Abstract：
Multi-Modality Aphasia Treatment (M-MAT) is an effective group intervention for post-stroke aphasia. M-MAT employs interactive card games and the modalities of gesture, drawing, reading, and writing to improve spoken language. However, there are challenges to implementation of group interventions such as M-MAT, particularly for those who cannot travel or live in rural areas. To maximise access to this effective treatment, we aimed to adapt M-MAT to telehealth format (M-MAT Tele). The Human-Centred Design Framework was utilized to guide the adaptation approach. We identified the intended context of use (outpatient/community rehabilitation) and the stakeholders (clinicians, people with aphasia, health service funders). People with aphasia and practising speech pathologists were invited to co-design M-MAT Tele in a series of iterative workshops, to ensure the end product was user-friendly and clinically feasible. The use of co-design allowed us to understand the hardware, software and other constraints and preferences of end users. In particular, clinicians (n = 3) required software compatible with a range of telehealth platforms and people with aphasia (n = 3) valued solutions with minimal technical demands and costs for participants. Co-design within the Human-Centred Design Framework led to a telehealth solution compatible with all major telehealth platforms, with minimal hardware or software requirements. Pilot testing is underway to confirm acceptability of M-MAT Tele to clinicians and people with aphasia, aiming to provide an effective, accessible tool for aphasia therapy in telehealth settings.
摘要：
多模态失语症治疗(M-MAT)是卒中后失语症的有效团体干预措施。M-MAT采用交互式纸牌游戏和手势模式，绘图,阅读,和写作来提高口语。然而,实施M-MAT等团体干预措施面临挑战，特别是对于那些不能旅行或生活在农村地区的人。为了最大限度地获得这种有效的治疗，我们的目标是使M-MAT适应远程医疗格式(M-MATTele)。以人为中心的设计框架被用来指导适应方法。我们确定了预期的使用背景(门诊/社区康复)和利益相关者(临床医生，失语症患者,卫生服务资助者)。失语症和实践语言病理学家被邀请在一系列迭代研讨会上共同设计M-MATTele，以确保最终产品是用户友好的和临床上可行的。协同设计的使用使我们能够了解硬件，软件和其他限制以及最终用户的偏好。特别是,临床医生(n=3)需要与一系列远程医疗平台和失语症患者(n=3)兼容的软件,这些解决方案对参与者的技术需求和成本最低。以人为中心的设计框架内的共同设计导致了与所有主要远程医疗平台兼容的远程医疗解决方案，具有最低的硬件或软件要求。正在进行试点测试，以确认临床医生和失语症患者对M-MATTele的可接受性，旨在提供一种有效的，在远程医疗环境中进行失语症治疗的无障碍工具。
