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- Title
- Development of the Tagalog Version of the Western Aphasia Battery-Revised.
- Creator
-
Ozaeta, Carmina, Kong, Pak Hin, Whiteside, Janet, Ryalls, John, University of Central Florida
- Abstract / Description
-
There has been limited research done in the Philippines in the area of aphasia, a frequent concomitant symptom of strokes and presents as impairment in any area of the input and output of language. Diagnosis is generally conducted by clinicians based on sites of lesion of speakers with aphasia and clinical observations of language symptoms and unpublished translation of the WAB. The lack of relevant research and formal assessment tools in the Philippines motivated this current study. The...
Show moreThere has been limited research done in the Philippines in the area of aphasia, a frequent concomitant symptom of strokes and presents as impairment in any area of the input and output of language. Diagnosis is generally conducted by clinicians based on sites of lesion of speakers with aphasia and clinical observations of language symptoms and unpublished translation of the WAB. The lack of relevant research and formal assessment tools in the Philippines motivated this current study. The development of this type of assessment battery for the Tagalog (pronounced /t?????l??/ in English) speaking population will provide a means for differential diagnosis of acquired neurogenic communication disorders.The goal of this study is to develop a Tagalog version of the Western Aphasia Battery (-) Revised (WAB-R; Kertesz, 2006). The WAB-R was chosen as the basis for the development of the T-WAB-R due to the researched, validated and standardized nature of the battery for use with assessing the severity and type of aphasia through score profiles. This battery provides clinicians with a comprehensive evaluation of language skills in English and is projected to do the same in Tagalog. Given the lack of normative data on the Tagalog speaking population on this test, the current study establishes the normative data of the T-WAB-R from native speakers of Tagalog, encompassing external factors of gender (e.g. male and female) and stratified into three age groups (e.g., 20-39; 40-60; 61+ years old). A full-scale development of the battery will provide a means for differential diagnosis of acquired neurogenic communication disorders in the Tagalog-speaking population.
Show less - Date Issued
- 2012
- Identifier
- CFE0004421, ucf:49402
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0004421
- Title
- THE PSYCHOSOCIAL EFFECTS OF APHASIA ON THE CAREGIVER.
- Creator
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Ferrara, Lauren A, Whiteside, Janet D., Wharton, Tracy; Zraick, Richard, University of Central Florida
- Abstract / Description
-
Studies have investigated the physical and emotional wellbeing of family members and spouses who care for persons with stroke (Bakas, et al. 2006). Literature shows burden of care is high in role reversal and depression is frequent. Variables that affect the caregiver burden with persons with aphasia (PWA) have not been identified prior to this study. Results from caregiver interviews found six themes, some which have not been identified prior, such as feelings of optimism.
- Date Issued
- 2017
- Identifier
- CFH2000175, ucf:45968
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000175
- Title
- THE EFFECT OF APHASIA ON QUALITY OF LIFE, COPING STYLE, AND RESILIENCE.
- Creator
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Hernandez, Nelson J, Whiteside, Janet D., University of Central Florida
- Abstract / Description
-
Approximately one million people in the United States suffer from aphasia. There are multiple types of aphasia, however they are usually placed into two categories: non-fluent or fluent. The psychosocial factors that are impacted due to the type of aphasia has not been systematically investigated. The purpose of this study is to examine how non-fluent and fluent Individuals With Aphasia (IWA) compare or contrast across three psychosocial factors, Quality of Life (QoL), coping style, and...
Show moreApproximately one million people in the United States suffer from aphasia. There are multiple types of aphasia, however they are usually placed into two categories: non-fluent or fluent. The psychosocial factors that are impacted due to the type of aphasia has not been systematically investigated. The purpose of this study is to examine how non-fluent and fluent Individuals With Aphasia (IWA) compare or contrast across three psychosocial factors, Quality of Life (QoL), coping style, and resilience. The World Health Quality of Life- BREF (WHOQOL-BREF), Assimilative-Accommodative Coping Scale (AACS), and the Connor-Davidson Resilience Scale-10 item version (CD-RISC-10), were administered once to 24 subjects with a diagnosis of aphasia. Four of the subjects were excluded after administration, due to incompletion of questionnaire or not meeting inclusion criteria. A cross sectional multivariate analysis of variance (MANOVA) study design was utilized with a separate one-way analysis of variance (ANOVA) utilized to analyze each domain and scale individually. Results from the MANOVA analysis showed no statistically significant difference between non-fluent and fluent IWA when considered jointly among the three Likert scales. However, a separate ANOVA was conducted for each scale individually and showed a statistically significant difference between fluent and non-fluent IWA in the domains of Social Relationships and Environment for the WHOQOL-BREF scale. There was no statistically significant difference discovered among the other domains and scales. In conclusion, the significant difference found between fluent and non-fluent IWA in the domains of Social Relationships and Environment, may be due to the majority of the fluent IWA being categorized as anomic, a higher functioning form of aphasia. Whereas the majority of non-fluent IWA were categorized as having Broca's aphasia, which greatly affects speech output and, in six out of nine participants, hemiplegia was noted. Future research may want to take into account the severity of aphasia when comparing and contrasting non-fluent and fluent IWA.
Show less - Date Issued
- 2016
- Identifier
- CFH2000147, ucf:46038
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000147
- Title
- Caregiver-proxy and individual with aphasia self-report agreement on the modified perceived stress scale and mutuality scale.
- Creator
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Hernandez, Nelson, Wilson, Lauren Bislick, Engelhoven, Amy, Hunting Pompon, Rebecca, Troche, Joshua, University of Central Florida
- Abstract / Description
-
The level of agreement proxy-caregivers have with individuals with aphasia (IWAs) on a measure of perceived stress has yet to be systematically investigated. According to the extant literature, there is less agreement on psychosocial domains between proxy-caregivers and IWAs. In addition, high levels of mutuality have been strongly associated with low levels of stress in stroke survivors; however, these studies are not been specific to IWAs. The proposed study sought to examine the degree of...
Show moreThe level of agreement proxy-caregivers have with individuals with aphasia (IWAs) on a measure of perceived stress has yet to be systematically investigated. According to the extant literature, there is less agreement on psychosocial domains between proxy-caregivers and IWAs. In addition, high levels of mutuality have been strongly associated with low levels of stress in stroke survivors; however, these studies are not been specific to IWAs. The proposed study sought to examine the degree of agreement between proxy-caregiver reports and IWAs' perceived stress using a modified stress scale specifically for IWAs. This study also examined the relationship between perceived stress and mutuality of the relationship between the caregiver and IWAs. The modified Perceived Stress Scale (mPSS), a proxy version of the mPSS, and the Mutuality Scale (MS) were administered to 12 dyads. An independent sample t-test was conducted to determine if there were significant differences in perceived stress and mutuality as reported by the caregiver, proxy-caregiver and IWA. A Pearson correlation was performed to determine the level of agreement across questionnaires. Results show a moderate correlation on mPSS ratings between the proxy-caregiver and IWA. On average, proxy ratings on the mPSS were significantly higher than reports from IWAs. There was strong agreement on mutuality among the dyads and a moderate correlation between mutuality agreement and proxy agreement. Finally, there was a moderate correlation between the caregiver's mPSS score and increased disagreement between the proxy-caregiver and the IWA's mPSS score. These findings suggest a moderate agreement on perceived stress among caregivers and IWAs. Differences in agreement on perceived stress for proxy-caregiver and IWAs were minimized when perceived mutuality between the dyads were high. Further, caregivers were more likely to overestimate the perceived stress of IWAs when their own mPSS ratings were high. Study limitations and future directions are also discussed.
Show less - Date Issued
- 2019
- Identifier
- CFE0007652, ucf:52464
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007652
- Title
- EXPLORING SUPPORTED CONVERSATION WITH FAMILIAL CAREGIVERS OF PERSONS WITH MEMORY IMPAIRMENT: A PILOT STUDY.
- Creator
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Willis, Arielle, Whiteside, Janet, University of Central Florida
- Abstract / Description
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Teaching conversational strategies has been effective for a wide array of clients with acquired neurologic disorders and their caregivers. Research indicates positive results for Supported Conversation in adults with Aphasia (SCA) secondary to stroke. Applying this method to work with caregivers of persons with memory impairment could prove to be a valid intervention tool. This investigation will examine the applicability of SCA with persons with memory impairment and their familial...
Show moreTeaching conversational strategies has been effective for a wide array of clients with acquired neurologic disorders and their caregivers. Research indicates positive results for Supported Conversation in adults with Aphasia (SCA) secondary to stroke. Applying this method to work with caregivers of persons with memory impairment could prove to be a valid intervention tool. This investigation will examine the applicability of SCA with persons with memory impairment and their familial caregivers. This pilot study is intended to create a conversation regarding SCA and its implementation with persons with memory impairment who still live in the community with their caregivers. Analysis between the pre-training and post-training scores showed a trend to wards significance for Time (F(1, 9) = 0.064), no significance for Measure (F(3, 9) = 0.558), and no significance for the interaction of Time*Measure (F(3, 9) = 0.276). The effect size for Time was 0.732, for Measure was 0.494 and for Time*Measure was 0.956.
Show less - Date Issued
- 2016
- Identifier
- CFH2000139, ucf:46044
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000139
- Title
- Macrolinguistic Analysis of Discourse Production in people with Aphasia, individuals with Mild Cognitive Impairment, and Survivors of Traumatic Brain Injury.
- Creator
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Eaton, Stephanie, Kong, Anthony Pak Hin, Wilson, Lauren Bislick, Rosa-Lugo, Linda, University of Central Florida
- Abstract / Description
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This study examined the macrolinguistic features of three genres (single picture description, sequential picture description, and story retell) of discourse samples collected from participants with acquired communication disorders (including two speakers with aphasia, two with mild cognitive impairment, and two with traumatic brain injury) and unimpaired controls (n=6). Comparisons were made to investigate group and genre differences. Standardized assessment scores of cognitive and linguistic...
Show moreThis study examined the macrolinguistic features of three genres (single picture description, sequential picture description, and story retell) of discourse samples collected from participants with acquired communication disorders (including two speakers with aphasia, two with mild cognitive impairment, and two with traumatic brain injury) and unimpaired controls (n=6). Comparisons were made to investigate group and genre differences. Standardized assessment scores of cognitive and linguistic evaluations were collected and correlated to features of macrolinguistic discourse analysis.Participants with acquired communication disorders performed best on the story retell discourse task compared to single picture description and sequential picture description. Significant measures for story retell task include lexical efficiency, time efficiency, and Main Concept score. No significant difference was found on performance between single-picture description task and sequential picture description for participants with acquired communication disorders. The Main Concept Analysis presented with the strongest correlation to macrolinguistic features of analysis. These preliminary findings suggest that main concept score is a predominant indicator of the overall informativeness and macrostructure of a speaker's discourse.
Show less - Date Issued
- 2019
- Identifier
- CFE0007799, ucf:52341
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007799
- Title
- Readability of Patient-Reported Outcome Measures for Persons with Aphasia.
- Creator
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Gray, Sara, Wilson, Lauren Bislick, Engelhoven, Amy, Zraick, Richard, University of Central Florida
- Abstract / Description
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The relationship between positive health outcomes in persons with aphasia (PWA) and personcentered care is highlighted by personally relevant information obtained directly from the PWA. Such is often facilitated via patient reported outcome measures (PROMs). In order to provide accurate responses to PROMs, PWAs must to read, comprehend, formulate and generate answersto a variety of questions. PROMs designed for other clinical populations assessed/treated by speech-language pathologists have...
Show moreThe relationship between positive health outcomes in persons with aphasia (PWA) and personcentered care is highlighted by personally relevant information obtained directly from the PWA. Such is often facilitated via patient reported outcome measures (PROMs). In order to provide accurate responses to PROMs, PWAs must to read, comprehend, formulate and generate answersto a variety of questions. PROMs designed for other clinical populations assessed/treated by speech-language pathologists have been found to be largely unreadable. Despite the significant role of PROMs in assessment and management of aphasia, no study to date has examined the readability of these measures. Four readability formulae were applied to identified PROMs for PWAs. These formulae estimate readability in terms of reading grade level and provide additional, quantitative information regarding textual elements such as syllable, word, and sentence length, complexity, and frequency. Fourteen PROMs were identified, per review of extant literature. A Macintosh-based readability software program was used to perform readability analyses. Additional metrics of clinical utility were applied to the selected measures via the Clinical Utility Scale. Results indicate that, on average, PROMs designed for PWAs are written at an eighth-grade reading level which is discordant with fourth-to-sixth reading gradelevel recommendations set forth by health literacy experts. Scores derived from the Clinical Utility Scale highlight the disconnect among measures that are easy to implement but are unreadable. Further analysis indicates that syllable-, word-, and sentence-level complexities can also impact the difficulty of analyzed texts. Results of the present study are consistent with prior PROM analyses performed across a variety of clinical populations assessed/treated by speech-language pathologists. Clinical implications and limitations of the present study are discussed as well as directions for further research.
Show less - Date Issued
- 2019
- Identifier
- CFE0007462, ucf:52661
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007462
- Title
- VOICE ONSET TIME PRODUCTION IN INDIVIDUALS WTH ALZHEIMER'S DISEASE.
- Creator
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Baker, Julie Baker, Ryalls, Jack, University of Central Florida
- Abstract / Description
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In the present study, voice onset time (VOT) measurements were compared between a group of individuals with moderate Alzheimer's disease (AD) and a group of healthy age- and gender-matched peers. Participants read a list of consonant-vowel-consonant (CVC) words, which included the six stop consonants. Recordings were gathered and digitized. The VOT measurements were made from oscillographic displays obtained from the Brown Laboratory Interactive Speech System (BLISS) implemented on an IBM...
Show moreIn the present study, voice onset time (VOT) measurements were compared between a group of individuals with moderate Alzheimer's disease (AD) and a group of healthy age- and gender-matched peers. Participants read a list of consonant-vowel-consonant (CVC) words, which included the six stop consonants. Recordings were gathered and digitized. The VOT measurements were made from oscillographic displays obtained from the Brown Laboratory Interactive Speech System (BLISS) implemented on an IBM-compatible computer. VOT measures for the participants' six stop consonant productions were subjected to statistical analysis. The results of the study indicated that differences in VOT values were not statistically significant in the speakers with Alzheimer's disease from the normal control speakers.
Show less - Date Issued
- 2006
- Identifier
- CFE0001269, ucf:46918
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0001269
- Title
- THE ROLE OF STRESS IN THE DIFFERENTIAL DIAGNOSIS OF APRAXIA OF SPEECH AND APHASIA.
- Creator
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Ferranti, Jennifer G, Troche, Joshua, Bislick-Wilson, Lauren, University of Central Florida
- Abstract / Description
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The intent of this thesis is to explore and develop the quantification of AOS features, particularly the deficits of prosodic elements, lexical stress and duration. This study investigated whether PVI can be used as a sensitive tool for the differential diagnosis of AOS. Specifically, we sought to determine whether analysis of vowel length of stressed and unstressed syllables is helpful in differentiating between individuals with AOS and aphasia versus aphasia alone. Significant differences...
Show moreThe intent of this thesis is to explore and develop the quantification of AOS features, particularly the deficits of prosodic elements, lexical stress and duration. This study investigated whether PVI can be used as a sensitive tool for the differential diagnosis of AOS. Specifically, we sought to determine whether analysis of vowel length of stressed and unstressed syllables is helpful in differentiating between individuals with AOS and aphasia versus aphasia alone. Significant differences support the hypothesis that PVI, analyzed from vowel length, is uniquely affected in AOS. This yields reason for further research in prosodic deficits in differential diagnosis, as well as application of this theory for a speech-language pathologist.
Show less - Date Issued
- 2018
- Identifier
- CFH2000388, ucf:45746
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000388
- Title
- PHONETIC AND ACOUSTIC ANALYSES OF TWO NEW CASES OF FOREIGN ACCENT SYNDROME.
- Creator
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Perkins, Rosalie, Ryalls, Jack, University of Central Florida
- Abstract / Description
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This study presents detailed phonetic and acoustic analyses of the speech characteristics of two new cases of Foreign Accent Syndrome (FAS). Participants include a 48-year-old female who began speaking with an "Eastern European" accent following a traumatic brain injury, and a 45-year-old male who presented with a "British" accent following a subcortical cerebral vascular accident (CVA). Identical samples of the participants' pre- and post-morbid speech were obtained, thus affording a new...
Show moreThis study presents detailed phonetic and acoustic analyses of the speech characteristics of two new cases of Foreign Accent Syndrome (FAS). Participants include a 48-year-old female who began speaking with an "Eastern European" accent following a traumatic brain injury, and a 45-year-old male who presented with a "British" accent following a subcortical cerebral vascular accident (CVA). Identical samples of the participants' pre- and post-morbid speech were obtained, thus affording a new level of control in the study of Foreign Accent Syndrome. The speech tasks consisted of oral readings of the Grandfather Passage and 18 real words comprised of the stop consonants /p/, /t/, /k/, /b/, /d/, /g/ combined with the peripheral vowels /i/, /a/ and /u/ and ending in a voiceless stop. Computer-based acoustic measures included: 1) voice onset time (VOT), 2) vowel durations, 3) whole word durations, 4) first, second and third formant frequencies, and 5) fundamental frequency. Formant frequencies were measured at three points in the vowel duration: a) 20%, b) 50%, and c) 80% to assess differences in vowel 'onglides' and 'offglides'. The phonetic analysis provided perceptual identification of the major phonetic features associated with the foreign quality of participant's FAS speech, while acoustic measures allowed precise quantification of these features. Results indicated evidence of backing of consonant and vowel productions for both participants. The implications for future research and clinical applications are also considered.
Show less - Date Issued
- 2007
- Identifier
- CFE0001916, ucf:47488
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0001916
