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Jämförelse och utvärdering av bedömningsmaterial inom kommunikationspartnerträning vid afasi: Bedömning av inter- och intrabedömarreliabilitet
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
Abstract [sv]

Approximately 10 000 individuals in Sweden are diagnosed with aphasia every year, which can result in severe communication difficulties. Conversation partner training (CPT) is a treatment that aims to help the person with aphasia and their communication partner to have a functional communication. CPT has shown to be an efficient treatment and is recommended in the Swedish national stroke rehabilitation guidelines. The present study examines the inter- and intra-rater reliability of five different CPT assessment materials with intraclass correlation (ICC) for CPT in aphasia. The assessment materials evaluated and compared in this study were Measure of skill in supported conversation (MSC), Measure of participation in conversation (MPC) and the Swedish adaptations Measure of interaction in conversation (MIC/MIK), Stöd i konversation (SiK) and Deltagande i konversation (DiK). The study also examines if assessment training increases the inter-rater reliability, and also if there is any correlation between the type and severity of aphasia and inter-rater reliability. Fourteen dyads participated in the study. The analyses are based on 10 minutes long video clips where the dyads are having a conversation on an optional topic. The results indicated that the assessment materials with the highest inter-rater reliability were SiK and DiK (ICC > 0.65, p < 0,001) and the assessment material with highest intra-rater reliability was MSC for assessor number one (0.91, p < 0.001) and MIC for assessor number two (0.83, p < 0.001). The results also imply that there are no significant differences in inter-rater reliability between assessments before and after assessment training. Correlation between type of aphasia and inter-rater reliability was found in SiK (r = 0.65 p = 0.013). No correlation was found for the variable severity of aphasia and inter-rater reliability.

Varje år drabbas ca 10 000 personer av afasi i Sverige, vilket kan medföra stora kommunikativa svårigheter. Kommunikationspartnerträning (KPT) är en behandling som hjälper den drabbade och dennes samtalspartner att kommunicera på ett funktionellt sätt. Studier visar att KPT är en effektiv behandlingsmetod och i Socialstyrelsens reviderade nationella strokeriktlinjer rekommenderas denna metod. Föreliggande studie undersöker inter- och intrabedömarreliabiliteten med intraclass correlation (ICC) för fem olika bedömningsmaterial för KPT vid afasi. Bedömningsmaterialen som jämförts och utvärderats är Measure of skill in supported conversation (MSC), Measure of participation in conversation (MPC), och de svenska anpassningarna Mått på interaktion i kommunikation (MiK) och Stöd i konversation (SiK) respektive Deltagande i konversation (DiK). Studien utforskar också om samstämmighetsträning förbättrar interbedömarreliabiliteten samt om det finns något samband mellan typ och grad av afasi och interbedömarreliabilitet. Fjorton dyader deltog i studien. Analysen genomfördes utifrån filmklipp på cirka 10 minuter där deltagarna samtalade om valfritt ämne. Resultaten visade att SiK och DiK hade högst interbedömarreliabilitet (ICC > 0,65, p < 0,001). Bedömningsmaterialet med högst intrabedömarreliabilitet var MSC för bedömare 1 (0,91, p < 0,001), och MIK för bedömare 2 (0,83 p < 0,001). Resultaten i föreliggande studie visade inga signifikanta skillnader i interbedömarreliabilitet mellan testning före respektive efter träning av samstämmighet. Korrelation mellan typ av afasi och interbedömarreliabilitet kunde påvisas för SiK (r = 0,65 p = 0,013). Korrelation mellan grad av afasi och interbedömarreliabilitet kunde ej påvisas.

Place, publisher, year, edition, pages
2017. , p. 47
Series
Magisterarbete i logopedi ; 144
Keyword [sv]
logopedi, kommunikationspartnerträning, afasi, reliabilitet, MSC, MPC, MIK, SiK, DiK
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-337443OAI: oai:DiVA.org:uu-337443DiVA, id: diva2:1169590
Subject / course
Speech and Language Pathology
Educational program
Degree of Master of Science in Speech and Language Pathology
Supervisors
Examiners
Available from: 2018-01-02 Created: 2017-12-28 Last updated: 2018-01-02Bibliographically approved

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