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The Debate on Staff Language Competences and the Use of Official Languages in the Balearic Islands Health System
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Predictors of poststroke aphasia recovery: A systematic review-informed individual participant data meta-analysis
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In: Research outputs 2014 to 2021 (2021)
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Abstract:
Background and Purpose: The factors associated with recovery of language domains after stroke remain uncertain. We described recovery of overall-language-ability, auditory comprehension, naming, and functional-communication across participants’ age, sex, and aphasia chronicity in a large, multilingual, international aphasia dataset. Methods: Individual participant data meta-analysis of systematically sourced aphasia datasets described overall-language ability using the Western Aphasia Battery Aphasia-Quotient; auditory comprehension by Aachen Aphasia Test (AAT) Token Test; naming by Boston Naming Test and functional-communication by AAT Spontaneous-Speech Communication subscale. Multivariable analyses regressed absolute score-changes from baseline across language domains onto covariates identified a priori in randomized controlled trials and all study types. Change-from-baseline scores were presented as estimates of means and 95% CIs. Heterogeneity was described using relative variance. Risk of bias was considered at dataset and meta-analysis level. Results: Assessments at baseline (median=43.6 weeks poststroke; interquartile range [4–165.1]) and first-follow-up (median=10 weeks from baseline; interquartile range [3–26]) were available for n=943 on overall-language ability, n=1056 on auditory comprehension, n=791 on naming and n=974 on functional-communication. Younger age ( < 55 years, +15.4 Western Aphasia Battery Aphasia-Quotient points [CI, 10.0–20.9], +6.1 correct on AAT Token Test [CI, 3.2–8.9]; +9.3 Boston Naming Test points [CI, 4.7–13.9]; +0.8 AAT Spontaneous-Speech Communication subscale points [CI, 0.5–1.0]) and enrollment < 1 month post-onset (+19.1 Western Aphasia Battery Aphasia-Quotient points [CI, 13.9–24.4]; +5.3 correct on AAT Token Test [CI, 1.7–8.8]; +11.1 Boston Naming Test points [CI, 5.7–16.5]; and +1.1 AAT Spontaneous-Speech Communication subscale point [CI, 0.7–1.4]) conferred the greatest absolute change-from-baseline across each language domain. Improvements in language scores from baseline diminished with increasing age and aphasia chronicity. Data exhibited no significant statistical heterogeneity. Risk-of-bias was low to moderate-low. Conclusions: Earlier intervention for poststroke aphasia was crucial to maximize language recovery across a range of language domains, although recovery continued to be observed to a lesser extent beyond 6 months poststroke.
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Keyword:
aphasia; Communication Sciences and Disorders; comprehension; demography; language; Medical Sciences; Medicine and Health Sciences; Neurosciences; survivor
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URL: https://ro.ecu.edu.au/ecuworkspost2013/10207
https://ro.ecu.edu.au/cgi/viewcontent.cgi?article=11213&context=ecuworkspost2013
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| 23 |
Patients’ experiences of a communication enhanced environment model on an acute/slow stream rehabilitation and a rehabilitation ward following stroke: A qualitative description approach
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In: Research outputs 2014 to 2021 (2021)
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Creating a theoretical framework to underpin discourse assessment and intervention in aphasia
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In: Research outputs 2014 to 2021 (2021)
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Developing person-centred goal setting resources with and for people with aphasia: A multi-phase qualitative study
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In: Research outputs 2014 to 2021 (2021)
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Management of communication disability in the first 90 days after stroke: A scoping review
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In: Research outputs 2014 to 2021 (2021)
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The ethics of patient and public involvement across the research process: Towards partnership with people with aphasia
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In: Research outputs 2014 to 2021 (2021)
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Creating a novel approach to discourse treatment through coproduction with people with aphasia and speech and language therapists
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In: Research outputs 2014 to 2021 (2021)
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Investigation of a communication enhanced environment model after stroke: A mixed methods before-and-after pilot study
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D’Souza, Sarah. - : Edith Cowan University, Research Online, Perth, Western Australia, 2021
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In: Theses: Doctorates and Masters (2021)
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| 30 |
Language abilities in children born to mothers diagnosed with diabetes: A systematic review and meta-analysis
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In: Research outputs 2014 to 2021 (2021)
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“Sometimes I feel grateful…”: Experiences of the adolescent siblings of children with autism spectrum disorder in Malaysia
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In: Research outputs 2014 to 2021 (2021)
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Self-Perception of Stuttering Frequency Across the Lifespan: A Pilot Study
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In: University Honors Theses (2021)
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Adults’ experiences with pandemic-related disruptions (Helfer et al., 2021) ...
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Relating Auditory Perception to Expressive Language in Minimally and Low-Verbal Children with ASD ...
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Adults’ experiences with pandemic-related disruptions (Helfer et al., 2021) ...
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LEO 2018 - Leben mit geringer Literalität (Scientific Use File) ... : LEO 2018 - Living with Low Literacy (Scientific Use File) ...
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LEO 2018 - Leben mit geringer Literalität (Public Use File) ... : LEO 2018 - Living with Low Literacy (Public Use File) ...
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Comparing acoustic analyses of speech data collected remotely ...
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