Yes! It's for those who can't afford an iPad and apps, or can't afford or use the computer software available. I want people with aphasia to be able to practise at home with more than pen and paper, without needing assistance from carers and without spending money. I don't make any profit or take any payment and volunteer the coding and time. You might like to donate a few dollars if it has helped someone you know.
There are word lists based on difficulty, or on topics.
The hard lists really are hard!
To use the same settings next time, copy the web address and save it somewhere or bookmark it..
Two images for each word to avoid shallow word-pic association (randomised on each presentation)
Animated gifs for verbs (a few)
Written naming tasks accept multiple plausible responses
Only one attempt permitted in matching tasks. This means the patient can't just keep guessing until they get the right answer, and avoids reinforcement of the wrong response.
Cues for all tasks (Called 'Hints' for simplicity)
Generalisation of treated items to conversation has been demonstrated in studies(e.g., 123), but evidence for generalisation of treated items to untreated items is not promising(e.g. 45). It is therefore important that words chosen for therapy are highly useful1. The words for this website are chosen in order of frequency to be most functional. This was, of course, limited by what words can accurately be represented by images.
Each wordlist has approximately 40-50 words (see table below). There are some studies suggesting that even people with severe aphasia can benefit from a high number of treatment words6 so I saw no need to limit word lists to less than this.
For English, I used the SUBTLEXUS corpus which contains verbal frequency ratings for words. While it is based on subtitles and is therefore only 'TV' vocabulary, it is likely more representative of real verbal communication than written frequency. There were some items with high frequency (e.g. 'bomb') that I excluded as they are [hopefully] not often used in everyday language. For colour, clothing and numbers I added relevant words myself, and for gardening I retrieved the highest frequency words from the full text of a gardening book. For other languages, words were largely translated from the English words after excluding culturally irrelevant concepts and wordlists were regrouped according to frequency data for each language (See details).
Cueing Hierarchy (naming task)
An increasing cueing hierarchy is used. Increasing and decreasing cues appear to be equally efficacious (789). The cues used (semantic → sentence → letter → phonemic → written) are based loosely on Abel et al. (2005) and general clinical practice.
Details for Each Language
Arabic/العربية (2020)
Amal Maghazil
King Fahad Medical City, Riyadh LinkedInDr Mohammed Al Harbi
College of Rehabilitation sciences, Taibah University, Medinah LinkedIn twitter: @mohmdsaadiEman Khan
King Faisal Specialist Hospital & Research Center LinkedIn
Translation was completed to Arabic, in Saudi Khaleeji dialect, by three thorough and dedicated Speech Language Pathologists in Saudi Arabia.
Vocabulary and audio are specific to three English-speaking countries – Australia (my location), the USA and England. For example, the same image is depicted as ‘lollies’, ‘candy’ or ‘sweets’ depending on the region. The region should default to your location automatically. I am happy to hear from people interested in adapting materials to other English-speaking countries!
German/Deutsch (2024)
Dorothea Peitz, Lena Werner and Katja Hußmann
The German translation was carried out as part of a master´s thesis. Lena Werner, speech pathologist, translated the website and adapted it for the German context. As part of the project, the website was also tested with individual people with aphasia. The project was supervised by Dorothea Peitz (M.Sc.) and Dr. Katja Hußmann, who also contributed to and supported the translation and testing.
Frequency derived from the German data of the open subtitle corpus (http://www.opensubtitles.org/).
Dorothea Peitz (M.Sc.)
Lehr- und Forschungslogopädin
Klinik für Neurologie
Uniklinik RWTH Aachen
Lena Werner (B.Sc.)
Logopädin
RWTH Aachen University
Dr. rer. medic. Katja Hußmann
Klinik für Neurologie
Uniklinik RWTH Aachen
Greek/Ελληνικά (2024)
Maria Kambanaros
Research Lead Aphasia SA
Honorary Member of the Cyprus Stroke Association
Co-lead of the Multilingual Aphasia Practice Group (CATs)
Co-lead of the Aphasia Communication Team (TACT, Cyprus) [email protected]
The Greek adaptation of aphasia therapy online was generously supported by a Telematics Trust Innovation grant. Dr. Maria Kambanaros, a professor of speech pathology at UniSA and Cyprus University of Technology, oversaw the cultural and linguistic adaptation of the materials.
Speech-language pathologist Kristine Tveter Borgen has put a lot of time and effort into the Norwegian translation as part of her master’s thesis. She translated, adapted and recorded the items, with the help of speech-language pathologist Vanessa Seidler Krone who works as Health Care Advisor for LHL. As part of her thesis, Kristine Tveter Borgen collected data on user experience through qualitative interviews and observations. The project was supervised by Krone and Melanie Kirmess, Associate Professor at the University of Oslo, who served as an important academic advisor and supported the translation and testing.
Wordlists were created using frequency data from subtitles (377,000 unique words from 8.8M sentences).
Portuguese/Português
José Grincho Dr Roxele Ribeiro Lima Marina Antoniazzi Mancini
European (2020)
Translation completed with a lot of labour by José Grincho, while Speech Pathologist Luísa Rezende, Occupational Therapist Ana Tavares and Professor José Fonseca provided support and advice.
Frequency data is specific to European Portuguese, from www.linguateca.pt
Brazilian (2021)
Dr Roxele Ribeiro Lima (aphasia researcher) and Marina Antoniazzi Mancini (speech pathologist) volunteered many hours of time to adapt into Brazilian Portuguese and record audio.
Spanish/Español
Aitana Viejo Sánchez
ResearchGate LinkedInYoel Droguett
Speech-Language Pathologist/Fonoaudiólogo
Government of Yukon, Canada
Thanks to Aitana Viejo Sánchez, who translated the site into Spanish single-handedly! Aitana is a speech pathologist and is working on her PhD at the University of Oviedo, Spain. Her research focuses on pragmatics and social communication, and one of her areas of interest is aphasia.
Frequency information from SUBTLEX-ESP (Cuetos, Glez-Nosti, Barbon & Brysbaert, 2011)
Latin American (2023)
Yoel Droguett and Dr Yina Quique kindly put a lot of work into adapting the Spanish materials for the Latin American context, revising all of the word and sentence data and re-recording all audio files
Yoel is a Speech-language pathologist from Chile, he works with swallowing, voice and acquired language disorders in long-term care and acute care in Yukon, Canada.
Dr. Quique is a speech and language pathologist from Colombia. She is committed to improving rehabilitation outcomes and healthcare services for stroke survivors with aphasia, especially for Spanish speakers with aphasia.
Turkish/Türkçe (2023)
Memik Yıldız
Speech and Language Therapist
Cengiz Gökçek Children's Hospital
Gaziantep, Turkey Dr. Özlem Oğuz
Speech and Language Therapist
Üsküdar University
Istanbul, Turkey
Many thanks to Mr Memik Yıldız and Dr. Özlem Oğuz for their exceptional work in translating the website into Turkish. Their efforts and commitment have made it possible for Turkish speakers to benefit from the site.
Frequency data comes from a large corpus of word frequency from subtitles: Frequency counts for 4.3m tokens calculated from 824.2m tokens.
Urdu/اُردُو (2022)
Alishba Ali
Speech and Language Pathologist
BSc.(Hons) SLP (UoHS, Lahore)
Children's Hospital Lahore
MS SLP (Riphah Int. University, Lahore) Dr Rashid Mahmood
PhD in Linguistics
Associate Professor
University of Bisha, Saudi Arabia
Alishba Ali and Associate Professor Rashid Mahmood worked hard to translate the website into Urdu - a huge thank you to both for their work. Alishba is a speech pathologist with experience working with aphasia patients at Sheikh Zayed Hospital, Lahore, Pakistan. She is also the National Deputy Head of the Research Department at SYNCH. Associate Professor Rashid Mahmood is a linguistics researcher who has been at Bisha University since 2013. He is the author of 35 research papers in World Englishes, Language Variation, Critical Discourse Analysis, and Stylistics.
The Vietnamese adaptation was wholly supported by a Telematics Trust grant. MyTien Lam Lazzarotto provided high quality cultural and linguistic translation services and Genevieve Vuong advised on clinical and technical aspects of adaptation to Vietnamese.
Thank you also to Mr. Tran Huu Duc (Lecturer - Faculty of Nursing and Medical Technology, University of Medicine and Pharmacy at Ho Chi Minh city)and Ms. Pham Dinh Ngan Thanh (Lecturer - Department of Orthopedics and Rehabilitation, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh city), and Lisa Nguyen (speech pathologist from Western Health, Melbourne) for advice and feedback.
Frequently Asked Questions
Can I help translate?
Eventually, I would like to offer the most common twenty or thirty languages (or more!) as well as some of the small or endangered languages. However, each one takes a lot of time and effort for volunteers and for me – the site uses nearly 600 target words, and each needs checking for cultural relevance, a translation, a sentence and semantic cue, a phonemic cue, a list of homophones and other appropriate responses to the pictures. Then, there are the hundreds of audio recordings and finally translation of the yes/no questions.
If you think you can manage all this work, I would be happy to hear from you. I prefer to have a team of translators for each language rather than one person. Each language also needs a speech pathologist who is a native speaker and experienced with aphasia.
Can I record a different region/accent for an existing language?
Yes please!
Can the picture naming task ‘hear’ my patient?
No, this is the only task that can’t give feedback on responses. Open source speech recognition is becoming more widely available, but it is less accurate for people with impaired speech or language.
Can I download the yes/no questions?
Yes. There are simple yes/no questions (some reversible, some not), comparative questions (e.g. Is x bigger than y), and passive questions.
Can I download the wordlists and pictures?
Yes, go ahead. The images are all public domain. Friendly reminder though - while there is nothing wrong with practising general language and vocabulary, your patient should ideally have personalised wordlists as well. These should have the most relevant words for their life.