Review reveals how staged dyadic telehealth interventions sustain communication in primary progressive aphasia, highlighting pathways to real-world clinical implementation.
Key Points
To describe the development, evolution, and implementation readiness of the Communication Bridge research program for individuals with primary progressive aphasia and their communication partners.
Evaluated three sequential telehealth-delivered trials: a pilot feasibility study (CB1), an international randomized controlled trial (CB2), and an ongoing international randomized controlled trial aligned with clinical practice procedures (CB3).
Contextualized intervention development within the National Institutes of Health (NIH) Stage Model and the Readiness Assessment for Pragmatic Trials (RAPT) framework.
Integrated speech-language, educational, and psychosocial approaches designed to maximize communication participation, self-efficacy, and confidence.
Person-centered communication outcomes demonstrated meaningful clinical benefits and sustained maintenance over time across trials.
Iterative trial design refinements successfully optimized feasibility, intervention fidelity, acceptability, and scalability for real-world clinical use.