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Aphasia Screening Test (TeRAp): Construction and Validation for European Portuguese.

José Fonseca1, Filipa Miranda2, Beatriz Stein2

  • 1Language Research Laboratory. Centro de Estudos Egas Moniz. Faculdade de Medicina. Universidade de Lisboa. Lisbon; Medical School. Universidade Politécnica de Setúbal. Setúbal; Alcoitão Medical School. Alcabideche. Portugal.

Acta Medica Portuguesa
|December 2, 2024
PubMed
Summary

A new digital Aphasia Screening Test (TeRAp) was developed for rapid diagnosis after stroke. This appWeb tool demonstrates high accuracy in identifying aphasia, aiding healthcare professionals in acute settings.

Keywords:
Aphasia/diagnosisPortugalPsychometricsReproducibility of ResultsSurveys and Questionnaires

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Area of Science:

  • Neurology
  • Speech-Language Pathology
  • Digital Health

Background:

  • Aphasia, a language disorder post-stroke, poses diagnostic challenges.
  • Acute stroke assessment requires rapid, reliable communication disorder screening.
  • Existing methods may be time-consuming or unsuitable for bedridden patients.

Purpose of the Study:

  • To develop a digital Aphasia Screening Test (TeRAp) in an appWeb format.
  • To evaluate the clinimetric properties of the TeRAp screening tool.
  • To provide a validated screening instrument for early aphasia detection.

Main Methods:

  • Developed TeRAp as an appWeb tool assessing core language areas.
  • Compared performance of individuals with aphasia against healthy controls.
  • Included control groups with dysarthria and mild cognitive impairment for differential diagnosis.

Main Results:

  • The TeRAp screening test achieved ceiling values across all assessed areas.
  • Demonstrated exceptional sensitivity (1.0) for detecting aphasia.
  • Exhibited high specificity (0.99) in differentiating aphasia from other conditions.

Conclusions:

  • An online aphasia screening test (TeRAp) has been successfully developed.
  • The test shows excellent sensitivity and specificity.
  • TeRAp is a valuable tool for any healthcare professional assessing communication disorders.