Résumé
Introduction: the rehabilitation of writing in aphasia is rarely considered a priority. However, reading and writing are important means of communication, preponderant vectors of information, and a significant source of leisure. While waiting to regain lost skills, or even with the prospect of never recovering, it’s important to offer patients palliative solutions which, without aiming to rehabilitate their faculties, would at least allow them to skirt their difficulties. These solutions, in order for them to be suitable, must have been carefully selected according to the profile of the persons concerned. General objective: to design a tool allowing speech therapists to target personalized adaptations according to the communication profile of people living with aphasia in order to facilitate their daily access to written language. Methodology: • review of existing writings and tools on the subject, • development of the information booklet for speech therapists, • design of a “selection of adaptations” tool including a preliminary questionnaire and a test intended to identify the most suitable tools according to the communication profile of the patients, • validation of part of the tools by speech therapists and people living with aphasia. Results: our review of the literature highlighted the influence of parameters such as typography, layout, level of language, use of illustrations or recourse to alternatives supports on how easily people with aphasia understand texts that they are presented. Written production, for its part, can be improved thanks to the place of specific strategies or the introduction of transcription assistance software. However, no research work has succeeded in obtaining a direct link between the profile of participants and their receptivity to the various means of compensation: these data have confirm the need to create tools to personalize the aid put in place. Therefore, we have created an information booklet to educate speech therapists on the question (readjusted according to the opinions expressed by the professionals concerned), a questionnaire aimed at investigating the habits and difficulties related to written language (redesigned following assessments of people with aphasia), and a document containing a sample of every possible aid. Conclusions: the tool developed will allow speech therapists working with the aphasic population to explore concretely and in a documented way the different possible adaptations to facilitate their access to written language in their daily communication.