Abstract:
BACKGROUND:Discourse in adults with aphasia is increasingly the focus of assessment and therapy research. A broad range of measures is available to describe discourse, but very limited information is available on their psychometric properties. As a result, the quality of these measures is unknown, and there is very little evidence to motivate the choice of one measure over another. AIMS:To explore the quality of a range of discourse measures, targeting sentence structure, coherence, story structure and cohesion. Quality was evaluated in terms of the psychometric properties of acceptability (data completeness and skewness), reliability (inter- and intra-rater), and validity (content, convergent, discriminant and known groups). METHODS & PROCEDURES:Participants with chronic mild-to-moderate aphasia were recruited from community groups. They produced a range of discourses which were grouped into Cinderella and everyday discourses. Discourses were then transcribed orthographically and analyzed using macro- and microlinguistic measures (Story Grammar, Topic Coherence, Local Coherence, Reference Chains and Predicate Argument Structure-PAS). Data were evaluated against standard predetermined criteria to ascertain the psychometric quality of the measures. OUTCOMES & RESULTS:A total of 17 participants took part in the study. All measures had high levels of acceptability, inter- and intra-rater reliability, and had good content validity, as they could be related to a level of the theoretical model of discourse production. For convergent validity, as expected, 8/10 measures correlated with the Western Aphasia Battery-Revised (WAB-R) spontaneous speech scores, and 7/10 measures correlated with the Kissing and Dancing Test (KDT) scores (r ≥ 0.3), giving an overall positive rating for construct validity. For discriminant validity, as predicted, all measures had low correlations with Raven's Coloured Progressive Matrices (RCPM) and WAB-R Auditory Verbal Comprehension scores (r < 0.3), giving an overall positive rating for construct validity. Finally, for known groups validity, all measures indicated a difference between speakers with mild and moderate aphasia except for the Local Coherence measures. Overall, Story Grammar, Topic Coherence, Reference Chains and PAS emerged as the strongest measures in the current study because they achieved the predetermined thresholds for quality in terms of each of the psychometric parameters profiled. CONCLUSIONS & IMPLICATIONS:The current study is the first to psychometrically profile measures of discourse in aphasia. It contributes to the field by identifying Story Grammar, Topic Coherence, Reference Chains and PAS as the most psychometrically robust discourse measures yet profiled with speakers with aphasia. Until further data are available indicating the strength of other discourse measures, caution should be applied when using them.
journal_name
Int J Lang Commun Disordauthors
Pritchard M,Hilari K,Cocks N,Dipper Ldoi
10.1111/1460-6984.12420subject
Has Abstractpub_date
2018-11-01 00:00:00pages
1078-1093issue
6eissn
1368-2822issn
1460-6984journal_volume
53pub_type
杂志文章abstract:BACKGROUND:It is well-known that people lose friends after a stroke; what is less well understood is why this occurs. AIMS:This study explored why people lose contact with their friends, and whether there are any protective factors. It also examined how friendship loss and change is perceived by the individual. METHO...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/j.1460-6984.2011.00079.x
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:Speech and language therapy (SLT) managers are expected to ensure that there are appropriate services available for bilingual and multilingual clients in order to ensure an equitable service to all clients. However, there is a paucity of data available to inform service planning. AIMS:To identify the level ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820600623911
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:Considerable evidence suggests that performance across a variety of cognitive tasks is effectively supported by the use of verbal and nonverbal strategies. Studies exploring the usefulness of such strategies in children with specific language impairment (SLI) are scarce and report inconsistent findings. AIM...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,随机对照试验
doi:10.1111/1460-6984.12103
更新日期:2014-09-01 00:00:00
abstract::The efficacy of phonological awareness intervention for children at risk for reading disorder has received increasing attention in the literature. This paper reports the follow-up data for participants in the Gillon (2000a) intervention study. The performance of twenty, 5-7-year-old New Zealand children with spoken la...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/1368282021000007776
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:Those who stutter have a proclivity to social anxiety. Yet, to date, there is no comprehensive measure of thoughts and beliefs about stuttering that represent the cognitions associated with that anxiety. AIMS:The present paper describes the development of a measure to assess unhelpful thoughts and beliefs a...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820802067529
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Prior research has described the prevalence and utility of questions in children's language learning environment. However, there has been little empirical investigation of the interaction sequences that ensue following caregiver questions. Understanding these interactions may be especially important for chil...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12513
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Speaking rate has implications for both clinical practice and an understanding of normal and disordered communication processes. Fundamental information on speaking rate is required by the clinician for the appropriate management of those disorders with disturbances of rate or those in which rate modificatio...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/10428190500343043
更新日期:2006-09-01 00:00:00
abstract::A systems approach is used to examine the barriers to collaboration found in the working practices of speech and language therapists and teachers. Functional, structural and systems-environment barriers are found, but few process barriers, which may explain why good collaborative practice can be found in the field. Th...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/136828299247379
更新日期:1999-10-01 00:00:00
abstract:BACKGROUND:Around one-quarter of children attending language support services have difficulty in retrieving words. Therapy studies with such children have shown that both semantic and phonological techniques can improve word finding. A new approach to intervention is described using a computerized aid that converts let...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820410001734154
更新日期:2005-07-01 00:00:00
abstract::Seven non-speaking preschool children with severe cerebral palsy, 5-7 years of age, were studied with respect to the amount of prelinguistic versus linguistic modes of communication used in communicative interaction with a previously unknown adult. An attempt was also made to analyse this in relation to the childrens'...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,多中心研究
doi:10.1080/13682820110096661
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Both direct (clinician to child) and indirect (clinician to carer) approaches are currently used in the management of children with language delay, but there is as yet little evidence about their relative effects or resource implications. AIMS:This research project compared the Hanen Parent Programme (HPP) ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/1368282031000121651
更新日期:2003-10-01 00:00:00
abstract::This study was designed to provide speech-language pathologists and educators with a method for identifying children at risk for reading failure. The Early Reading Screening Instrument (ERSI) was given to 149 end-of-the-year kindergarten children. Half of the sample was tested 1 year later with standardized reading me...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/136828299247478
更新日期:1999-04-01 00:00:00
abstract::A computerized airflow/air pressure analysis system, the Aerophone II Model 6800 (Kay Elemetrics Corp.), was used to assess the effects of age and gender on laryngeal aerodynamics. A sample of 56 male and 53 female normal speaking subjects was divided into six age groups (20-30; 31-40; 41-50; 51-60; 61-70 and 71-80 ye...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/136828298247884
更新日期:1998-04-01 00:00:00
abstract:BACKGROUND:Children with developmental language disorder (DLD) frequently have difficulties with word learning and understanding vocabulary. For these children, this can significantly impact on social interactions, daily activities and academic progress. Although there is literature providing a rationale for targeting ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12361
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:The psychosocial impact of acquired dysarthria on the speaker is well recognized. To date, speech-and-language therapists have no instrument available to measure this construct. This has implications for outcome measurement and for planning intervention. This paper describes the Dysarthria Impact Profile (DI...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820802317536
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:Telerehabilitation may be a feasible solution to the current problems faced by people with Parkinson's disease in accessing speech pathology services. AIM:To investigate the validity and reliability of online delivery of the Lee Silverman Voice Treatment (LSVT®) for the speech and voice disorder associated ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,随机对照试验
doi:10.3109/13682822.2010.484848
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:Stuttering is prone to strike during speech initiation more so than at any other point in an utterance. The use of auditory feedback (AAF) has been found to produce robust decreases in the stuttering frequency by creating an electronic rendition of choral speech (i.e., speaking in unison). However, AAF requi...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820802546951
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:In young, typically developing children, some word production variability is expected, but highly inconsistent speech is considered a clinical marker for disorder. Speech-language pathologists need to identify variability versus inconsistency, yet these terms are not clearly differentiated. Not only is it im...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820600988967
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:Treatment outcome data for children with severe speech sound disorders with motor speech involvement (SSD-MSI) are derived from Phase I clinical research studies. These studies have demonstrated positive improvements in speech production. Currently there is no research examining the optimal treatment dose fr...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12472
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Childhood apraxia of speech (CAS) is associated with phonological awareness, reading, and spelling deficits. Comparing literacy skills in CAS with other developmental speech disorders is critical for understanding the complexity of the disorder. AIMS:This study compared the phonological awareness and readin...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820801997353
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:Although it is well-established that children with language impairment (LI) and children with autism spectrum disorders (ASD) both show elevated levels of emotional and behavioural problems, the level and types of difficulties across the two groups have not previously been directly compared. AIMS:To compare...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12116
更新日期:2015-01-01 00:00:00
abstract::The potential value of a framework enabling practitioners to conceptualise speech and language therapy from a range of perspectives engendered by different theories about disability is explored. Four disability research paradigms are used to categorise professional activities, whilst the 'individual' and 'social' mode...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682820109177928
更新日期:2001-01-01 00:00:00
abstract::This paper will give a progress report on a randomised controlled trial which is currently underway in the Bristol area. Some of the key influencing literature will be summarised, followed by an overview of the study design. The paper will also highlight some of the methodological and practical advantages and disadvan...
journal_title:International journal of language & communication disorders
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.3109/13682829809179391
更新日期:1998-01-01 00:00:00
abstract::This paper overviews a detailed study of a consultation service for children with severe and/or intractable speech and language difficulties. The Speech Therapy Clinical Unit at the University of Central England in Birmingham (UCE) offered multidisciplinary, in-depth assessment of such children to speech and language ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682829809179481
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Research has shown that early identification of children with language issues is critical for effective intervention, and yet many children are not identified until school age. The use of parent-completed rating scales, especially in urban, minority populations, might improve early identification if parent r...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820701261827
更新日期:2008-01-01 00:00:00
abstract::The following report describes a three year project to develop, implement and evaluate a specialised speech and language therapy (SLT) service to children with specific language impairment (SLI) who attend mainstream schools and nurseries. The report describes how the service was set up and the package of care offered...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682829809179491
更新日期:1998-01-01 00:00:00
abstract::The aim of this pilot study was to employ a qualitative research methodology to explore students' perceptions of learning and assessment of that learning whilst on clinical placement. The students' perceptions were sampled by questionnaire both pre- and post-placement (ten weeks block placement). The analysis of the d...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682829809179431
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Across the world, research has shown that intervention for children with phonological impairment can be both effective and efficient. However, it has also raised concerns about the translation of this evidence to practice, highlighting questions around clinician knowledge and the understanding of approaches,...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12416
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Deafness has an adverse impact on children's ability to acquire spoken languages. Signed languages offer a more accessible input for deaf children, but because the vast majority are born to hearing parents who do not sign, their early exposure to sign language is limited. Deaf children as a whole are therefo...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12333
更新日期:2018-01-01 00:00:00
abstract::Research indicates that joint attention is an important factor in determining the rate and nature of early vocabulary development in typically developing children. Studies conducted with deaf children acquiring sign language indicate that caregivers adopt special strategies for achieving joint attention with this grou...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820210136287
更新日期:2002-07-01 00:00:00