Assessing the Amount of Spontaneous Real-World Spoken Language in Aphasia: Validation of Two Methods

被引:6
作者
Haddad, Michelle M. [1 ]
Taub, Edward [1 ]
Uswatte, Gitendra [1 ,2 ]
Johnson, Margaret L. [3 ]
Mark, Victor W. [1 ,4 ,5 ]
Barghi, Ameen [6 ]
Byrom, Ezekiel [1 ]
Zhou, Xiaohua [5 ]
Rodriguez, Christina M. [1 ]
机构
[1] Univ Alabama Birmingham, Dept Psychol, Birmingham, AL 35294 USA
[2] Univ Alabama Birmingham, Dept Phys Therapy, Birmingham, AL 35294 USA
[3] Samford Univ, Dept Commun Sci & Disorders, Birmingham, AL USA
[4] Univ Alabama Birmingham, Dept Neurol, UAB Stn, Birmingham, AL 35294 USA
[5] Univ Alabama Birmingham, Dept Phys Med & Rehabil, Birmingham, AL USA
[6] Harvard Med Sch, Dept Med, Boston, MA USA
关键词
COMMUNICATIVE EFFECTIVENESS INDEX; PARTICIPATION; RELIABILITY; VALIDITY; SPEAKING; COUPLES; ARM;
D O I
10.1044/2016_AJSLP-15-0115
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
Purpose: The purpose of this article is to present the results of a study evaluating the psychometric properties of 2 new measures that exclusively assess the amount of real-world spoken language in patients with aphasia. Method: Forty individuals with aphasia were evaluated on several measures of spoken language in real-world settings. The Verbal Activity Log (VAL; Johnson et al., 2014) has participants, aided by caregivers, indicate current amount and quality of real-world spoken language compared with before stroke. In addition, digital voice recorders objectively measured the amount of real-world spoken language. The Communicative Effectiveness Index (Lomas et al., 1989), a previously validated measure of functional communication, was used as a comparison measure. Nineteen participants received follow-up assessment >= 3 weeks later. Results: Validity was supported by Pearson correlations between spoken language recordings and the VAL, r(38) = .70, p < .001. Likewise, correlation with the Communicative Effectiveness Index was strong, r (38) = .73, p < .001. Test-retest reliability for both VAL and audio recording was high, with intraclass correlations >= .96 and .90, respectively. Conclusions: These results present preliminary evidence for the reliability and validity of the VAL and spoken language recording for assessment of the amount of real-world spoken language in aphasia. As a simple patient-reported outcome, the VAL may assist diverse therapies for aphasia.
引用
收藏
页码:316 / 326
页数:11
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