The aphasia rapid test: adaptation and standardisation for Russian
The aphasia rapid test: adaptation and standardisation for Russian
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DOI：
10.1080/02687038.2020.1727836
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发表时间：
2020-02-16
期刊：
影响因子：
2
通讯作者：
Dragoy, Olga
中科院分区：
文献类型：
--
作者：
Buivolova, Olga;Vinter, Oxana;Dragoy, Olga
背景：失语症快速测试（ART）是一种筛查测试，用于快速评估急性卒中患者的语言能力。这一测试是为法语和英语开发的，最近又为葡萄牙语和意大利语进行了调整。如今，这种标准化的筛查测试在讲俄语的患者的诊所中非常需要。为了填补这一空白，ART被改编为俄语。目的：目前的研究调查了俄罗斯ART是否符合所有的心理测量标准，以及它是否适合检测言语/语言障碍和估计其严重程度，以及评估急性卒中后时期的改善。方法和程序：首先，我们评估了有效性，敏感性，特异性，准确性，重测信度，项目间的一致性和评分员之间的可靠性测试的一组人与慢性言语/语言障碍（N = 55）和年龄匹配的对照组的非脑损伤的个人（N = 50）。参与者进行了俄语ART测试，他们的语言状态由俄语电子版的令牌测试确认。其次，为了测试俄罗斯ART在急性卒中后时期的适当性，这些个体的临床组（N = 43）进行了ART和令牌测试，以及在俄罗斯诊所中广泛使用的Vasserman量表。最后，16名处于急性中风期的患者进行了两次俄罗斯ART测试，以证明该测试可以检测急性患者语言状态的早期变化。结果和成果：结果表明，俄罗斯ART具有较高的重测信度、项目间一致性和评分者间信度，是一种有效、灵敏、特异、准确的筛查工具。在急性卒中组，ART与Token测验之间的相关性高且显著; Vasserman量表与俄罗斯ART和Token测验之间的相关性为中度相关，而无显著相关。俄罗斯ART还使我们能够检测急性卒中后时期言语/语言状态的改善。结论：该研究证实，俄罗斯ART符合所有要求的标准，建议在讲俄语的临床人群中使用。该测试与检测言语/语言障碍的存在和严重程度以及测量急性卒中后时期的改善相关。
Background: The Aphasia Rapid Test (ART) is a screening test developed for fast speech/language assessment of people in the acute stroke period. This test has been developed for French and English and was recently adapted for Portuguese and Italian. Nowadays, such a standardised screening test is in a great need at clinics with Russian-speaking patients. To fill this gap, the ART was adapted for Russian. Aims: The current study investigated whether the Russian ART meets all the psychometric standards, and whether it is suitable for detecting speech/language disorders and estimating their severity, as well as for the evaluation of improvement in the acute post-stroke period. Methods & Procedure: First, we evaluated the validity, sensitivity, specificity, accuracy, test-retest reliability, inter-item consistency and inter-rater reliability of the test in a group of people with chronic speech/language disorders (N = 55) and in an age-matched control group of non-brain-damaged individuals (N = 50). Participants performed the Russian ART, and their linguistic status was confirmed by the Russian e-version of the Token Test. Second, to test the appropriateness of the Russian ART in the acute post-stroke period, a clinical group of such individuals (N = 43) performed the ART and the Token Test, as well as the Vasserman's scale which is widely used in Russian clinics. Finally, 16 people in the acute stroke period performed the Russian ART twice to prove that the test can detect early changes in an acute patient's linguistic status. Outcomes & Results: The results showed that the Russian ART can be considered as a valid, sensitive, specific, and accurate screening tool with the high test-retest reliability, inter-item consistency, and inter-rater reliability. In the acute post-stroke group, the correlation between the ART and the Token Test was high and significant; a moderate correlation and no significant correlation were found between the Vasserman's scale and the Russian ART and the Token Test correspondingly. The Russian ART also allowed us to detect the improvement in speech/language status in the acute post-stroke period. Conclusion: The study confirmed that the Russian ART meets all required standards to be suggested for usage in a Russian-speaking clinical population. This test was relevant for detecting the presence and severity of speech/language disorders and to measure the improvement in the acute post-stroke period.