言语失用评定量表的精细化操作定义。

IF 2.5 3区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Marja-Liisa Mailend, Adam Jacks, Katarina L Haley
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引用次数: 0

摘要

目的:言语失用评定量表(ASRS);Strand et al., 2014)迅速成为脑卒中言语失用症(AOS)诊断的标准,尽管证据不一。本研究的目的是分析、澄清和修订ASRS的评分程序和项目定义,作为研究该量表在中风中的心理测量特性的初步步骤。方法:通过对ASRS最新发布的视频和音频样本进行独立评分,对ASRS项目的解释和量表程序进行评价。在每次评分后讨论评分差异。结果:在讨论评分差异后,我们的团队发现了使用量表的障碍,包括量表项目缺乏明确的操作定义,多维评定量表的应用困难,量表描述与项目描述不匹配,以及缺乏详细的应用程序。基于这一分析,我们制定了一系列的规则,在我们自己的研究应用中对中风幸存者进行ASRS评分。我们还澄清了量表标签和大多数量表项目的操作定义。结论:通过澄清量表程序和项目定义,确定并解决了ASRS可靠使用的几个潜在问题。我们计划在研究应用中使用更新的程序和定义,并在这里分享它们,以便研究社区进一步输入和潜在的应用。需要研究评估这些变化对AOS诊断分类和严重程度估计的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Refined Operational Definitions for the Apraxia of Speech Rating Scale.

Purpose: The Apraxia of Speech Rating Scale (ASRS; Strand et al., 2014) has quickly emerged as a standard for apraxia of speech (AOS) diagnosis in stroke despite mixed evidence. The purpose of this study was to analyze, clarify, and revise the scoring procedures and item definitions of the ASRS as a preliminary step for investigating the scale's psychometric properties in stroke.

Method: We evaluated the interpretation of the ASRS items and scale procedures by independently rating the video and audio examples provided with the latest dissemination of the ASRS. Discrepancies in ratings were discussed after each rating.

Results: Upon discussing the rating discrepancies, our team identified barriers to using the scale, including lack of clear operational definitions for the scale items, difficulties with applying the multidimensional rating scale, mismatch between the scale description and item description, and lack of detailed procedures for applying the scale. Based on this analysis, we developed a series of rules for scoring the ASRS in our own research applications with stroke survivors. We also clarified scale labels and operationalized definitions for most of the scale items.

Conclusions: Several potential concerns for reliable use of the ASRS were identified and addressed by clarifying the scale procedures and item definitions. We plan to use the updated procedures and definitions in research applications and are sharing them here for further input and potential applications from the research community. Research is needed to evaluate the impact of the changes on diagnostic classification and severity estimation for AOS.

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来源期刊
American Journal of Speech-Language Pathology
American Journal of Speech-Language Pathology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION
CiteScore
4.30
自引率
11.50%
发文量
353
审稿时长
>12 weeks
期刊介绍: Mission: AJSLP publishes peer-reviewed research and other scholarly articles on all aspects of clinical practice in speech-language pathology. The journal is an international outlet for clinical research pertaining to screening, detection, diagnosis, management, and outcomes of communication and swallowing disorders across the lifespan as well as the etiologies and characteristics of these disorders. Because of its clinical orientation, the journal disseminates research findings applicable to diverse aspects of clinical practice in speech-language pathology. AJSLP seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of speech-language pathology, including aphasia; apraxia of speech and childhood apraxia of speech; aural rehabilitation; augmentative and alternative communication; cognitive impairment; craniofacial disorders; dysarthria; fluency disorders; language disorders in children; speech sound disorders; swallowing, dysphagia, and feeding disorders; and voice disorders.
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