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Everyday reading in post-stroke aphasia: Effects and perceived helpfulness of advance linguistic context

Lookup NU author(s): Dr Janet Webster, Professor Julie MorrisORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

Background: Advance provision of pictorial contextual information increases reading speed for everyday texts (i.e., short news articles) in typical adult readers and people with aphasia (PWA). However, little is known about whether advance linguistic context (e.g., titles) influences reading in aphasia. In addition, evidence regarding PWA’s perception of whether context aids their reading is inconclusive. Aims: This study aimed to investigate the effect of titles on typical readers’ and PWA’s speed and comprehension for naturalistic everyday texts. It also aimed to examine if there was a correlation between their reading speed and their comprehension and their perceived helpfulness of titles. Methods & Procedures: Participants were 30 adult typical readers and 10 post-stroke PWA with varying reading ability. Participants read three matched sets of short news articles preceded by either a related title, a filler (an unrelated title), or no title and followed by multiple-choice comprehension questions. Outcomes & Results: Mixed-effects regression analyses showed that related titles significantly increased reading speed of both typical readers and PWA, with a larger effect seen in PWA. Advance provision of titles did not affect comprehension accuracy in either group of participants. There was no significant correlation between participants’ perceived title helpfulness and reading speed or comprehension accuracy. Conclusion: Advance linguistic context does not influence comprehension accuracy of everyday texts but increases reading speed in both adults who are typical readers and PWA. The evidence from this study supports the development of strategy-based approaches for PWA that encourage use of advance contextual information to improve reading speed.


Publication metadata

Author(s): Nguyen H, Webster J, Nickels L, Morris J

Publication type: Article

Publication status: Published

Journal: Aphasiology

Year: 2025

Pages: epub ahead of print

Online publication date: 18/07/2025

Acceptance date: 11/07/2025

Date deposited: 16/07/2025

ISSN (print): 0268-7038

ISSN (electronic): 1464-5041

Publisher: Routledge

URL: https://doi.org/10.1080/02687038.2025.2534982

DOI: 10.1080/02687038.2025.2534982

ePrints DOI: 10.57711/m0ye-qg30


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