Results of the COMPARE trial of Constraint-induced or Multimodality Aphasia Therapy compared with usual care in chronic post-stroke aphasia Article Swipe
Miranda L. Rose
,
Lyndsey Nickels
,
David A. Copland
,
Leanne Togher
,
Erin Godecke
,
Marcus Meinzer
,
Tapan Rai
,
Dominique A. Cadilhac
,
Joosup Kim
,
Melanie Hurley
,
Abby Foster
,
Marcella Carragher
,
Cassie Wilcox
,
John E. Pierce
,
Gillian Steel
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1136/jnnp-2021-328422
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1136/jnnp-2021-328422
Background While meta-analyses confirm treatment for chronic post-stroke aphasia is effective, a lack of comparative evidence for different interventions limits prescription accuracy. We investigated whether Constraint-Induced Aphasia Therapy Plus (CIAT-plus) and/or Multimodality Aphasia Therapy (M-MAT) provided greater therapeutic benefit compared with usual community care and were differentially effective according to baseline aphasia severity. Methods We conducted a three-arm, multicentre, parallel group, open-label, blinded endpoint, phase III, randomised-controlled trial. We stratified eligible participants by baseline aphasia on the Western Aphasia Battery-Revised Aphasia Quotient (WAB-R-AQ). Groups of three participants were randomly assigned (1:1:1) to 30 hours of CIAT-Plus or M-MAT or to usual care (UC). Primary outcome was change in aphasia severity (WAB-R-AQ) from baseline to therapy completion analysed in the intention-to-treat population. Secondary outcomes included word retrieval, connected speech, functional communication, multimodal communication, quality of life and costs. Results We analysed 201 participants (70 in CIAT-Plus, 70 in M-MAT and 61 in UC). Aphasia severity was not significantly different between groups at postintervention: 1.05 points (95% CI −0.78 to 2.88; p=0.36) UC group vs CIAT-Plus; 1.06 points (95% CI −0.78 to 2.89; p=0.36) UC group vs M-MAT; 0.004 points (95% CI −1.76 to 1.77; p=1.00) CIAT-Plus vs M-MAT. Word retrieval, functional communication and communication-related quality of life were significantly improved following CIAT-Plus and M-MAT. Word retrieval benefits were maintained at 12-week follow-up. Conclusions CIAT-Plus and M-MAT were effective for word retrieval, functional communication, and quality of life, while UC was not. Future studies should explore predictive characteristics of responders and impacts of maintenance doses. Trial registration number ACTRN 2615000618550.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/jnnp-2021-328422
- https://jnnp.bmj.com/content/jnnp/93/6/573.full.pdf
- OA Status
- hybrid
- Cited By
- 50
- References
- 33
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4223605536
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4223605536Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1136/jnnp-2021-328422Digital Object Identifier
- Title
-
Results of the COMPARE trial of Constraint-induced or Multimodality Aphasia Therapy compared with usual care in chronic post-stroke aphasiaWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-04-08Full publication date if available
- Authors
-
Miranda L. Rose, Lyndsey Nickels, David A. Copland, Leanne Togher, Erin Godecke, Marcus Meinzer, Tapan Rai, Dominique A. Cadilhac, Joosup Kim, Melanie Hurley, Abby Foster, Marcella Carragher, Cassie Wilcox, John E. Pierce, Gillian SteelList of authors in order
- Landing page
-
https://doi.org/10.1136/jnnp-2021-328422Publisher landing page
- PDF URL
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https://jnnp.bmj.com/content/jnnp/93/6/573.full.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://jnnp.bmj.com/content/jnnp/93/6/573.full.pdfDirect OA link when available
- Concepts
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Aphasia, Stroke (engine), Medicine, Randomized controlled trial, Quality of life (healthcare), Population, Ischemic stroke, Physical therapy, Internal medicine, Psychiatry, Mechanical engineering, Ischemia, Engineering, Nursing, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
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50Total citation count in OpenAlex
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2025: 19, 2024: 19, 2023: 11, 2022: 1Per-year citation counts (last 5 years)
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33Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.or | 96, 98 |
| abstract_inverted_index.to | 49, 91, 99, 113, 167, 179, 191 |
| abstract_inverted_index.vs | 172, 184, 195 |
| abstract_inverted_index.(70 | 142 |
| abstract_inverted_index.201 | 140 |
| abstract_inverted_index.and | 44, 135, 148, 201, 211, 223, 232, 248 |
| abstract_inverted_index.for | 5, 16, 227 |
| abstract_inverted_index.not | 155 |
| abstract_inverted_index.the | 76, 118 |
| abstract_inverted_index.was | 105, 154, 238 |
| abstract_inverted_index.(95% | 164, 176, 188 |
| abstract_inverted_index.1.05 | 162 |
| abstract_inverted_index.1.06 | 174 |
| abstract_inverted_index.III, | 65 |
| abstract_inverted_index.Plus | 28 |
| abstract_inverted_index.UC). | 151 |
| abstract_inverted_index.Word | 197, 213 |
| abstract_inverted_index.care | 43, 101 |
| abstract_inverted_index.from | 111 |
| abstract_inverted_index.lack | 12 |
| abstract_inverted_index.life | 134, 205 |
| abstract_inverted_index.not. | 239 |
| abstract_inverted_index.were | 45, 87, 206, 216, 225 |
| abstract_inverted_index.with | 40 |
| abstract_inverted_index.word | 124, 228 |
| abstract_inverted_index.(UC). | 102 |
| abstract_inverted_index.0.004 | 186 |
| abstract_inverted_index.1.77; | 192 |
| abstract_inverted_index.2.88; | 168 |
| abstract_inverted_index.2.89; | 180 |
| abstract_inverted_index.ACTRN | 256 |
| abstract_inverted_index.M-MAT | 97, 147, 224 |
| abstract_inverted_index.Trial | 253 |
| abstract_inverted_index.While | 1 |
| abstract_inverted_index.group | 171, 183 |
| abstract_inverted_index.hours | 93 |
| abstract_inverted_index.life, | 235 |
| abstract_inverted_index.phase | 64 |
| abstract_inverted_index.three | 85 |
| abstract_inverted_index.usual | 41, 100 |
| abstract_inverted_index.while | 236 |
| abstract_inverted_index.Future | 240 |
| abstract_inverted_index.Groups | 83 |
| abstract_inverted_index.M-MAT. | 196, 212 |
| abstract_inverted_index.M-MAT; | 185 |
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| abstract_inverted_index.change | 106 |
| abstract_inverted_index.costs. | 136 |
| abstract_inverted_index.doses. | 252 |
| abstract_inverted_index.group, | 60 |
| abstract_inverted_index.groups | 159 |
| abstract_inverted_index.limits | 19 |
| abstract_inverted_index.number | 255 |
| abstract_inverted_index.points | 163, 175, 187 |
| abstract_inverted_index.should | 242 |
| abstract_inverted_index.trial. | 67 |
| abstract_inverted_index.(1:1:1) | 90 |
| abstract_inverted_index.(M-MAT) | 34 |
| abstract_inverted_index.12-week | 219 |
| abstract_inverted_index.Aphasia | 26, 32, 78, 80, 152 |
| abstract_inverted_index.Methods | 53 |
| abstract_inverted_index.Primary | 103 |
| abstract_inverted_index.Results | 137 |
| abstract_inverted_index.Therapy | 27, 33 |
| abstract_inverted_index.Western | 77 |
| abstract_inverted_index.aphasia | 8, 51, 74, 108 |
| abstract_inverted_index.benefit | 38 |
| abstract_inverted_index.between | 158 |
| abstract_inverted_index.blinded | 62 |
| abstract_inverted_index.chronic | 6 |
| abstract_inverted_index.confirm | 3 |
| abstract_inverted_index.explore | 243 |
| abstract_inverted_index.greater | 36 |
| abstract_inverted_index.impacts | 249 |
| abstract_inverted_index.outcome | 104 |
| abstract_inverted_index.p=0.36) | 169, 181 |
| abstract_inverted_index.p=1.00) | 193 |
| abstract_inverted_index.quality | 132, 203, 233 |
| abstract_inverted_index.speech, | 127 |
| abstract_inverted_index.studies | 241 |
| abstract_inverted_index.therapy | 114 |
| abstract_inverted_index.whether | 24 |
| abstract_inverted_index.−0.78 | 166, 178 |
| abstract_inverted_index.−1.76 | 190 |
| abstract_inverted_index.Quotient | 81 |
| abstract_inverted_index.analysed | 116, 139 |
| abstract_inverted_index.assigned | 89 |
| abstract_inverted_index.baseline | 50, 73, 112 |
| abstract_inverted_index.benefits | 215 |
| abstract_inverted_index.compared | 39 |
| abstract_inverted_index.eligible | 70 |
| abstract_inverted_index.evidence | 15 |
| abstract_inverted_index.improved | 208 |
| abstract_inverted_index.included | 123 |
| abstract_inverted_index.outcomes | 122 |
| abstract_inverted_index.parallel | 59 |
| abstract_inverted_index.provided | 35 |
| abstract_inverted_index.randomly | 88 |
| abstract_inverted_index.severity | 109, 153 |
| abstract_inverted_index.CIAT-Plus | 95, 194, 210, 222 |
| abstract_inverted_index.Secondary | 121 |
| abstract_inverted_index.according | 48 |
| abstract_inverted_index.accuracy. | 21 |
| abstract_inverted_index.community | 42 |
| abstract_inverted_index.conducted | 55 |
| abstract_inverted_index.connected | 126 |
| abstract_inverted_index.different | 17, 157 |
| abstract_inverted_index.effective | 47, 226 |
| abstract_inverted_index.endpoint, | 63 |
| abstract_inverted_index.following | 209 |
| abstract_inverted_index.retrieval | 214 |
| abstract_inverted_index.severity. | 52 |
| abstract_inverted_index.treatment | 4 |
| abstract_inverted_index.(WAB-R-AQ) | 110 |
| abstract_inverted_index.Background | 0 |
| abstract_inverted_index.CIAT-Plus, | 144 |
| abstract_inverted_index.CIAT-Plus; | 173 |
| abstract_inverted_index.completion | 115 |
| abstract_inverted_index.effective, | 10 |
| abstract_inverted_index.follow-up. | 220 |
| abstract_inverted_index.functional | 128, 199, 230 |
| abstract_inverted_index.maintained | 217 |
| abstract_inverted_index.multimodal | 130 |
| abstract_inverted_index.predictive | 244 |
| abstract_inverted_index.responders | 247 |
| abstract_inverted_index.retrieval, | 125, 198, 229 |
| abstract_inverted_index.stratified | 69 |
| abstract_inverted_index.three-arm, | 57 |
| abstract_inverted_index.(CIAT-plus) | 29 |
| abstract_inverted_index.(WAB-R-AQ). | 82 |
| abstract_inverted_index.Conclusions | 221 |
| abstract_inverted_index.comparative | 14 |
| abstract_inverted_index.maintenance | 251 |
| abstract_inverted_index.open-label, | 61 |
| abstract_inverted_index.population. | 120 |
| abstract_inverted_index.post-stroke | 7 |
| abstract_inverted_index.therapeutic | 37 |
| abstract_inverted_index.investigated | 23 |
| abstract_inverted_index.multicentre, | 58 |
| abstract_inverted_index.participants | 71, 86, 141 |
| abstract_inverted_index.prescription | 20 |
| abstract_inverted_index.registration | 254 |
| abstract_inverted_index.Multimodality | 31 |
| abstract_inverted_index.communication | 200 |
| abstract_inverted_index.interventions | 18 |
| abstract_inverted_index.meta-analyses | 2 |
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| abstract_inverted_index.2615000618550. | 257 |
| abstract_inverted_index.communication, | 129, 131, 231 |
| abstract_inverted_index.differentially | 46 |
| abstract_inverted_index.Battery-Revised | 79 |
| abstract_inverted_index.characteristics | 245 |
| abstract_inverted_index.postintervention: | 161 |
| abstract_inverted_index.Constraint-Induced | 25 |
| abstract_inverted_index.intention-to-treat | 119 |
| abstract_inverted_index.communication-related | 202 |
| abstract_inverted_index.randomised-controlled | 66 |
| cited_by_percentile_year.max | 100 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5033707221 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 15 |
| corresponding_institution_ids | https://openalex.org/I196829312 |
| citation_normalized_percentile.value | 0.97544875 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |