Co-constructing Stories in an Intensive Comprehensive Aphasia Program (ICAP): A Quality Improvement Project

Intensive comprehensive aphasia programs (ICAPs) address communication, participation, and psychosocial goals, yet structured narrative identity interventions have not been documented within this context. This quality improvement project examined the adaptation of the My Story Project, an intervention involving story co-construction, for use within an ICAP. The adapted protocol was implemented over 3 weeks in fall 2023. Data were collected from six graduate student story coaches, six storytellers with aphasia, and four ICAP speech-language pathologists (SLPs), using purpose-built outcome instruments including aphasia-accessible survey measures, a focus group, and a structured SLP feedback discussion. Story coaches reported self-perceived gains in knowledge, skills, and confidence across the program. Storytellers rated their story coach's support positively, and survey items related to sharing their story and listening to others were rated among the most positive. ICAP SLPs identified logistical challenges while expressing support for future implementation with modifications. My Story Project can be implemented within an ICAP. Findings identify key conditions for future iterations including invited rather than required participation, earlier positioning within the program cycle, dedicated space, and formalized SLP co-facilitation.