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Comprehensive Assessment of Reading in Aphasia (CARA) reading questionnaire-German version
Sarah-Maria Thumbeck1, Janet Webster2, Frank Domahs1
1Department of Linguistics, University of Erfurt, Erfurt, Germany.
International Journal of Language & Communication Disorders
|April 20, 2023
Summary
This study translated and validated the Comprehensive Assessment of Reading in Aphasia (CARA) questionnaire for German speakers with aphasia (PWA). The German CARA shows good reliability and sensitivity for assessing reading difficulties and tracking therapy progress.
Area of Science:
- Neuroscience
- Speech and Language Therapy
- Psychometrics
Background:
- Reading comprehension deficits are common in persons with aphasia (PWA).
- Assessing individual reading difficulties and everyday reading activities is crucial for speech and language therapists (SLTs) in goal-setting and outcome measurement.
- The English Comprehensive Assessment of Reading in Aphasia (CARA) questionnaire is a person-centred tool, but no German equivalent exists.
Purpose of the Study:
- To translate and culturally adapt the CARA reading questionnaire into German.
- To evaluate the practicability and acceptance of the German CARA.
- To determine the psychometric properties of the German version for use with German-speaking PWA.
Main Methods:
- Translation and adaptation followed established guidelines, including forward translations, merging, back-translation, and pilot testing with PWA.
- The German CARA was administered to 22 German-speaking PWA multiple times during an intervention study.
- Psychometric properties analyzed included retest reliability (Spearman correlation), internal consistency (Cronbach's alpha), and responsiveness (standardized response mean).
Main Results:
- The German CARA demonstrated good practicability and acceptance among German-speaking PWA.
- The questionnaire showed appropriate validity, reliability, and sensitivity for measuring therapy-induced changes in reading perception.
- Moderate correlations were found between CARA outcomes and text-level reading speed.
Conclusions:
- The German CARA is a valuable tool for SLTs to assess individual reading perceptions and relevant activities in German-speaking PWA.
- It aids in intervention planning, goal-setting, and measuring self-reported progress, demonstrating individual recovery or treatment effects.
- Reading speed may serve as an indicator of perceived reading difficulty, suggesting its consideration in reading interventions and assessments.
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