Two speech therapy approaches for people with aphasia after stroke

This trial is testing whether adding metacognitive strategy training—teaching you to think about *how* you solve language problems—makes speech therapy more effective than traditional therapy alone. Both groups will receive Semantic Feature Analysis, a well-established speech therapy approach where you name pictures, describe what those objects are like, and use them in sentences. The study wants to see if learning strategies to monitor and improve your own thinking helps you get better results.

Many people with aphasia struggle to find words even after receiving speech therapy. Researchers believe that if people learn to recognize and use strategies to help themselves solve naming problems during therapy, those improvements might last longer and be stronger.