Evidence & publications

So far, the games have been tested with 48 people with aphasia in the UK and in Italy who have played in groups of six. Players had language difficulties that were diverse in type and degree of severity. The games have been delivered with an intensive schedule involving 2-hour sessions three times a week for two months (48 therapy hours in total). Language abilities were compared before and after therapy using an extensive battery of tasks.

Results have been consistently excellent in terms of engagement, satisfaction, and language gains. Despite the intense schedule, there has been no attrition (no participant leaving therapy) and 90%+ of sessions were attended. Participants reported enjoying the approach, making friends, and improving their language use. Playing the games has been shown to improve both word production and sentence production, often with gains over and above other approaches. Use of practised words has also increased in contexts beyond the games (see Romani et al., 2019; Romani et al., 2025; Thomas et al., 2022).