Assessment of Aphasia Across the International Classification of Functioning, Disability and Health Using an iPad-Based Application

Guo, YE; Togher, L; Power, E; Hutomo, E; Yang, YF; Tay, A; Yen, SC; Koh, GCH

Assessment of Aphasia Across the International Classification of Functioning, Disability and Health Using an iPad-Based Application

Guo, YE Togher, L Power, E

Hutomo, E Yang, YF Tay, A Yen, SC Koh, GCH

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Publication Type:: Journal Article
Citation:: Telemedicine and e-Health, 2017, 23 (4), pp. 313 - 326
Issue Date:: 2017-04-01

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Field	Value	Language
dc.contributor.author	Guo, YE	en_US
dc.contributor.author	Togher, L	en_US
dc.contributor.author	Power, E https://orcid.org/0000-0002-2638-0406	en_US
dc.contributor.author	Hutomo, E	en_US
dc.contributor.author	Yang, YF	en_US
dc.contributor.author	Tay, A	en_US
dc.contributor.author	Yen, SC	en_US
dc.contributor.author	Koh, GCH	en_US
dc.date.issued	2017-04-01	en_US
dc.identifier.citation	Telemedicine and e-Health, 2017, 23 (4), pp. 313 - 326	en_US
dc.identifier.issn	1530-5627	en_US
dc.identifier.uri	http://hdl.handle.net/10453/127814
dc.description.abstract	© 2017, Mary Ann Liebert, Inc. Background: Access2Aphasia™ is an iPad™-based aphasia assessment application that enables real-time audiovisual communication between people with aphasia (PWA) and speech-language pathologists (SLPs), and the use of supported conversation techniques. This study aimed to establish the reliability of aphasia assessment across the International Classification of Functioning, Disability and Health (ICF) using Access2Aphasia, and compare it with face-to-face (FTF) assessment. Consumer perspectives of Access2Aphasia were also examined. Materials and Methods: Thirty PWA were randomized into two conditions: online-led and FTF assessment. Participants in the online-led group were assessed remotely using Access2Aphasia™ in their own homes, while an FTF SLP scored silently simultaneously. Participants in the FTF group were assessed FTF using standard administration materials. Assessment included two subtests of the Psycholinguistic Assessment of Language Processing Activities (PALPA) and the Assessment of Living with Aphasia (ALA) to allow for outcomes to be captured across the ICF domains. Consumer perspectives on Access2Aphasia were obtained from both PWA and research SLPs in the online-led group. Results: Kappa statistics indicated moderate to almost perfect agreement between online and FTF SLPs (k = 0.71-1.00). Intrarater and interrater reliability was excellent (ICC = 0.99-1.00) and equivalent for the online-led and FTF conditions. Both PWA and research SLPs in the online-led group reported being satisfied with the experience overall, with suggestions provided by research SLPs to improve Access2Aphasia. Conclusion: This study supports the provision of iPad-based aphasia assessments across the ICF in the online environment, with comparable reliability to FTF assessments. Future research is warranted to support the development of iPad-based aphasia assessment and treatment as an alternative mode of service delivery to PWA.	en_US
dc.relation.ispartof	Telemedicine and e-Health	en_US
dc.relation.isbasedon	10.1089/tmj.2016.0072	en_US
dc.subject.classification	Medical Informatics	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Aphasia	en_US
dc.subject.mesh	Observer Variation	en_US
dc.subject.mesh	Reproducibility of Results	en_US
dc.subject.mesh	Remote Consultation	en_US
dc.subject.mesh	Computers, Handheld	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Patient Satisfaction	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Stroke	en_US
dc.subject.mesh	International Classification of Functioning, Disability and Health	en_US
dc.title	Assessment of Aphasia Across the International Classification of Functioning, Disability and Health Using an iPad-Based Application	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	23	en_US
utslib.for	0903 Biomedical Engineering	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	0807 Library and Information Studies	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	23	en_US

Abstract:

© 2017, Mary Ann Liebert, Inc. Background: Access2Aphasia™ is an iPad™-based aphasia assessment application that enables real-time audiovisual communication between people with aphasia (PWA) and speech-language pathologists (SLPs), and the use of supported conversation techniques. This study aimed to establish the reliability of aphasia assessment across the International Classification of Functioning, Disability and Health (ICF) using Access2Aphasia, and compare it with face-to-face (FTF) assessment. Consumer perspectives of Access2Aphasia were also examined. Materials and Methods: Thirty PWA were randomized into two conditions: online-led and FTF assessment. Participants in the online-led group were assessed remotely using Access2Aphasia™ in their own homes, while an FTF SLP scored silently simultaneously. Participants in the FTF group were assessed FTF using standard administration materials. Assessment included two subtests of the Psycholinguistic Assessment of Language Processing Activities (PALPA) and the Assessment of Living with Aphasia (ALA) to allow for outcomes to be captured across the ICF domains. Consumer perspectives on Access2Aphasia were obtained from both PWA and research SLPs in the online-led group. Results: Kappa statistics indicated moderate to almost perfect agreement between online and FTF SLPs (k = 0.71-1.00). Intrarater and interrater reliability was excellent (ICC = 0.99-1.00) and equivalent for the online-led and FTF conditions. Both PWA and research SLPs in the online-led group reported being satisfied with the experience overall, with suggestions provided by research SLPs to improve Access2Aphasia. Conclusion: This study supports the provision of iPad-based aphasia assessments across the ICF in the online environment, with comparable reliability to FTF assessments. Future research is warranted to support the development of iPad-based aphasia assessment and treatment as an alternative mode of service delivery to PWA.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/127814