Feasibility Study of Development and Modification of Melodic Intonation Therapy for Aphasia in Stroke Patients

Introduction: Aphasia, occurring in 20–40% of stroke patients, highlights the prevalence of language impairment in this population. Behavioral speech and language therapy is the mainstay of treatment, although other interventions have been introduced to improve speech and behavioral therapy effects. This research aimed to develop a modified MIT model to enhance the speaking ability of stroke patients with aphasia. Materials and methods: The research utilized a research and development (R&D) approach to create and validate an MIT modified with Dhikr spiritual therapy for stroke patients with aphasia. A limited trial was conducted with consecutive sampling at Dr. Soekardjo Hospital of Tasikmlaya, focusing on specific inclusion and exclusion criteria. Feasibility testing involved 10 stroke patients, utilizing quantitative and qualitative instruments such as questionnaires, interviews, and Focus Group Discussion (FGD), leading to iterative improvements based on expert input and assessments. Results: Validation by three experts yielded an average score of 86.11% in Phase I and 94.04% in Phase II. MIT demonstrated positive feasibility outcomes with an average score of 91.66%. Furthermore, the speaking ability was significantly improved, evidenced by TADIR scores, with a p-value < 0.001. Conclusion: The developed MIT-A enhances speech abilities for stroke patients with aphasia, as demonstrated by positive outcomes in the limited trial. MIT-A holds promise as a feasible and impactful tool, offering a novel approach to aphasia rehabilitation.