Measuring Life Participation, Communicative Confidence, Language, and Cognition in People With Aphasia This study investigated change in life participation in people with aphasia (PWA) before and after a stroke from their perspectives. Language, cognitive, and communicative confidence factors that may affect PWA's life participation outcomes were examined. Thirty-three adults with chronic aphasia (mild to very severe) completed three aphasia-friendly patient-reported measures: two ... Article
Article  |   May 11, 2018
Measuring Life Participation, Communicative Confidence, Language, and Cognition in People With Aphasia
Author Affiliations & Notes
  • Hsinhuei Sheen Chiou
    Speech, Hearing & Rehabilitation Services, Minnesota State University Mankato, Mankato, MN
  • Vickie Y. Yu
    Department of Communication Disorders and Sciences, California State University Northridge, Northridge, CA
  • Disclosures
    Disclosures ×
  • Financial: Hsinhuei Sheen Chiou has no relevant financial interests to disclose. Vickie Y. Yu has no relevant financial interests to disclose.
    Financial: Hsinhuei Sheen Chiou has no relevant financial interests to disclose. Vickie Y. Yu has no relevant financial interests to disclose.×
  • Nonfinancial: Hsinhuei Sheen Chiou has no relevant nonfinancial interests to disclose. Vickie Y. Yu has no relevant nonfinancial interests to disclose.
    Nonfinancial: Hsinhuei Sheen Chiou has no relevant nonfinancial interests to disclose. Vickie Y. Yu has no relevant nonfinancial interests to disclose.×
Article Information
Special Populations / Language Disorders / Aphasia / Attention, Memory & Executive Functions / Part 1
Article   |   May 11, 2018
Measuring Life Participation, Communicative Confidence, Language, and Cognition in People With Aphasia
Perspectives of the ASHA Special Interest Groups, May 2018, Vol. 3, 4-12. doi:10.1044/persp3.SIG2.4
History: Received August 17, 2017 , Revised December 18, 2017 , Accepted April 2, 2018
Perspectives of the ASHA Special Interest Groups, May 2018, Vol. 3, 4-12. doi:10.1044/persp3.SIG2.4
History: Received August 17, 2017; Revised December 18, 2017; Accepted April 2, 2018

This study investigated change in life participation in people with aphasia (PWA) before and after a stroke from their perspectives. Language, cognitive, and communicative confidence factors that may affect PWA's life participation outcomes were examined. Thirty-three adults with chronic aphasia (mild to very severe) completed three aphasia-friendly patient-reported measures: two versions of the Assessment for Living with Aphasia–Revised (Kagan et al., 2014) for assessing life participation, and the Communication Confidence Rating Scale for Aphasia (Babbitt, Heinemann, Semik, & Cherney, 2011) for assessing and communicative confidence); and two impairment-based standardized language (Western Aphasia Battery–Revised; Kertesz, 2006) and cognitive (Cognitive Linguistic Quick Test; Helm-Estabrooks, 2001) measures. Statistical analyses included descriptive statistics, paired sample t tests, one-way analysis of variance, and Pearson correlation. The results indicated that living with aphasia impacts aspects of life participation concerning quality of life, including communication difficulties, reducing participation at home and community, increasing environmental barriers, and negatively impacting personal attitude. Independent of aphasia severity, it was found that PWA's perception of their own life is affected by their cognitive ability and communicative confidence level. In addition, the importance of aphasia-friendly, patient-reported measures and cognitive evaluation was discussed.

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