieval Therapy an Effective Therapy Approach for all Adults with Primary Progressive Aphasia?”