Clinician perspectives on the assessment of short-term memory in aphasia.
Background: Verbal short-term memory (STM) and the related ability, working memory (WM), are widely understood to be integral components of language production and comprehension. However, assessment of these abilities in people with aphasia is hampered by a lack of valid, standardized measures that...
| Publicado en: | Aphasiology Vol. 35; no. 3; pp. 334 - 357 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Mar2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148981328&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148981328 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02687038 B6J jtl: Aphasiology issn: 02687038 maglogo: N pubinfo: dt: Mar2021 vid: 35 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 148981328 148981328 148981328 10.1080/02687038.2020.1712584 148981328 ppf: 334 ppct: 23 formats: tig: atl: Clinician perspectives on the assessment of short-term memory in aphasia. aug: au: Greenspan, Wendy Obermeyer, Jessica Tucker, Carole A. Grunwald, Heidi Reinert, Laura Martin, Nadine affil: Department of Communication Disorders and Sciences, Temple University, Philadelphia, PA, USA sug: subj: Speech-Language Pathologist Attitudes Evaluation Memory, Short Term Evaluation Aphasia Language Processing Human Female Male Focus Groups Semi-Structured Interview Grounded Theory Coding Psychometrics Outcome Assessment Implementation Science Thematic Analysis Female Male ab: Background: Verbal short-term memory (STM) and the related ability, working memory (WM), are widely understood to be integral components of language production and comprehension. However, assessment of these abilities in people with aphasia is hampered by a lack of valid, standardized measures that are clinically appropriate. Focusing primarily on verbal STM, we held a series of five focus groups with speech-language pathologists (SLPs) to understand better their current clinical practices and their beliefs and attitudes regarding assessment of verbal STM in aphasia. Aims: The purpose of this study was to explore the attitudes, beliefs and preferences of clinical SLPs to determine: (1) current practices related to verbal STM assessment; (2) the extent to which practices reflect current theories of aphasia and the role of verbal STM in language processing; and (3) practical considerations regarding aphasia assessment in clinical practice. Methods & Procedures: Five focus groups were conducted using a semi-structured interview protocol with a total of 44 SLPs. Grounded theory methodology was used to collect, code and analyse the data. Codes were reviewed to identify emerging themes. Themes were compared to explore meta-themes, connections and potential theoretical frameworks. Outcomes & Results: Five main themes were identified: (1) The theoretical understanding that clinical SLPs have regarding the role of verbal STM in aphasia is not always consistent with clinical practice; (2) Clinical SLPs highly value functionally relevant assessments; (3) The intense time constraints in clinical practice affect all aspects of assessment; (4) Clinical SLPs feel that there is a lack of appropriate tests for assessment of STM in aphasia; and (5) Clinical SLPs prefer tests that are comprehensive, easy to administer and psychometrically sound. Conclusions: Clinical SLPs report a lack of standardized measures to assess STM in individuals with aphasia. Researchers are met with several challenges in the development of these tests including effective communication with clinicians regarding the benefit of verbal STM assessments, especially as it relates to functional skills, and the creation of a test that is comprehensive yet simple, quick and easy to administer. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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