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Development and diagnostic validation of the Brisbane Evidence-Based Language Test
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McCracken, Molly; Rohde, Alexia; Lawson, Nadin; Godecke, Erin; Doi, Suhail A.; Wong, Andrew; Cremer, Rebecca; Worrall, Linda; O'Halloran, Robyn; Farrell, Anna
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In: Research outputs 2014 to 2021 (2022)
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Abstract:
Purpose: To describe the development and determine the diagnostic accuracy of the Brisbane Evidence-Based Language Test in detecting aphasia. Methods: Consecutive acute stroke admissions (n = 100; mean = 66.49y) participated in a single (assessor) blinded cross-sectional study. Index assessment was the ∼45 min Brisbane Evidence-Based Language Test. The Brisbane Evidence-Based Language Test is further divided into four 15–25 min Short Tests: two Foundation Tests (severe impairment), Standard (moderate) and High Level Test (mild). Independent reference standard included the Language Screening Test, Aphasia Screening Test, Comprehensive Aphasia Test and/or Measure for Cognitive-Linguistic Abilities, treating team diagnosis and aphasia referral post-ward discharge. Results: Brisbane Evidence-Based Language Test cut-off score of ≤ 157 demonstrated 80.8% (LR+ =10.9) sensitivity and 92.6% (LR− =0.21) specificity. All Short Tests reported specificities of ≥ 92.6%. Foundation Tests I (cut-off ≤ 61) and II (cut-off ≤ 51) reported lower sensitivity (≥ 57.5%) given their focus on severe conditions. The Standard (cut-off ≤ 90) and High Level Test (cut-off ≤ 78) reported sensitivities of ≥ 72.6%. Conclusion: The Brisbane Evidence-Based Language Test is a sensitive assessment of aphasia. Diagnostically, the High Level Test recorded the highest psychometric capabilities of the Short Tests, equivalent to the full Brisbane Evidence-Based Language Test. The test is available for download from brisbanetest.org. Implications for rehabilitation: Aphasia is a debilitating condition and accurate identification of language disorders is important in healthcare. Language assessment is complex and the accuracy of assessment procedures is dependent upon a variety of factors. The Brisbane Evidence-Based Language Test is a new evidence-based language test specifically designed to adapt to varying patient need, clinical contexts and co-occurring conditions. In this cross-sectional validation study, the Brisbane Evidence-Based Language Test was found to be a sensitive measure for identifying aphasia in stroke.
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Keyword:
Aphasia; diagnosis; evidence-based; Medicine and Health Sciences; sensitivity and specificity; stroke; test
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URL: https://ro.ecu.edu.au/ecuworkspost2013/8392 https://ro.ecu.edu.au/cgi/viewcontent.cgi?article=9398&context=ecuworkspost2013
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Psychometric Properties of the Spanish Version of the Highly Sensitive Child Scale: The Parent Version
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In: International Journal of Environmental Research and Public Health; Volume 19; Issue 5; Pages: 3101 (2022)
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Development of a Computational Tool for the Estimation of Alveolar Bone Loss in Oral Radiographic Images
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In: Computation; Volume 10; Issue 1; Pages: 8 (2022)
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Psychometric Properties of the Spanish Version of the Highly Sensitive Child Scale: The Parent Version
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Some syntactic properties of psychological adverbs in Japanese
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In: Proceedings of the Linguistic Society of America; Vol 7, No 1 (2022): Proceedings of the Linguistic Society of America; 5251 ; 2473-8689 (2022)
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Simulating Visibility and Reading Performance in Low Vision
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In: ISSN: 1662-4548 ; EISSN: 1662-453X ; Frontiers in Neuroscience ; https://hal.inria.fr/hal-03521077 ; Frontiers in Neuroscience, Frontiers, 2021, 15, ⟨10.3389/fnins.2021.671121⟩ (2021)
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STUDENT ACHIEVEMENT INDICATORS AT DEFENSE LANGUAGE INSTITUTE FOREIGN LANGUAGE CENTER
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Sensory and methodological aspects in biomechanical research of postural control and clinical fields of application
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Developing Multilingualism-Sensitive Teaching Competence in an Online Training Programme for In-Service Language Teachers ...
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Direct test of Vicente’s (2015) hypothesis concerning the polysemy of nouns in context-shifting experiments with utterances involving color ascriptions ...
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Talking with ‘Others’ Experiences and perspective transformation in a short-term study abroad program
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Proof-of-Concept of a Sensor-Based Evaluation Method for Better Sensitivity of Upper-Extremity Motor Function Assessment
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In: Sensors ; Volume 21 ; Issue 17 (2021)
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Developing Multilingualism-Sensitive Teaching Competence in an Online Training Programme for In-Service Language Teachers
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Sensitivity and specificity of an acoustic- and perceptual-based tool for assessing motor speech disorders in French: the MonPaGe-screening protocol
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In: ISSN: 0269-9206 ; Clinical Linguistics and Phonetics (2021) pp. 1-16 (2021)
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A Mixed-Methods Study of Eating Behaviours and Mealtime Experiences in Relation to Young People with Tourette Syndrome
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Predicting User Response and Support Activities in Virtual Health Support Communities
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Cultural competency and sensitivity in the curriculum for palliative care professionals: a survey in Switzerland.
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In: BMC medical education, vol. 21, no. 1, pp. 318 (2021)
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