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This prospective cohort study hypothesizes that an analysis of parallel qualitative and quantitative data is necessary to examine the full experience of living with aphasia. It is also hypothesized that there are specific factors that act as barriers or facilitators to successfully living with aphasia. A unique aspect of the project is the use of the Assessment for Living with Aphasia (ALA), a new aphasia friendly measure based on the World Health Organization International Classification of Functioning, Disability and Health (WHO ICF). Each session will assess written and spoken language, functional communication, mobility, Activities of Daily Living (ADL) function, burden of stroke, quality of life, and depression.
The Assessment for Living with Aphasia [ Time Frame: 9 months ]
A new, aphasia friendly measure based on the World Health Organization International Classification of Functioning, Disability, and Health. It is a specialized tool using a self-rating scale and is focused on specific themes that have emerged from previous research.
Secondary Outcome Measures :
Western Aphasia Battery - Revised [ Time Frame: 9 months ]
This measure is designed to assess clinical aspects of language functions in aphasic patients and to provide the data needed to establish a prognosis for therapy.
Successfully Living with Aphasia Rating Scale [ Time Frame: 9 months ]
This scale is a quantitative self-rating of how successfully a person is living with aphasia.
Burden of Stroke Scale [ Time Frame: 9 months ]
The Burden of Stroke Scale is a health-status assessment instrument designed to measure patient-reported difficulty in multiple domains of functioning, psychological distress associated with specific functional limitations, and general well-being in stroke survivors.
Aphasia Depression Rating Scale [ Time Frame: 9 months ]
The Aphasic Depression Rating Scale (ADRS) was developed to detect and measure depression in aphasic patients during the subacute stage of stroke.
The Wepman Self-Correction Scale [ Time Frame: 9 months ]
This scale, based on a continuum, measures disturbances in the ability of the person with aphasia to self-correct speech and language errors.
The Barthel Index [ Time Frame: 9 months ]
This measure is a simple index of independence to score the ability of a patient with a neuromuscular or musculoskeletal disorder to care for himself.
The Functional Communication Profile [ Time Frame: 9 months ]
This rating scale is for persons with aphasia which considers 45 everyday communication behaviors. Ratings of each behavior are made on a 9-point scale, based on observations of the patient during an informal conversation.
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Ages Eligible for Study:
18 Years and older (Adult, Older Adult)
Sexes Eligible for Study:
Accepts Healthy Volunteers:
Inpatient/outpatient hospital population
18 years of age and older, willingness to be videotaped, first incidence of aphasia secondary to stroke with stroke onset ≤2.5
months pre-stroke or 3.5 months post-stroke with no significant complicating concomitant conditions (e.g. dementia, schizophrenia),
premorbid fluency/literacy in English, and no history of psychiatric disorder, and sufficient communication ability (including adequate hearing and vision) in English to participate in an interview as determined by a qualified speech pathologist based on administration of the Western Aphasia Battery - Revised and clinical observation.
participants will be enrolled in the study at 3 months post onset (+/- 2 weeks) wherever they are living, and presence of aphasia will be confirmed at the beginning of the first interview using the Aphasia Quotient cut offs of the Western Aphasia Battery.
participants with severe global aphasia will only be excluded after the interview if meaningful responses cannot be obtained using all available communication support tools. Hence, participants with a range of aphasia severity will be included.
unwillingness to be videotaped
onset of stroke <2.5 months post and >3.5 months post
moderate or severe dementia
symptoms of another preexisting neurological condition other than or in addition to aphasia due to stroke, or drug abuse
neurological surgical treatment not including a surgical treatment specifically for treatment of stroke, absence of aphasia.
no subjects will have a hearing loss unexpected for his/her chronological age.