Auditory Comprehension Deficit in Aphasia: Assessment Plans and Data

Presented by Janet Patterson and Mary Purdy

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Video Runtime: 39 Minutes, Learning Assessments: 43 Minutes

A crucial part of a treatment program that achieves optimal outcomes for a person with aphasia is the assessment process that identifies the scope of the problem and specific aspects that may be addressed within the treatment. Successful assessment is dynamic and ongoing throughout the treatment program, not limited to an initial session. Two types of measures are typically used to assess auditory comprehension: formal and informal measures. In this course, both formal and informal measures frequently used in research and clinical settings will be reviewed for characteristics such as theoretical foundation, psychometric properties, and clinical utility. Considering limitations placed on clinical time, the discussion will include variables to consider when selecting assessment tools, and examples of how findings can guide treatment decisions. Speech-language pathologists practicing in all settings can apply information in this course.

Meet your instructors

Janet Patterson

Janet Patterson is chief of the the Audiology and Speech-Language Pathology Service at the VA in Northern California. Prior to that, she held academic positions as faculty member, associate dean, and department chair at California State University East Bay, Central Michigan University, and Michigan State University. With…

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Mary Purdy

Mary Purdy is professor emeritus at Southern Connecticut State University, where she taught courses on aphasia and related neurogenic communication disorders. She is board certified by the Academy of Neurologic Communication Disorders and Sciences and has authored articles, book chapters, and presentations related to aphasia.…

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Chapters & learning objectives

Formal and Informal Tests of Auditory Comprehension: Theoretical Foundation and Psychometric Properties

1. Formal and Informal Tests of Auditory Comprehension: Theoretical Foundation and Psychometric Properties

Successful assessment is dynamic and ongoing throughout the treatment program, not limited to an initial session. Measuring auditory comprehension is challenging in part because it cannot be observed directly but must be inferred from responses on assessment measures. Two types of measures are typically used to assess auditory comprehension. Formal measures are standardized tests, subtests from comprehensive aphasia batteries, or stand-alone tests of auditory comprehension. Informal measures are created by researchers or clinicians to meet a specific clinical need. This chapter differentiates the two types of measures and provides examples of identifying the theoretical foundation and psychometric properties of each.

Selecting Assessment Measures: Client, Clinician, and Clinical Setting Influences

2. Selecting Assessment Measures: Client, Clinician, and Clinical Setting Influences

A crucial part of a treatment program that achieves optimal outcomes for a person with aphasia is the assessment process, which identifies the scope of the problem and specific aspects that may be addressed within the treatment. This chapter discusses factors to consider when selecting assessment tools, such as client factors, clinician factors, assessment measure factors, and programmatic factors.

Auditory Comprehension Assessment Results: Interpreting Responses and Applying Results to Treatment Decisions

3. Auditory Comprehension Assessment Results: Interpreting Responses and Applying Results to Treatment Decisions

Selecting a treatment protocol is guided by assessment results. Successful implementation of this process requires consideration of factors relevant to the client, clinician, treatment protocol, clinical time limitations, and facility restrictions. Mindful, evidence-informed clinical decision-making is crucial to designing an effective and efficient treatment program. This chapter illustrates strategies for clinical decision-making and presents a checklist that will assist the clinician in designing a treatment protocol to achieve optimal outcomes.