Relationships among language impairment, functional communication, and pragmatic performance in aphasia

Irwin, William H.; Wertz, Robert T.; Avent, Jan

doi:10.1080/02687030244000086

Cited by 59 publications

(21 citation statements)

References 17 publications

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“…In testing the convergent validity of The Scenario Test UK, we hypothesized that for people with aphasia the measure will correlate moderately to highly with measures of language and communication (FAST, ASHA-FACS). As indicated above (e.g., Frattali et al 1995, Irwin et al 2002, language and functional communication measures typically correlate and the FAST correlates highly with the Functional Communication Profile (Sarno 1969). The ASHA-FACS, as a functional communication measure, should also correlate with The Scenario Test UK, though moderate correlations may be expected as the ASHA-FACS is rated by others rather than directly measuring functional communication.…”

Section: Psychometric Testing and Data Analysismentioning

confidence: 87%

“…, Irwin et al . ), language and functional communication measures typically correlate and the FAST correlates highly with the Functional Communication Profile (Sarno ). The ASHA‐FACS, as a functional communication measure, should also correlate with The Scenario Test UK, though moderate correlations may be expected as the ASHA‐FACS is rated by others rather than directly measuring functional communication.…”

Section: Methodsmentioning

confidence: 99%

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Cultural adaptation and psychometric testing of The Scenario Test UK for people with aphasia

Hilari

Galante

Huck

et al. 2018

Intl J Lang & Comm Disor

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The data support the reliability and validity of the Scenario Test UK as an assessment of functional, daily-life communication for persons with aphasia. Further testing is needed in independent samples on the measure's psychometric properties, including its sensitivity to change. Pending this testing, The test can be used as an assessment tool to evaluate communication skills with people with aphasia, to guide goal setting for therapy and to measure outcomes in response to therapy.

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Section: Psychometric Testing and Data Analysismentioning

confidence: 87%

Section: Methodsmentioning

confidence: 99%

Cultural adaptation and psychometric testing of The Scenario Test UK for people with aphasia

Hilari

Galante

Huck

et al. 2018

Intl J Lang & Comm Disor

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“…Accordingly, speech-language pathologists have assessed the linguistic difficulties of people with aphasia with formal aphasia tests and also defined the severity of the disability on the basis of the test results (Irwin, Wertz, & Avent, 2002). It is obvious, however, that the traditional assessment methods cannot reveal the whole potential of the communicative means people with aphasia may use in their daily interactions.…”

Section: Socially Valid Assessmentmentioning

confidence: 99%

People with severe and moderate aphasia and their partners as estimators of communicative skills: A client‐centred evaluation

2008

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Background: According to the philosophy of the social model of disability, clients are the best estimators of their own life situation. Eliciting the experiences of people with severe aphasia is demanding because of their language and possible other cognitive problems. They are therefore usually excluded from the studies. However, there is evidence that modified assessment tools are accessible for them and help them to give self-reports. Aims: The aim of the present study was to ascertain how people with aphasia evaluate their own communicative skills during rehabilitation by means of modified assessment tools. In addition, their answers were compared with the estimations of their significant others or other partners. Methods & Procedures:The data were collected during regular rehabilitation courses, which were carried out in two parts (8 + 4 days) with 3 months in between. Participants were 35 respondents with aphasia, aged 26 to 65 years, and 35 of their significant others or other partners, aged 29 to 71 years. The study was completed according to an initial, interim, and delayed post-test questionnaire design. Two measures were used: the Finnish version of the Communicative Effectiveness Index (CETI) and an investigator-constructed questionnaire, the Use of Different Communication Methods (UDCM). The questionnaires for the people with aphasia were made more accessible by pictures. Outcomes & Results: The self-assessments of the participants with aphasia indicated that their functional communication skills did not change, but that the use of different communication methods improved slightly during the intervention. The significant others' and other partners' estimations showed that their communication skills improved significantly. Ratings of the two groups in functional communication skills differed significantly from each other before the intervention but thereafter the estimates correlated. There were no significant differences in the ratings of the use of different communication methods at any phase of the follow-up study. However, the ratings correlated significantly only at the last assessment.

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“…It makes sense that an individual with severely impaired language would have difficulty communicating effectively in everyday situations; likewise, it seems logical that an individual with mildly impaired language would have better functional communication abilities. Although there is no consensus on the extent of this interconnectedness, studies have revealed that cognitive-linguistic and functional communication skills are related in PWA at a single point in time (e.g., Bakheit, Carrington, Griffiths, & Searle, 2005;Frattali, Thompson, Holland, Wohl, & Ferketic, 1995;Fridriksson, Nettles, Davis, Morrow, & Montgomery, 2006;Holland, 1980;Hula et al, 2015;Irwin, Wertz, & Avent, 2002;Lomas et al, 1989;Murray, 2012;Ross & Wertz, 1999).…”

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confidence: 99%

Does Naming Therapy Make Ordering in a Restaurant Easier? Dynamics of Co-Occurring Change in Cognitive-Linguistic and Functional Communication Skills in Aphasia

Meier

Johnson

Villard

et al. 2017

Am J Speech Lang Pathol

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This study was conducted to investigate the static and dynamic relationships between impairmentlevel cognitive-linguistic abilities and activity-level functional communication skills in persons with aphasia (PWA). Method: In Experiment 1, a battery of standardized assessments was administered to a group of PWA (N = 72) to examine associations between cognitive-linguistic ability and functional communication at a single time point. In Experiment 2, impairment-based treatment was administered to a subset of PWA from Experiment 1 (n = 39) in order to examine associations between change in cognitive-linguistic ability and change in function and associations at a single time point. Results: In both experiments, numerous significant associations were found between scores on tests of cognitive-linguistic ability and a test of functional communication at a single time point. In Experiment 2, significant treatment-induced gains were seen on both types of measures in participants with more severe aphasia, yet cognitive-linguistic change scores were not significantly correlated with functional communication change scores. Conclusions: At a single time point, cognitive-linguistic and functional communication abilities are associated in PWA. However, although changes on standardized assessments reflecting improvements in both types of skills can occur following an impairment-based therapy, these changes may not be significantly associated with each other. A phasia is an acquired neurogenic disorder that is characterized by various deficits in cognitivelinguistic abilities (i.e., specific skills such as word retrieval, syntactic production, or visual scanning that may be relatively spared or impaired in persons with aphasia) that can impact an individual's functional communication (i.e., an individual's ability to successfully complete communicative acts such as introducing a new topic during a conversation, requesting information, or responding in an emergency) and participation in everyday activities. Most modern frameworks of health and disability indicate that, although cognitive-linguistic skills and functional communication abilities are separate, these constructs are closely linked. One such framework, the World Health Organization's International Classification of Functioning, Disability and Health (ICF; 2001), was intended to allow for comparisons between different conditions on the basis of the impact they have on an individual in terms of body functions and structure, activity, and participation while also accounting for external factors (i.e., physical, social, or attitudinal factors) and personal factors (e.g., age, gender, and psychoemotional state). Within the ICF, cognitivelinguistic skills are classified within the body structures and functions component, and, for persons with aphasia (PWA), deficits in cognitive-linguistic abilities are considered impairment-level deficits. Functional communication abilities fall into the activity component, and deficits in these skills are considered activity-level deficits....

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Relationships among language impairment, functional communication, and pragmatic performance in aphasia

Cited by 59 publications

References 17 publications

Cultural adaptation and psychometric testing of The Scenario Test UK for people with aphasia

Cultural adaptation and psychometric testing of The Scenario Test UK for people with aphasia

People with severe and moderate aphasia and their partners as estimators of communicative skills: A client‐centred evaluation

Does Naming Therapy Make Ordering in a Restaurant Easier? Dynamics of Co-Occurring Change in Cognitive-Linguistic and Functional Communication Skills in Aphasia

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