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Background: Improved discourse production is a priority for all key stakeholders in aphasia rehabilitation. A Cochrane review of randomised controlled trials (RCTs) for aphasia found speech and language therapy treatment to be effective for improving the ability to communicate in everyday interaction. However, this large-scale review did not focus exclusively on treatment for discourse production and did not include other treatment research designs. Thus, the extent of the evidence base addressing discourse interventions is currently unclear.

Objective: The present study undertakes the first systematic review of research on treatment for discourse production in aphasia, appraises the quality of the evidence base; characterises the methods for measuring outcomes; and describes discourse treatment in terms of both content and efficacy.

Design: Scopus, Medline, and EmBase databases were searched, providing 334 …