Facilitating participation in conversation groups for aphasia

Archer, Brent; Azios, Jamie H.; Gulick, Nora; Tetnowski, Jennifer

doi:10.1080/02687038.2020.1812030

Cited by 9 publications

(5 citation statements)

References 57 publications

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“…The communication needs of PWA vary and make the realization of a meaningful and functional assessment challenging (Archer et al., 2020). The Scenario Test‐GR can measure communication skills using any modality, verbal and/or non‐verbal (e.g., gestures, pointing to objects, mimicking, writing down keywords or drawing a picture; van der Meulen et al., 2010).…”

Section: Discussionmentioning

confidence: 99%

Adaptation of The Scenario Test for Greek‐speaking people with aphasia: A reliability and validity study

Charalambous

Phylactou

Elriz

et al. 2022

Intl J Lang & Comm Disor

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Background Evidence‐based assessments for people with aphasia (PWA) in Greek are predominantly impairment based. Functional communication (FC) is usually underreported and neglected by clinicians. This study explores the adaptation and psychometric testing of the Greek (GR) version of The Scenario Test. The test assesses the everyday FC of PWA in an interactive multimodal communication setting. Aims To determine the reliability and validity of The Scenario Test‐GR and discuss its clinical value. Methods & Procedures The Scenario Test‐GR was administered to 54 people with chronic stroke (6+ months post‐stroke): 32 PWA and 22 stroke survivors without aphasia. Participants were recruited from Greece and Cyprus. All measures were administered in an interview format. Standard psychometric criteria were applied to evaluate reliability (internal consistency, test–retest, and interrater reliability) and validity (construct and known‐groups validity) of The Scenario Test‐GR. Outcomes & Results The Scenario Test‐GR shows high levels of reliability and validity. High scores of internal consistency (Cronbach's α = 0.95), test–retest reliability (intra‐class coefficients (ICC) = 0.99), and interrater reliability (ICC = 0.99) were found. Interrater agreement in scores on individual items ranged from good to excellent levels of agreement. Correlations with a tool measuring language function in aphasia, a measure of FC, two instruments examining the psychosocial impact of aphasia and a tool measuring non‐verbal cognitive skills revealed good convergent validity (all ps < 0.05). Results showed good known‐groups validity (Mann–Whitney U = 96.5, p < 0.001), with significantly higher scores for participants without aphasia compared with those with aphasia. Conclusions & Implications The psychometric qualities of The Scenario Test‐GR support the reliability and validity of the tool for the assessment of FC in Greek‐speaking PWA. The test can be used to assess multimodal FC, promote aphasia rehabilitation goal‐setting at the activity and participation levels, and be used as an outcome measure of everyday communication abilities.

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Section: Discussionmentioning

confidence: 99%

Adaptation of The Scenario Test for Greek‐speaking people with aphasia: A reliability and validity study

Charalambous

Phylactou

Elriz

et al. 2022

Intl J Lang & Comm Disor

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“…In contemporary clinical aphasiology, facilitated conversation in aphasia communication groups is a popular exercise but only a small number of published studies have documented how interactions occur in such group settings [51,52]. One aspect of ACGs that has been mentioned in the recent literature, but that has not yet been the focus of intensive study, is participation management [51].…”

Section: The Role Of the Facilitatormentioning

confidence: 99%

“…One aspect of ACGs that has been mentioned in the recent literature, but that has not yet been the focus of intensive study, is participation management [51]. Facilitators report that finding ways to help people with limited expressive language participate in the conversation and the group, in general, is one of the central challenges faced by the clinicians and volunteers who lead these groups [51][52][53].…”

Section: The Role Of the Facilitatormentioning

confidence: 99%

“…The study of Archer and colleagues [52] documents common approaches to assisting PWA to participate meaningfully within the group discussions. Results revealed a set of conversational practices used by facilitators and by group members with verbal output difficulties.…”

Section: The Role Of the Facilitatormentioning

confidence: 99%

“…Results revealed a set of conversational practices used by facilitators and by group members with verbal output difficulties. Archer et al [52] stated that "these practices took the form of two sequences viz. floor transfers and question-answer series" (p. 15).…”

Section: The Role Of the Facilitatormentioning

confidence: 99%

See 2 more Smart Citations

The Importance of Aphasia Communication Groups

Charalambous¹,

Kambanaros²

2022

Aphasia Compendium

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Chronic aphasia is linked to poor functional recovery, depression, and social isolation. In the exploration of the above factors, the role of aphasia communication groups has evolved. Aphasia communication groups for stroke survivors with chronic aphasia and their communication buddies are gaining clinical importance. Communication buddies can be family members, friends, carers, health professionals, and speech and language therapy students who serve as communication facilitators for each group member. Group members share experiences on stroke and aphasia by using technology/tablets and the total communication approach. The benefits or outcomes of group involvement are measured by assessment of functional communication, individual self-ratings of the impact of aphasia on communication, and quality of life after stroke. The use of the communication buddy system, total communication approach, and systematic evaluations enables therapists to measure the effectiveness and efficacy of communication groups in terms of functional communication, social inclusion, and quality of life.

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Pragmatic Impairment as an Emergent Phenomenon

Perkins,

Azios

2024

The Handbook of Clinical Linguistics, Second Edition

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Facilitating participation in conversation groups for aphasia

Cited by 9 publications

References 57 publications

Adaptation of The Scenario Test for Greek‐speaking people with aphasia: A reliability and validity study

Adaptation of The Scenario Test for Greek‐speaking people with aphasia: A reliability and validity study

The Importance of Aphasia Communication Groups

Pragmatic Impairment as an Emergent Phenomenon

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