失語症為腦中風患者最常罹患的語言缺失症狀，患有失語症病患需要儘早接受相關的語言治療。目前臨床語言治療有些限制，為了解決此問題，本研究針對國人提出一套基於智慧型手機之語言治療輔助系統，應用ABA型的實驗設計，進行療效評估。此外本研究建立兩組各包含30個治療單字，以探討其治療效果；其中一組為國人一般常用的物品名稱(所謂常用單字組)，另一組則為病患客製常用的物品名稱(所謂客製單字組)。本研究篩選五位無法命名型之失語症病患(Anomic aphasia)接受治療，每位受測者均以兩次ABA型實驗設計加以訓練，探討治療前後測驗字之答對率及反應時間。研究結果顯示，受測者不管是使用常用單字組或客製單字組在家中自我訓練治療，皆有答對比例提高之效果，具有顯著差異(p<0.05)；至於未治療組之命名正確率也有進步的現象，但並未達統計差異。因此使用本研究所開發之系統在家自行進行輔助治療是有顯著效果的，另外本研究也發現應用此兩組治療單字進行自我訓練，其效果也差異不大，不必建立病患客製化的物品進行治療。總結，應用智慧型手機所開發輔助治療軟體對於失語症病人在家做自我訓練治療，確實能增加病患的治療次數，也成功改善了病患與一般人的溝通能力，達到好的治療的效果。

Aphasia is one of the mostly common disease occurred in stroke survivors. The patient with aphasia needs to receive associated speech therapy as early as possible. Currently, the clinical speech therapy may have some limitations. In order to solve these problems, a smart phone based system is proposed in this study to assist the speech therapy at home for Taiwanese. The procedure called ABA experimental design is applied for self speech therapy with the performance evaluation. Besides, two sets of naming words, in which contains 30 items are developed in this study. One group including the often used items is so called frequently used words (FUG). The other group including the individually used items is called customized words (CUS). Five patients with anomic aphasia are recruited in this study. Each patient needs to self practice with ABA experimental design twice. The correct naming rate and reaction time for pre and post therapy of all tests for five participants are investigated. From the experimental results, the correct naming rates for trainings using both two sets of words (FUG & CUS) are increased with significant difference (p<0.05), In contrast, although the trainings using non therapeutic words show some improvement, it is not statistically significant difference. It is demonstrated that the proposed system with the implemented program is feasible for speech therapy in home use. Besides, it is also shown that the therapeutic improvements using both FUG and CUS have no significant difference. There is no need to develop the customized words for self training. In summary, the applications of a smart phone based assistive system for anomia therapy at home indeed can increase the training times as well as promote the conversation capability with others to achieve the speech therapy purpose.

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