Abstract
People with aphasia (PWA), an acquired communication disorder, benefit from speech and language therapy (SLT). SLT can be conducted as telepractice, which requires a certain level of technology commitment (TC). Neyer et al. (2012) developed an assessment for TC for older adults. Due to its high linguistic complexity, this study aimed to: (1) adapt the brief measure of TC to the PWA´s needs, (2) add and evaluate items regarding the commitment to telepractice. The modification was an iterative process, alternating piloting, and modification phases. In the piloting, PWA answered the questions of the assessment using verbal probing. The original measure was conducted during the first piloting phase (n = 6). After the first modification and addition of items on telepractice, a second piloting (n = 5) followed. After further modification, the third piloting (n = 3) started. The data were analysed using behaviour coding and qualitative content analysis. Based on the first piloting phase, the layout was adjusted, and visual support (i.e., smileys) was added. Synonyms replaced words with higher word frequency. Subordinate clauses were reduced. The second piloting showed improved accessibility. However, difficulties arose with the added items, and smileys were misleading on some items. Results of the third piloting phase showed that the change of the visual support (i.e., red cross, yellow circle, green checkmark) was helpful. General comprehensibility was further improved. However, not all rules of official plain language could be followed, as items would lose discriminatory power. In future studies, the modification must be tested for its psychometric properties.
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- 1.
The current work is supported by a grant of the German Federal Ministry of Education and Research [BMBF, 01IS19039].
References
United Nations Convention: United Nations convention on the rights of persons with disabilities. UNCRPD (2022)
Davis, F.D.: Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly (1989). https://doi.org/10.2307/249008
Neyer, F.J., Felber, J., Gebhardt, C.: Entwicklung und Validierung einer Kurzskala zur Erfassung von Technikbereitschaft. Diagnostica (2012). https://doi.org/10.1026/0012-1924/a000067
Dalemans, R., Wade, D.T., van den Heuvel, W.J.A., de Witte, L.P.: Facilitating the participation of people with aphasia in research: a description of strategies. Clinical rehabilitation (2009). https://doi.org/10.1177/0269215509337197
Shiggins, C., et al.: Towards the consistent inclusion of people with aphasia in stroke research irrespective of discipline. Arch. Phys. Med. Rehabil. 103, 2256–2263 (2022). https://doi.org/10.1016/j.apmr.2022.07.004
Lam, J.M.C., Wodchis, W.P.: The relationship of 60 disease diagnoses and 15 conditions to preference-based health-related quality of life in Ontario hospital-based long-term care residents. Med. Care (2010). https://doi.org/10.1097/MLR.0b013e3181ca2647
Cordes, L., Loukanova, S., Forstner, J.: Scoping Review über die Wirksamkeit einer Screen-to-Screen-Therapie im Vergleich zu einer Face-to-Face-Therapie bei Patient*innen mit Aphasie auf die Benennleistungen. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen (2020). https://doi.org/10.1016/j.zefq.2020.08.002
Gauch, M., Leinweber, J., Plath, A., Spelter, B., Corsten, S.: Quality of life outcomes from aphasia telepractice: a scoping review. Aphasiology (2022). https://doi.org/10.1080/02687038.2022.2079604
Devane, N., Behn, N., Marshall, J., Ramachandran, A., Wilson, S., Hilari, K.: The use of virtual reality in the rehabilitation of aphasia: a systematic review. Disabil. Rehabil. (2022). https://doi.org/10.1080/09638288.2022.2138573
Nichol, L., Pitt, R., Wallace, S.J., Rodriguez, A.D., Hill, A.J.: “There are endless areas that they can use it for”: speech-language pathologist perspectives of technology support for aphasia self-management. Disabil. Rehabil. Assistive Technol. (2022). https://doi.org/10.1080/17483107.2022.2037758
Menger, F., Morris, J., Salis, C.: The impact of aphasia on internet and technology use. Disabil. Rehabil. 42, 2986–2996 (2020). https://doi.org/10.1080/09638288.2019.1580320
Spelter, B., Corsten, S., Diehlmann, L., Plath, A., Leinweber, J.: The user-centred design in the development of a platform for Teletherapy for people with Aphasia. In: Antona, M., Stephanidis, C. (eds.) Universal Access in Human-Computer Interaction. Novel Design Approaches and Technologies. Lecture Notes in Computer Science, vol. 13308, pp. 342–359. Springer, Cham (2022). https://doi.org/10.1007/978-3-031-05028-2_23
Ellis, C., Urban, S.: Age and aphasia: a review of presence, type, recovery and clinical outcomes. Top. Stroke Rehabil. 23, 430–439 (2016). https://doi.org/10.1080/10749357.2016.1150412
Tafforeau, J., Cobo, M.L., Tolonen, H., Scheidt-Nave, C., Tinto, A.: Guidelines for the development and criteria for the adoption of Health Survey instruments. O. fn statistics, Luxembourg, European Commission (2005)
Collins, D.: Pretesting survey instruments: an overview of cognitive methods. Qual. Life Res. Int. J. Qual. Life Aspects Treat. Care Rehabil. 12(3), 229–238 (2003). https://doi.org/10.1023/A:1023254226592
Lenzner, T., Neuert, C., Otto, W.: Kognitives Pretesting (2014)
Oksenberg, L., Kalton, G.: New strategies for pretesting survey questions. J. Offi. Stat. 7, 349 (1991)
Kuckartz, U.: Qualitative Inhaltsanalyse. Methoden, Praxis, Computerunterstützung. Beltz Juventa, Weinheim, Basel (2012)
Nápoles-Springer, A.M., Santoyo-Olsson, J., O'Brien, H., Stewart, A.L.: Using cognitive interviews to develop surveys in diverse populations. Med. Care (2006). https://doi.org/10.1097/01.mlr.0000245425.65905.1d
Bredel, U., Maaß, C.: Leichte sprache. Maaß, C., Rink, I. (eds.) Handbuch Barrierefreie Kommunikation, pp. 251–271. Frank & Timme, Berlin (2019)
Hilari, K., Byng, S., Lamping, D.L., Smith, S.C.: Stroke and Aphasia Quality of Life Scale-39 (SAQOL-39): evaluation of acceptability, reliability, and validity. Stroke 34, 1944–1950 (2003). https://doi.org/10.1161/01.STR.0000081987.46660.ED
Quasthoff, U. (ed.): Frequency dictionary German. DEU = Häufigkeitswörterbuch Deutsch, 1st edn. Frequency dictionaries, vol. 1. Leipziger Univ.-Verl., Leipzig (2011)
Jäger, R.: Konstruktion einer Ratingskala mit Smilies als symbolische Marken. Diagnostica 50, 31–38 (2004). https://doi.org/10.1026/0012-1924.50.1.31
Hilari, K., Byng, S.: Measuring quality of life in people with aphasia: the stroke specific quality of life scale. Int. J. Lang. Commun. Disord. 36, 86–91 (2001). https://doi.org/10.3109/13682820109177864
Menold, N., Bogner, K.: Design of rating scales in questionnaires. GESIS Survey Guidelines. Leibniz Institute for the Social Sciences: Mannheim, Germany, pp. 1–13 (2016)
Christian, L.M., Dillman, D.A.: The influence of graphical and symbolic language manipulations on responses to self-administered questions. Public Opin. Q. 68, 57–80 (2004). https://doi.org/10.1093/poq/nfh004
van Deursen, A.J., Helsper, E.J.: A nuanced understanding of Internet use and non-use among the elderly. Eur. J. Commun. 30, 171–187 (2015). https://doi.org/10.1177/0267323115578059
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Spelter, B. et al. (2023). Modification of the Brief Measure of Technology Commitment for People with Aphasia. In: Antona, M., Stephanidis, C. (eds) Universal Access in Human-Computer Interaction. HCII 2023. Lecture Notes in Computer Science, vol 14020. Springer, Cham. https://doi.org/10.1007/978-3-031-35681-0_33
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