Assessing Relative Linguistic Impairment With Model-Based Item Selection.

Purpose: A picture naming test is presented that reveals impairment to specific mechanisms involved in the naming process, using accuracy scores on curated item sets. A series of psychometric validation experiments are reported. Method: Using a computational model that enables estimation of item dif...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 67; no. 8; pp. 2600 - 2620
Autores principales: Walker, Grant M., Fridriksson, Julius, Hickok, Gregory
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Aug2024
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2024
      vid: 67
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      pub: American Speech-Language-Hearing Association
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        10.1044/2024_JSLHR-23-00439
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        atl: Assessing Relative Linguistic Impairment With Model-Based Item Selection.
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        au:
          Walker, Grant M.
          Fridriksson, Julius
          Hickok, Gregory
        affil:
          Department of Cognitive Sciences, University of California, Irvine
          Department of Communication Sciences and Disorders, University of South Carolina, Columbia
          Department of Language Science, University of California, Irvine
      su:
        Cross-sectional method
        Computer simulation
        Task performance
        Speech
        Linguistics
        Psycholinguistics
        Psychometrics
        Stroke
        Research funding
        Academic medical centers
        T-test (Statistics)
        Questionnaires
        Research evaluation
        Descriptive statistics
        Magnetic resonance imaging
        Apraxia
        Crossover trials
        Statistical reliability
        Speech evaluation
        Visual perception
        Speech perception
        Data analysis software
        Speech therapy
        Inter-observer reliability
        Regression analysis
        Disease complications
      sug:
        subj:
          Cross-sectional method
          Computer simulation
          Task performance
          Speech
          Linguistics
          Psycholinguistics
          Psychometrics
          Stroke
          Diagnostic Imaging Centers
          Research funding
          Academic medical centers
          T-test (Statistics)
          Questionnaires
          Research evaluation
          Descriptive statistics
          Magnetic resonance imaging
          Apraxia
          Crossover trials
          Statistical reliability
          Speech evaluation
          Visual perception
          Speech perception
          Data analysis software
          Speech therapy
          Inter-observer reliability
          Regression analysis
          Disease complications
      ab: Purpose: A picture naming test is presented that reveals impairment to specific mechanisms involved in the naming process, using accuracy scores on curated item sets. A series of psychometric validation experiments are reported. Method: Using a computational model that enables estimation of item difficulty at the lexical and sublexical stages of word retrieval, two complimentary sets of items were constructed that challenge the respective psycholinguistic levels of representation. The difference in accuracy between these item sets yields the relative linguistic impairment (RLI) score. In a cohort of 91 people with chronic left-hemisphere stroke who enrolled in a clinical trial for anomia, we assessed psychometric properties of the RLI score and then used the new scale to make predictions about other language behaviors, lesion distributions, and functional activation during naming. Results: RLI scores had adequate psychometric properties for clinical significance. RLI scores contained predictive information about spontaneous speech fluency, over and above accuracy. A dissociation was observed between performance on the RLI item sets and performance on the subtests of an independent language battery. Sublexical RLI was significantly associated with apraxia of speech and with lesions encompassing perisylvian regions, while lexical RLI was associated with lesions to deep white matter. The RLI construct was reflected in functional brain activity during naming, independent of overall accuracy, with a respective shift of activation between dorsal and ventral networks responsible for different aspects of word retrieval. Conclusion: The RLI assessment satisfies the psychometric requirements to serve as a useful clinical measure.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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