{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T02:17:59Z","timestamp":1792808279735,"version":"4.5.0"},"reference-count":45,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"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; Comm Disor"],"published-print":{"date-parts":[[2026,9]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Better Conversations Communication Partner Training (CPT) is delivered to dyads comprising a person with a communication difficulty and a key communication partner (CP). Better Conversations focuses on individualised strategies to promote enjoyable and successful interactions. There is no research evidence about the optimal intensity or dosage for CPT. However, intensive comprehensive aphasia programmes are increasingly offered to deliver the high dose needed for effective intervention. This service improvement project aimed to explore the acceptability and outcomes from a BC Intensive Conversation Group for family dyads.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We developed separate intensive group programs for non\u2010progressive aphasia and primary progressive aphasia (PPA). Each was delivered to four (non\u2010progressive aphasia) or five (PPA) family dyads in a group for 8 days over 2 weeks (4 days face\u2010to\u2010face, four remote) in a university clinic. Intervention comprised understanding how conversation works, identifying individual dyad facilitators and barriers to conversation (using video feedback), practice (in the group and across dyads) of conversation strategies and psychological support. Participants were interviewed about their experiences and acceptability of the intervention. Outcomes post\u2010treatment and at 3\u2010month follow\u2010up included goal attainment, conversation behaviours, communication confidence, participation and relationships. Data were analysed using descriptive statistics and content analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Participants received a total of 26\u00a0h of Better Conversations CPT, delivered for 2.5\u20133\u00a0h per day, over 2 weeks (4 days a week). Participants valued the group format and preferred face\u2010to\u2010face sessions. Dosage was variably tolerated across the groups; people with PPA and their CPs reported the group was too long and intensive, while people with aphasia and their CPs reported intensity and length were acceptable. Of a total of 31 goals set, participants self\u2010rated as having achieved 26 goals and rated no change on five goals. Outcome measures indicated increased confidence and participation across participants with PPA and non\u2010progressive aphasia in both groups.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This service improvement project demonstrates that intensive conversation groups can be acceptable to participants with PwA, PwPPA and their CPs. Participants achieved their conversation goals and reported increased confidence and participation. Future research is required to explore the benefits of different dosages and intensities of CPT and the schedule of interventions over different disease trajectories.<\/jats:p>\n <\/jats:sec>\n \n WHAT THIS PAPER ADDS<\/jats:title>\n \n What is already known on the subject<\/jats:italic>\n \n \n Better Conversations Communication Partner Training (CPT) supports people with communication difficulties and their key communication partners through individualised strategies.<\/jats:p>\n <\/jats:list-item>\n \n There is limited evidence on the optimal dosage or schedule for CPT, although intensive aphasia programs are increasingly used to deliver high\u2010dose interventions.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n What this paper adds to the existing knowledge<\/jats:italic>\n \n \n This service improvement project piloted an intensive group\u2010based model of Better Conversations CPT for family dyads, including those with non\u2010progressive aphasia and primary progressive aphasia (PPA).<\/jats:p>\n <\/jats:list-item>\n \n Intensive conversation groups (27\u00a0h over 2 weeks) were acceptable to participants with aphasia and their communication partners, who achieved most of their conversation goals and reported increased confidence and participation.<\/jats:p>\n <\/jats:list-item>\n \n Participants valued the group format and preferred face\u2010to\u2010face sessions, though tolerance for intensity varied: people with PPA found the program too long and intensive, while those with aphasia found it acceptable.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n What are the potential or clinical implications of this work?<\/jats:italic>\n \n \n Intensive CPT is feasible to deliver and benefits family dyads, including those with non\u2010progressive aphasia and primary progressive aphasia (PPA).<\/jats:p>\n <\/jats:list-item>\n \n Findings highlight the need for future research on tailoring dosage and scheduling across different conditions and disease trajectories.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1460-6984.70296","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T06:47:39Z","timestamp":1785480459000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Better Conversations Communication Partner Training for Progressive and Non\u2010Progressive Aphasia: What Can We Learn From Intensive Conversation Groups?"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4149-409X","authenticated-orcid":false,"given":"Anna","family":"Volkmer","sequence":"first","affiliation":[{"name":"Department of Language and Cognition Division of Psychology and Language Sciences UCL London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Unger","sequence":"additional","affiliation":[{"name":"Department of Neurology University Medicine Greifswald Greifswald Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosemary","family":"Townsend","sequence":"additional","affiliation":[{"name":"Dyscover Ltd. Leatherhead Surrey UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Firle","family":"Beckley","sequence":"additional","affiliation":[{"name":"FirleB Therapies UK & Lemonade from Lemons Community Interest Company Eastbourne East Sussex UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mah","family":"Rana","sequence":"additional","affiliation":[{"name":"Royal College of Art & Birkbeck University of London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Feest","sequence":"additional","affiliation":[{"name":"Department of Language and Cognition Division of Psychology and Language Sciences UCL London UK"},{"name":"University Hospitals Sussex NHS Foundation Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alys","family":"Hollyer","sequence":"additional","affiliation":[{"name":"Department of Language and Cognition Division of Psychology and Language Sciences UCL London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyrissa","family":"Dixon","sequence":"additional","affiliation":[{"name":"Department of Language and Cognition Division of Psychology and Language Sciences UCL London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katzia","family":"Watkins","sequence":"additional","affiliation":[{"name":"Department of Language and Cognition Division of Psychology and Language Sciences UCL London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6772-2820","authenticated-orcid":false,"given":"Suzanne","family":"Beeke","sequence":"additional","affiliation":[{"name":"Department of Language and Cognition Division of Psychology and Language Sciences UCL London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1044\/2022_AJSLP-22-00011"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687038.2010.537347"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2017.1315181"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2012\/12-0140)"},{"key":"e_1_2_12_6_1","volume-title":"Better Conversations With People With Communication Difficulties: A Practical Guide for Clinicians","author":"Beeke S.","year":"2023"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1044\/2021_PERSP-21-00160"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000580"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1044\/2024_AJSLP-24-00144"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnhum.2016.00562"},{"key":"e_1_2_12_11_1","doi-asserted-by":"crossref","unstructured":"Brady M. 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