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The development of the Life Participation Approach to Aphasia knowledge scale and contribution to its validation
Fatimah Hani Hassan1, Brooke Hallowell2
1Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Disability and Rehabilitation
|October 1, 2024
Summary
This study developed a new LPAA Knowledge Scale to measure speech-language therapists' understanding of the Life Participation Approach to Aphasia. The validated tool demonstrates good reliability for assessing LPAA knowledge in clinical practice.
Area of Science:
- Speech-language pathology
- Neurology
- Rehabilitation science
Background:
- The Life Participation Approach to Aphasia (LPAA) emphasizes personalized intervention for individuals with aphasia.
- Understanding of LPAA among speech-language therapists (SLTs) is currently unknown.
- A validated tool is needed to assess SLTs' knowledge of LPAA for effective implementation.
Purpose of the Study:
- To develop and evaluate the validity and reliability of a novel tool assessing SLTs' knowledge of the LPAA.
- To provide a means to measure SLT comprehension of LPAA principles.
- To support the integration of LPAA into aphasia rehabilitation practices.
Main Methods:
- An initial scale was created and validated by LPAA experts.
- The scale underwent revision based on expert feedback.
- Fifty-nine SLTs completed the revised scale via an online survey platform.
Main Results:
- The LPAA Knowledge Scale demonstrated a Cronbach's alpha of 0.73.
- Removing two items improved the scale's internal consistency to an alpha of 0.80.
- The revised scale also showed an increase in total accuracy.
Conclusions:
- The LPAA Knowledge Scale is a valid and reliable instrument for measuring SLT knowledge of LPAA.
- This tool can be utilized to evaluate LPAA training effectiveness for SLTs.
- The scale serves as a self-assessment resource for SLTs to gauge their application of LPAA.

