Discourse-Level Communication Success in Aphasia: Unveiling Its Significance through Observer's Ratings.

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  • Additional Information
    • Source:
      Publisher: Thieme Stratton Country of Publication: United States NLM ID: 8405117 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1098-9056 (Electronic) Linking ISSN: 07340478 NLM ISO Abbreviation: Semin Speech Lang Subsets: MEDLINE
    • Publication Information:
      Publication: New York Ny : Thieme Stratton
      Original Publication: [New York, N.Y.] : Thieme-Stratton, [c1983-
    • Subject Terms:
      Aphasia*/therapy ; Communication*; Humans
    • Abstract:
      Audrey Holland (1982) compared test scores to observers' ratings of conversational communicative success in people with aphasia (PWA). This springboarded a body of evidence employing observers to rate discourse. We review the utility of those ratings for assessing PWA's communication success. A traditional literature review identified 16 articles involving naive or trained raters assessing PWAs' communicative success across discourse genres. Another 10 articles reported ratings over time. Collectively, these studies evaluated 349 PWAs. Four studies utilized observers to rate the success of PWA's conversations. Eight studies that reported observers' ratings on other discourse genres found that multimodal communication and facilitative contexts improved success, and ratings of informativeness and comfort related to objective discourse analysis measures. Nine of 10 studies examining treatment effects found that communicative success ratings captured improvements. Observers' ratings provide social validity by reliably assessing the discourse-level communicative success of PWA. Ratings correlated with standardized diagnostic and objective discourse metrics but provided a window into factors that affect communicative success, including the degree to which communication is interactive, multimodal, and contextual. Integrating observers' ratings of discourse success at pretreatment may help identify supports or barriers to successful communication, facilitate individualization of treatments, and offer social validity of change.
      Competing Interests: A.E.R., A.L.R., and K.J.G. declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
      (Thieme. All rights reserved.)
    • Publication Date:
      Date Created: 20241003 Date Completed: 20241028 Latest Revision: 20241111
    • Publication Date:
      20241112
    • Accession Number:
      10.1055/s-0044-1789622
    • Accession Number:
      39362267