Assessments Flashcards

1
Q

Name some standardised assessments for Aphasia?

A
  • Screener
  • Comprehensive battery (eg WAB - Western Aphasia Battery)
  • Specific Language / Speech Areas (eg PALPA - Psycholinguistic Assessment of Language Processing in Aphasia)
  • Activity & QoL/Mood (eg SAQOL-39 - Stroke & Aphasia Quality of Life Scale; CETI - Communication Effectiveness Index)
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2
Q

Name some standardised assessments for AOS

A
  • Screener → AOS Screener (Duffy)
  • Comprehensive Battery → Apraxia Battery for Adults (ABA-2)
  • Activity & QoL/Mood → SAQOL-39 (Stroke & Aphasia Quality of Life Scale)
  • Communication Partner → CETI (Communication Effectiveness Index)
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3
Q

Name some standardised assessments for TBI and RHD

A
  • Screener → CCCABI (Cognitive Communication Checklist for Acquired Brain Injury)
  • Comprehensive Battery → SCANN (Scales of Cognitive & Communicative Ability for Neurorehabilitation)
  • Specific Language/Speech Areas
    → FAVRES Functional Assessment of Verbal Reasoning & Executive Strategies
    → Cookie Theft Picture - discourse specific
  • Activity & QoL/Mood
    → AUSTOMS (Australian Therapy Outcome Measures)
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4
Q

Name some standardised assessments for Dementia

A
  • Comprehensive Battery
    → SCCAN (Scales of Cognitive & Communication Abilities for Neurorehabilitation)
  • Specific Language/Speech Areas
    → Cookie Theft picture - assesses discourse
  • Activity & QoL/Mood
    → AUSTOMS (Australian Therapy Outcome Measures)
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5
Q

Name some standardised assessments for PPA

A
  • Language Specific Assessments
    → Peabody Picture Vocabulary Test (PPVT)
    → Motor Speech Tasks (to determine if PPA is the non-fluent variant)
    → Repetition - WAB sub-test (to determine if PPA is the logopenic variant)
  • Impairment-based batteries
    → SydBat (Sydney Language Battery)
    → FLCI (Functional Language Communication Inventory)
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6
Q

What is the purpose of assessment?

A

To determine a diagnosis, strengths & areas of need - How are we going to assist the patient to improve their communication, overall quality of life and their ability to participate in daily activities?

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7
Q

What biological foundations need to be considered for assessment purposes?

A
  • limb and motor function
  • vision
  • hearing
  • dentition
  • location of brain damage
  • communication pre-injury (not for progressive CCDs though)
  • patient files, imaging, OMA, health team evaluations –> from the patient/their family
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8
Q

What background information is needed as part of the assessment process?

A
  • personal, family, social, medical, educational, vocational history
  • what role will the family play in the rehabilitation process?
  • interviews, case history forms, LaTrobe Communication Questionnaire (LCQ)
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9
Q

What are the different elements needed for assessment?

A
  • Purpose
  • Biological foundations
  • Background information
  • Standardised assessments
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10
Q

What is WAB?

A

Western Aphasia Battery - assesses:
* Spontaneous Speech
* Auditory Comprehension
* Repetiton (words, phrases, sentences)
* Naming and Word Finding
* Apraxia

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11
Q

What is PALPA?

A

Psycholinguistic Assessment of Language Processing in Aphasia assesses:
* Phonological Processing:
* Lexical and Semantic Processing
* Morphological and Syntactic Processing
* Reading and Spelling
* Sentence Processing
* Short-term and Working Memory

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12
Q

What is SAQOL?

A

Stroke and Quality of Life Scale assesses QoL of stroke patients, particularly those with aphasia and/or AOS . It evaluates:
* Physical Health
* Communication
* Psychosocial Well-being
* Daily Activities

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13
Q

What is CETI?

A

Communication Effectiveness Index assesses the functional communication abilities of individuals with aphasia and/or AOS. It is completed by their caregiver or significant other and evaluates their communication around:
* Basic Needs
* Health Threats
* Social Needs
* Daily Planning

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14
Q

What is the AOS screener?

A

Apraxia of Speech screener assesses:
* Case History and Background Information
* OMA
* Speech Sounds (repeat single phonemes, syllables , multisyllanbic words, words of increasing length, phrases and sentences)
* Prosody
* Consistency and Accuracy over repeated trials.
* Speech Fluency Assessment

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15
Q

What is ABA-2?

A

Apraxia Battery for Adults assesses:
* Diadochokinetic Rate (ability to rapidly alternate movements of the speech articulators. eg ‘pa-ta-ka)
* Increasing Word Length (cat –> caterpillar)
* Limb Apraxia and Oral Apraxia (non speech tasks. eg waving, pucker lips)
* Latency and Utterance Time for Polysyllabic Words (time taken to repeat multisyllabic words)

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16
Q

What is CCCABI?

A

Cognitive Communication Checklist for Acquired Brain Injury
* An assessment for TBI/RHD
* A scripted interview to help understand issues and structure questions about CCD with client/family member.

17
Q

What is SCANN?

A

Scales of Cognitive and Communicative Ability for Neurorehabilitiation. Assesses:
- severity of impairment
- functional ability
- directs treatment goals
- measures changes over time
- Can be used for Aphasia/AOS, TBI/RHD

18
Q

What is FAVRES?

A

Functional Assessment of Verbal Reasoning and executive strategies
- for TBI/RHD
- activity and functional level
- no ceiling
- can administer sub-tests only

19
Q

What is the cookie theft picture test?

A

The “Cookie Theft” picture description task (subtest of Boston Diagnostic Aphasia Examination). Comprehensive tool for assessing language and communication disorders. Evaluates expressive language abilities, including fluency, grammar, and coherence.
* For TBI/RHD, dementia

20
Q

What is AusTOMs?

A

Australian Therapy Outcome Measures
- outcome measure for speech, language, cognition-communication
- used across health professions
- for impairment, activity, participation
- Used for TBI, RHD, Dementia

21
Q

What is PPVT (peabody)?

A

The Peabody Picture Vocab Test is used to assess patients with PPA with their receptive vocabulary (the ability to understand and recognize spoken words)

22
Q

What are motor speech tasks for with PPA patients?

A

To determine if PPA is non-fluent

23
Q

What is the WAB repetition subtest for with PPA patients?

A

Western Aphasia Battery subest (Repetition) - to determine if the PPA patient has logopenic aphasia

24
Q

What is the SydBat?

A

The Sydney Language Battery is used to assess patients with PPA
* Picture Naming
* Word Comprehension
* Semantic Association
* Repetition

25
Q

What is FLCI?

A

Functional Language Communication Inventory. It focuses on practical communication skills and provides a comprehensive picture of how well individuals can use language in everyday situations
* For dementia and PPA

26
Q

Name some non-standardised assessments for Aphasia

A

→ Naming Cueing Hierarchy (word-level)

→ Dynamic Assessment
- use any subtest or activity from a standardised test
- with/without any supports
- determine the level of cueing and the breakdown strategies needed

27
Q

Name some non-standardised assessments for AOS

A

→ Apraxia of Speech Rating Scale

→ AOS Speech Sounds Cueing Hierarchy

→ Dynamic Assessment
To determine:
- phonetic / sound level
- level of cueing / supports
- nature of stimuli
(see contingency table below)

28
Q

Name some non-standardised assessments for TBI and RHD

A

→ TBI Bank Protocol / RHD Bank Protocol
Evaluate cognitive communication skills, including:
- free speech sample
- picture descriptions
- story narrative (Cinderella retell)
- procedural discourse (PB&J sandwich)

→ Dynamic Assessment
- use any subtest or activity from a standardised test
- with/without any supports
- determine the level of cueing, breakdown strategies needed

Supports can include:
- cognitive (scaffolding, breaking tasks down)
- visuals (using pictures for sequencing tasks)
- spaced retrieval screening (for memory)
- treatment cueing hierarchy (phonemic, orthographic cues etc)
- probing awareness (self vs clinician)

29
Q

Name some non-standardised assessments for dementia

A

→ Dementia Bank Protocol
Evaluate cognitive communication skills, including:
- free speech sample
- picture descriptions
- story narrative (Cinderella retell)
- procedural discourse (PB&J sandwich)
→ Dynamic Assessment
- use any subtest or activity from a standardised test
- with/without any supports
- determine the level of cueing, breakdown strategies needed

→ Spaced Retrieval Screener

30
Q

Name some non-standardised assessments for PPA

A

→ Spaced Retrieval Screener
- assess function and memory

→ Cognitive interview and forms
- assess problem behaviours

31
Q

Name some assessments for evaluating the environment

A

→ Caregiver Burden Scale
- subjectively assesses caregiver’s well being

→ Adapted Kagan Scales
- MSC (Measure of Skill in Supported Conversation) - rates the CPs ability to acknowledge / reveal communication competence of pwCCD.
- MPC (Measure of Participation in Conversation) - examines the pwCCD’s ability to engage in transactional elements of conversations

→ Environment/CP - assess barriers and facilitators

DEMENTIA SPECIFIC: → ECAT for Dementia Care
- analyse physical and social changes to the environment