The Communication Success Screener (Gallée et al., 2024)

Purpose: Behavioral intervention targeting speech, language, and communication concerns is an established therapeutic approach for patients with communication concerns across a range of acquired neurogenic disorders. The multidimensional factors that contribute to a person’s self-identified communication challenges and strengths in their daily communication needs must be considered to provide functional and person-centered care. While assessments grounded in clinician observation or client self-report exist, there is a direct need for a screening tool that comprehensively evaluates the roles of modality (verbal, text, gesture) and environment (in-person, virtual) on self-reported success across communicative demands. In this study, we describe a preliminary approach to monitoring the progression of receptive and expressive communication skills in people with chronic poststroke aphasia in the context of communication practices of the 21st century, culminating in the development and exploratory implementation of a novel clinical instrument: the Communication Success Screener (COMSS).Method: Thirty-three participants with aphasia due to stroke were recruited to complete and evaluate the COMSS via an online survey. Quantitative responses and open-ended participant feedback were collected to validate and propose adaptations to the COMSS. Group-level analyses and case presentations were used to highlight COMSS features and outcomes.Results: Participant responses to the COMSS questionnaire suggest that this screening tool creates differentiated communicative success profiles based on self-report. Participant feedback also indicated that the COMSS appropriately evaluates self-reported success across modalities of verbal, text, and gesture in the context of in-person and virtual environments.Conclusions: The communication concerns experienced by people with aphasia are often heterogeneous and vary as a function of their daily activities of living, preferred language modalities, and environmental supports. We present preliminary feasibility analyses of the COMSS as a potential tool to support the monitoring of functional change by evaluating self-reported communicative success across form, modality, environment, and task demand.Supplemental Material S1. Participant scores.Gallée, J., Tilton-Bolowsky, V. E., & Stark, B. C. (2024). The Communication Success Screener: A preliminary investigation of perceived communicative success across modalities, environments, and demands. Journal of Speech, Language, and Hearing Research, 67(1), 149–169. https://doi.org/10.1044/2023_JSLHR-23-00171

目的：针对言语、语言和沟通方面的行为干预是治疗各种后天神经源性沟通障碍患者的一种确立的治疗方法。为了提供功能性和以患者为中心的护理，必须考虑导致个人在日常沟通中识别出的沟通挑战和优势的多维因素。虽然基于临床观察或客户自我报告的评估方法存在，但仍迫切需要一种全面评估模式（口头、文本、手势）和环境（面对面、虚拟）对自我报告沟通成功角色影响的筛查工具。在本研究中，我们描述了一种初步方法，用于在21世纪沟通实践背景下监测慢性中风后失语症患者接受性和表达性沟通技能的进展，最终开发并探索性实施了一种新颖的临床工具：沟通成功筛查器（COMSS）。方法：招募了33名中风后失语症患者完成并评估COMSS，通过在线调查收集定量回答和开放式参与者反馈，以验证和提出对COMSS的改进建议。通过分组分析和案例展示，突出了COMSS的特点和结果。结果：参与者对COMSS问卷的回答表明，该筛查工具根据自我报告创建了差异化的沟通成功档案。参与者的反馈还表明，COMSS恰当地评估了在面对面和虚拟环境中的口头、文本和手势等多种沟通模式的自我报告成功。结论：失语症患者所经历的沟通问题通常是异质性的，并随其日常生活活动、偏好的语言模式和环境影响而变化。我们介绍了COMSS作为一项潜在工具的初步可行性分析，以支持通过评估自我报告的沟通成功在形式、模式、环境和任务需求方面的功能性变化进行监测。补充材料S1：参与者得分。Gallée, J., Tilton-Bolowsky, V. E., & Stark, B. C. (2024). 沟通成功筛查器：一种初步研究，探讨跨模式、环境和需求的感知沟通成功。言语、语言和听力研究杂志，67(1)，149–169. https://doi.org/10.1044/2023_JSLHR-23-00171