{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T03:07:07Z","timestamp":1776827227602,"version":"3.51.2"},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>There is a growing evidence base supporting the utility of restitutive speech\u2010language treatments for individuals with primary progressive aphasia (PPA). In contrast, there is limited research investigating treatment approaches that offer counselling to this population. Given that people with PPA are susceptible to negative impacts on their psychosocial well\u2010being, research is needed to address this underrepresented area of inquiry. This paper provides qualitative research findings from a pilot and feasibility study in which individuals with PPA completed a novel, telehealth\u2010based treatment program comprising both tailored speech\u2010language treatment and counselling (via aphasia\u2010modified cognitive behavioural therapy).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Nine participants with PPA (three with nonfluent\/agrammatic variant; three with logopenic variant; three with semantic variant) completed the novel treatment program. A phenomenological analysis was used at pre\u2010 and post\u2010treatment timepoints to analyse qualitative treatment outcomes and participant\u2010derived feedback regarding the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Following treatment, group\u2010level themes identified across both timepoints included\n                      <jats:italic>Communication Difficulties, Loss, Communication Strategy Usage<\/jats:italic>\n                      , and\n                      <jats:italic>Value of Support Systems<\/jats:italic>\n                      . Themes identified only at pre\u2010treatment included\n                      <jats:italic>Negative Emotions<\/jats:italic>\n                      and\n                      <jats:italic>Social Disconnection<\/jats:italic>\n                      , while those observed only at post\u2010treatment were\n                      <jats:italic>Acceptance, Gratitude<\/jats:italic>\n                      , and\n                      <jats:italic>Counselling and Coping Strategy Usage<\/jats:italic>\n                      . Participant\u2010generated feedback regarding the intervention resulted in themes of\n                      <jats:italic>Positive Life Impact of Treatment, Satisfaction with Treatment Framework<\/jats:italic>\n                      , and\n                      <jats:italic>Satisfaction with Telerehabilitation<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Qualitative results from this pilot study indicate positive\/adaptive themes surrounding psychosocial functioning following treatment for participants with each PPA subtype. Furthermore, participant\u2010generated feedback reflects overall satisfaction with this holistic communication and counselling\u2010focused treatment approach, indicating treatment acceptability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>WHAT THIS PAPER ADDS<\/jats:title>\n                    <jats:p>\n                      <jats:italic>What is already known on this subject<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>People with primary progressive aphasia (PPA) often experience a negative impact on their emotional well\u2010being and quality of life. While preliminary research indicates that these individuals may benefit from personal\u2010adjustment counselling, research is limited pertaining to psychosocial approaches in PPA. Thus, additional research is warranted to investigate the benefit, acceptability and feasibility of these interventions.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                      <jats:italic>What this paper adds to existing knowledge<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Preliminary qualitative results provide evidence that a novel treatment approach comprising communication\u2010focused intervention and aphasia\u2010modified cognitive\u2010behavioural therapy (CBT) results in positive psychosocial outcomes amongst nine individuals with heterogeneous PPA presentations. Participant\u2010generated feedback following treatment supports the acceptability of this combined intervention. Individuals reported satisfaction with the intervention overall and recognized the value of engaging in a program that aims to optimize both communication and emotional well\u2010being.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                      <jats:italic>What are the potential or actual clinical implications of this work?<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Speech\u2010language therapists\/pathologists may consider incorporating counselling approaches to optimize a person with PPA's emotional health and holistically meet patient needs. Aphasia\u2010modified CBT, provided by a speech\u2010language therapist\/pathologist, requires further investigation to ultimately determine the clinical utility of this approach.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1460-6984.70200","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T05:21:43Z","timestamp":1770009703000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["\u201cDoing the Best I Can\u201d: Qualitative Outcomes and Participant Feedback From a Combined Communication and Counselling Treatment for Primary Progressive Aphasia"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7342-9225","authenticated-orcid":false,"given":"Kristin","family":"Schaffer Mendez","sequence":"first","affiliation":[{"name":"Department of Speech, Language, and Hearing Sciences The University of Texas at Austin  Austin Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5124-3473","authenticated-orcid":false,"given":"William S.","family":"Evans","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences and Disorders The University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3158-8674","authenticated-orcid":false,"given":"Christina D.","family":"Dutcher","sequence":"additional","affiliation":[{"name":"Department of Psychology The University of Texas at Austin  Austin Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Philburn","sequence":"additional","affiliation":[{"name":"Coco Psychotherapy and Education  Austin Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8191-9366","authenticated-orcid":false,"given":"Lisa D.","family":"Wauters","sequence":"additional","affiliation":[{"name":"Department of Speech, Language, and Hearing Sciences The University of Texas at Austin  Austin Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8896-7897","authenticated-orcid":false,"given":"Megan M.","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Speech, Language, and Hearing Sciences The University of Texas at Austin  Austin Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8745-6451","authenticated-orcid":false,"given":"Maya L.","family":"Henry","sequence":"additional","affiliation":[{"name":"Department of Speech, Language, and Hearing Sciences The University of Texas at Austin  Austin Texas USA"},{"name":"Department of Neurology, Dell Medical School University of Texas at Austin  Austin Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,1]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1964.01720240015003"},{"key":"e_1_2_13_3_1","volume-title":"Cognitive Behavioral Therapy: Basics and Beyond","author":"Beck J. 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