What Matters in Semantic Feature Analysis: Practice-Related Predictors of Treatment Response in Aphasia.
Michelle L Gravier, Michael W Dickey, William D Hula...
https://pubmed.ncbi.nlm.nih.gov/29497754/Actively Recruiting
Led by Teachers College, Columbia University · Updated on 2026-06-25
40
Participants Needed
1
Research Sites
30 weeks
Total Duration
Researchers are comparing two treatments for adults with acquired aphasia to see which is more effective in improving picture naming accuracy and spontaneous speech. The study focuses on traditional Semantic Feature Analysis SFA versus a modified version that adds Metacognitive Strategy Training SFAMST. The trial aims to understand whether SFAMST leads to better outcomes in communication skills than traditional SFA. Participants will receive either traditional SFA, which involves naming pictures, describing object features, and making sentences, or SFAMST, which adds metacognitive teaching, debriefing, and strategy discussions to the traditional SFA approach. Treatment sessions occur three times a week for eight weeks, totaling 24 sessions. There are also pre-treatment, weekly during treatment, post-treatment, and retention assessment sessions over several months. During the study, participants will complete multiple assessments including picture naming, storytelling, and questionnaires before, during, and after treatment. Researchers will measure changes in naming accuracy, word-finding strategy use, and the informativeness and efficiency of speech. Follow-up assessments happen 30 and 60 days after treatment ends to observe retention of skills. The total involvement spans about six months from start to finish.
CONDITIONS
Comparing Traditional Semantic Feature Analysis (tSFA) and Semantic Feature Analysis + Metacognitive Strategy Training (SFA+MST)
V
Victoria Tilton-Bolowsky, Ph.D. CCC-SLP
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Teachers College, Columbia University
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | SFA + Metacognitive Strategy Training | Traditional SFA |
|---|---|---|
| What it is | Naming therapy using semantic feature analysis combined with metacognitive strategy training, which adds debriefing on performance and strategy discussion for real‑life word‑finding. | Naming therapy using traditional semantic feature analysis where participants name pictures and describe word features (such as category, function, physical attributes) to support word retrieval. |
| Role in the trial | Experimental arm testing whether adding metacognitive strategy training enhances SFA. | Active comparator arm representing the established SFA treatment. |
| Primary use | Improve naming accuracy and strategic word retrieval by combining semantic feature analysis with metacognitive strategy training. | Improve naming accuracy and word‑finding strategy via semantic feature analysis. |
| How it is delivered | Participants receive SFA plus additional training that includes debriefing, strategy discussion, and real‑life application planning. | Participants receive traditional SFA sessions repeatedly, including naming and describing features of pictured objects. |
| Evidence status | Adding metacognitive strategy to SFA may enhance naming strategy use and circumlocution gains, based on preliminary single‑subject evidence. | Semantic feature analysis is an established evidence‑based naming therapy for aphasia, with demonstrated gains in naming and generalization to untrained items and connected speech. |
| Important limitations | Evidence is preliminary and based on single‑subject designs; needs validation in larger randomized samples. | Evidence comes largely from single‑subject or small studies; generalization to everyday speech may be variable. |
| Patient impact | Potential improvement in both naming and strategic circumlocution, though based on limited preliminary data. | Demonstrated improvement in naming trained and untrained words and enhanced connected speech informativity. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - 8 weeks
Participants receive either traditional Semantic Feature Analysis or Semantic Feature Analysis plus Metacognitive Strategy Training in 24 sessions over 8 weeks.
3 sessions per week
Duration - Approximately 6 months
Participants complete assessments before, during, immediately after treatment, and at 30 and 60 days post-treatment to measure speech and naming improvements.
Multiple assessments including 5-7 pre-treatment, 7 weekly probes, 3 post-treatment, and 2 retention sessions
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Michelle L Gravier, Michael W Dickey, William D Hula...
https://pubmed.ncbi.nlm.nih.gov/29497754/Victoria E Tilton-Bolowsky, Lauren Brock, Kristen Nunn...
https://pubmed.ncbi.nlm.nih.gov/37433115/L E Nicholas, R H Brookshire
https://pubmed.ncbi.nlm.nih.gov/8487525/Teachers College, Columbia University
Lead Sponsor