A quick aphasia battery for efficient, reliable, and multidimensional assessment of language function
This paper describes a quick aphasia battery (QAB) that aims to provide a reliable and multidimensional assessment of language function in about a quarter of an hour, bridging the gap between comprehensive batteries that are time-consuming to administer, and rapid screening instruments that provide...
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| Veröffentlicht in: | PloS one 2018-02, Vol.13 (2), p.e0192773-e0192773 |
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| creator | Wilson, Stephen M Eriksson, Dana K Schneck, Sarah M Lucanie, Jillian M |
| description | This paper describes a quick aphasia battery (QAB) that aims to provide a reliable and multidimensional assessment of language function in about a quarter of an hour, bridging the gap between comprehensive batteries that are time-consuming to administer, and rapid screening instruments that provide limited detail regarding individual profiles of deficits. The QAB is made up of eight subtests, each comprising sets of items that probe different language domains, vary in difficulty, and are scored with a graded system to maximize the informativeness of each item. From the eight subtests, eight summary measures are derived, which constitute a multidimensional profile of language function, quantifying strengths and weaknesses across core language domains. The QAB was administered to 28 individuals with acute stroke and aphasia, 25 individuals with acute stroke but no aphasia, 16 individuals with chronic post-stroke aphasia, and 14 healthy controls. The patients with chronic post-stroke aphasia were tested 3 times each and scored independently by 2 raters to establish test-retest and inter-rater reliability. The Western Aphasia Battery (WAB) was also administered to these patients to assess concurrent validity. We found that all QAB summary measures were sensitive to aphasic deficits in the two groups with aphasia. All measures showed good or excellent test-retest reliability (overall summary measure: intraclass correlation coefficient (ICC) = 0.98), and excellent inter-rater reliability (overall summary measure: ICC = 0.99). Sensitivity and specificity for diagnosis of aphasia (relative to clinical impression) were 0.91 and 0.95 respectively. All QAB measures were highly correlated with corresponding WAB measures where available. Individual patients showed distinct profiles of spared and impaired function across different language domains. In sum, the QAB efficiently and reliably characterized individual profiles of language deficits. |
| doi_str_mv | 10.1371/journal.pone.0192773 |
| format | Article |
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The QAB is made up of eight subtests, each comprising sets of items that probe different language domains, vary in difficulty, and are scored with a graded system to maximize the informativeness of each item. From the eight subtests, eight summary measures are derived, which constitute a multidimensional profile of language function, quantifying strengths and weaknesses across core language domains. The QAB was administered to 28 individuals with acute stroke and aphasia, 25 individuals with acute stroke but no aphasia, 16 individuals with chronic post-stroke aphasia, and 14 healthy controls. The patients with chronic post-stroke aphasia were tested 3 times each and scored independently by 2 raters to establish test-retest and inter-rater reliability. The Western Aphasia Battery (WAB) was also administered to these patients to assess concurrent validity. We found that all QAB summary measures were sensitive to aphasic deficits in the two groups with aphasia. All measures showed good or excellent test-retest reliability (overall summary measure: intraclass correlation coefficient (ICC) = 0.98), and excellent inter-rater reliability (overall summary measure: ICC = 0.99). Sensitivity and specificity for diagnosis of aphasia (relative to clinical impression) were 0.91 and 0.95 respectively. All QAB measures were highly correlated with corresponding WAB measures where available. Individual patients showed distinct profiles of spared and impaired function across different language domains. In sum, the QAB efficiently and reliably characterized individual profiles of language deficits.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0192773</identifier><identifier>PMID: 29425241</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aphasia ; Aphasia - etiology ; Aphasia - physiopathology ; Biology and Life Sciences ; Brain research ; Case-Control Studies ; Correlation analysis ; Correlation coefficient ; Correlation coefficients ; Design ; Humans ; Language ; Medicine and Health Sciences ; Patients ; Power consumption ; Reliability ; Semantics ; Social Sciences ; Speech ; Stroke ; Stroke - complications</subject><ispartof>PloS one, 2018-02, Vol.13 (2), p.e0192773-e0192773</ispartof><rights>2018 Wilson et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Wilson et al 2018 Wilson et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-7a842e5f1ca97d9244e28d733559ace7f362181b93c4e62e4510aee4b45ae5983</citedby><cites>FETCH-LOGICAL-c526t-7a842e5f1ca97d9244e28d733559ace7f362181b93c4e62e4510aee4b45ae5983</cites><orcidid>0000-0001-9884-2852</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806902/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806902/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29425241$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Jäncke, Lutz</contributor><creatorcontrib>Wilson, Stephen M</creatorcontrib><creatorcontrib>Eriksson, Dana K</creatorcontrib><creatorcontrib>Schneck, Sarah M</creatorcontrib><creatorcontrib>Lucanie, Jillian M</creatorcontrib><title>A quick aphasia battery for efficient, reliable, and multidimensional assessment of language function</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>This paper describes a quick aphasia battery (QAB) that aims to provide a reliable and multidimensional assessment of language function in about a quarter of an hour, bridging the gap between comprehensive batteries that are time-consuming to administer, and rapid screening instruments that provide limited detail regarding individual profiles of deficits. The QAB is made up of eight subtests, each comprising sets of items that probe different language domains, vary in difficulty, and are scored with a graded system to maximize the informativeness of each item. From the eight subtests, eight summary measures are derived, which constitute a multidimensional profile of language function, quantifying strengths and weaknesses across core language domains. The QAB was administered to 28 individuals with acute stroke and aphasia, 25 individuals with acute stroke but no aphasia, 16 individuals with chronic post-stroke aphasia, and 14 healthy controls. The patients with chronic post-stroke aphasia were tested 3 times each and scored independently by 2 raters to establish test-retest and inter-rater reliability. The Western Aphasia Battery (WAB) was also administered to these patients to assess concurrent validity. We found that all QAB summary measures were sensitive to aphasic deficits in the two groups with aphasia. All measures showed good or excellent test-retest reliability (overall summary measure: intraclass correlation coefficient (ICC) = 0.98), and excellent inter-rater reliability (overall summary measure: ICC = 0.99). Sensitivity and specificity for diagnosis of aphasia (relative to clinical impression) were 0.91 and 0.95 respectively. All QAB measures were highly correlated with corresponding WAB measures where available. Individual patients showed distinct profiles of spared and impaired function across different language domains. In sum, the QAB efficiently and reliably characterized individual profiles of language deficits.</description><subject>Aphasia</subject><subject>Aphasia - etiology</subject><subject>Aphasia - physiopathology</subject><subject>Biology and Life Sciences</subject><subject>Brain research</subject><subject>Case-Control Studies</subject><subject>Correlation analysis</subject><subject>Correlation coefficient</subject><subject>Correlation coefficients</subject><subject>Design</subject><subject>Humans</subject><subject>Language</subject><subject>Medicine and Health Sciences</subject><subject>Patients</subject><subject>Power consumption</subject><subject>Reliability</subject><subject>Semantics</subject><subject>Social Sciences</subject><subject>Speech</subject><subject>Stroke</subject><subject>Stroke - complications</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNptkk1v1DAQhiMEoqXwDxBY4sKhu_jb8QWpqvioVIkLnK2JM9l68cZbO0Hqv8ftplWL8MUe-5nXM6O3ad4yumbCsE_bNOcR4nqfRlxTZrkx4llzzKzgK82peP7ofNS8KmVLqRKt1i-bI24lV1yy4wbPyPUc_G8C-ysoAUgH04T5hgwpExyG4AOO0ynJGAN0EU8JjD3ZzXEKfdjhWEKqRRAoBUup8UTSQCKMmxk2SIZ59FMlXjcvBogF3yz7SfPr65ef599Xlz--XZyfXa684npaGWglRzUwD9b0lkuJvO2NEEpZ8GgGoTlrWWeFl6g5SsUoIMpOKkBlW3HSvD_o7mMqbplQcZzWJbThshIXB6JPsHX7HHaQb1yC4O4uUt44yFPwEZ3VWoquQ4m9l1zIrqMWlZJCGIOmFVXr8_Lb3O0qVLvPEJ-IPn0Zw5XbpD9OtVRbyqvAx0Ugp-sZy-R2oXiMdX6Y5ru6GdXMKFvRD_-g_-9OHiifUykZh4diGHW3rrnPcreucYtratq7x408JN3bRPwFvpfAow</recordid><startdate>20180209</startdate><enddate>20180209</enddate><creator>Wilson, Stephen M</creator><creator>Eriksson, Dana K</creator><creator>Schneck, Sarah M</creator><creator>Lucanie, Jillian M</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-9884-2852</orcidid></search><sort><creationdate>20180209</creationdate><title>A quick aphasia battery for efficient, reliable, and multidimensional assessment of language function</title><author>Wilson, Stephen M ; Eriksson, Dana K ; Schneck, Sarah M ; Lucanie, Jillian M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-7a842e5f1ca97d9244e28d733559ace7f362181b93c4e62e4510aee4b45ae5983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aphasia</topic><topic>Aphasia - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wilson, Stephen M</au><au>Eriksson, Dana K</au><au>Schneck, Sarah M</au><au>Lucanie, Jillian M</au><au>Jäncke, Lutz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A quick aphasia battery for efficient, reliable, and multidimensional assessment of language function</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-02-09</date><risdate>2018</risdate><volume>13</volume><issue>2</issue><spage>e0192773</spage><epage>e0192773</epage><pages>e0192773-e0192773</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>This paper describes a quick aphasia battery (QAB) that aims to provide a reliable and multidimensional assessment of language function in about a quarter of an hour, bridging the gap between comprehensive batteries that are time-consuming to administer, and rapid screening instruments that provide limited detail regarding individual profiles of deficits. The QAB is made up of eight subtests, each comprising sets of items that probe different language domains, vary in difficulty, and are scored with a graded system to maximize the informativeness of each item. From the eight subtests, eight summary measures are derived, which constitute a multidimensional profile of language function, quantifying strengths and weaknesses across core language domains. The QAB was administered to 28 individuals with acute stroke and aphasia, 25 individuals with acute stroke but no aphasia, 16 individuals with chronic post-stroke aphasia, and 14 healthy controls. The patients with chronic post-stroke aphasia were tested 3 times each and scored independently by 2 raters to establish test-retest and inter-rater reliability. The Western Aphasia Battery (WAB) was also administered to these patients to assess concurrent validity. We found that all QAB summary measures were sensitive to aphasic deficits in the two groups with aphasia. All measures showed good or excellent test-retest reliability (overall summary measure: intraclass correlation coefficient (ICC) = 0.98), and excellent inter-rater reliability (overall summary measure: ICC = 0.99). Sensitivity and specificity for diagnosis of aphasia (relative to clinical impression) were 0.91 and 0.95 respectively. All QAB measures were highly correlated with corresponding WAB measures where available. Individual patients showed distinct profiles of spared and impaired function across different language domains. In sum, the QAB efficiently and reliably characterized individual profiles of language deficits.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29425241</pmid><doi>10.1371/journal.pone.0192773</doi><orcidid>https://orcid.org/0000-0001-9884-2852</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Aphasia Aphasia - etiology Aphasia - physiopathology Biology and Life Sciences Brain research Case-Control Studies Correlation analysis Correlation coefficient Correlation coefficients Design Humans Language Medicine and Health Sciences Patients Power consumption Reliability Semantics Social Sciences Speech Stroke Stroke - complications |
| title | A quick aphasia battery for efficient, reliable, and multidimensional assessment of language function |
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