Table 5.

VISTA clinician-guided treatment hierarchy

	Treatment steps	Procedure
Structured treatment	1. Recall/recognize	Participant chooses correct trained script sentence from four foil sentences
	2. Organize/construct	After selecting correct sentences, participant must put the sentences in order of the script
	3. Read	Participant reads script aloud
	4. Respond to questions in scripted order	Clinician prompts each sentence with a question (eg, “Where were you born?”), with cues provided as needed to complete sentence
	5. Produce script from memory	Clinician prompts for script with “Tell me about…”
Functional application	6. Respond to questions with scripted sentences	Clinician asks questions on the scripted topic in a conversation and elicits scripted sentences out of order

Notes: Feedback regarding articulation and grammar occur during steps 3–6, with targeted practice as needed. During the second treatment session for a given script, a novel communication partner has an unscripted conversation with the participant to promote the conversational usage of scripted material.

Abbreviation: VISTA, video-implemented script training for aphasia.