Aphasia Rapid Test: Estudos de Tradução, Adaptação e Validação para a População Portuguesa

Abstract

RESUMOIntrodução: As baterias clássicas de caracterização de afasia são demasiado longas para serem utilizadas no contexto do acidente vascular cerebral agudo ou como ferramenta de monitorização. O Aphasia Rapid Test é uma escala de 26 pontos desenvolvida como teste de cabeceira para avaliar a gravidade da afasia num doente com acidente vascular cerebral em menos de três minutos. O objetivo do estudo é adaptar e validar a escala para o português europeu. ABSTRACT Introduction: Classical aphasia evaluation scales are too long to use in the context of acute stroke or as a monitoring tool. The Aphasia Rapid Test is a 26-point scale developed as a bedside assessment to rate aphasia severity in acute stroke patients in less than 3 minutes. We aimed to adapt and validate this scale for European Portuguese. Material and Methods:We evaluated 56 acute stroke patients in the first and in the seventh days post-stroke. In the seventh day, patients were evaluated by two independent raters, to evaluate inter-rater agreement. To study concurrent validity, the Lisbon Aphasia Examination Battery was applied to a subset of 20 patients. The predictive ability of the Aphasia Rapid Test was assessed at six months, by the aphasia subscale of the National Institutes of Health Stroke Scale. Results: Translation to European Portuguese was based in the French and English versions, considering the words' utilization frequency. The Chronbach's alpha was 0.796. The concordance coefficient between the two raters was excellent (0.985). Correlation between Aphasia Rapid Test and the Lisbon Aphasia Examination Battery was strong (r = -0.958, p < 0.001). The study through BlandAltman graphs corroborated the good inter-rater agreement and concurrent validity of the test. The Aphasia Rapid Test score in the first day is an independent predictor of long-term outcome. Discussion: This study provides reliable results for European Portuguese, with adequate internal consistency, inter-rater agreement and concurrent validity. Conclusion:The Aphasia Rapid Test is a good tool for the evaluation and monitoring of aphasia in stroke patients.

Translation, Validity, and Reliability of the Persian Version of Aphasia Rapid Test for Acute Stroke

“…This finding is in line with the French study of Azuar et al with a coefficient of concordance of 0.990 (rater 1=13.4, rater 2=13.49) [11], and the Italian study of Panebianco et al with a coefficient of concordance of 0.99 (rater 1=9.38, rater 2=9) [13]. Also, the Portuguese study of Tábuas-Pereira et al reported an excellent concordance coefficient (0.985) between rater 1 and rater 2 [14]. The significant interrater reliability found in the current study suggests that different examiners can perform PART without affecting the results.…”

“…Similar to the present results, they found a high correlation between early results from ART and later results from the Boston Diagnostic Aphasia Examination [11]. Moreover, the Portuguese study showed a high correlation between the ART scores and the Lisbon aphasia examination [14]. The Italian study did not compare the ART scores with other aphasia tests [13].…”

“…The higher scores of ART indicate more impairment. Additionally, previous studies have shown sensitivity, reproducibility, high predict value, external validation, and the inter-rater reliability of this test [11][12][13][14]. Moreover, Benghanem et al (2019) reported the correlation of ART scores with the lesion size and location and the patient performance three months after the stroke.…”

“…The ART is a bedside screening tool for evaluating and monitoring poststroke aphasic patients [11,14]. This test considers the essential aspects of communication problems in aphasia (ie, comprehension, repetition, and naming).…”

“…Also, it is a brief and simple test to perform shortly after the stroke. Besides, ART is translatable into different languages and can be used in clinical practice [11][12][13][14]. Therefore, the researchers selected the ART to translate it into the Persian language and performed it in Iranian Persian speakers in the acute phase after stroke.…”