[
  {
    "name": "Impairment-focused SLT: semantic therapy",
    "provider": "Qualified speech and language therapist (SLT); assistants for practice",
    "provider_type": "SLT",
    "format": "One-to-one, face-to-face (predominant); group possible",
    "setting": "NHS inpatient and community settings; own home",
    "dose_reported": "No dose for a named protocol; delivered within UK provision mean 128 min/week",
    "duration": "Not specified for a named package",
    "evidence_standing": "Supported by NICE NG236 and National Stroke Guideline for individualised impairment therapy; comparative semantic-vs-phonological evidence mixed (abstract only)",
    "uk_delivery_evidence": "Delivered by 70% of surveyed UK SLTs as impairment-based therapy [8]; routine dose low [7][8]",
    "tidier": {
      "1_brief_name": {
        "answer": "Semantic therapy (e.g. semantic feature analysis) for word retrieval in aphasia",
        "source": "[26]",
        "reported": true
      },
      "2_why_rationale": {
        "answer": "Targets impaired semantic processing to improve word retrieval; rationale stated in treatment-comparison literature",
        "source": "[26]",
        "reported": "Partial"
      },
      "3_what_materials": {
        "answer": "Not reported",
        "source": "[26]",
        "reported": false
      },
      "4_what_procedures": {
        "answer": "Semantic tasks targeting word meaning; specific procedures not retrievable from abstract only",
        "source": "[26]",
        "reported": "Partial"
      },
      "5_who_provided": {
        "answer": "Speech and language therapist",
        "source": "[26]",
        "reported": "Partial"
      },
      "6_how_mode": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "7_where_setting": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "8_when_how_much": {
        "answer": "Three weeks of semantic treatment in the comparison trial (63 participants with chronic aphasia)",
        "source": "[26]",
        "reported": true
      },
      "9_tailoring": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "10_modifications": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "11_how_well_planned": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "12_how_well_actual": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      }
    },
    "sources": [
      "https://doi.org/10.1044/2024_jslhr-24-00304",
      "https://onlinelibrary.wiley.com/doi/full/10.1111/1460-6984.12918",
      "https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0200096",
      "https://www.nice.org.uk/guidance/ng236/chapter/Recommendations"
    ]
  },
  {
    "name": "Impairment-focused SLT: phonological therapy",
    "provider": "Qualified speech and language therapist",
    "provider_type": "SLT",
    "format": "One-to-one, face-to-face",
    "setting": "NHS settings (not specified in retrieved source)",
    "dose_reported": "No dose for a named protocol",
    "duration": "Not specified for a named package",
    "evidence_standing": "Supported in guidance for individualised impairment therapy; head-to-head evidence limited (Cochrane)",
    "uk_delivery_evidence": "Within impairment-based therapy delivered by 70% of surveyed UK SLTs [8]",
    "tidier": {
      "1_brief_name": {
        "answer": "Phonological therapy (e.g. phonological components analysis) for word retrieval",
        "source": "[26]",
        "reported": true
      },
      "2_why_rationale": {
        "answer": "Targets phonological processing to support word retrieval",
        "source": "[26]",
        "reported": "Partial"
      },
      "3_what_materials": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "4_what_procedures": {
        "answer": "Phonological tasks; procedures not retrievable from abstract only",
        "source": "[26]",
        "reported": "Partial"
      },
      "5_who_provided": {
        "answer": "Speech and language therapist",
        "source": "[26]",
        "reported": "Partial"
      },
      "6_how_mode": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "7_where_setting": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "8_when_how_much": {
        "answer": "Three weeks of phonological treatment in the comparison trial",
        "source": "[26]",
        "reported": true
      },
      "9_tailoring": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "10_modifications": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "11_how_well_planned": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "12_how_well_actual": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      }
    },
    "sources": [
      "https://doi.org/10.1044/2024_jslhr-24-00304",
      "https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD000425.pub4/full"
    ]
  },
  {
    "name": "Constraint-Induced Language Therapy (CILT / CIAT-Plus / ILAT)",
    "provider": "Speech and language therapist (group delivery)",
    "provider_type": "SLT",
    "format": "Small group (2-3 participants); barriers to block non-verbal communication; some variants one-to-one/shaping",
    "setting": "Not reported in Cochrane description; COMPARE variants delivered in clinical research settings",
    "dose_reported": "Yes: classic about 30 h over 2 weeks; COMPARE 15 h/week for 2 weeks; low-moderate variant 6 h/week for 5 weeks",
    "duration": "2 weeks (classic/COMPARE); 5 weeks (low-moderate)",
    "evidence_standing": "Contested: SRs positive descriptively, but meta-analyses show CILT often not superior to comparison treatments; intensity may be the active factor",
    "uk_delivery_evidence": "No national UK rollout found; UK doctoral feasibility study recommended further NHS research but called evidence still weak",
    "tidier": {
      "1_brief_name": {
        "answer": "Constraint-Induced Language Therapy (CILT); Constraint-Induced Aphasia Therapy (CIAT)/Plus; Intensive Language Action Therapy (ILAT)",
        "source": "[5][25][33]",
        "reported": true
      },
      "2_why_rationale": {
        "answer": "Enhance rehabilitation via brain plasticity, adopting the model from motor rehabilitation; forced verbal use to counter learned non-use",
        "source": "[5][33]",
        "reported": true
      },
      "3_what_materials": {
        "answer": "32 cards with 16 pictures x 2; barriers preventing participants seeing others' cards",
        "source": "[5]",
        "reported": true
      },
      "4_what_procedures": {
        "answer": "Small groups (2-3) using barrier therapeutic games; all communication verbal; pointing or gestures not permitted; constraint introduced by materials, verbal instructions, shaping and reinforcement contingencies",
        "source": "[5]",
        "reported": true
      },
      "5_who_provided": {
        "answer": "Speech and language therapist",
        "source": "[5]",
        "reported": true
      },
      "6_how_mode": {
        "answer": "Group, face-to-face",
        "source": "[5]",
        "reported": true
      },
      "7_where_setting": {
        "answer": "Not reported (Cochrane description)",
        "source": "[5]",
        "reported": false
      },
      "8_when_how_much": {
        "answer": "About 30 h over 2 weeks (classic); COMPARE 15 h/week x 2 weeks; low-moderate 6 h/week x 5 weeks",
        "source": "[5][25][33]",
        "reported": true
      },
      "9_tailoring": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "10_modifications": {
        "answer": "COMPARE low-moderate intensity was itself a deliberate modification of dose schedule (same dose, lower intensity)",
        "source": "[25]",
        "reported": true
      },
      "11_how_well_planned": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "12_how_well_actual": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      }
    },
    "sources": [
      "https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD000425.pub4/full",
      "https://doi.org/10.1044/2022_ajslp-22-00248",
      "https://doi.org/10.1080/10749357.2023.2196765",
      "https://sheffield.ac.uk/media/10435/download?attachment"
    ]
  },
  {
    "name": "Intensive Comprehensive Aphasia Programme (ICAP), generic model",
    "provider": "Interdisciplinary team (SLTs, clinical psychologists, occupational therapists and others)",
    "provider_type": "Multidisciplinary team",
    "format": "Mixed: one-to-one and group; impairment, activity, participation and psychosocial components; family involvement",
    "setting": "Not standardised; content varies between programmes",
    "dose_reported": "Varies between programmes; commonly 3-5 h/day over 2-6 weeks; guidelines specify >=20 h total",
    "duration": "2-6 weeks (composite); delivers vary",
    "evidence_standing": "Weaker gold-standard RCT evidence than impairment-focused intensive therapy; first UK RCT (NCT07386652) not yet recruiting, primary completion 2030",
    "uk_delivery_evidence": "Not commissioned routinely; 50% of SLTs aware, 15 involved, 16.5% felt their service could deliver one [8]",
    "tidier": {
      "1_brief_name": {
        "answer": "Intensive Comprehensive Aphasia Programme (ICAP)",
        "source": "[9][10]",
        "reported": true
      },
      "2_why_rationale": {
        "answer": "Address the comprehensive range of needs from language impairment and its consequences, per ICF; theory of change coconstructed with people with aphasia",
        "source": "[10]",
        "reported": true
      },
      "3_what_materials": {
        "answer": "Not standardised; content and materials vary between ICAPs",
        "source": "[9]",
        "reported": "Partial"
      },
      "4_what_procedures": {
        "answer": "Multiple intervention approaches across ICF domains in multiple formats, with education and family involvement",
        "source": "[9][10]",
        "reported": "Partial"
      },
      "5_who_provided": {
        "answer": "Interdisciplinary team",
        "source": "[9]",
        "reported": true
      },
      "6_how_mode": {
        "answer": "Multiple formats (individual and group)",
        "source": "[9]",
        "reported": true
      },
      "7_where_setting": {
        "answer": "Varies (research clinic or healthcare setting); no standard",
        "source": "[9]",
        "reported": "Partial"
      },
      "8_when_how_much": {
        "answer": "Commonly 3-5 h/day over 2-6 weeks; ESO specifies >=20 h total, >=3 h/week, >=4 days/week",
        "source": "[3][9]",
        "reported": true
      },
      "9_tailoring": {
        "answer": "Individualised goals; ESO recommends tailoring by functional relevance and task difficulty",
        "source": "[3][9]",
        "reported": true
      },
      "10_modifications": {
        "answer": "Not reported as a standard",
        "source": "",
        "reported": false
      },
      "11_how_well_planned": {
        "answer": "Not standardised across programmes",
        "source": "",
        "reported": false
      },
      "12_how_well_actual": {
        "answer": "Not standardised; only 8 of 21 studies had a design suitable for synthesis",
        "source": "[9]",
        "reported": "Partial"
      }
    },
    "sources": [
      "https://doi.org/10.1080/09638288.2023.2274877",
      "https://doi.org/10.1044/2025_jslhr-25-00519",
      "https://openaccess.city.ac.uk/id/eprint/35288/1/brady-et-al-2025-european-stroke-organisation-(eso)-guideline-on-aphasia-rehabilitation.pdf",
      "https://clinicaltrials.gov/study/NCT07386652"
    ]
  },
  {
    "name": "Remote LUNA (Language Underpins Narrative in Aphasia) discourse therapy",
    "provider": "Speech and language therapist (remote)",
    "provider_type": "SLT",
    "format": "One-to-one, remote via videoconferencing (Zoom)",
    "setting": "Participant's own home (remote)",
    "dose_reported": "Yes: 20 h total, 2 sessions/week of 60 min, over 10 weeks",
    "duration": "10 weeks plus a 1-hour set-up week",
    "evidence_standing": "Phase II feasibility RCT: all progression criteria met; preliminary efficacy medium-large effect sizes; UK",
    "uk_delivery_evidence": "UK (London/City) trial; LUNA NIHR PDG adapting it for NHS implementation (vault)",
    "tidier": {
      "1_brief_name": {
        "answer": "LUNA (Language Underpins Narrative in Aphasia), remote delivery",
        "source": "[11]",
        "reported": true
      },
      "2_why_rationale": {
        "answer": "Multi-level discourse treatment targeting words, sentences and discourse macrostructure in personal narratives; addresses discourse, which people with aphasia prioritise",
        "source": "[11]",
        "reported": true
      },
      "3_what_materials": {
        "answer": "Manualised, theory-based, codesigned treatment; each participant's chosen narrative transcribed, analysed and deconstructed to identify targets before session 1",
        "source": "[11]",
        "reported": true
      },
      "4_what_procedures": {
        "answer": "Word, utterance and discourse-macrostructure level activities applied to personal storytelling",
        "source": "[11]",
        "reported": true
      },
      "5_who_provided": {
        "answer": "Speech and language therapist",
        "source": "[11]",
        "reported": "Partial"
      },
      "6_how_mode": {
        "answer": "One-to-one, remote via Zoom",
        "source": "[11]",
        "reported": true
      },
      "7_where_setting": {
        "answer": "Participant's home (remote delivery)",
        "source": "[11]",
        "reported": true
      },
      "8_when_how_much": {
        "answer": "20 h: 2 sessions/week of 60 min for 10 weeks",
        "source": "[11]",
        "reported": true
      },
      "9_tailoring": {
        "answer": "Personalised: participant chooses the narrative and goals; narrative deconstructed to set targets",
        "source": "[11]",
        "reported": true
      },
      "10_modifications": {
        "answer": "Adapted for remote delivery (COVID-19 context)",
        "source": "[11]",
        "reported": true
      },
      "11_how_well_planned": {
        "answer": "Fidelity assessed; 92% adherence to manual",
        "source": "[11]",
        "reported": true
      },
      "12_how_well_actual": {
        "answer": "87% of sessions delivered as scheduled; 79% completed >=80% of programme; fidelity 92%",
        "source": "[11]",
        "reported": true
      }
    },
    "sources": [
      "https://pmc.ncbi.nlm.nih.gov/articles/PMC11178191/"
    ]
  },
  {
    "name": "Better Conversations with Aphasia (BCA) communication partner training",
    "provider": "Speech and language therapist (dyadic: person with aphasia + key partner)",
    "provider_type": "SLT",
    "format": "One-to-one dyadic sessions; video feedback; free online e-learning resource for SLTs",
    "setting": "Not specified in retrieved sources (clinical/community)",
    "dose_reported": "Yes: 8 x 1-hour sessions, once weekly",
    "duration": "8 weeks",
    "evidence_standing": "UK conversation-analysis-based CPT; original 8-dyad study showed facilitator increase for 3 dyads and barrier decrease for 5; free resource widely available",
    "uk_delivery_evidence": "Most commonly completed CPT programme among APT WP1 survey respondents (vault); UCL free resource [17][18]",
    "tidier": {
      "1_brief_name": {
        "answer": "Better Conversations with Aphasia (BCA)",
        "source": "[15][17][18]",
        "reported": true
      },
      "2_why_rationale": {
        "answer": "Train conversation skills directly and help partners use strategies, so dyads have more complex and enjoyable conversations; underpinned by conversation analysis",
        "source": "[17]",
        "reported": true
      },
      "3_what_materials": {
        "answer": "Free UCL resource: 8 lessons in 3 modules with printable session plans and dyad handouts; SLT e-learning materials",
        "source": "[18]",
        "reported": true
      },
      "4_what_procedures": {
        "answer": "Dyad identifies barriers and facilitators to their own conversation using video feedback, then chooses and practises strategies; outcome from videos of everyday conversations",
        "source": "[17]",
        "reported": true
      },
      "5_who_provided": {
        "answer": "Speech and language therapist (programme delivered to the dyad)",
        "source": "[17]",
        "reported": "Partial"
      },
      "6_how_mode": {
        "answer": "Dyadic one-to-one sessions with video feedback",
        "source": "[17]",
        "reported": true
      },
      "7_where_setting": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "8_when_how_much": {
        "answer": "8 x 1-hour sessions, once weekly",
        "source": "[15]",
        "reported": true
      },
      "9_tailoring": {
        "answer": "Individualised goal setting within the dyad; strategies chosen by the dyad",
        "source": "[17]",
        "reported": true
      },
      "10_modifications": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "11_how_well_planned": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "12_how_well_actual": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      }
    },
    "sources": [
      "https://www.ucl.ac.uk/brain-sciences/pals/research/language-and-cognition/language-and-cognition-research/better-conversations-lab/better-conversations-research/better-conversations-aphasia-research",
      "https://www.ucl.ac.uk/brain-sciences/pals/research/language-and-cognition/language-and-cognition-research/better-conversations-lab/better-conversations-resources-and-downloads/better-conversations-aphasia",
      "https://pmc.ncbi.nlm.nih.gov/articles/PMC13425045/"
    ]
  },
  {
    "name": "Better Conversations intensive conversation groups (non-progressive aphasia and PPA)",
    "provider": "Qualified SLTs, student SLTs and an artist-researcher",
    "provider_type": "SLT-led, mixed skills team",
    "format": "Group of 4-5 family dyads; 4 days face-to-face plus 4 days remote (Zoom)",
    "setting": "University clinic (service improvement project)",
    "dose_reported": "Yes: 26 h total, 2.5-3 h/day, 4 days/week over 2 weeks",
    "duration": "2 weeks (plus pre-assessment to 3-month follow-up = 15 weeks participation)",
    "evidence_standing": "Service improvement project; acceptable, goal attainment and increased confidence reported; PPA participants found it too intensive; no control group",
    "uk_delivery_evidence": "UK (UCL) university-clinic delivery; not routine NHS provision",
    "tidier": {
      "1_brief_name": {
        "answer": "Better Conversations (BC) intensive conversation group for family dyads",
        "source": "[15]",
        "reported": true
      },
      "2_why_rationale": {
        "answer": "Deliver the high dose needed for effective intervention through an intensive group format; BC informed by conversation analysis and behaviour change theory",
        "source": "[15]",
        "reported": true
      },
      "3_what_materials": {
        "answer": "Not reported explicitly (design by A.V. and S.B. with PPI advisor input)",
        "source": "[15]",
        "reported": "Partial"
      },
      "4_what_procedures": {
        "answer": "Understanding how conversation works; identifying dyad facilitators and barriers using video feedback; practising strategies in the group and across dyads; psychological support",
        "source": "[15]",
        "reported": true
      },
      "5_who_provided": {
        "answer": "Two student SLTs, four qualified SLTs, one artist-researcher",
        "source": "[15]",
        "reported": true
      },
      "6_how_mode": {
        "answer": "Group; 4 days face-to-face and 4 days remote synchronous (Zoom)",
        "source": "[15]",
        "reported": true
      },
      "7_where_setting": {
        "answer": "University clinic",
        "source": "[15]",
        "reported": true
      },
      "8_when_how_much": {
        "answer": "26 h total; 2.5-3 h/day, 4 days/week over 2 weeks",
        "source": "[15]",
        "reported": true
      },
      "9_tailoring": {
        "answer": "Separate programmes for non-progressive aphasia and PPA; individualised goal setting",
        "source": "[15]",
        "reported": true
      },
      "10_modifications": {
        "answer": "Dosage was variably tolerated; PPA group found it too long/intensive; format adaptation implied but not stated as protocol change",
        "source": "[15]",
        "reported": "Partial"
      },
      "11_how_well_planned": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "12_how_well_actual": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      }
    },
    "sources": [
      "https://pmc.ncbi.nlm.nih.gov/articles/PMC13425045/"
    ]
  },
  {
    "name": "BCPPA plus (Better Conversations with Primary Progressive Aphasia and other rare dementias), telehealth",
    "provider": "Highly specialist HCPC-registered SLT (over 80% of delivery) or a trained assistant under supervision",
    "provider_type": "SLT with assistant support",
    "format": "Dyadic sessions; telehealth; video feedback; video-recorded natural conversation",
    "setting": "NHS sites; delivered remotely (telehealth)",
    "dose_reported": "Yes: 4-6 x 1-hour sessions, session number jointly decided",
    "duration": "4-6 weeks",
    "evidence_standing": "Protocol/feasibility study of a UK NHS-embedded deferred-entry randomised design; prior BCPPA delivered 4 x 1 h face-to-face",
    "uk_delivery_evidence": "UK (UCL and NHS sites); the only intervention found that explicitly covers PPA",
    "tidier": {
      "1_brief_name": {
        "answer": "BCPPA plus: Better Conversations with PPA and other rare dementias, telehealth",
        "source": "[16]",
        "reported": true
      },
      "2_why_rationale": {
        "answer": "Support people with PPA/rare dementia and their key partners with individualised conversation strategies; extends BC to PPA and rare dementias",
        "source": "[16]",
        "reported": true
      },
      "3_what_materials": {
        "answer": "TiDIER description in online supplemental appendix; video-recorded natural conversation; video clips for feedback",
        "source": "[16]",
        "reported": true
      },
      "4_what_procedures": {
        "answer": "SLT video-records a conversation; four intervention sessions covering how conversation works, dyad reflection, viewing 2-3 clips, video feedback, and strategy practice",
        "source": "[16]",
        "reported": true
      },
      "5_who_provided": {
        "answer": "Highly specialist HCPC-registered SLT (>80% of delivery) or trained assistant under supervision",
        "source": "[16]",
        "reported": true
      },
      "6_how_mode": {
        "answer": "Dyadic; telehealth",
        "source": "[16]",
        "reported": true
      },
      "7_where_setting": {
        "answer": "NHS sites; remote delivery to participants",
        "source": "[16]",
        "reported": true
      },
      "8_when_how_much": {
        "answer": "4-6 x 1-hour sessions over 4-6 weeks; session number decided by person, partner and SLT",
        "source": "[16]",
        "reported": true
      },
      "9_tailoring": {
        "answer": "Number of sessions jointly decided based on progress; dyad-specific strategies and goals",
        "source": "[16]",
        "reported": true
      },
      "10_modifications": {
        "answer": "Extended from the prior 4-session BCPPA to 4-6 sessions for this study",
        "source": "[16]",
        "reported": true
      },
      "11_how_well_planned": {
        "answer": "Fidelity rating planned (consent to video recording for fidelity rating)",
        "source": "[16]",
        "reported": true
      },
      "12_how_well_actual": {
        "answer": "Not reported (protocol stage)",
        "source": "",
        "reported": false
      }
    },
    "sources": [
      "https://pmc.ncbi.nlm.nih.gov/articles/PMC13475093/"
    ]
  },
  {
    "name": "Self-managed computerised speech and language therapy (Big CACTUS / StepByStep)",
    "provider": "Qualified SLT (tailors exercises and sets the plan); volunteers or therapy assistants (regular support visits)",
    "provider_type": "SLT-led with volunteer/assistant support",
    "format": "Self-managed computer practice at home; brief professional/volunteer support",
    "setting": "Participant's own home",
    "dose_reported": "Yes: 20-30 min of daily practice over 6 months; volunteers/assistants >=1 h per month",
    "duration": "6 months",
    "evidence_standing": "UK multicentre RCT (n=278): clinically significant word-finding improvement, no benefit for conversation or quality of life",
    "uk_delivery_evidence": "Delivered in 21 UK NHS SLT departments; the strongest UK-delivered technology intervention evidence found",
    "tidier": {
      "1_brief_name": {
        "answer": "Self-managed computerised speech and language therapy (CSLT) plus usual care, using StepByStep software",
        "source": "[12][33]",
        "reported": true
      },
      "2_why_rationale": {
        "answer": "Provide more therapy than usual care alone; ongoing face-to-face SLT is costly and unavailable beyond the first months post-stroke",
        "source": "[12][33]",
        "reported": true
      },
      "3_what_materials": {
        "answer": "StepByStep specialist aphasia computer software; exercises tailored to the individual; written therapy manual",
        "source": "[12][33]",
        "reported": true
      },
      "4_what_procedures": {
        "answer": "Component 1 SLT assessment and tailoring of exercises; Component 2 daily independent word-finding practice on the computer; Component 3 volunteer/assistant support to enhance adherence and encourage daily-life use",
        "source": "[33]",
        "reported": true
      },
      "5_who_provided": {
        "answer": "Qualified SLT sets the plan; volunteers or therapy assistants visit to support",
        "source": "[12][33]",
        "reported": true
      },
      "6_how_mode": {
        "answer": "Self-managed computer practice at home, supported by occasional in-person visits",
        "source": "[12][33]",
        "reported": true
      },
      "7_where_setting": {
        "answer": "Participants' own homes",
        "source": "[12]",
        "reported": true
      },
      "8_when_how_much": {
        "answer": "20-30 min practice daily over 6 months; volunteers/assistants visit >=1 h once per month",
        "source": "[12][33]",
        "reported": true
      },
      "9_tailoring": {
        "answer": "Exercises individually tailored by the SLT to the specific language deficit",
        "source": "[12][33]",
        "reported": true
      },
      "10_modifications": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "11_how_well_planned": {
        "answer": "TIDieR template used to describe the intervention",
        "source": "[12]",
        "reported": true
      },
      "12_how_well_actual": {
        "answer": "Self-managed practice enabled increased therapy amounts; adherence reported as feasible and acceptable",
        "source": "[12]",
        "reported": "Partial"
      }
    },
    "sources": [
      "https://pmc.ncbi.nlm.nih.gov/articles/PMC6700375/",
      "https://sheffield.ac.uk/media/10435/download?attachment"
    ]
  },
  {
    "name": "SUPERB peer-befriending",
    "provider": "Trained peer-befrienders (people at least 1 year post-stroke), trained 4-6 h; regular supervision",
    "provider_type": "Trained peer/volunteer",
    "format": "One-to-one home visits",
    "setting": "Community; participant's home",
    "dose_reported": "Yes: six 1-hour visits over 3 months, plus two optional transition sessions",
    "duration": "3 months",
    "evidence_standing": "UK feasibility RCT; fidelity formally evaluated; pilot economic evaluation ~£57.24/visit, cost-effective in 39-66% of simulations; underpowered with GHQ-12 CI touching the null (vault caveat confirmed)",
    "uk_delivery_evidence": "UK (City St George's, London), Stroke Association-funded; community peer befriending",
    "tidier": {
      "1_brief_name": {
        "answer": "SUPERB peer-befriending for people with aphasia and their significant others",
        "source": "[21][22]",
        "reported": true
      },
      "2_why_rationale": {
        "answer": "Support wellbeing and reduce isolation after stroke through trained peer support",
        "source": "[21][22]",
        "reported": true
      },
      "3_what_materials": {
        "answer": "Training programme for peer-befrienders; supervision; fidelity checklist",
        "source": "[22]",
        "reported": true
      },
      "4_what_procedures": {
        "answer": "Trained peer-befrienders visit at home to provide befriending; regular supervision; optional transition sessions",
        "source": "[21]",
        "reported": true
      },
      "5_who_provided": {
        "answer": "10 peer-befrienders, >=1 year post-stroke, trained 4-6 h",
        "source": "[21][22]",
        "reported": true
      },
      "6_how_mode": {
        "answer": "One-to-one, in person, at home",
        "source": "[21]",
        "reported": true
      },
      "7_where_setting": {
        "answer": "Community / participant's home",
        "source": "[21]",
        "reported": true
      },
      "8_when_how_much": {
        "answer": "Six 1-hour visits over 3 months, plus two optional sessions",
        "source": "[21]",
        "reported": true
      },
      "9_tailoring": {
        "answer": "Pairings took account of preferences (e.g. interests)",
        "source": "[21]",
        "reported": true
      },
      "10_modifications": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "11_how_well_planned": {
        "answer": "Fidelity evaluated across all areas of the Behaviour Change Consortium framework",
        "source": "[22]",
        "reported": true
      },
      "12_how_well_actual": {
        "answer": "Fidelity reported; median 14 of 25 group supervision sessions and 7.5 of 8 individual sessions attended",
        "source": "[22]",
        "reported": true
      }
    },
    "sources": [
      "https://pmc.ncbi.nlm.nih.gov/articles/PMC8273536/",
      "https://pmc.ncbi.nlm.nih.gov/articles/PMC8330561/",
      "https://pmc.ncbi.nlm.nih.gov/articles/PMC8941719/"
    ]
  },
  {
    "name": "Aphasia ASK (Aphasia Action Success Knowledge)",
    "provider": "Trained speech pathologists (each trained to deliver one trial intervention only)",
    "provider_type": "Speech pathologist (SLT equivalent)",
    "format": "Manualised individual/family sessions; location convenient to participants",
    "setting": "Usually hospital or home; community",
    "dose_reported": "Manualised over 6-8 weeks then monthly telephone calls; minimum intended dose set a priori",
    "duration": "6-8 weeks plus 12-month follow-up",
    "evidence_standing": "Australian cluster RCT: NULL for mood; only 41 of 171 who received treatment met minimum dose",
    "uk_delivery_evidence": "Australian; no UK equivalent found",
    "tidier": {
      "1_brief_name": {
        "answer": "Action Success Knowledge (ASK) mood intervention",
        "source": "[19][20]",
        "reported": true
      },
      "2_why_rationale": {
        "answer": "Prevent depression in people with aphasia and their family members",
        "source": "[19]",
        "reported": true
      },
      "3_what_materials": {
        "answer": "Standardised manual describing each treatment; aphasia-friendly participant information",
        "source": "[19][20]",
        "reported": true
      },
      "4_what_procedures": {
        "answer": "Manualised psychosocial intervention delivered by trained speech pathologists",
        "source": "[19]",
        "reported": "Partial"
      },
      "5_who_provided": {
        "answer": "Speech pathologists trained 5-6 h (in person or online) by trial managers; trained to deliver one intervention only",
        "source": "[19]",
        "reported": true
      },
      "6_how_mode": {
        "answer": "Not fully reported; delivered at a location convenient to participants, usually hospital or home",
        "source": "[19]",
        "reported": "Partial"
      },
      "7_where_setting": {
        "answer": "Usually hospital or home",
        "source": "[19]",
        "reported": true
      },
      "8_when_how_much": {
        "answer": "Manualised over 6-8 weeks followed by monthly telephone calls",
        "source": "[19]",
        "reported": true
      },
      "9_tailoring": {
        "answer": "Tailored intervention programme",
        "source": "[19]",
        "reported": "Partial"
      },
      "10_modifications": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "11_how_well_planned": {
        "answer": "Fidelity protocol developed; sessions video-recorded and reviewed by a fidelity monitor; dose set a priori",
        "source": "[19][20]",
        "reported": true
      },
      "12_how_well_actual": {
        "answer": "Only 41 of 171 who received treatment met the prescribed minimum dose",
        "source": "[19]",
        "reported": true
      }
    },
    "sources": [
      "https://pmc.ncbi.nlm.nih.gov/articles/PMC10507993/",
      "https://pmc.ncbi.nlm.nih.gov/articles/PMC6502036/"
    ]
  },
  {
    "name": "Stroke Association Communication Support Service (incl. Northern Ireland 8-week groups and AOL)",
    "provider": "Stroke Association communication support coordinators; in Northern Ireland, SLT-led service",
    "provider_type": "Charity staff/coordinator; SLT-led in Northern Ireland",
    "format": "One-to-one, peer support networks, workshops, community education; NI 8-week groups and fortnightly online (Zoom) peer group",
    "setting": "Community; home visits, group meetings, online",
    "dose_reported": "Partly: NI 8-week communication groups; fortnightly AOL peer group; other components reported without dose",
    "duration": "8 weeks (NI groups); ongoing fortnightly peer group",
    "evidence_standing": "No independent evaluation found; provider self-description only",
    "uk_delivery_evidence": "UK-wide charity service commissioned locally; NI service is SLT-led",
    "tidier": {
      "1_brief_name": {
        "answer": "Stroke Association Communication Support Service",
        "source": "[27][28]",
        "reported": true
      },
      "2_why_rationale": {
        "answer": "Enable stroke survivors to reach their best communication, improve confidence and independence, and reduce isolation",
        "source": "[27]",
        "reported": true
      },
      "3_what_materials": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "4_what_procedures": {
        "answer": "One-to-one support, peer support networks, focused workshop sessions, signposting, carer support and education, community education, regular reviews; NI: 8-week communication groups, one-to-one support, family information sessions, AOL online peer group",
        "source": "[27][28]",
        "reported": true
      },
      "5_who_provided": {
        "answer": "Communication support coordinators; NI service SLT-led",
        "source": "[27][28]",
        "reported": true
      },
      "6_how_mode": {
        "answer": "One-to-one, group, workshop, online (Zoom)",
        "source": "[27][28]",
        "reported": true
      },
      "7_where_setting": {
        "answer": "Community; home visits, group meetings, online",
        "source": "[27][28]",
        "reported": true
      },
      "8_when_how_much": {
        "answer": "Not reported in full; NI 8-week groups; AOL fortnightly",
        "source": "[28]",
        "reported": "Partial"
      },
      "9_tailoring": {
        "answer": "Service driven by identified needs and desired outcomes of survivor and carer; personalised review",
        "source": "[27]",
        "reported": true
      },
      "10_modifications": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "11_how_well_planned": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      },
      "12_how_well_actual": {
        "answer": "Not reported",
        "source": "",
        "reported": false
      }
    },
    "sources": [
      "https://www.stroke.org.uk/professionals/life-after-stroke-services/communication-support",
      "https://www.stroke.org.uk/northern-ireland/support"
    ]
  }
]