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在发短信中交易交换的有效性和可靠性对于失言症评级尺度

Jaime B Lee¹, Jamie H Azios², Gerasimos Fergadiotis³

¹Department of Communication Sciences and Disorders, University of Utah, Salt Lake City.

Journal of speech, language, and hearing research : JSLHR

|October 29, 2025

概括

对口症发短信的交易性交换 (TEXT-A) 评级表显示了对评估口症患者发短信能力的卓越可靠性和有效性. 这种工具对于针对短信通信的康复工作至关重要.

科学领域:

语音和语言病理学语言病理学
神经康复疗法神经康复疗法
临床评估工具临床评估工具

背景情况:

短信是患有失言症 (PWA) 个体的重要沟通方法.
经常是慢性发音障碍,需要可靠的工具来评估功能性沟通技巧,如短信.
现有的评估方法可能无法充分捕捉PWA基于文本的通信细微差别.

研究的目的:

为了评估Transactional EXchanges in Texting for Aphasia (TEXT-A) 评级表中的评级机构之间的可靠性,内部一致性和标准有效性.
建立TEXT-A作为可靠的工具,用于测量中风后失语症患者的短信能力.

主要方法:

60名患有中风后失语症的人参与了这项研究,使用TEXT-A尺度 (分数为0-2) 评价发短信脚本的表现.
使用Krippendorff的alpha进行了评估,以评估Interrater的可靠性.
内部一致性是使用最大下界和克朗巴赫α来确定的,而标准有效性则是通过斯皮尔曼相关性对西非亚法西亚电池修订 (WAB-R) 评分 (AQ,LQ,写作子级) 进行评估的.

主要成果:

发现了卓越的雷达间可靠性,平均克里多夫α为0.902.2.
可接受的内部一致性是由最大的下界 (.736) 和Cronbach的α (.73) 表示的.
通过TEXT-A分数与WAB-R AQ (.58),LQ (.73) 和写作子级 (.73) 分数 (所有p < .001) 之间的显著相关性,证明了中度至强度的标准有效性.

结论:

TEXT-A评级尺度表现出卓越的评级者间可靠性,可接受的内部一致性,以及在更大,多样化的PWA样本中中等到强的标准有效性.
研究结果支持使用 TEXT-A 作为一个有效和可靠的测量方法来评估失语症患者的短信能力.
TEXT-A尺度可以为旨在改善PWA的短信通信的康复策略提供信息.

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