Designing remote synchronous auditory comprehension assessment for severely impaired individuals with aphasia.
Designing remote synchronous auditory comprehension assessment for severely impaired individuals with aphasia.
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为严重失语症患者设计远程同步听觉理解评估。
DOI：
10.1111/1460-6984.12972
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发表时间：
2023
影响因子：
2.4
通讯作者：
Robson H
中科院分区：
文献类型：
--
作者：
Robson H
背景远程训练在失语症研究和治疗中的应用越来越频繁。失语症的远程评估已被证明是可靠的。然而，神经心理学和临床语言理解评估并不总是容易翻译到在线环境中，并且具有严重语言理解或认知障碍的人有时被认为不适合远程评估。句子和话语水平适合于中度至重度语言理解障碍的个人。MethodsAssessment的发展优先考虑测试过程中的反应一致性和临床灵活性。使用屏幕共享和远程控制功能，以PowerPoint over Zoom提供远程评估。在14名失语症患者和9名神经典型对照参与者中进行了评估。可修改的评估模板可在这里：https://osf.io/r6wfm/.Main贡献失语症患者能够从事语言理解远程评估与有限的照顾者的支持。只有一项评估因技术原因无法完成。统计分析显示以上机会性能在141/151完成assessment.ConclusionsPeople失语症，包括人与中度至重度理解障碍，能够从事远程评估。成功的远程评估可以通过保持临床灵活性和保持一致的任务demands.What这篇论文补充什么是已经知道的主题是可靠的，但听觉理解的评估是难以适应在线环境。严重失语症患者进行听觉理解teleassessment.What本文增加了现有的knowledgeAuditory理解评估的能力进行了有限的评估，可以适应视频会议管理，同时保持临床灵活性，以支持严重失语症的人，这项工作的潜在或实际的临床意义是什么？远程评估具有时间和成本效益，可以设计用于支持严重受损的个人。
BackgroundThe use of telepractice in aphasia research and therapy is increasing in frequency. Teleassessment in aphasia has been demonstrated to be reliable. However, neuropsychological and clinical language comprehension assessments are not always readily translatable to an online environment and people with severe language comprehension or cognitive impairments have sometimes been considered to be unsuitable for teleassessment.AimThis project aimed to produce a battery of language comprehension teleassessments at the single word, sentence and discourse level suitable for individuals with moderate‐severe language comprehension impairments.MethodsAssessment development prioritised response consistency and clinical flexibility during testing. Teleassessments were delivered in PowerPoint over Zoom using screen sharing and remote control functions. The assessments were evaluated in 14 people with aphasia and 9 neurotypical control participants. Modifiable assessment templates are available here: https://osf.io/r6wfm/.Main ContributionsPeople with aphasia were able to engage in language comprehension teleassessment with limited carer support. Only one assessment could not be completed for technical reasons. Statistical analysis revealed above chance performance in 141/151 completed assessments.ConclusionsPeople with aphasia, including people with moderate‐severe comprehension impairments, are able to engage with teleassessment. Successful teleassessment can be supported by retaining clinical flexibility and maintaining consistent task demands.WHAT THIS PAPER ADDSWhat is already known on the subjectTeleassessment for aphasia is reliable but assessment of auditory comprehension is difficult to adapt to the online environment. There has been limited evaluation of the ability of people with severe aphasia to engage in auditory comprehension teleassessment.What this paper adds to existing knowledgeAuditory comprehension assessment can be adapted for videoconferencing administration while maintaining clinical flexibility to support people with severe aphasia.What are the potential or actual clinical implications of this work?Teleassessment is time and cost effective and can be designed to support inclusion of severely impaired individuals.
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影响因子：
4.7
作者：
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通讯作者：
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DOI：
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DOI：
--
发表时间：
1996
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