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Development, Reliability, and Concurrent Validity of the American Sign Language Version of the Computerized Revised
Emily B Goldberg1, Sheila R Pratt1,2, Malcolm R McNeil1,2
1Department of Communication Science and Disorders, University of Pittsburgh, PA.
Journal of Speech, Language, and Hearing Research : JSLHR
|January 24, 2025
Summary
The American Sign Language version of the Computerized Revised Token Test (CRTT-ASL) shows good reliability for Deaf ASL users. This tool may help assess language processing and lexical inefficiencies in the Deaf signing population.
Area of Science:
- Linguistics
- Audiology
- Neuroscience
Background:
- Assessing language processing in Deaf individuals using American Sign Language (ASL) presents unique challenges.
- The development of culturally and linguistically appropriate assessment tools is crucial for accurate evaluation.
Purpose of the Study:
- To evaluate the test-retest reliability of the American Sign Language version of the Computerized Revised Token Test (CRTT-ASL).
- To compare language processing abilities between Deaf users of ASL and hearing users of ASL through both ASL and English modalities.
Main Methods:
- The CRTT-ASL was developed and validated. Proficient Deaf (DP) and hearing (proficient and nonproficient) ASL users completed the CRTT-ASL and an English reading version (CRTT-R-wf).
- Both tests were administered twice, with a 7-14 day interval, to determine test-retest reliability.
Main Results:
- The CRTT-ASL demonstrated acceptable test-retest reliability for the Deaf ASL user group.
- All groups exhibited adequate test-retest reliability for the CRTT-R-wf.
- Deaf ASL users performed comparably on both CRTT-ASL and CRTT-R-wf, but scored lower on the English reading test compared to hearing groups.
Conclusions:
- The CRTT-ASL appears to be a reliable tool for assessing language processing in Deaf individuals who use ASL.
- Preliminary findings support the use of CRTT-ASL in clinical and research settings for the Deaf signing population.
- The CRTT-ASL may be sensitive to specific lexical processing differences within this population.

