Purpose: In this pilot study, the author investigated the association of proxy report of communicative participation for persons with aphasia (PWA) to determine if proxy report can be used to assess communicative participation status.
Method: The current study included 7 PWA- proxy pairs. All participants were administered the Communicative Participation Item Bank General Short Form (CPIB). PWA and proxy responses and various participant characteristics (e.g., age, severity of aphasia, time post onset, relationship and time spent together) were compared using graphic representations and statistical analyses.
Results: Inferential statistical analysis was unreliable due to small sample size; consequently, visual inspection was the primary means for interpretation. Overall, proxies rated communicative participation lower than PWA and rated higher communicative participation for PWA with less severe aphasia. Male proxies rated communicative participation lower than females. Male PWA rated their communicative participation greater than did females. PWA report of communicative participation and severity of aphasia did not appear to be associated. Differences of time spent together and relationship between PWA and proxy were unable to be determined due to the homogeneity of sample in regards to these characteristics.
Conclusions: This study suggests that there is modest association between PWA and proxy report on the CPIB. Although the PWA reported with a negative bias, proxy report paralleled PWA report. Low proxy report of communication is associated with increased PWA and proxy age, time post onset, and severity of aphasia. Limitations of the current study included small sample size, difficulty controlling participant attributes, discrepancies in administration techniques, and using unrepresentative language scores. The CPIB may be used with PWA with intact receptive language to assess communicative participation but may not be appropriate for individuals with impaired receptive language. Preliminary results indicate that further evaluation of proxy reliability and any influencing factors is warranted.
| Identifer | oai:union.ndltd.org:MONTANA/oai:etd.lib.umt.edu:etd-05172013-110138 |
| Date | 23 May 2013 |
| Creators | Eandi, Megan Rose |
| Contributors | Catherine Off, Amy Glaspey, Cynthia Garthwait, Carolyn Baylor |
| Publisher | The University of Montana |
| Source Sets | University of Montana Missoula |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.lib.umt.edu/theses/available/etd-05172013-110138/ |
| Rights | mixed, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Montana or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
Page generated in 0.0015 seconds