Enhancing the Efficiency of Confrontation Naming Assessment for Aphasia Using Computer Adaptive Testing.

Purpose: In this study, we investigated the agreement between the 175-item Philadelphia Naming Test (PNT; Roach, Schwartz, Martin, Grewal, & Brecher, 1996) and a 30-item computer adaptive PNT (PNT-CAT; Fergadiotis, Kellough, & Hula, 2015; Hula, Kellough, & Fergadiotis, 2015) created using item respo...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 62; no. 6; pp. 1724 - 1739
Autores principales: Fergadiotis, Gerasimos, Hula, William D., Swiderski, Alexander M., Chia-Ming Lei, Kellough, Stacey
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Jun2019
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      dt: Jun2019
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      pub: American Speech-Language-Hearing Association
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        10.1044/2018_JSLHR-L-18-0344
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        atl: Enhancing the Efficiency of Confrontation Naming Assessment for Aphasia Using Computer Adaptive Testing.
      aug:
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          Fergadiotis, Gerasimos
          Hula, William D.
          Swiderski, Alexander M.
          Chia-Ming Lei
          Kellough, Stacey
        affil:
          Department of Hearing & Speech Science, Portland State University, OR
          Geriatric Research, Education and Clinical Center, VA Pittsburgh Healthcare System, PA
          Department of Communication Science & Disorders, University of Pittsburgh, PA
          VA Pittsburgh Healthcare System, PA
      su:
        Aphasia
        Computer adaptive testing
        Chi-squared test
        Confidence intervals
        Speech evaluation
        Statistics
        Visual acuity
        Anomia
        Data analysis software
        Descriptive statistics
      sug:
        subj:
          Aphasia
          Computer adaptive testing
          Chi-squared test
          Confidence intervals
          Speech evaluation
          Statistics
          Visual acuity
          Anomia
          Data analysis software
          Descriptive statistics
      ab: Purpose: In this study, we investigated the agreement between the 175-item Philadelphia Naming Test (PNT; Roach, Schwartz, Martin, Grewal, & Brecher, 1996) and a 30-item computer adaptive PNT (PNT-CAT; Fergadiotis, Kellough, & Hula, 2015; Hula, Kellough, & Fergadiotis, 2015) created using item response theory (IRT) methods. Method: The full PNT and the PNT-CAT were administered to 47 participants with aphasia in counterbalanced order. Latent trait-naming ability estimates for the 2 PNT versions were analyzed in a Bayesian framework, and the agreement between them was evaluated using correlation and measures of constant, variable, and total error. We also evaluated the extent to which individual pairwise differences were credibly greater than 0 and whether the IRT measurement model provided an adequate indication of the precision of individual score estimates. Results: The agreement between the PNT and the PNTCAT was strong, as indicated by high correlation (r = .95, 95% CI [.92, .97]), negligible bias, and low variable and total error. The number of statistically robust pairwise score differences did not credibly exceed the Type I error rate, and the precision of individual score estimates was reasonably well predicted by the IRT model. Discussion: The strong agreement between the full PNT and the PNT-CAT suggests that the latter is a suitable measurement of anomia in group studies. The relatively robust estimates of score precision also suggest that the PNT-CAT can be useful for the clinical assessment of anomia in individual cases. Finally, the IRT methods used to construct the PNT-CAT provide a framework for additional development to further reduce measurement error.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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