Aphasia is an acquired language impairment caused by damage in the regions of the brain that support language. The Main Concept Analysis (MCA) is a published formal assessment battery that allows the quantification of the presence, accuracy, completeness, and efficiency of content in spoken discourse produced by persons with aphasia (PWA). It utilizes a sequential picture description task (with four sets of pictures) for language sample elicitation. The MCA results can also be used clinically for targeting appropriate interventions of aphasic output. The purpose of this research is to develop a Spanish adaptation of the MCA by establishing normative data based on native unimpaired speakers of Spanish. In the pilot study, thirty-eight unimpaired Spanish participants were recruited by previous student researchers. Each participant was asked to complete a demographic questionnaire and a short form of the Cognitive Linguistic Quick Test was administered to rule out any unidentified language problems. The MCA was then be administered to participants and their oral description was audio recorded for later orthographic transcription. A total of 81 unimpaired participants that consisted of different genders, ages (young, middle-aged, and older groups), levels of education (high versus low), and dialect origins (e.g., Spain, Puerto Rico, Columbia) were recruited in the main study to establish a more balanced set of data. One person with aphasia (PWA) was recruited for this study. Based on the collected normative samples, the essential information was identified for each participant. A dialect-specific scoring criteria including target main concepts and lexicons of the Spanish-MCA were developed. The Spanish-MCA was conducted to test the validity of the assessment battery. In the current study, a preliminary set of data using the MCA scoring criteria has been established. Similar to findings in Kong and Yeh 2015, the results of the Spanish-MCA showed age and education did impact discourse performance. Results from one-way ANOVA revealed statistical differences between age groups and education levels of the unimpaired participants recruited. The groups of participants with a higher education conveyed more AC concepts compared to the other dialect groups. To compare data for PWA, it is suggested that a larger sample size of PWA be recruited to validate the Spanish-MCA.

Aphasia is a language disorder resulting from damage to brain areas that control language expression and reception. Clinically, the narrative production of Persons with Aphasia (PWA) provides valuable information for diagnosis of aphasia. There are several types of assessment procedures for analysis of aphasic's narrative production. One of them is to use quantification systems, such as the Cantonese Linguistic Communication Measure (CLCM; Kong & Law, 2004) or the Main Concept Analysis (MCA; Kong, 2009), for objective quantification of aphasic's discourse. The purposes of this study are (1) to translate the MCA and CLCM to a Taiwanese Mandarin Main Concept Analysis (TM-MCA) and a Taiwanese Mandarin Linguistic Communication Measure (TM-LCM), respectively, and (2) to validate them based on normal speakers and PWA in Taiwan. In the pilot study, a total of sixteen participants, eight certified speech-language pathologists (SLPs) and eight normal speakers, were invited to establish the Taiwanese Mandarin main concepts related to the four sets of sequencial pictures created by Kong in 2009. The language samples from eight normal speakers were then used to determine the informative words (i-words) in the picture sets. In the main study, thirty-six normal speakers and ten PWA were recruited to perform the same picture description tasks. The elicited language samples were analyzed using both the TM-MCA and TM-LCM. The results suggested that both age and education affected the oral discourse performance. Significant differences on the measures in TM-MCA and indices in TM-LCM were noted between the normal and aphasic groups. It was also found that overall aphasia severity affected the picture description performances of PWA. Finally, significant correlations between some of the TM-MCA measures and TM-LCM indices were noted. In conclusion, both the TM-MCA and TM-LCM are culturally appropriate to the Taiwanese Mandarin population. They can be used to supplement standardized aphasia tests to help clinicians make more informative decisions not only on diagnosis but also on a treatment plan of aphasia.