Transactional Success in the Texting Exchanges of People with Aphasia

摘要 失语症患者的社交网络减少，这是导致与健康相关的生活质量变差的原因之一。 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 失语症患者在与他人沟通和实现他们的参与目标方面有很大的优势。的确， 初步研究表明，慢性失语症患者与他们发短信和 与神经学健康的成年人相比，短信交流更少。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消息传递，以提供访问 一种对维持和加强关系至关重要的沟通方式。的总体目标 这项建议是为了：1)验证一种新的衡量交易成功的指标(信息交换)，在短信和 2)确定失语症患者及其伴侣的短信行为，这些行为使失语症患者和他们的伴侣变得容易和有害 从发短信成功。这项提议的理由有两个。首先，重要的是要有一个心理测量学 评估失语症患者短信表现的有力措施。第二，必须认识到 与成功交易相关的因素，以开发促进短信发送的干预措施。要达到 总体目标是，将通过混合方法实现以下具体目标。Aim 1使用一套 用于评估短信交易成功的测量的有效性和可靠性的统计分析 (TTS)。TTS评定量表的心理测量学特性将使用来自60个国家的性能数据进行评估 慢性失语症患者在之前的一项临床试验中收集的三轮短信脚本。目标2 将TTS量表应用于真实的短信数据，这些数据来自于24名有 失语症。标准短信脚本的外部有效性将通过检查双方之间的协议进行评估 参与者在这一测量上的得分以及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启用和中断的短信行为 交易成功。对话分析将被用于文本交流，来自相同的样本 来自AIM 2的参与者展示修复策略以及各种多媒体和副语言工具(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。这些修复行为和 多媒体/副语言工具是可以培训的策略，以提高短信发送的成功率。建议数 研究具有创新性，因为它解决了短信问题，这是一种日益普遍的沟通模式， 正在攻读失语症康复课程。本研究将会话分析应用于文本消息传递的研究 失语症，这一方法论的新应用。这项拟议的研究具有重要意义，因为 TTS的有效测量将提供一种评估短信性能和评估治疗的手段 结果。这些发现将为未来支持失语症患者发短信的干预措施的发展提供信息 并有可能减少社会孤立，提高生活质量。

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.