The feasibility, usability and acceptability of a tablet-based aphasia therapy in the acute phase following stroke

Abstract Question Independent practice via an application with a language exercise program for aphasia, as an add-on to conventional care can be a good solution to intensify aphasia therapy. The aim of this prospective trial was to investigate the feasibility, usability and acceptability of the newly-developed aphasia exercise program in the ‘Speech Therapy App (STAPP)’ in the acute phase post-stroke. Methods All eligible people with aphasia following stroke ( Results Twenty-five (mean age 65 years (SD = 17), 14 females) of 31 eligible people with aphasia were enrolled in this trial (recruitment rate = 81 %). All participants but one (23/24) practiced with the language app until the end of hospitalization (retention rate = 96 %). Ten participants practiced at least 30 min/day (adherence rate = 42 %). Participants reported they learned to work quickly with the app (92 %; agreed/totally agreed), the app was easy to use (88 %), they could work independently (79 %), practiced their language (67 %) and wanted to continue working with the app at home (79 %). Acceptability was high (median satisfaction rate 91 %; IQR = 75–100). Conclusion The aphasia exercise program in ‘STAPP’ is feasible to use as an additional rehabilitation tool along with standard of care in the acute phase post-stroke. Further research is needed to assess the efficacy. Clinical Trial Registration-URL https://clinicaltrials.gov/ct2/show/NCT03679637 .