Study of Communication Between People With ALS and Their Caregivers
Using Structured and Unstructured Interaction Tasks at Home
Led by Penn State University · Updated on 2026-04-06
152
Participants Needed
1
Research Sites
N/A
Total Duration
AI-Summary
What this Trial Is About
Researchers are studying how communicative interaction affects verbal communication between people with amyotrophic lateral sclerosis ALS and their caregivers. The study aims to understand the speech produced by people with ALS when they interact with familiar partners and how their speech changes over time as they practice collaborative tasks. This research involves both people with ALS and their caregivers working together to complete communication exercises.
Participants will take part in two sets of interactive tasks, a pre-test and a post-test, two weeks apart. Over the two weeks, they will practice a collaborative word-matching task ten times, once each weekday for about 10 minutes per day. The tasks involve using tablets and audio recording devices at home, with instructions provided via video calls. Speech is recorded both through audio devices and remotely during video calls. The study uses structured and unstructured communicative interactions where participants respond to word and picture tasks together.
During the study, participants will be assessed in two sessions of 60 minutes each, where researchers will measure various speech features such as formant frequencies, intelligibility, syntactic and pragmatic properties, and speech sound durations. The study collects data remotely and monitors speech changes over time. Participation involves regular short practice sessions at home and two detailed evaluation sessions. The total study duration includes the initial and follow-up testing spaced two weeks apart.
CONDITIONS
Brief Title
Examining Interactions Between PALS and Caregivers
Research Team
A
Anne Olmstead, Ph.D.
N
Navin Viswanathan, Ph.D
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National Institute on Deafness and Other Communication Disorders (NIDCD)
Collaborating Sponsor
How This Trial Compares With Other Options
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
Study Tasks: Structured & Unstructured Interaction
Current Communication Strategies (Routine Care)
What it is
Pairs of people with ALS and their caregivers work together in both structured and unstructured communication tasks. Structured tasks involve identifying and selecting highlighted words, while unstructured tasks use picture-difference activities to elicit specific speech segments.
Routine care for people with ALS includes various communication strategies, such as natural speech, supported by caregivers, and the use of strategies or tools to enhance speech intelligibility. Caregivers adapt their communication approaches based on the needs of people with ALS.
Primary use
To study how people with ALS and their caregivers interact in structured and unstructured communication tasks and to evaluate factors affecting speech intelligibility and communication success.
To support everyday communication between people with ALS and their caregivers by maximizing speech clarity and understanding through established conversational strategies.
How it is given or performed
Participants attend two 60-minute sessions. Structured tasks require the speaker with ALS to prompt the caregiver using highlighted words, while unstructured tasks involve discussion to identify differences between pictures within a set time limit.
In routine care, communication typically occurs naturally at home or in daily life, with caregivers adjusting their approach to enhance clarity, provide cues, repeat statements, or change topics as needed. No specific session format or duration is imposed.
Evidence status
This approach is under clinical investigation to determine its effects on communicative effectiveness and speech clarity in people with ALS.
Joint communicative strategies involving both the person with ALS and the caregiver can improve intelligibility and mutual understanding. The evidence is primarily based on studies of dysarthria and adaptive communication practices.
Important limitations
Findings depend on artificial or structured interaction tasks in a research setting, which may not fully represent daily communication. Only people with ALS who can produce single words and their caregivers are included.
Effectiveness of communication strategies in daily life varies and depends on individual abilities, disease progression, and specific strategies used. Not all strategies work for all individuals, and there is often a need for ongoing adaptation.
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.
Who Can Participate
Age: 18Years - 90Years
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
Diagnosed with amyotrophic lateral sclerosis (ALS) following the revised EL Escorial criteria
No history of other neurological conditions such as stroke
No cognitive impairment based on the Telephone Montreal Cognitive Assessment (mini MoCA)
Detectable speech disturbance according to the ALS Functional Rating Scale-Revised (ALSFRS-R)
Ability to produce single words
Native speaker of American English (for both people with ALS and caregivers)
Caregivers must be linked to a participant with ALS
You will not qualify if you...
None - if volunteer meets the inclusion criteria, then they will be enrolled
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Behavioral Intervention
Duration - 2 weeks
Participants with ALS and their caregivers complete structured and unstructured communicative interaction tasks using tablets and audio recorders at home with guidance via videoconferencing.
10 daily sessions on weekdays, approximately 10 minutes each
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
BASIC_SCIENCE
Number of Arms
1
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Study of Communication Between People With ALS and Their Caregivers
Using Structured and Unstructured Interaction Tasks at Home
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Published Research Related To This Trial
The Role of the Speaker, the Listener, and Their Joint Contributions During Communicative Interactions: A Tripartite View of Intelligibility in Individuals With Dysarthria.