Devotto_PACE_Intervention_Strategy_Aphasia
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Apr 3, 2024
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PACE (Promoting Aphasics’ Communication Effectiveness)
What is PACE?
PACE is a therapy approach for individuals with aphasia where the therapist and patient carry on
a conversation by utilizing different modalities of communication (verbal, gestural, writing, drawing, etc.) to complete a description task of a target. The therapist and client take turns using these modalities to convey a target word or message to their partner practicing different modes while learning them as compensatory strategies.
Who would benefit from PACE?
PACE can be adapted to individuals with aphasia in a wide range typically mild to moderate expressive aphasia. Individuals with severe aphasia or receptive aphasia would be less likely to benefit from this approach.
How to implement PACE?
A set of picture cards / written word cards are laid, face down on the table. The complexity of stimuli used can be varied according to the ability of the patient (e.g. inclusion of similar pictures in the deck which, therefore, require the sender to convey two concepts to be successful - “It’s a little blue ball”).
The four principles of pace
The therapist and client take turns communicating a message to one another. Whilst doing so, the following principles are adhered to (Davis, 1980):
Equal participation - the therapist and patient take turns in the picture description task sending a message. When the clinician is sending the message, the patient is able to take on the role of the receiver to verbalize feedback.
New information – the therapist and patient are unaware of the content that their communication partner is attempting to communicate to them
Free choice of communication modalities - speech, gesture, writing and drawing are all acceptable means of completing the task
Natural feedback - the therapist only provides feedback that would naturally occur
in conversation, (facial expressions, body language and prompts) that the client has not yet successfully communicated the target
The therapist can model the use of various modalities to send messages during their turn
Evaluation of treatment approach
PACE is shown to be effective through research for word finding difficulties and expressive language. This treatment approach is especially beneficial for patients with mild to moderate expressive language impairment. A problem with PACE is that it does not typically benefit for patients who have severe expressive or receptive language impairments. PACE also has some
dilution of learning new information if there isn’t a a large enough field of stimuli or repeated use of the same stimuli.
Citations
Davis, G.A., 1980. A critical look at PACE therapy. In: Brookshire, R.H. ed. Clinical Aphasiology Conference Proceedings. Minneapolis, MN: BRK Publishers, 248-257
Freed, D. & Torstensen, K., 2013. A comparison of Semantic Feature Analysis and Promoting Aphasic Communicative Effectiveness for treating anomia in patients with aphasia. In: Clinical Aphasiology Conference, Tucson, AZ. [online] Available at: <http://eprints-
prod-05.library.pitt.edu/2433/1/A_COMPARISON_OF_SEMANTIC_FEATURE_ANA
LYSIS_AND_PROMOTING_APHASIC_COMMUNICATIVE_EFFECTIVENESS_FO
R_TREATING_ANOMIA_IN_PATIENTS_WITH_APHASIA.pdf> [Accessed 4/1/2022]
Presented by Lynsi Devotto
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