April 28, 2014

SIRCA PROPOSAL
Title: Modified Copy and Recall Treatment for Written and Oral Expression

Name and contact information for authors
Kari Tutak, B.S. Ashlee Hinkelman, B.S.
Graduate student, EIU Graduate student, EIU
Charleston, IL Charleston, IL
kmtutak@eiu.edu

Name and contact information for the faculty mentor
Rebecca Throneburg, Ph.D, CCC-SLP Jill Fahy, M.A., CCC-SLP
Faculty Supervisor EIU Faculty Supervisor EIU
Charleston, IL Charleston, IL

Level of difficulty of the proposal: Intermediate

Type of research: Single Subject Experimental Research

Content area of research: Adult language or cognition

Session type: SIRCA Poster Presentation

Abstract: This study evaluated the effects of pairing a lexical and semantic approach
with a phoneme-grapheme approach would have on semantic and phonological
representations during written and oral expression. Results indicated modified Copy and
Recall treatment strengthened phoneme-grapheme relations, as well as increased oral
expression of verbs and letter names.

Learning objectives:
1. At the conclusion of the session, participants will be able to describe CART
treatment protocols
2. At the conclusion of the session, participants will be able to discuss results from
modified CART treatment
3. At the conclusion of the session, participants will be able to identify treatment
strategies for written and oral expression

Summary of Project/Presentation:
Individuals with aphasia often have significant communication impairments in one or
many areas of language. As a result, multiple treatment protocols exist which serve to
improve areas affected by language, including written communication. Copy and Recall
Treatment (CART) has proven effective for increasing written expression in individuals
with aphasia. Past studies have found that oral stimulation combined with written aspects
yielded improvement in writing and spoken naming. These studies found that dual
stimulation of written and spoken language was beneficial, as it enhanced links between
orthography and phonology during retrieval. The current study investigated the
April 28, 2014
effectiveness of CART with a modified component of orally naming graphemes while
writing functional verbs. A single subject, multiple baseline study investigated the
effectiveness of a modified CART protocol on an individual with Brocas aphasia. For
eight weeks, three separate sets of verbs were targeted. The client was presented with a
picture and prompted to orally name the picture, and then orally name the letters as he
wrote the word. Results found that The Modified CART protocol proved effective for
increasing single word writing performance and oral confrontation naming of pictured
verbs. Improvements were also seen in naming and writing target letters during written
production.