Best practice guidelines for reporting spoken discourse in aphasia and neurogenic communication disorders

Stark, Brielle C.; Bryant, Lucy; Themistocleous, Charalambos; Ouden, Dirk-Bart den; Roberts, Angela

doi:10.1080/02687038.2022.2039372

Cited by 20 publications

(9 citation statements)

References 34 publications

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“…Current results are supported by intraclass correlation reliability analyses, which correspond to Stark et al.’s (2022) discourse reporting standards. Only variables that met at least moderate reliability scores were kept for the analyses.…”

Section: Discussionsupporting

confidence: 82%

See 1 more Smart Citation

The longitudinal trajectory of discourse from the hyperacute to the chronic phase in mild to moderate poststroke aphasia recovery: A case series study

Brisebois

Brambati

Rochon

et al. 2023

Intl J Lang & Comm Disor

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Background Discourse analysis has recently received much attention in the aphasia literature. Even if post‐stroke language recovery occurs throughout the longitudinal continuum of recovery, very few studies have documented discourse changes from the hyperacute to the chronic phases of recovery. Aims To document a multilevel analysis of discourse changes from the hyperacute phase to the chronic phase of post‐stroke recovery using a series of single cases study designs. Methods & Procedures Four people with mild to moderate post‐stroke aphasia underwent four assessments (hyperacute: 0–24 h; acute: 24–72 h; subacute: 7–14 days; and chronic: 6–12 months post‐onset). Three discourse tasks were performed at each time point: a picture description, a personal narrative and a story retelling. Multilevel changes in terms of macro‐ and microstructural aspects were analysed. The results of each discourse task were combined for each time point. Individual effect sizes were computed to evaluate the relative strength of changes in an early and a late recovery time frame. Outcomes & Results Macrostructural results revealed improvements throughout the recovery continuum in terms of coherence and thematic efficiency. Also, the microstructural results demonstrated linguistic output improvement for three out of four participants. Namely, lexical diversity and the number of correct information units/min showed a greater gain in the early compared with the late recovery phase. Conclusions & Implications This study highlights the importance of investigating all discourse processing levels as the longitudinal changes in discourse operate differently at each phase of recovery. Overall results support future longitudinal discourse investigation in people with post‐stroke aphasia. What This Paper Adds What is already known on the subjectMulti‐level discourse analysis allows for in‐depth analysis of underlying discourse processes. To date, very little is known on the longitudinal discourse changes from aphasia onset through to the chronic stage of recovery. This study documents multi‐level discourse features in four people with mild to moderate aphasia in the hyperacute, acute, subacute and chronic stage of post‐stroke aphasia recovery. What this paper adds to existing knowledgeThe study found that most discourse variables demonstrated improvement throughout time. Macrostructural variables of coherence and thematic units improved throughout the continuum whereas microstructural variables demonstrated greater gains in the early compared to the late period of recovery. What are the potential or actual clinical implications of this work?This study suggests that multilevel discourse analysis will allow a better understanding of post‐stroke aphasia recovery, although more research is needed to determine the clinical utility of these findings. Future research may wish to investigate longitudinal discourse recovery in a larger sample of people with aphasia with heterogenous aphasia profiles and severities.

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Section: Discussionsupporting

confidence: 82%

“…Supplementary Material 2 in the additional supporting information includes the best practice guidelines checklist from Stark et al. (2022).…”

Section: Methodsmentioning

confidence: 99%

The longitudinal trajectory of discourse from the hyperacute to the chronic phase in mild to moderate poststroke aphasia recovery: A case series study

Brisebois

Brambati

Rochon

et al. 2023

Intl J Lang & Comm Disor

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“…Some SLPs (from the UK) stated their setting restricted recording of patients’ speech. No use of automated speech recognition for transcription was reported, in line with other survey findings in aphasia (Cruice et al., 2020; Stark et al., 2022). Historically, automated speech recognition has been problematic for the purpose of examining adult acquired communication disorders, especially for those clients with aphasia or dysarthria, but in recent years has become more accurate (Jacks et al., 2019).…”

Section: Discussionsupporting

confidence: 81%

“…A recent working group (FOQUS) has called for use of clear reporting guidelines in spoken discourse studies on aphasia and other neurogenic communication disorders. This might also help SLPs to implement discourse practices reported in research studies clinically (Stark et al., 2022).…”

Section: Discussionmentioning

confidence: 99%

How do speech–language pathologists assess and treat spoken discourse after TBI? A survey of clinical practice

Steel

Coluccio

Elbourn

et al. 2022

Intl J Lang & Comm Disor

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BackgroundSpoken discourse is commonly affected after traumatic brain injury (TBI). Although guidelines recommend prioritizing discourse‐level skills in cognitive communication management, previous literature has highlighted challenges in managing discourse clinically. Little is known about how speech–language pathologists (SLPs) assess and treat discourse after TBI.AimsTo investigate current SLP practice to determine the alignment of clinical practice with research evidence and recommendations.Methods & ProceduresThis online survey consisted of 30 questions on SLPs’ practice with discourse assessment, analysis and treatment processes, including the materials and methods used and rationales for decision‐making. Participants were recruited through national and international SLP professional bodies, TBI‐specific or SLP special‐interest groups and social media. Survey responses were analysed using descriptive statistics, with free text included to support individual responses.Outcomes & ResultsThere were 70 participants, from Australia, the United States, UK and New Zealand. Nearly half the participants had over 11 years of experience working with adults with TBI and a quarter had over 20 years of experience. Participants reported that they regularly evaluated the discourse ability of people with TBI, most commonly during spontaneous conversation or with a personal narrative task. Discourse intervention approaches mostly targeted client self‐monitoring ability, social skills or conversational interactions. Practice varied dependent on setting, with more SLPs in community or outpatient services undertaking discourse assessment and treatment than in hospital settings.Conclusions & ImplicationsOverall, survey respondents’ management of spoken discourse aligned with recommendations in the research literature, incorporating an individualized, goal‐based approach. Factors affecting the use of discourse in practice included client‐specific factors and needs, availability of time for transcription and analysis, and SLPs’ knowledge level and confidence with discourse. Increased knowledge of discourse methods and treatment approaches could help inform decision‐making for SLPs working in TBI.WHAT THIS PAPER ADDSWhat is already known on this subject Spoken discourse is one of the most affected areas of communication for people with TBI. Although recent research has provided guidance on assessment and treatment options for TBI discourse, it is unknown how SLPs manage spoken discourse clinically.What this paper adds to existing knowledge This research adds to the limited research on how SLPs across clinical settings and regions manage discourse assessment and treatment. Respondents’ practice was generally aligned with recommendations, featuring individualized, goal‐based practice. Potential barriers to discourse implementation included client factors and SLP knowledge, training, and service delivery factors.What are the potential or actual clinical implications of this work? This survey provides evidence that clinical translation is starting to occur in this field, but there remains a need for increased knowledge of assessment and treatment methods, training, and TBI‐specific resources to better support SLP practice, particularly relating to transcription. Core reporting outcomes in research on TBI discourse management would assist with translation of the findings to practice.

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“…First, it aimed to validate the remote videoconference assessment of spoken discourse using the WAB-R picture description task in neurotypical Canadian French speakers using microstructural measures and macrostructural (i.e. thematic informativeness), using the best practices guidelines recently proposed (Stark et al, 2022). We expected similar results across the two modalities based on previous findings (Georgeadis et al, 2004;Turkstra et al, 2012).…”

Section: Introductionmentioning

confidence: 90%

Validation of Videoconference Administration of Picture Description From the Western Aphasia Battery–Revised in Neurotypical Canadian French Speakers

Marcotte

Lachance

Brisebois

et al. 2022

Am J Speech Lang Pathol

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Purpose: During the COVID-19 pandemic, clinicians and researchers have increasingly used remote online assessments to pursue their activities, but mostly with tests not validated for videoconference administration. This study aims to validate the remote online administration of picture description in Canadian French neurotypical speakers and to explore the thematic unit (TU) checklist recently developed. Method: Spoken discourse elicited through the picture description task of the Western Aphasia Battery–Revised (WAB-R) was collected from Canadian French neurotypical speakers from Québec aged between 50 and 79 years old. Forty-seven participants completed the task in person, and 49 participants completed the task by videoconference. Videos of each discourse sample were transcribed using CHAT conventions. Microstructural variables were extracted using the CLAN (Computerized Language ANalysis) program, whereas thematic informativeness was scored for each sample using TUs. Chi-square tests were conducted to compare both groups on each TU; t tests were also performed on the total score of TUs and microstructural variables. Results: Groups were matched on sex, age, and education variables. The t tests revealed no intergroup difference for the total TU score and for the microstructural variables (e.g., mean length of utterances and number of words per minute). Chi-square tests showed no significant intergroup difference for all 16 TUs. Conclusions: These findings support remote online assessment of the picnic scene of the WAB-R picture description in Canadian French neurotypical speakers. These results also validate the 16 TUs most consistently produced. The use of videoconference could promote and improve the recruitment of participants who are usually less accessible, such as people using assistive mobility technologies. Supplemental Material: https://doi.org/10.23641/asha.21476961

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Best practice guidelines for reporting spoken discourse in aphasia and neurogenic communication disorders

Cited by 20 publications

References 34 publications

The longitudinal trajectory of discourse from the hyperacute to the chronic phase in mild to moderate poststroke aphasia recovery: A case series study

The longitudinal trajectory of discourse from the hyperacute to the chronic phase in mild to moderate poststroke aphasia recovery: A case series study

How do speech–language pathologists assess and treat spoken discourse after TBI? A survey of clinical practice

Validation of Videoconference Administration of Picture Description From the Western Aphasia Battery–Revised in Neurotypical Canadian French Speakers

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