Clinician Perspectives on the Assessment of Short-Term Memory in Aphasia.
Clinician Perspectives on the Assessment of Short-Term Memory in Aphasia.
复制标题
DOI：
10.1080/02687038.2020.1712584
复制
发表时间：
2021
期刊：
影响因子：
2
通讯作者：
Martin N
中科院分区：
文献类型：
--
作者：
Greenspan W;Obermeyer J;Tucker CA;Grunwald H;Reinert L;Martin N
言语短期记忆（STM）和与之相关的工作记忆（WM）被广泛认为是语言产生和理解的组成部分。然而，对失语症患者的这些能力的评估由于缺乏临床适用的有效的、标准化的措施而受到阻碍。我们主要以言语STM为研究对象，与语言病理学家（slp）进行了5个焦点小组的讨论，以更好地了解他们目前的临床实践以及他们对失语症言语STM评估的看法和态度。本研究的目的是探讨临床slp的态度、信念和偏好，以确定：(1)与口头STM评估相关的现行做法；(2)实践在多大程度上反映了当前失语症理论和言语STM在语言加工中的作用；(3)临床对失语症评价的实际考虑。五个焦点小组采用半结构化访谈协议进行，共有44个slp。采用扎根理论方法对数据进行收集、编码和分析。审查了守则，以确定新出现的主题。对主题进行比较，探索元主题、联系和潜在的理论框架。研究确定了五个主要主题：(1)临床slp对言语STM在失语症中的作用的理论认识与临床实践并不总是一致；(2)临床slp高度重视功能相关评估；(3)临床实践时间紧迫，影响评估的各个方面；(4)临床slp认为缺乏适当的测试来评估失语症的STM；(5)临床slp倾向于全面、易于实施和心理测量学可靠的测试。临床slp报告缺乏标准化的措施来评估失语症患者的STM。研究人员在开发这些测试的过程中遇到了一些挑战，包括与临床医生就口头STM评估的好处进行有效的沟通，特别是因为它与功能技能有关，以及创建一个全面但简单，快速和易于管理的测试。
Verbal short-term memory (STM) and the related ability, working memory (WM), are widely understood to be integral components of language production and comprehension. However, assessment of these abilities in people with aphasia is hampered by a lack of valid, standardized measures that are clinically appropriate. Focusing primarily on verbal STM, we held a series of five focus groups with speech-language pathologists (SLPs) to understand better their current clinical practices and their beliefs and attitudes regarding assessment of verbal STM in aphasia. The purpose of this study was to explore the attitudes, beliefs and preferences of clinical SLPs to determine: (1) current practices related to verbal STM assessment; (2) the extent to which practices reflect current theories of aphasia and the role of verbal STM in language processing; and (3) practical considerations regarding aphasia assessment in clinical practice. Five focus groups were conducted using a semi-structured interview protocol with a total of 44 SLPs. Grounded theory methodology was used to collect, code and analyse the data. Codes were reviewed to identify emerging themes. Themes were compared to explore meta-themes, connections and potential theoretical frameworks. Five main themes were identified: (1) The theoretical understanding that clinical SLPs have regarding the role of verbal STM in aphasia is not always consistent with clinical practice; (2) Clinical SLPs highly value functionally relevant assessments; (3) The intense time constraints in clinical practice affect all aspects of assessment; (4) Clinical SLPs feel that there is a lack of appropriate tests for assessment of STM in aphasia; and (5) Clinical SLPs prefer tests that are comprehensive, easy to administer and psychometrically sound. Clinical SLPs report a lack of standardized measures to assess STM in individuals with aphasia. Researchers are met with several challenges in the development of these tests including effective communication with clinicians regarding the benefit of verbal STM assessments, especially as it relates to functional skills, and the creation of a test that is comprehensive yet simple, quick and easy to administer.
登录
查看更多内容
影响因子：
2.1
作者：
Martin, RC;Freedman, ML
通讯作者：
Freedman, ML
影响因子：
2
作者：
Martin, Nadine;Minkina, Irene;Kalinyak-Fliszar, Michelene
通讯作者：
Kalinyak-Fliszar, Michelene
影响因子：
3.4
作者：
DELL, GS;OSEAGHDHA, PG
通讯作者：
OSEAGHDHA, PG
影响因子：
2
作者：
Kalinyak-Fliszar, Michelene;Kohen, Francine;Martin, Nadine
通讯作者：
Martin, Nadine
影响因子：
2
作者：
Gvion, Aviah;Friedmann, Naama
通讯作者：
Friedmann, Naama