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Self-reported and partner-reported f...
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Messamer, Paula J.
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Self-reported and partner-reported functional communication and their relation to language and non-verbal cognition in mild to moderate aphasia.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Self-reported and partner-reported functional communication and their relation to language and non-verbal cognition in mild to moderate aphasia./
作者:
Messamer, Paula J.
面頁冊數:
136 p.
附註:
Source: Dissertation Abstracts International, Volume: 77-10(E), Section: B.
Contained By:
Dissertation Abstracts International77-10B(E).
標題:
Speech therapy. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10108706
ISBN:
9781339720418
Self-reported and partner-reported functional communication and their relation to language and non-verbal cognition in mild to moderate aphasia.
Messamer, Paula J.
Self-reported and partner-reported functional communication and their relation to language and non-verbal cognition in mild to moderate aphasia.
- 136 p.
Source: Dissertation Abstracts International, Volume: 77-10(E), Section: B.
Thesis (Ph.D.)--University of Colorado at Boulder, 2016.
Purpose: Non-verbal cognition and language functions were examined in adult stroke survivors with aphasia. The specific purpose of the study was twofold: 1) to examine the relationship between self-reported outcomes from people with aphasia (PwA), measures of non-verbal cognition (Delis-Kaplan Executive Function Systems Test (D-KEFS), Delis, Kaplan, & Kramer, 2001) and measures of language (Western Aphasia Battery-Revised (WAB-R), Kertesz, 2007; Boston Naming Test Second Edition (BNT-2), Kaplan, Goodglass, & Weintraub, 2001) and 2) to examine these same relationships using partner-reported outcomes for that same group of PwA. This study used the Aphasia Communication Outcome Measure (ACOM, Doyle et al., 2013) to gather both self-reported ACOM data and partner-reported ACOM data (ratings of the person with aphasia's communication made by a regular conversation partner).
ISBN: 9781339720418Subjects--Topical Terms:
520446
Speech therapy.
Self-reported and partner-reported functional communication and their relation to language and non-verbal cognition in mild to moderate aphasia.
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Self-reported and partner-reported functional communication and their relation to language and non-verbal cognition in mild to moderate aphasia.
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136 p.
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Source: Dissertation Abstracts International, Volume: 77-10(E), Section: B.
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Adviser: Gail Ramsberger.
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Thesis (Ph.D.)--University of Colorado at Boulder, 2016.
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Purpose: Non-verbal cognition and language functions were examined in adult stroke survivors with aphasia. The specific purpose of the study was twofold: 1) to examine the relationship between self-reported outcomes from people with aphasia (PwA), measures of non-verbal cognition (Delis-Kaplan Executive Function Systems Test (D-KEFS), Delis, Kaplan, & Kramer, 2001) and measures of language (Western Aphasia Battery-Revised (WAB-R), Kertesz, 2007; Boston Naming Test Second Edition (BNT-2), Kaplan, Goodglass, & Weintraub, 2001) and 2) to examine these same relationships using partner-reported outcomes for that same group of PwA. This study used the Aphasia Communication Outcome Measure (ACOM, Doyle et al., 2013) to gather both self-reported ACOM data and partner-reported ACOM data (ratings of the person with aphasia's communication made by a regular conversation partner).
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Method: Seventeen participants with aphasia underwent examination with an extensive test battery including measures of functional communication, non-verbal cognition, and language impairment. In addition, 16 of their regular communication partners rated functional communication performance.
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Results: Self-reported functional communication is strongly related to the number of errors committed on the D-KEFS design fluency test (r = .81, p = .001). Furthermore, a modified form of the D-KEFS design fluency test (in which the examinee is allowed unlimited time) shows that the proportion of errors contributes significantly to a two- predictor linear regression model. These two predictors account for 66% of the variance in self-reported functional communication ratings. These results suggest that non-verbal cognition for people with mild to moderate aphasia may serve an important role in functional communication. By contrast, self-reported functional communication was uncorrelated with aphasia severity (r = .04, p = .88), naming performance on either the WAB-R (r=.059, p=.823) or the BNT-2 (r=.097, p=.713), and category fluency (r=.086, p=.741). Partner-reported functional communication was highly correlated to the naming subtest on Western Aphasia Battery-Revised (WAB-R) scores (r=.71, p=.02) and to performance on the Boston Naming Test (BNT-2; r=.56, p=.026).
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Partner-reported functional communication was also strongly predicted based on the number of animals named during the category fluency task on the WAB-R (r=.782, p=.000). A linear regression model including WAB-R category fluency accounted for 61.1% of the variance in partner-reported ratings. A second linear regression adding naming as a predictor was not significant (Fchange = 2.18, p=.163). By contrast, none of the non-verbal cognition measures were useful predictors of partner-reported functional communication. These results suggest that aphasia severity serves an important role in partner ratings of functional communication whereas non-verbal cognition does not.
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Taken together, these results suggest that PwA and their partners rely on different aspects of communication when judging functional communication.
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Further work to explore the use of patient-reported outcome (PRO) measures and to identify factors that contribute to self-reported functional communication is needed. The discussion addresses the appropriateness of using PRO measures in aphasia and the use of surrogate reports.
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