FCET2EC study mentioned on NHS Dissemination Centre Discover Portal (no own contribution to the NIHR signal):
Intensive speech and language therapy begun six months or more after a stroke improved verbal communication, language comprehension and self-reported quality of life for those with persistent communication difficulties (chronic aphasia).
The therapy in this trial consisted of around 30 hours over three weeks. Participants who received low-intensity therapy (around one hour per week) whilst on a waiting list did not improve during that time. NICE guidelines recommend speech and language therapy immediately after a stroke and if the person still experiences communication difficulties six months after their stroke, but do not specify the intensity of the therapy.
This trial highlights the modest benefits of providing further intensive speech and language therapy for stroke survivors who continue to have aphasia after six months. The Royal College of Speech and Language Therapists previously raised concerns about lack of access to this type of therapy. However before implementation it will be important to know which component of therapy is providing the benefits and how much it costs compared to alternatives.