Transactional Success in the Texting Exchanges of People with Aphasia

失语症患者短信交流的交易成功

• 批准号: 10730224
• 负责人: Jamie H Azios
• 金额: $ 47.72万
• 依托单位: JAMES MADISON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10730224
• 关键词: Address; Adult; Affect; Agreement; Aphasia; Behavior; Behavioral; Binding; Chronic; Client; Clinical Trials; Communication; Communication impairment; Communications Media; Data; Development; Discourse analysis; Electronic Mail; Electronics; Evaluation; Future; Goals; Grant; Image; Individual; Intervention; Measures; Methodology; Methods; Mission; Multimedia; National Institute on Deafness and Other Communication Disorders; Nature; Neurologic; Outcome; Participant; Performance; Persons; Productivity; Property; Psychometrics; Quality of life; Reading; Research; Sampling; Severities; Social Network; Social isolation; Societies; Spearman Rank Correlation Coefficient; Statistical Data Interpretation; Text; Text Messaging; Training; Transact; Treatment outcome; Validity and Reliability; Writing; aphasia rehabilitation; digital; efficacy evaluation; experience; health care settings; health related quality of life; improved; innovation; novel; oral communication; prospective; repair strategy; repaired; social; success; texting support; therapy development; tool

Abstract Individuals with aphasia experience reduced social networks, a contributor to poor health-related quality of life. Increased reliance on electronic communication in today’s digital world may exacerbate the challenges individuals with aphasia have in connecting with others and accomplishing their participation goals. Indeed, preliminary research shows that people with chronic aphasia have fewer contacts with whom they text and fewer text exchanges than neurologically healthy adults. The long-term goal of the proposed research is to develop an intervention to support electronic messaging in individuals with aphasia to provide access to a mode of communication that is critical for maintaining and strengthening relationships. The overall objectives of this proposal are to: 1) validate a novel measure of transactional success (information exchange) in texting and 2) identify texting behaviors that persons with aphasia and their partners engage in that enable and detract from texting success. The rationale for this proposal is two-fold. First, it is critical to have a psychometrically strong measure to assess texting performance in persons with aphasia. Second, it is imperative to identify factors associated with successful transaction to develop an intervention that facilitates texting. To attain the overall objective, the following specific aims will be pursued via a mixed methods approach. Aim 1 uses a set of statistical analyses to evaluate the validity and reliability of a measure of texting transactional success (TTS). The psychometric properties of a TTS rating scale will be evaluated using performance data from 60 participants with chronic aphasia on a three-turn texting script collected under a previous clinical trial. Aim 2 applies the TTS scale to authentic texting data collected from a prospective sample of 24 individuals with aphasia. External validity of the standard texting script will be assessed by examining the agreement between participants’ scores on this measure and scores yielded from participants’ authentic text exchanges. Aim 3 identifies texting behaviors used by people with aphasia and their partners that enable and disrupt transactional success. Conversation analysis will be employed to text exchanges from the same sample of participants from Aim 2 to reveal repair strategies and various multimedia and paralinguistic tools (e.g. emojis, images, CAPS, punctuation) that may enhance transactional success. These repair behaviors and multimedia/paralinguistic tools are strategies that could be trained to increase texting success. The proposed research is innovative because it addresses texting, an increasingly pervasive mode of communication that is understudied in aphasia rehabilitation. This research applies conversation analysis to study text messaging in aphasia, a novel application of this methodology. The proposed research is significant because the contribution of a validated measure of TTS will offer a means of assessing texting performance and evaluating treatment outcomes. Findings will inform future development of an intervention to support texting in people with aphasia and potentially reduce social isolation and improve quality of life.

摘要 失语症患者的社交网络减少，导致健康相关的生活质量下降。 在当今的数字世界中，对电子通信的依赖增加可能会加剧这些挑战 患有失语症的人在与他人联系和实现他们的参与目标方面有很大的困难。的确， 初步研究表明，患有慢性失语症的人与他们发短信的人接触较少， 比神经健康的成年人更少的短信交流。拟议研究的长期目标是 制定干预措施，支持失语症患者的电子信息传递，以提供获得 这是一种沟通方式，对维持和加强关系至关重要。的总体目标 该提议是：1）验证短信中交易成功（信息交换）的新度量， 2)确定失语症患者及其伴侣的短信行为， 成功的短信。这项建议有两个理由。首先，在心理测量学上， 强有力的措施来评估失语症患者的短信表现。其次，当务之急是识别 与成功交易相关的因素，以制定促进发短信的干预措施。达到 总体目标，将通过混合方法实现以下具体目标。Aim 1使用一组 的统计分析，以评估有效性和可靠性的措施，短信交易成功 （TTS）。TTS评定量表的心理测量学特性将使用60名受试者的表现数据进行评估。 参与者与慢性失语症的三个回合的短信脚本收集根据以前的临床试验。目的2 将TTS量表应用于从24名个体的前瞻性样本中收集的真实短信数据， 失语症标准短信脚本的外部有效性将通过检查 参与者在这方面的得分和来自参与者真实文本交流的得分。目标3 识别失语症患者及其伴侣使用的短信行为， 交易成功。会话分析将被用于文本交换从同一样本的 目标2的参与者揭示修复策略和各种多媒体和语言工具（例如表情符号， 图像、大写字母、标点符号），这可能会提高交易成功率。这些修复行为和 多媒体/语言学工具是可以训练以提高发短信成功率的策略。拟议 研究是创新的，因为它解决了短信，一个越来越普遍的沟通方式， 在失语症康复方面的研究不足。本研究应用会话分析法来研究 失语症，这种方法的新应用。这项研究意义重大，因为 一个有效的TTS测量方法将提供一种评估发短信表现和评估治疗的方法 成果。研究结果将为未来开发支持失语症患者发短信的干预措施提供信息 并潜在地减少社会孤立和提高生活质量。