In the speech and language therapy profession, the lack of evidence-based treatment for everyday talking (discourse) and clinicians’ limited expertise in specific discourse assessment and treatment procedures (amongst other constraints such as workplace pressures), means that people with chronic aphasia not receive language therapy that impacts optimally on their everyday communication skills. Chronic communication difficulties have substantial psychosocial consequences lowering people’s mood and quality of life.

Research published in the last three years suggests that reconceptualising and integrating existing evidence-based treatments could improve discourse. Clinicians agree internationally on the need for professional education, specific training in discourse, and new clinical tools for use in practice with clients with aphasia. LUNA addresses both aspects of clinical expertise and the evidence base.