Measuring Change at the Discourse-Level Following Conversation Treatment: Examples from Mild and Severe Aphasia

Autor/inn/en	DeDe, Gayle; Hoover, Elizabeth
Titel	Measuring Change at the Discourse-Level Following Conversation Treatment: Examples from Mild and Severe Aphasia
Quelle	In: Topics in Language Disorders, 41 (2021) 1, S.5-26 (22 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0271-8294
DOI	10.1097/TLD.0000000000000243
Schlagwörter	Aphasia; Discourse Analysis; Measures (Individuals); Language Impairments; Case Studies; Pictorial Stimuli; Personal Narratives; Severity (of Disability); Vocabulary Skills; Speech Therapy + Suchen Sie Ihr Suchwort? Expressive Aphasie; Aphasie; Diskursanalyse; Messdaten; Speech disorder; Speech disorders; Speech disabilities; Speech disability; Speech handicap; Speech handicaps; Speech impairment; Speech impairments; Language handicaps; Sprachbehinderung; Case study; Fallstudie; Case Study; Fantasieanregung; Erlebniserzählung; Schweregrad; Aktiver Wortschatz; Entwicklungsproximale Sprachtherapie; Logotherapie
Abstract	Purpose: This article reviews four discourse measures and examines whether they are sensitive to impairments in people with both mild and severe aphasia. We also ask whether these measures were sensitive to effects of conversation treatment in two case examples. Method: Two people with aphasia, one mild and fluent and the other severe and nonfluent, served as case studies. Both case studies had participated in conversation treatment, in which individualized goals were targeted in the context of naturalistic conversation-based interactions. Picture descriptions were analyzed using three discourse measures: core lexicon, words per minute, and correct information units. In addition, words per minute and conversation turns were examined in personal narratives produced by the individual with severe nonfluent aphasia in a conversational context. Results: For the individual with mild aphasia, both words per minute and core lexicon were sensitive to the presence of aphasia and treatment changes. For the individual with severe aphasia, all measures were sensitive to the presence of aphasia, but only words per minute and number/type of conversation turns were sensitive to effects of treatment. Discussion/Conclusions: Discourse measures capture relevant aspects of communication that may not be seen on standardized measures of discrete language skills. Given different aphasia profiles and individual communication goals, clinicians need to choose the most relevant, reliable, and informative measures. (As Provided).
Anmerkungen	Lippincott Williams & Wilkins. Available from: Wolters Kluwer. 351 West Camden Street, Baltimore, MD 21201. Tel: 800-638-3030; e-mail: MR-WKCustomerSupport@wolterskluwer.com; Web site: https://journals.lww.com/pages/default.aspx
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01