University:
Boston University
Course:
GMS BC 630 | Ethical & Policy Issues in Health and Medical Services Emergency Management
Academic year:

2019
Views:

282

Pages:

12
Author:

Clint W.

Does naming therapy make ordering in a restaurant easier? Impairment vs. Function in Aphasia 1 Swathi Kiran Sarah Villard Financial Disclosures • Swathi Kiran is the co-founder and Scientific Advisor of Constant Therapy and owns stock equity in Constant Therapy, the software platform through which some therapy referred to in this study was delivered • Boston University owns a portion of stock equity in Constant Therapy International Classification of Functioning, Disability, and Health (ICF) Framework Health Condition (disorder or disease) Body Functions & Structure Activity Participation Environmental Personal Factors Factors Contextual Factors Aphasia: Framework for Outcome Measurement (A-FROM) Participation in life situations Communication and language environment Living with Aphasia Language and related impairments Personal identity, attitudes and feelings Aphasia: Framework for Outcome Measurement (A-FROM) Participation in life situations • “…clinicians quickly recognized that they might focus treatment within one snapshot domain [of A-FROM] such as aphasia severity (e.g., syntax therapy) and assess outcomes within this domain (e.g., sentence production) as is Living Personal identity, Communication done, and/or might traditionally assess outcomes in other with attitudes and and language domains such as quality intersect in the middle of Aphasiaof life (thefeelings environment the circles) or participation (e.g., conversing with friends).” (Kagan et al., 2008, p. 268) Language and related impairments How are cognitive-linguistic and functional communication abilities defined? Cognitive-linguistic abilities Word Retrieval Syntax Production Reading Single Words Visuospatial Skills How are cognitive-linguistic and functional communication abilities defined? Functional communication abilities Introducing a New Topic Requesting Information Reading a Menu Ordering in a Restaurant How are cognitive-linguistic and functional communication abilities measured? Impairment-Based Instruments Functional Communication Instruments • Western Aphasia Battery-Revised, WAB-R • ASHA Functional Assessment of Communication Skills for Adults, ASHA FACS (Frattali, Thompson, Holland, Wohl, & Frederic, 1995) • Communication Effectiveness Index, CETI (Kertesz, 2007) • Comprehensive Aphasia Test, CAT (Swinburn, Porter, & Howard, 2005) • Boston Diagnostic Aphasia Examination, BDAE (Goodglass, Kaplan, Barresi, 2000) • Cognitive-Linguistic Quick Test, CLQT (Helm- (Lomas et al., 1989) • Pyramids and Palm Trees, PAPT (Howard & • Communication Outcome after Stroke, COAST (Long, Hesketh, Paszek, Booth, & Bowen, 2008) • Aphasia Communication Outcome Measure, ACOM (Hula et al., 2015) • Assessment for Living with Aphasia, ALA • Psycholinguistic Assessments of Language Processing, PALPA (Kay, Lesser, & Coltheart, 1992) • And others… • Communication Activities of Daily Living, CADL-2 (Holland, Frattali, & Fromm, 1999) • And others… Estabrooks, 2001) • Boston Naming Test, BNT (Kaplan, Goodglass, & Weintraub, 2001) Patterson, 1992) (Kagan et al., 2013) How are cognitive-linguistic and functional communication abilities related? 1. Significant relationship seen between measures of cognitivelinguistic skills and functional communication at a single time point (e.g., Frattali et al., 1995; Hula et al., 2015; Lomas et al., 1989) Measures of cognitive-linguistic skills Measures of functional communication at Time X How are cognitive-linguistic and functional communication abilities related? 2. Persons with aphasia (PWA) can improve in both cognitivelinguistic and functional communication skills with therapy • Bakheit, Carrington, Griffiths, & Searle (2005) WAB CETI • Irwin, Wertz, & Avent (2002) PICA RFP • Aftonomos, Appelbaum, & Steele (1999) WAB CETI • Elman & Bernstein-Ellis (1999) WAB CADL How are cognitive-linguistic and functional communication abilities related? 3. Co-occurring changes can be related but may depend on time of administration and specific instruments utilized • Irwin, Wertz, & Avent (2002) PICA RFP WAB CADL • Ross & Wertz (1999) PICA CADL